NRSG370 Assessment Task 2: Case Study – Mental Health
John Gray, 28 years old, severe depression following suicide attempt
Mr. John Gray is a 28 year old single male admitted to the unit a week ago after an episode of intentional self-harm. John is the son of a grazier from a farming community north of Brisbane who is expected to take over the family farm. The farm has been severely affected by the longstanding drought conditions in the district.
You are the nurse assigned to John’s care for the afternoon shift. On handover you were informed John did not get up for breakfast again, went to lunch reluctantly only because he was compelled to but ate almost nothing, and returned to his bed immediately afterwards.
Vital Signs:
• Blood pressure 125/75
• Temperature 36.3
• Pulse 66
• Respirations 18.
John has a rope burn mark on his neck caused by the breaking of the rope with which he attempted to hang himself and some bruising and broken skin on his arms and legs from the subsequent fall but no serious physical injuries. The areas of broken skin were covered with a non-adherent dressing and tape. The occupational therapist reported John was still choosing not to take part in any activities, including small group games or one-on-one activity.
When you go to introduce yourself to John, you find him lying on his bed with the covers pulled up high. He appears reluctant to engage in conversation with you. When you address him to introduce yourself, he grunts and turns over to face the wall away from you.
Medications:
• Venlafaxine 75 mg bd
• Multivitamin once daily
• Vitamin B once daily daily
Assessment task 2: Case Study
Students will be able to demonstrate active engagement in critical reflection on their ability to undertake appropriate assessment(s) and maintain holistic perspectives and cultural awareness through the theoretical examination of a particular nursing specialty case study (on LEO) focusing on the delivery of nursing care, using the clinical reasoning cycle framework and the evidence.
Due date: Wednesday,
Weighting: 40%
Length and/or format: 1600 words +/-10% Case study format
Purpose: The case study is designed to allow students the opportunity to demonstrate synthesis of theory and experience acquired in previous and concurrent units while exploring a specific nursing context.
Learning outcomes assessed: 1, 2, 3, 4, 5, 6, 7, 8
How to submit: Student should submit into the appropriate Turnitin drop box located in the assessment block on the LEO site.
Return of assignment: Assignments will be marked online and students will be notified via LEO when results and feedback are available.
Assessment criteria: Further information pertaining to the case study can be found in the assessment block on LEO. Please refer to the criterion reference rubric.
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Criterion Referenced Rubric: Assessment Task 2, Case Study
Criteria for marking High Distinction (95-100%) High Distinction (85-94%) Distinction (75-84%) Credit (65-74%) Pass (50-64%) Unsatisfactory (31-49%) Unsatisfactory (0-30%)
Sequencing 5% The content in the case study directly matches the outline presented in the introductory paragraph. Paragraphs are well organised, and there is a logical progression of ideas so that content flows from one paragraph to the next flawlessly. The case study ends with a rational conclusion. The content in the case study comprehensively matches the outline presented in the introductory paragraph. Paragraphs are organised, and there is a logical progression of ideas so that content flows from one paragraph to the next. The case study ends with a rational conclusion. The content in the case study thoroughly matches the outline presented in the introductory paragraph. Paragraphs are organised in a logical manner so that content flows from one paragraph to the next, and the case study ends with a rational conclusion. The content in the case study matches the outline presented in the introductory paragraph. Most paragraphs are organised in a logical manner so that content flows from one paragraph to the next, and the case study ends with a rational conclusion. The content in the case study mostly matches the outline presented in the introductory paragraph. Most paragraphs are organised in a logical manner, and the case study ends with a rational conclusion. There is a clear introduction, followed by the body of the case study, with a conclusion. However, content within the body and within paragraphs is not always logically sequenced. There is no clear introduction, body and/or conclusion. There is no sequencing evident.
Content 50% Extensively defines and discusses the provision of ethical, legal, evidence- based, holistic person centred care, including the establishment of realistic and relevant goals.
Includes relevant discussion on the collection, processing and presentation of client/patient information.
Clearly identifies and prioritises 3 relevant nursing issues/ problems.
Strong evidence of use and understanding of the clinical reasoning cycle. Comprehensively defines and discusses the provision of ethical, legal, evidence-based, holistic person centred care, including the establishment of realistic and relevant goals.
Includes relevant discussion on the collection, processing and presentation of client/patient information.
Clearly identifies and prioritises 3 relevant nursing issues/ problems.
Clear evidence of use and understanding of the clinical reasoning cycle. Thoroughly defines and discusses the provision of ethical, legal, evidence- based, holistic person centred care, including the establishment of realistic and relevant goals
Includes discussion of the collection, processing and presentation of client/patient information.
Clearly identifies and prioritises3 relevant nursing issues/ problems.
Evidence of use and understanding of the clinical reasoning cycle. Defines and describes the provision of ethical, legal, evidence-based, holistic person centred care, including the establishment of relevant goals
Includes the collection, processing and presentation of client/patient information.
Identifies and prioritises 2-3 relevant nursing issues/ problems.
Some evidence of use and understanding of the clinical reasoning cycle. Describes the provision of ethical, legal, evidence-based, holistic person centred care, but does not provide clear rationale for choices or the establishment of relevant goals
Discusses the collection, processing and presentation of client/patient information.
Issues/problems identified are unclear or not relevant to the case study. Minimal evidence of use and understanding of the clinical reasoning cycle. No evidence of the consideration or provision of ethical, legal, evidence-based, holistic person centred care,
No issues/problems identified or issues/problems identified are not relevant to the case study
No evidence of use and understanding of the clinical reasoning cycle No evidence of the consideration or provision of ethical, legal, evidence- based, holistic person centred care,
No issues/problems identified.
No evidence of use and understanding of the clinical reasoning cycle
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Critical thinking, reasoning and evaluation of evidence
30% There is evidence of comprehensive depth and breadth of reading. A concise and well supported analysis related to nursing care and issues/problems is presented, and is supported by adequate and appropriate evidence. There is evidence of detailed depth and breadth of reading. A concise and well supported analysis related to nursing care and issues/problems is presented, and is supported by adequate and appropriate evidence. There is evidence of both depth and breadth of reading. An analysis is presented related to nursing care and issues/problems, and is supported by appropriate evidence. An analysis is presented related to nursing care and issues/problems supported by evidence. There is evidence of supportive reading An analysis is presented related to nursing care and issues/problems with minimal supportive evidence Minimal analysis is presented related to nursing care and issues Little to no analysis is presented related to nursing care and issues
Paragraph, structure / intelligibility
5% Flawless presentation of ideas. The writing is organised into paragraphs that are structured well, and the information is organised appropriately within the paragraph. Each paragraph relates to a discrete idea. There are clear linking sentences that link each paragraph to the next consistently. The writing is organised into paragraphs, and the information is organised consistently and appropriately within the paragraph. Each paragraph relates to a discrete idea. There are clear linking sentences that link most paragraphs to the next. The writing is organised into paragraphs, and the information is organised appropriately within the paragraph. Most paragraphs relates to a discrete idea. There are clear linking sentences that link most paragraphs to the next. The writing is organised into paragraphs, and the information is mostly organised appropriately within the paragraph. Most paragraphs relates to a discrete idea. The paragraphs mostly link to one another. There is evidence of paragraphs, however paragraph structure is disorganised, with no clear ideas, and no links. Some evidence of paragraphs, however paragraph structure is disorganised, with no clear ideas, and no links.
Sources & Referencing
10% Credible and relevant references are used. Accurate use of APA referencing style in all instances. A broad range of in-text citations has been used. Credible and relevant references are used. Accurate use of APA referencing style in all instances. A range of in- text citations has been used. Credible and relevant references are used. APA referencing style is almost always accurate. A range of in-text citations has been used. Credible and relevant references are used. APA referencing style is accurate on most occasions. There is limited use of a range of in-text citation formats. Credible and relevant references are used. APA referencing style is demonstrated inconsistently. There is no variation of in- text citation format. Not all references are credible and/or relevant. There are inaccuracies with the APA referencing style. There may be an overuse of direct quotations. Not all references are credible and/or relevant. There are several inaccuracies with the APA referencing style. There may be an overuse of direct quotations.