Concept Map and Guided question response
Weight: 40%
Type of Collaboration: Individual
Due: Week 12, Saturday 13th October 2018 at 5pm
Submission: Refer to Section 2.5 of the LG - General Submission Requirements
Format: Concept Map (250 words) and Guided question response (1250 words) Total 1500 words
Unit Learning Outcomes: 1,2,3,4
Length: 250 words plus 1250 words (1500 words in total)
Curriculum Mode:
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. Use new roman or arial 10 font size.
– 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
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
– SpO2 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 PaO2: 60mmHg
PaCO2: 50mmHg
HCO3: 25mEq/L
Lactate: 1
SaO2 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 strategies.
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 therapeuticeffect) 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:
Concept Map
Criteria Mark High Distinction Distinction Credit Pass Fail
Criteria 1 -
Clearly, accurately and concisely summarises the key concepts
(aetiology, pathogenesis, clinical manifestations, diagnosis, treatment, course, prognosis and prevention) of
Acute Severe
Asthma Accurately, clearly and concisely summarises all key concepts with all information supported by appropriate authoritative sources. 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. 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 not identified, unclear or predominantly non-credible sources. (0-5.5)
/15 13-15 11.5-12.5 10-11 7.5-9.5 =7
Criteria 2 Clearly and accurately
demonstrates the
relationships/links between the concepts. The relationships between all concepts are accurately, clearly and logically demonstrated using arrows/lines and linking words/statements. Relationships between most concepts are
accurately and clearly demonstrated using arrows/lines and linking words/statements. 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. Links between most concepts lack accuracy, clarity and logic.
/5 4.5-5 4 3.5 2.5-3 =2
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. The layout and organisation of the map is
exceptionally clear and professional using graphics and colour effectively. 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. The layout of the map is poor with lack of clarity and organisation and fails to capture attention.
/5 4.5-5 4 3.5 2.5-3 =2
Guided Questions
Criteria Mark High Distinction Distinction Credit Pass Fail
Guided Question 1 -
Demonstrates comprehensive and detailed knowledge of the pathogenesis of an acute exacerbation of Asthma, and
relates the clinical manifestations to the pathogenesis. Analyses information from a discerning selection of sources and provides an accurate and clear explanation of the pathogenesis
causing the
clinical
manifestation of the patient in the case study. The explanation is developed in a logical sequence and incorporates all manifestations presented in the case study. The discussion is clearly and accurately supported by appropriate sources. Analyses information from a discerning selection of sources and accurately explains the pathogenesis
causing the
clinical manifestations of the patient in the case study. Mostly synthesises the information effectively in own words and in a
logical sequence including all manifestations presented by the patient.
The discussion is clearly and accurately supported by appropriate sources. Analyses information from relevant sources and generally provides an accurate explanation of the pathogenesis
causing the
clinical manifestations of the patient in the case study. The explanation is mostly developed in a logical sequence but there may be one or two omissions of significant information or all
manifestations are accurately explained but there is little logical
development in the discussion. The discussion is clearly and accurately supported by appropriate sources. Using information from relevant references provides a basic description of the pathogenesis of an acute exacerbation of Asthma with some links to the
clinical manifestations presented by the patient in the case study.
There may be minor inaccuracies, omissions or repetition of information, lack of clarity or logical flow of the process.
The discussion is mostly supported by appropriate sources. Using one or two
references gives a
superficial description of the pathogenesis of an acute
exacerbation of Asthma with a number of
significant inaccuracies, repetition or lack of clarity. Has not accurately related the clinical manifestations to the pathogenesis.
(4-9.5) Information predominantly copied or quoted from inappropriate sources such as non-authoritative web sites, Wikipedia, encyclopaedias or dictionaries with little evidence of understanding. The sources of information are not accurate and clearly evident. (0-3.5)
/20 17-20 15-16.5 13-24.5 10-12.5 =9.5
Guided Question 2 -
Demonstrates ability to prioritise nursing care for a patient with an
acute exacerbation of Asthma, using current evidence to explain the rationales and justifies nursing strategies. Accurately identifies two high priority
nursing strategies used to manage a patient with an
acute
exacerbation of Asthma and based on current
evidence accurately and clearly explains the rationales. The discussion is clearly and accurately supported by appropriate sources. Accurately identifies two high priority
nursing strategies used to manage a patient with an
acute
exacerbation of Asthma and
states accurate rationales based on current evidence. The discussion is clearly and accurately supported by appropriate sources. Identifies two high priority nursing strategies to manage a patient with an
acute
exacerbation of Asthma and
provides accurate
rationales for the
management but not clearly evidence based. The discussion is clearly and accurately supported by appropriate sources. Identifies two nursing strategies to manage a patient with an
acute
exacerbation of Asthma and
provides basic rationales for the strategies but are not evidence-based. The discussion is mostly supported by appropriate sources. Does not
accurately identify two nursing
strategies to manage a patient with an acute exacerbation of Asthma and
provides little or inaccurate explanation of rationales. Information predominantly copied or quoted from inappropriate sources.
The sources of information are not accurate and clearly evident.
/10 8.5-10 7.5-8 6.5-7 5-6 =4.5
Criteria Mark High Distinction Distinction Credit Pass Fail
Guided Question 3a -
Demonstrates knowledge of the mechanism of action of nebulised salbutamol and ipratropium bromide and IV hydrocortisone relating to the underlying pathogenesis of an acute exacerbation of Asthma. Analyses information from a discerning selection of sources and comprehensively and accurately discusses the mechanism of action of nebulised salbutamol and ipratropium bromide and IV
hydrocortisone,
relating accurately to the underlying pathogenesis of an acute exacerbation of Asthma.
The discussion is clearly and accurately supported by appropriate sources. Analyses information from a discerning selection of sources and accurately discusses the mechanism of action of nebulised salbutamol and ipratropium bromide and IV hydrocortisone relating to the underlying pathogenesis of an acute exacerbation of Asthma.
The discussion is clearly and accurately supported by appropriate sources. Accurately explains the mechanism of action of nebulised salbutamol and ipratropium bromide and IV hydrocortisone generally relating to the underlying pathogenesis of an acute exacerbation of Asthma. However, the response may lack some relevant information or clarity.
The discussion is clearly and accurately supported by appropriate sources. Provides a basic explanation of the mechanism of action of nebulised salbutamol and ipratropium bromide and IV hydrocortisone.
The answer may not be clearly related to the pathogenesis of an acute exacerbation of Asthma, contain some inaccuracies or lack clarity. The discussion is mostly supported by appropriate sources. The mechanism of action of nebulised salbutamol and ipratropium bromide and IV
hydrocortisone is incomplete or inaccurate with little or no relationship to the underlying pathogenesis of an acute exacerbation of Asthma.
Information predominantly taken from inappropriate sources.
The sources of information are not accurate and clearly evident.
/10 8.5-10 7.5-8 6.5-7 5-6 =4.5
Guided Question 3b -
Demonstrates knowledge of nursing implications (monitoring for and responding to adverse effects and evaluating therapeutic effect) when administering nebulised salbutamol and ipratropium bromide and IV hydrocortisone to a patient with an
acute exacerbation of Acute Severe Asthma. Identifies major adverse effects of
nebulised salbutamol and ipratropium bromide and IV
hydrocortisone,
and
comprehensively and accurately discusses how to monitor for and respond to each adverse effect. Link between each adverse effect and nursing response is evident. Accurately explains how to evaluate the
therapeutic effect of each drug with links between the action of the drug and therapeutic effect evident The discussion is clearly and accurately supported by appropriate sources. Identifies major adverse effects of
nebulised salbutamol and ipratropium bromide and IV
hydrocortisone, and accurately discusses how to monitor for and respond to most adverse effects.
Links between the adverse effect and response are mostly evident. Accurately explains how to evaluate the
therapeutic effect of each drug with links between the action of the drug and therapeutic effect evident. The discussion is clearly and accurately supported by appropriate sources. Identifies adverse effects of nebulised salbutamol and ipratropium bromide and IV
hydrocortisone, and discusses how to monitor for and respond to adverse effects. Responses to
adverse effects
may be
generalised rather than related to each specific adverse effect. Explains how to evaluate the
therapeutic effect of each drug with links between the action of the drug and therapeutic effect evident. Response may
lack some relevant information or clarity in explanation. The discussion is clearly and accurately supported by appropriate sources. Identifies adverse effects of nebulised salbutamol and ipratropium bromide and IV
hydrocortisone, and includes some generalised discussion on monitoring for and responding to adverse effects. Links between adverse effect and nursing response not generally evident.
Basic explanation of evaluating therapeutic effect. Answer does not clearly indicate how to evaluate if drug is effective.
Answer may contain minor inaccuracies, omissions and lack of clarity. The discussion is mostly supported by appropriate sources. Identifies some adverse effects.
May include some discussion of nursing implications but answer contains inaccuracies, omissions and lacks clarity. The sources of information are not accurate and clearly evident.
/5 4.5-5 4 3.5 2.5-3 =2
Academic Writing
Criteria Mark High Distinction Distinction Credit Pass Fail
Language use Writes in a clear and succinct academic style using correct grammar, spelling, and punctuation Writes in an advanced style exhibiting highly coherent and logical flow of ideas.
Organisation of material exhibits an advanced level of clarity. No errors in spelling, grammar, punctuation or sentence construction. Writes clearly and succinctly with a coherent, logical flow of ideas exhibiting advanced clarity. No errors in
spelling, punctuation, grammar or sentence construction. Writes clearly and satisfactory use of language enables effective flow of ideas. Minor, infrequent errors in spelling, punctuation,
grammar and sentence construction that do not impede flow of ideas. Writing is reasonably clear, but at times the effective flow of ideas and meaning is hindered. Minor, frequent errors in
spelling, punctuation,
grammar and sentence construction sometimes impedes the flow of ideas. Writes in an elementary style with very basic use of language and poor
articulation of ideas. It may be verbose, convoluted or difficult to read. Organisation of material and main points is unclear. The errors in
spelling, punctuation,
grammar and sentence construction impede meaning.
/5 4.5-5 4 3.5 2.5-3 =2
Referencing and in-text citations
A minimum of six
recent references
including journal articles, textbooks, government reports, or creditable organisational websites. All sources of information clearly evident and accurately acknowledged applying conventions of in-text referencing for APA style. A complete reference list is correctly formatted according to APA style. Referencing technique is flawless and follows APA convention both in-text and in the reference list.
Uses a selection of appropriate references.
Evidence of cited sources is always clear and accurate. Referencing technique follows APA convention but contains infrequent minor errors.
Uses a selection of appropriate references.
Evidence of cited sources is always clear and accurate. Referencing technique follows APA convention but contains infrequent errors. Uses at least the minimum number
of required references
Evidence of cited sources clear and accurate. There may be
frequent minor errors in APA referencing convention in in-text referencing and/or the reference list.
Uses at least the required number of required references. Use of cited sources not always clearly evident. There may be absent or incorrect use of APA referencing technique. Does not use the
minimum number
of required references, or uses predominantly inappropriate or non-authoritative sources. Sources
of information not
correctly acknowledged.
/5 4.5-5 4 3.5 2.5-3 =2
Please Note: Although these marking criteria give a mark out of 80, the student’s mark for this assessment will be calculated to an equivalent mark out of 40.