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2.4.2 Case Study: Plan
Weight:
Type of Collaboration:
Due:
Submission:
Format:
Length:
Curriculum Mode: of
20%
Individual
h October 2018 8th
- General Submission Requirements
Your assessment should be submitted in .doe, docx. format
500 words
Refer to Section 2.5 of the LG
A table Please ensure your answers are typed using Word. Your work should not be hand written. has been placed on the unit vuws site which may be helpful for students to use to structure your work. Questions la and lb - 200 words in total
— la) Using the case study provided, identify an urgent risk area. Ensure your answer details why you have identified this risk area including specific information about the client and current literature. (2 marks) marks for the intervention
— lb) Identify one nursing / midwifery intervention you would immediately undertake with your client to address
the risk area noted in question la and include a rationale for the intervention. (2
and 2 marks for the rationale)
Ensure the intervention includes who and when you would actually carry out the intervention. Your rationale should
state how and why you would carry out the particular intervention. Ensure literature is included.
Questions 2a and 2b - 200 words in total
— 2a) Using the case study provided, identify a mental health concern. Ensure your answer details why this is an area of concern. Include specific information about the client and current literature. (2 marks)
— 2b) Identify one nursing / midwifery intervention you would undertake with your client to address the mental health concern noted in question 2a and include a rationale for the intervention. (2 marks for the intervention and 2 marks for the rationale)
Ensure the interventions includes how, who and when you would actually carry out the intervention. Your rationale should state how and why you would carry out the particular intervention. Ensure literature is included when Y° discuss the rationale. Question 3 - 100 words in total
1_ urse
— 3) Using current literature, identify and discuss (2)
midwife may need to consider when working with the client in the case study (4 marks).
two legal, ethical or professional issues a
Resources:
i. Examples may be available on the vUWS site.
H. There are a number of textbook and resources available through
assist you. Please refer to the unit's vUWS site for specific unit resources Library
the Western Sydney University
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that °a)/
Pass
Identifies a mental health risk relevant to the case study. Provides an intervention that has some relevance to the risk.
Some rationale described. Generally relevant and appropriate literature used.
Marking Criteria:
Criteria
Question 1 -
la) Using
the case study provided, identify an urgent risk area.
Identify one nursing / midwifery intervention you would immediately undertake with your client to address the risk area noted in question la and include a rationale for the intervention.
/6
Question 2 -
Using the case study provided, identify a mental health concern. Identify one nursing / midwifery intervention you would undertake with your client to address the mental health concern noted in question 2a and include a rationale for the intervention.
High Distinction
Critically discusses a high-priority and urgent mental health risk from the case study. Provides an intervention and rationale which are strongly supported by high-quality and relevant literature.
6
Critically discusses a mental health need/concern from the case study. Provides an intervention and rationale that are referenced with multiple high-quality literature sources.
Distinction
Discusses a high-priority and urgent mental
health risk from the case study. Provides an intervention and rationale which are strongly supported by relevant literature.
5
Discusses a mental health need/concern from the case study. Provides an intervention and rationale that are strongly supported relevant literature.
4
Explains a mental health
need/concern from the case study. Provides an intervention and rationale that are relevant to the need/concern. Relevant and appropriate literature used to support intervention and rationale.
Unsatisfactory
Identified risk is not high-priority or
urgent, or does not relate to the case study.
Intervention is not listed, not
accurately
described, or not
iaonr ipoftptetrrhomvepearnci ntlai i tteoaenni. tn.i/Tlsoha uef el dt y
Rationale are not accurately
described.
Sources are not relevant and/or sufficient to support the discussion.
Credit
Explains a high-priority and urgent mental health risk from the case study.
Provides an intervention and rationale which are relevant to the risk and draws on relevant literature.
Identifies a mental health need/concern relevant to the case study.
Provides an intervention that have some relevance to the need/concern. Some rationale described. Generally relevant and appropriate literature used.
Identified need/concern is not directly related to mental health or does not relate to the case study. Interventions are not listed, not
accurately
described, or not appropriate.
Rationale is not listed or are not accurately
described.
Sources are not relevant and/or sufficient to support the discussion.
6
Identifies and critically discusses two legal, ethical or professional issues strongly demonstrating the relevance to the case study.
The work is strongly supported using high-quality and relevant literature.
5
Identifies and provides an in-depth discussion regarding two legal,
ethical or
professional issues, relating to the case
study.
The work is strongly supported by rationales in relevant literature.
Identifies and discusses two legal, ethical or professional issues with reference to the case study. The work
draws on relevant literature.
Identifies and explains two legal, ethical or professional issues with some reference to the case study. The work draws on some relevant literature.
The work does not clearly identify two legal, ethical or professional issues. The links to the case study are not sufficient to demonstrate
student knowledge of the issues and relevance to a clinical situation. The work does not offer relevant literature.
/6
Question 3 -
Using current literature, identify and discuss (2) two legal, ethical or professional issues a nurse / midwife may need to consider when working with the client in the case study.
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2.4.2 Concept Map and Guided question response
40%
Individual
Week 12, Monday 15th October 2018 at 12 midnight
Refer to Section 2.5 of the I G- General Submission Requirements
Concept Map
(250 words) and Guided question response (1250 words)
Total 1500 words
Unit Learning Outcomes: 1,2,3,4
250 words plus 1250 words (1500 words in total)
Word Count
There is a word limit of 1500 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 1500 words plus 10%,
Aim of assessment
The purpose of this assessment is to enable students to:
1. Explain in visual format (concept map) the causes, pathogenesis, clinical manifestations, diagnostic procedures, management, course, prognosis, and prevention of Acute Severe Asthma (Learning outcomes 1 and 5).
2. Explain the underlying pathophysiology of the clinical manifestations of an Acute Severe Asthma (Learning outcomes 1 and 5).
3. Discuss nursing strategies and evidence-based rationales to manage a patient with Acute Severe Asthma (Learning outcomes 2, 4 and 5).
4. Describe the nursing role and responsibilities in the use of pharmacological interventions related to Acute Severe Asthma (Learning outcomes 3 and 5).
Assessment Details
You are to develop a concept map and answer three questions related to Acute Severe Asthma. References are
to include three (3) recent, relevant journal articles as well as textbook material and evidence-based resources (to a total of at least 6 references).
Concept Map (250 words)
— The concept map must be computer generated.
— When researching the topic, use the pathophysiology template that is on the unit vUWS site to assist you in
organising your information. The template will also assist in identifying key concepts and their relationships.
— Concept boxes should have titles with relevant content summarised within the box.
— The summarised content may be in point format and size 10 font (Arial or Times New Roman) may be used on the concept map.
— Concept boxes must be linked using lines and linking words/phrases to demonstrate logical relationships between concepts.
— For conciseness, numbers may be used to replace traditional APA referencing within concept boxes. If you use
numbers, you must include a reference list in numerical order, corresponding to your references immediately after the concept map.
— Critical thinking and creativity are essential components of the concept map. The map design needs to be visually stimulating.
Case study
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Jackson Smith, a 18 year-old male, was admitted to the Emergency Department at 9pm with severe breathlessness. His family informed you that the patient has a history of Asthma that had been diagnosed when he was two years old. On admission to the Emergency Department the clinical manifestations were:
— Severe dyspnoea, inability to speak sentences in one breath
— Respiratory rate of 32 breaths/minute
— Sp02 90%, on room air
— BP 150/85 mmHg
— Pulse rate of 130 beats/minute
— Auscultation of lungs identifies diminished breath sounds and widespread wheeze
A chest x-ray was performed and showed a clear and hyper-inflated lung fields.
A blood gas was taken:
pH : 7.35
Pa02: 60mmHg
PaCO2: 50mmHg
HCO3: 25mEq/L.
Lactate: 1
Sa02 90%
A diagnosis of Acute Severe Asthma was made.
Question 1. (650 words) (Learning outcome 1 and 5)
Explain the pathogenesis causing the clinical manifestations with which Jackson Smith presented with.
Question 2. (300 words) (Learning outcomes 2, 4 and 5)
Discuss two high priority nursing strategies to manage Jackson and provide evidence-based rationales for these strate-
gies.
Question 3. (300 words) (Learning outcome 3 and 5)
Three of the drugs that were given to Jackson were continuous nebulised Salbutamol and nebulised Ipratropium
bromide (4/24) and IV Hydrocortisone 100mg (6/24).
a. Discuss the mechanism of action of these drugs, and relate to the underlying pathogenesis of an Acute Severe
Asthma. And,
b. Describe the nursing implications (monitoring for and responding to adverse effects, and evaluating therapeutic
effect) when administering these drugs to a patient with an Acute Severe Asthma.
When answering questions:
— Responses are to use full sentences, paragraphs, correct spelling and grammar.
— The word limit for the guided questions is 1250 words. Use your computer to total the number of words used.
In-text citations will be included in the additional 10% of the word count. If you exceed the word limit by more
than 10% the marker will stop marking.
— Provide a reference list in APA 6th Edition style with a minimum of 6 academic references which could include
journal articles, textbooks, government websites and reports, and creditable organisational websites (such as
the Agency for Clinical Innovation (https://www.aci.health.nsw.gov.au/).
— Appropriate resources must be selected and accurately used. The cited references must support your discussion
or explanation.
— Ensure that your concept map and guided questions are one document to upload through Turnitin.
Resources:
i. Examples may be available on the vUWS site.
ii. There are a number of textbooks and resources available through the Western Sydney University Library that may
assist you. Please refer to the unit's vUWS site for specific unit resources.
Marking Criteria:
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Concept Map
Distinction Credit Pass Fail
Criteria
Criteria 1 Clearly, accurately and concisely summarises the key concepts (aetiology, pathogenesis, clinical manifestations, diagnosis, treatment, course, prognosis and prevention) of Acute Severe Asthma
Mark
High Distinction
Accurately, clearly and concisely summarises all key concepts with all Information supported by appropriate authoritative sources.
Minimal
information
included with
omissions, lack of
clarity. Sources of
information not
always evident.
(6-9.)
Most concepts
poorly or
inaccurately
summarised.
Significant
omissions of
relevant
information with
sources either riot
identified, unclear
or predominantly
non-credible
sources.
(0-5.5)
Criteria 2 Clearly and accurately demonstrates the relationships/links between the concepts.
/5
Criteria 3 Presents the concept map in a manner that the layout and organisation of data stimulate, capture and maintain the attention of the reader with the appropriate use of colour and graphics.
Relationships between concepts are generally identifiable but some links may be incomplete or lack clarity.
Some links are clear and accurate but a number may be incomplete and/or clarity and logic is difficult to identify easily.
3.5 1
2.5-3
The layout and organisation of the map is clear with appropriate use of colour and graphics.
Concept map generally well organised and visually stimulating.
The layout of the map is adequate but lacks clarity and visual stimulation.
Accurately, clearly and concisely summarises all the key concepts with information supported by appropriate authoritative sources. There are minor omissions from one or two of the key concepts.
Most of the key concepts accurately summarised but some relevant Information has been omitted or lacks clarity. Information is supported by relevant sources.
One or two concepts have been omitted or a number of key concepts lack clarity and conciseness. Sources of information may not always evident.
Links between
most concepts
lack accuracy,
clarity and logic.
2
The layout of the map is poor with lack of clarity and organisation and fails to capture attention.
2
The layout and organisation of the map is exceptionally clear and professional using graphics and colour effectively.
4.5-5
The relationships between all concepts are accurately, clearly and logically demonstrated using arrows/lines and linking word-s/statements.
Relationships between most concepts are accurately and clearly demonstrated using arrows/lines and linking word-s/statements.
4.5-5
4
11.5-12.5 10-11 7.5-9.5 7
4 3.5 2.5-3
/15 13-15
Guided Questions
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