Assessment 2: Case Study (Topic areas – acute inflammatory response, immunisation,
Word Count: 1200 words
Due Date: Week 9, Monday 11th September 2017 at 1700 hours
Submission Detail: Refer to submission requirements on page 16
Marking Criteria and Standards: See page 11-14
Aim of assessment
The aim of this assessment is to increase students’ understanding of how microorganisms can cause
health breakdown, and the role of relevant pharmacological interventions in the recovery processes.
Students will explore various modes of transmission, relevant characteristics of pathogens and the
importance of breaking the chain of infection. This assessment facilitates the development of the
following skills: critical appraisal of the nurse’s role in infection control, literature searching, and academic
writing and referencing.
Students are provided with a hypothetical case study to read (see below). They then must answer the
questions provided relating to the study. Students should draw on relevant literature provided to support
their answers, and reference using the APA 6th ed. style.
• Students must respond to each of the questions using academic writing. It is anticipated that the
work will be presented in a question / answer format using full sentences and paragraphs.
Students MUST use the electronic template for this assignment. A soft word copy must be
accessed from the assessment tab in the Unit’s vUWS site.
• Answers are to be written in the third person (he/she/it or they/them/their).
• Answers are to be written clearly and concisely using correct spelling and grammar and written in
complete sentences and paragraphs. Bullet points are NOT acceptable.
• All answers must include in-text references and a reference list must be included at the end of the
• As a guide, please aim to write around 35 words per allocated mark for each question. Thus, if a
question is worth 10 marks, aim to answer it in around 350 words.
• There is a word limit of 1200 words. Use your computer to total the number of words used in your
assignment. However, do not include the reference list at the end of your assignment in the word
count. In-text citations will be included in the additional 10% word count. If you exceed the word
limit by more than 10% the marker will stop marking at 1200 words plus 10%.
Mary, aged 50 years, was digging manure into her rose garden when she sustained a deep 4 cm cut to her
She was brought into the medical centre, her wound cleaned and sutured. She was also given a tetanus
booster injection and sent home.
48 hours later she returned to the medical centre complaining of pain and feeling febrile.
She had a Temperature of 38.2°C with a Blood Pressure of 120/80 mmHg.
On inspection of her wound, the following observations were made:
1. Wound edges red and hot to touch
2. Surrounding tissues swollen
3. Purulent and odorous discharge
A wound swab was taken for culture and sensitivity. The report of the culture found the colonizing
organism to be Staphylococcus aureus which was sensitive to Amoxicillin. Mary was prescribed
Augmentin, 250mg every eight hours for five days.
Using the supplied template (to be accessed from the Assessment tab in the Unit’s vUWS site), answer
the following questions:
1. Explain why a booster tetanus injection was given to Mary. (5 Marks)
2. Describe the physiological basis of the three wound observations. Relate your response to the
case study. (10 Marks)
3. Explain how Mary’s fever developed and state two benefits of fever. (5 Marks)
4. Name one endogenous and one exogenous possible source of contamination of the wound by
S. aureus and explain how the organism was transmitted to the wound from each source. (10
5. Explain why Augmentin was one of the appropriate drugs given to Mary. (5 Marks)
ii. The following five required references MUST be used and cited in this case study. Additional
resources listed may also be used as long as the five required are present. Some of these can
be accessed online as indicated. Others may be found on closed reserve in the library.
iii. (Eds.) indicates an edited book. You must reference the chapter/s used.
Bullock, S., & Manias, E. (2017). Fundamentals of pharmacology (8th ed.). Frenchs Forest, Australia:
Craft, J., & Gordon, C. (Eds.). (2015). Understanding pathophysiology (2nd Australian and New
Zealand ed.). Chatswood, Australia: Elsevier. Available Online
Department of Health. (2017). 4.19 Tetanus. Retrieved from
Lee, G., & Bishop, P. (Eds.). (2016). Microbiology and infection control for health professionals (6th
ed.). Melbourne, Victoria: Pearson Australia.
Marieb, E.N., & Hoehn, K. (2016). Human anatomy & physiology (10th global ed.). Harlow, United
Kingdom: Pearson Education.
FORMAT SHOULD BE:
All assignments are to be typed.
Typing must be according to the following format. Required format:
Length: as designated by assignment
3 cm left and right margins
Font: Arial or Times New Roman
Font size: 12pt
All borrowings from other sources must be properly referenced and a reference list must be included
at the end.
Referencing is consistent,thorough and well used to support all claims, and all references, consistently following APA 6th ed. style.
This template must be used to answer the case study.
(Please type your answers within the box underneath each question)
Student name (LAST NAME first name):
Tutorial session (time and room no.):
• Rationale for giving Mary a tetanus booster (Total: 5 marks)
• What is the organism that causes tetanus and why is it of concern in this situation?
• According to the guidelines in the “The Australian Immunisation Handbook” (Dept. of health, 2017) on administering a tetanus booster, discuss the rationale for giving Mary the tetanus booster
• Physiological basis of the three wound observations (Total: 10 marks)
• For each of the three wound observations indicate, and provide a rationale, as to whether it is a sign or a symptom.
• Discuss the physiological basis of the first observation.
• Discuss the physiological basis of the second observation.
• Discuss the physiological basis of the third observation.
• Development and benefits of fever (Total: 5 marks).
• How did Mary’s fever develop?
• Discuss two ways in which fever is beneficial.
• Possible sources of contamination and modes of transmission (Total: 10 marks)
• Name one endogenous source of contamination and discuss the mode of transmission from the source to the new host.
• Name one exogenous source of contamination and discuss the mode of transmission from the source to the new host.
• Appropriateness of Augmentin as the antibacterial agent prescribed to Mary (Total: 5 marks)
• Given the colonizing organism was Staphylococcus aureus, discuss why Augmentin is an appropriate prescription?
• Describe the added benefits that Augmentin provides, with reference to the role of the major ingredients in Augmentin.
• Presentation (Total: 5 marks)
• Referencing in-text and in reference list conforms to APA 6th Ed. referencing style.
• Critique supported by relevant literature as prescribed.
• Correct sentence structure, paragraph, grammatical construction, spelling, punctuation and presentation.