NRSG139 Assessment Task 1: Postoperative Complications in Inguinal Hernia Repair

Assessment Task 3: Case Study Analysis – Medical-Surgical Nursing

Unit Code: NURS312 Unit Title: Acute Care Nursing Practice Assessment Type: Individual Written Case Study Word Limit: 1,800 words (±10%) Weighting: 40% Due Date: Week 10, Friday 5pm via Turnitin submission portal Learning Outcomes Assessed: LO3: Apply the Clinical Reasoning Cycle to analyse and prioritise nursing care in complex patient scenarios; LO4: Integrate ethical, legal, and evidence-based principles into holistic, person-centred care planning.

Task Overview

Examine a medical-surgical case scenario using the Clinical Reasoning Cycle (Levett-Jones, 2018) to demonstrate ethical, legal, and evidence-based nursing interventions. Focus on post-operative complications in inguinal hernia repair, addressing holistic care, goal-setting, and evaluation. Select this case if your clinical placement aligns with medical-surgical specialties; consult unit coordinator if unallocated by Week 5.

Case Scenario: Mr. Peter Ling – Post-Operative Inguinal Hernia Repair

Mr. Peter Ling, 67-year-old retired male, admitted to the surgical ward post open mesh inguinal hernia repair. Presented to ED with 6-hour history of right non-reducible tender inguinal mass after starting gym/weight-lifting.

Past Medical History: Lives with wife; ex-smoker; BMI 30 (obese); ex-weightlifter; hypertension and hyperlipidaemia (well-controlled); mild congestive heart failure (CHF).

Day 2 Post-Op Presentation: Agitated, confused, reports severe left calf pain.

Assessment Findings:

• Vital signs: Temp 39.3°C, RR 25/min, HR 100 bpm (regular), SpO2 95% RA, BP 170/90 mmHg, Pain 7/10 (wound and calf), GCS 14/15.
• Physical: Restless, confused (time/place); clear chest; dry skin; wound oozing green purulent discharge, tender; left calf swollen, red, warm vs. right.

Investigations: Hb 16.5 g/dL; elevated WCC, neutrophils, CRP.

Nursing Notes: 18G cannula right arm; tolerating diet, voiding well; bowels opened Day 1; agitated/confused on morning review.

You are the Registered Nurse providing care.

Task Requirements

Structure your case study using the Clinical Reasoning Cycle framework (Levett-Jones, 2018). Collect and process data from the scenario, identify/prioritise three (3) nursing issues, establish goals, discuss interventions linked to evidence, evaluate outcomes, and reflect on learning.

Required Sections:

1. Introduction (150 words): Outline scenario, framework, and key issues (e.g., wound infection, possible DVT, delirium).
2. Consider the Patient’s Situation (200 words): Summarise history, current presentation, and contextual factors (e.g., obesity, CHF).
3. Collect, Process, and Present Cues (250 words): Detail objective/subjective data; prioritise abnormal findings (e.g., fever, calf signs).
4. Identify and Prioritise Three Nursing Issues (300 words): Base on assessment (e.g., impaired tissue integrity, risk for VTE, acute confusion); justify using NMBA standards.
5. Establish Goals (200 words): SMART goals for each issue (e.g., reduce infection risk within 24 hours).
6. Take Action – Nursing Interventions (400 words): Discuss evidence-based actions (e.g., aseptic wound care, DVT prophylaxis, orientation strategies); link to legal/ethical principles (e.g., consent, dignity).
7. Evaluate Outcomes (150 words): Analyse intervention effectiveness; adjust if needed.
8. Reflect on Process and Learning (150 words): Discuss insights into clinical reasoning; implications for practice.
9. Conclusion (100 words): Synthesise key learnings.

Incorporate 10+ credible sources (peer-reviewed, 2019–2025); use APA 7th referencing. Ensure person-centred focus, avoiding repetition of prior assessments.

Rubric Criteria

Submission Instructions

Label file: “StudentID_NURS312_Ass3_CaseStudy.docx”. Submit via LMS Turnitin. Late penalty: 10%/day. Academic integrity: Plagiarism <10% similarity; use Quetext for self-check. Extensions: Apply via LMS 48 hours prior with evidence.

Seek clarification from unit coordinator; no resubmissions.

Learning Materials/Resources

Du, Y., Han, S., Zhou, Y., Wang, Y., Zhang, Y., Li, X., … & Wang, Y. (2023). Severe wound infection by MRCNS following bilateral inguinal herniorrhaphy. BMC Infectious Diseases, 23(1), 85. https://doi.org/10.1186/s12879-023-08039-9

van Hout, L., Harker, M. J. R., Vriens, P. W. H. E., & Bökkerink, W. J. V. (2024). Identifying postoperative complications after inguinal hernia repair with a smartphone application: A comparative cohort study. Hernia, 28(4), 1265–1274. https://doi.org/10.1007/s10029-024-03019-7

Wilson, R. B., & Farooque, Y. (2022). Risks and prevention of surgical site infection after hernia mesh repair and the predictive utility of ACS-NSQIP. Journal of Gastrointestinal Surgery, 26(4), 950–964. https://doi.org/10.1007/s11605-022-05248-6

Itani, K. M. F., Wilson, S. E., Merchant, S., Karim, A., Chow, A. W., & Pappas, T. N. (2024). Risk factors for postoperative complications in hernia repair. Cureus, 16(1), e51942. https://doi.org/10.7759/cureus.51942

Hammond, J. S., Kumar, S. R., & Hammond, J. S. (2025). Venous thromboembolism after ventral hernia repair with component separation: Incidence and risk factors. Hernia, Advance online publication. https://doi.org/10.1007/s10029-025-03123-4

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NRSG139 Evaluation Job 1 Pupil Tips.
Rationale for this information. NRSG139 is a primary semester first 12 months unit and most college students are new to tertiary research. This activity is because of be submitted on the finish of week four, Friday March 20th earlier than 12 noon. For many of you will probably be your first submission of a tertiary project. This information is restricted to NRSG139 AT 1 and designed that will help you to discover ways to strategy and write up this project. A information similar to this can’t be anticipated for different evaluation duties particularly later ones. Writing at tertiary degree could be very totally different to secondary degree. The most important distinction is that it’s essential to now reference every little thing not your individual authentic concept. Use of quotes is probably the most fundamental use of sources and ought to be saved to a minimal. Paraphrasing is most well-liked. Which means rewording the supply in your individual phrases and weaving it into your dialogue. Don’t copy from textual content books, journals or the web. I’ve offered a step-by-step strategy and a plan with readings on the forms of content material required to handle every standards of the rubric.
Learn this complete guideline earlier than commencing your evaluation.
Don’t depart making ready for this project to the final minute. Usually, for a activity weighted 30% you possibly can estimate Three weeks preparation together with understanding the subject, analysis, and studying concerning the subject, a plan and a draft, last model with in textual content citations, reference record and formatting the doc as per APA6.
Subject
For this activity you might be required to carry out a well being evaluation interview for an grownup. You could utilise any heath historical past mannequin or device utilized in class.
The written submission should focus on, firstly the way you established and maintained rapport, and secondly the way you successfully questioned an grownup shopper. Embody issues and strategies used together with rationales supported by literature. Confer with Appendix A of the unit define for additional data.
Step-by-step strategy to Evaluation Job 1.
1. Evaluation the subject within the unit define very rigorously, be clear on what the query is asking you to supply. Be aware due date and time, variety of phrases and if the paper is an project, an essay, a case research, a report and so on.
2. Learn the marking rubric. The rubric for AT 1 is the Appendix of the Unit Define. What’s a rubric? A rubric is a scoring information used to direct college students when writing the project and to information markers when scoring the project. The rubric lists the factors to be addressed within the project and describes the standard of solutions required for every grade class.
Three. Analysis and skim across the subject, see what data your textual content books have on the subject. Seek for related peer reviewed journal articles referring to your subject. Some readings are offered for you. Hyperlinks to your textual content books are within the Studying record on LEO within the Overview tile. The three textual content books related to AT 1 are on the high of the
studying record and marked as core texts. I’ll confer with them all through this information as Potter and Perry (fundamentals textual content), Jarvis (well being evaluation textual content) and O’ Toole (communication textual content). I like to recommend you learn all these readings as a part of your preparation as it should assist you to perceive the subject earlier than you begin writing.
The readings are grouped in accordance with which standards they tackle.
For some evaluation duties websites could also be useful, however solely use credible sources on the web. A reputable supply is present and from a longtime establishment or organisations with experience similar to Australian Authorities websites, Anti Most cancers Council, AIHW, ACSQHC, AHPRA and so on. By no means cite Higher Well being Channel or Wikipedia as sources to assist a tutorial paper. It’s because the authorship is nameless, and content material is just not verified by consultants.
four. Choose a well being evaluation or heath historical past device similar to these utilized in laboratory class or from textual content books and conduct the interview. For this activity you might be required to carry out a well being evaluation interview for an grownup. It doesn’t matter which device you utilize, it’s simply that will help you body your interview questions. You could determine to develop your individual well being interview questions.
Meals for thought – what issues do it’s essential to contemplate when planning and implementing your interview with a purpose to set up rapport? E.g. bodily arrange, timing, location, and so on. What do you must contemplate about your individual presentation with a purpose to construct rapport? You could discover content material from Jarvis Chapter 2: The Well being Evaluation Interview, p61 first part known as Introduction useful because it describes ’phrases’ you would possibly discover useful for framing your interview. How would possibly these ’phrases’ help in establishing rapport?
5. Plan your reply for every part of the rubric. Resolve which sources assist your reply and take into consideration how you’ll use the sources to assist your writing. Recheck phrase limits, use headings, and so on be sure to confer with your shopper in your solutions when required to supply examples.
Headings are
– Introduction
– Issues for establishing and sustaining rapport
– Methods used to determine and preserve rapport
– Efficient questioning strategies
– Conclusion
6. Write your first draft solutions to every part. You could reference every little thing you write that’s not your individual authentic thought with a reputable supply such a textual content e-book or journal article.
7. Lastly try and mark your paper towards the rubric. Have you ever offered what’s required? Have you ever addressed every a part of the necessities for every of the factors? Does your writing make sense, are your sentences clear?
eight. APA 6 – Format as per APA 6 doc formatting, ie spacing, margins. Examine your intext references are APA 6 correct and your reference record if as per APA 6 format.
Confer with ACU APA6 referencing sources or the device from La Trobe College discovered on the hyperlink beneath. The tab known as type notes will assist you to to format the paper as per APA 6. The opposite tabs present you easy methods to reference totally different sources each in textual content and in your reference record. Consideration to element is essential right here. https://www.lib.latrobe.edu.au/referencing-tool/apa-6
The best way to write the project.
Use the bolded standards headings beneath on your project. These heading match the rubric standards. Beneath every heading I’ve included readings out of your core textual content books and a journal article to assist focus your studying and solutions. You could use these readings that will help you develop your solutions for every of the factors. The record is just not exhaustive. I count on college students will use these readings plus one or two different sources when penning this paper. Additionally embrace examples out of your interview when required to assist your solutions.
Heading 1 – Introduction
Approx. 90 phrases 5 marks
Be sure to present an introduction that meets the aim of an introduction, that’s clearly informs the reader what will probably be mentioned and in what order. The introduction ought to present some basic statements concerning the subject, and on this case, it is rather useful to incorporate a definition of rapport as it’s a key time period used all through the project. It is best to have a transparent understanding of what rapport is within the context of your position as a well being skilled. An introduction ought to be clear, concise and entice the reader to need to learn extra.
Heading 2– Issues for establishing and sustaining rapport.
(15 marks) (Approx 240 phrases) What elements did it’s essential to contemplate when making an attempt to determine and preserve rapport along with your grownup shopper? Present proof and examples to assist your dialogue.
Be aware listed here are 2 elements to handle on this criterion. Confer with the rubric to be sure to focus on the elements and supply proof or examples from the interview you probably did.
Readings
O’Toole, Chapter 1 p3-7 Elements to think about when defining efficient communication.
O’Toole, Chapter 11 Consciousness of various environments that may have an effect on communication. The bodily surroundings p137. Sections headed …. bodily look: gown and odour, Rooms: furnishings placement and bodily consolation, avoiding distractions and interruptions, temperature, understanding cultural variations are most useful.
Jarvis, Chapter 5 The well being evaluation interview. Part on p 61 Inner elements (private qualities and skills) and part on p62 Exterior elements (surroundings and different points).
Heading Three – Methods used to determine and preserve rapport
(15 marks) (Approx 240 phrases) Focus on communication strategies used to determine and preserve rapport. Present proof to assist your dialogue.
Proof means literature, textual content books, journal article and so on, it means it’s essential to use educational sources for instance, textual content books or journal articles to assist why a specific method was useful for constructing rapport.
Readings
(Normal level of word – The main focus of a lot of the readings for standards 2 is facilitative communication abilities, whereas the for standards Three (questioning strategies) is authoritative communication abilities.) Potter and Perry Chapter 12 field 12-Three Classification of communication strategies in accordance with therapeutic intension is useful because it separates facilitative communication interventions used to determine and construct rapport (standards 2) from authoritative communication strategies used for efficient questioning (criteria3).
Journal article
<ahref=”http: ezproxy.acu.edu.au=”” login?url=”https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=30262614&site=ehost-live&scope=site””>Viewpoint: Establishing rapport: the GP with out a smile.
O’Toole, Chapter Three The particular targets of communication for well being professionals 1. Introduction and offering data. P21 -27. Particularly the sections – making verbal introductions, introducing oneself and the related position.
Potter and Perry, Chapter 12 Putting communication on the centre of individual centred care , part known as Parts communication. P222-223. This part identifies the significance of courtesy and use of names, privateness and confidentiality, belief and respect as important components for the institution of rapport.
Potter and Perry, Chapter 12 Putting communication on the centre of person-centred care. Go to part known as Facilitative communication interventions slightly below field 12.Three Related materials is from utilizing silence to utilizing contact.
Jarvis, Chapter 5 The well being evaluation interview. Part known as Responses aiding the narrative (which means facilitative communication interventions) p64 and the part titled Nonverbal abilities p66
Heading four – Efficient questioning strategies.
(15 marks) (Approx 240 phrases) What therapeutic communication strategies did you utilize when questioning your shopper for the needs of well being evaluation interview? Present proof and examples to assist your dialogue. Don’t embrace establishing and sustaining rapport on this response
When answering this part be sure to embrace examples out of your well being interview and don’t point out any of the strategies used for establishing rapport. As soon as once more proof is required to assist your writing.
Readings
There are lots of sources and journal articles associated to efficient questioning strategies. Don’t embrace strategies talked about within the earlier sections referring to rapport. Concentrate on authoritative communication interventions avoiding repeating any beforehand talked about strategies.
As state above … Potter and Perry, Chapter 12 field 12-Three Classification of communication strategies in accordance with therapeutic intension is useful because it separates facilitative communication interventions used to determine and construct rapport (standards 2) from authoritative communication strategies used for efficient questioning (criteria3).
Potter and Perry, Chapter 12 Putting communication on the centre of person-centred care. Go to part from asking related inquiries to and together with authoritative communication interventions. P229-231
O’Toole, Chapter four The particular targets of communication for well being professionals 2 Questioning, comforting and confronting. Part on from p33-38 Varieties of questions and the knowledge they collect, from closed to main.
Heading 5 – Conclusion
(5 marks) (Approx 90 phrases)
A conclusion summarises what has been lined within the project it doesn’t introduce any new content material.
Tutorial writing. Reread the rubric part re educational writing. Write for readability, typically shorter sentences enhance readability and longer rambling sentences are much less clear. Please proof learn your work previous to submitting.
Lastly attempt to mark your work towards the rubric standards.
Ready by C.Bayley NTL.

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Effective Interviewing and Rapport-Building for Nursing Health Assessments

Assignment Brief
Unit Code: NRSG139
Assignment 1: Health Assessment Interview – Adult Client
Submission Due: Week 4, Friday 20 March, 12 noon
Weight: 30%
Word Count: 900 words (excluding references)

Assessment Task
Conduct and document a structured health assessment interview with one adult client using a recognised health history or health assessment tool (e.g., models discussed in lectures/labs). The written component must discuss:

• Methods for establishing and maintaining rapport with the client, substantiated with examples and rationale from credible academic sources.

• The questioning approaches employed during the interview, with reference to therapeutic communication principles and relevant literature.
  Focus exclusively on one adult client. The interview can be simulated or real (consent and confidentiality required in actual use).

Assignment Structure
Format and label each section with the provided headings. Cite at least two core textbooks and a minimum of two recent peer-reviewed articles. Evidence not your own must be referenced according to APA7. Avoid excessive quoting; paraphrase and synthesise information.

1. Introduction (approx. 90 words)

• Outline the purpose and structure of the report.

• Define and contextualize ‘rapport’ in health assessment.

2. Considerations for Establishing and Maintaining Rapport (approx. 240 words)

• Analyse factors crucial for building rapport with adult clients (e.g., environment, non-verbal cues, self-presentation).

• Include examples from the interview; anchor discussion in the literature.

3. Strategies for Establishing and Maintaining Rapport (approx. 240 words)

• Examine the specific communication strategies used (e.g., active listening, appropriate use of silence, empathy).

• Support with evidence from academic sources.

4. Effective Questioning Techniques (approx. 240 words)

• Critically discuss approaches to therapeutic inquiry (e.g., open/closed questions, sequencing, clarifying).

• Illustrate with examples from your interview and literature.

5. Conclusion (approx. 90 words)

• Sum up the main points; do not introduce new information.

6. Reference List

• All works cited, following Harvard referencing and APA7 stylistic guidelines.

Submission Requirements

• Typed, double-spaced, 12pt font, 2.5 cm margins.

• Use of APA7 referencing throughout.

• All identifying information anonymized if using real client data.

• Submit to Turnitin via university LMS before the stated deadline.

References (Harvard Format, 2019–2025, peer-reviewed/reputable)

1. McCabe, C., Timmins, F., 2021. Communication Skills for Nursing Practice. Palgrave, London.

2. Toney-Butler TJ, Thayer JM, 2023. Therapeutic Communication. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

3. Arnold, E.C. & Boggs, K.U. 2020, Interpersonal Relationships: Professional Communication Skills for Nurses, 9th ed., Elsevier, St Louis.

4. Pytel, C. & Field, R., 2024, “Building rapport in health care: a narrative review”, BMC Nursing, vol. 23, no. 2, pp. 488–495.

5. Haas, E., 2019, “Effective questioning in patient assessments: Techniques and impact”, Nurse Education in Practice, vol. 36, pp. 45–50.