Essay – 1500 words In this assessment task you will undertake a review of the literature to explore and provide critique of the evidence base surrounding the care of aspects of CVAD management. There are numerous complications which can occur, however for the purposes of this assessment task we are only focusing on three complications. The case study provides you with a background to Jim and his journey, however it does not provide information on the complications themselves, these were complications encountered by Jim during his admission. In other words the case study allows you to collect cues about Jim, for example the type of CVAD, his BMI etc. The insertion of a central venous access device (CVAD) was an essential component of care for Jim Karas, however the rate of complications is high. In this assessment task, you will undertake a review of the literature to explore and critique the evidence-base surrounding this aspect of care and argue what is considered best practice. Your essay will need to address the following specific complications experienced by Mr. Karas:

• CVAD (central venous catheter line) associated bloodstream infection – how could this have been prevented?
• Occlusion – how could this have been prevented? And now it has occurred, how could it be best managed?
• Local skin irritation - how could this have been prevented?

Criteria 1 You will draw on your skills in developing sound clinical questions. You will apply your research skills to explore appropriate databases. You will choose good quality and up to date literature on what is considered best practice. You will critique the literature and evidence base to translate this information into practice. Criteria 2

• Your essay must inform the reader:
• What your plan of action is (think – what should I do in the situation)
• CVAD associated blood stream infection – how could that have been prevented?
• Occlusion – Prevention and management
• Local skin irritation – how could this be prevented?
• Don’t forget the patient – Jim’s journey provides the context that you are making these clinical judgements within.

Helpful Hints and Tips

• This is an essay, therefore, it requires an essay structure, it must have an introduction, body and conclusion.
• The essay is to be written in the third person (not first person).
• You must reference all sources and use Harvard referencing You may use headings, but please ensure they do not disrupt the flow of your paper.
• You have a degree of creative license when applying the evidence to Jim - that is, you don't have every detail relating to his case (this level of detail would take you forever to read and this is not the purpose of this assessment), for example you might read something which says that IV potassium can cause occlusion of CVAD's (I'm making this up), it is probably feasible that this may have happened in ICU, however if you read that a particular chemotherapy drug causes high rates of occlusion, then we can safely acknowledge that this is not an issue for Jim as he does not have cancer and is therefore not relevant.

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ANSWER. PAPER DETAILS
Academic Level	Masters
Subject Area	Nursing
Paper Type	Essay
Number of Pages	5 Page(s)/1375 words
Sources	8
Paper Format	APA
Spacing	Double Spaced

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