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Managing a patient with Pulmonary Edema

Nursing case study on Pulmonary Edema

Assignment Brief
The assignment is 2000 words. There is no 10% leeway on word count.
The essay must be based on one of the three patient scenarios (Patient presenting with ACS, AF, or Heart Failure), we have considered in the classroom and student inquiry-based activities. You may wish to mention the patient by name or just place the presenting condition into context. You can choose to base your assignment on any of the three scenarios, it does not need to be the one you have undertaken the group work on. Search for primary research and indicative policies and guidelines e.g. Department of Health, NICE, British societies, European societies, etc. Analyze your chosen aspects from the scenario alongside recommendations. Make sure to use appropriate research and evidence. Try to be critical when you consider the research and literature. The assignment will be marked against the HAS Descriptors. Remember to use the UWE Harvard referencing system and keep to primary papers (unless historical or seminal) less than 10 years old.
Case study Heart Failure: Pulmonary Edema
John Smith (78) has been brought to the emergency department after developing acute breathlessness and generally feeling very weak and unwell. He is a retired lorry driver and has a previous medical history of hypertension and has a BMI in the obese range. He has developed peripheral pitting edema and complains that his mobility has been getting worse for the last few months, but had not thought to bother his GP. He is currently not taking any medication.
Despite medication, John Smith still has pulmonary edema and is desaturating despite 15litres oxygen via a non-rebreath mask. It is decided to try non-invasive ventilation.
It has been confirmed that John Smith is in acute LVF with a heart rate of 88 beats per minute. He has acute pulmonary edema and is desaturating. It has been decided to try medication to help him in an acute situation.

Acute nursing consideration for a patient with pulmonary edema
Introduction (100 words) To set the scene of the topic and introduce your essay itself, “In this essay, I will be exploring the xxxxx of xxxx and offer some recommendations for my future practice”. Keep it brief though.
Body (1800 words)
The first part (Approximately 900 words) should critically explore the acute nursing considerations around managing patients presenting with your chosen condition. 6
The second part (Approximately 900 words) should pick ONE aspect focusing on the ongoing nursing considerations of your chosen condition and critically explore the relevant literature in relation to this. Ensure the aspect you pick has a nursing element.
Conclusion (100 words) Briefly summarise what you have considered and how this knowledge will influence your future practice.
General points
Use the Harvard referencing system and keep to primary papers (unless historical or seminal) less than 10 years old
You should include your word count at the end of the essay (the word count does not include the reference list)
You should include your student number as a header or footer
You should use Arial size 12 font with 1.5 line spacing

Try to be critical when you consider the research and literature (Remember EBP),
For example,
The majority of studies examining the preference between Smarties and M&Ms only used
small samples (n less than 30) (Patel, 2014; Ferguson, 2014; & White, 2013). While it is
difficult to obtain large sample sizes in the under 5 age range due to the ethical implications
Black (2012) accessed parents to undertake questionnaires and achieved a sample of 120
participants. It must be acknowledged that children likely to volunteer may have different
characteristics to the child population as a whole. Blacks work does, however, contradict more
recent studies (Patel, 2014; Ferguson, 2014; & White, 2013) and so leaves further questions
regarding preference unanswered.
In this paragraph, you have shown an understanding of the issue of sampling within the context
of your setting, ethical issues, contradictory findings, population constraints and mentioned
data collection methods.