HNN215 Quality use of Medicines
Assessment Task 1 Case Study
1500 words and 40% of overall grade
PATIENT CASE
Purpose of assessment task
Nurses have an active role in medication management, including safe administration practices, knowledge of risks such as medication errors, adverse effects and drug interactions. Patient participation in medication management and patient education are also essential to patient safety.
Assignment case study:
Ms Candice Tong, a 56 year old female, was admitted to Deakin Hospital yesterday, the 14th of July, 2019 with upper abdominal pain, nausea and vomiting. Ms Tong has a past history of hypertension, hyperlipidaemia, and is currently being treated with medication for depression. While she was in the emergency department yesterday morning, Ms Tong vomited fluid with a small amount of blood in it. She had an endoscopy and biopsy of her stomach yesterday, and the surgeon has explained to Ms Tong that she has two peptic ulcers as a result of an infection with the bacteria Helicobacter pylori (H. pylori).
Ms Tong has been commenced on medications to promote healing of her peptic ulcers, and to avoid the recurrence of new ulcers.
It is now the 15th of July at 0730 hours.
Ms Tong had vital signs taken one hour ago:
HR: 74 bpm (regular)
BP: 100/60 mmHg
RR: 16 breaths per minute
Sp O2: 98% on room air
Temp: 36.9 tympanic
Candice Tong has been informed by her surgeon that she may go home this afternoon if she feels well.
QUESTIONS
Q1. Assess Ms Tong’s medication chart and identify and explain two (2) significant risks that may be associated with the use of these medicines. (Approximately 400 words)
Q2. Describe the strategies a nurse may implement to prevent/manage the risks identified in
Question 1. (Approximately 400 words)
Q3a. When you assist Ms Tong to find fresh clothes, you notice that there are bottles of the medications ibuprofen and St John’s wort in her bag. These medications are easily purchased from pharmacies and supermarkets. Ms Tong informs you that she takes one of these medications for headaches, and the other because she feels “flat”. Identify and describe one
(1) significant risk that each of these medications may contribute to when used in combination with Ms Tong’s currently prescribed medications (a total of two risks to be identified). (Approximately 300 words)
Q3b. Identify and explain three (3) key points for education you will provide Ms Tong in relation to the general use of over-the-counter medications prior to Ms Tong’s discharge. (Approximately 400 words)
Unit learning outcomes and Deakin Graduate Learning Outcomes
This assessment task provides you with the opportunity to demonstrate the following Unit Learning outcomes and Deakin Graduate Learning Outcomes;
Unit Learning Outcomes
ULO1 Apply the principles of quality use of medicines in nursing practice
ULO2 Compare and contrast drugs within the broad drug groups and discuss their potential for adverse interactions, effects, and events
ULO3 Synthesise knowledge of pharmacokinetics and pharmacodynamics to inform clinical decision making for patient assessment, education, and evaluation
ULO4 Identify and evaluate strategies used to manage risk when administering medications
Deakin Graduate Learning Outcomes
GLO1 Discipline knowledge and capabilities: appropriate to the level of study related to a discipline or profession
GLO2 Communication: using oral, written and interpersonal communication to inform, motivate and effect change
GLO3 Digital literacy: using technologies to find, use and disseminate information GLO4 Critical thinking: evaluating information using critical and analytical thinking and judgment
GLO5 Problem solving: creating solutions to authentic (real world and ill-defined) problems GLO6 Self-management: working and learning independently, and taking responsibility for personal actions
Submission information:
• This assignment task is to be submitted into the designated assessment dropbox for this unit.
• Due date: Friday 6th September 2019 – assignment to be submitted no later than 11.59pm.
• To ensure appropriate support is available should any technical issues arise, you are strongly advised to submit your assignment into the designated dropbox before 4pm on the due date.
• You are responsible for ensuring that the correct version of your assessment task is properly uploaded into the correct assessment dropbox.
Student instructions for the assessment task:
• Read the patient information and questions carefully
• Familiarise yourself with the online material on CloudDeakin and the material covered in the seminars
• Draw on theoretical concepts of principles of quality use of medicines, legal/ethical requirements and the nurse’s role in patient education
• Access relevant contemporary literature to support your discussion. References should mainly include refereed journal articles.
• The suggested readings in the unit are a good place to start. References to websites [eg. Better Health Channel and/or Wikipedia] are not appropriate for this assessment task.
• Make sure you self-assess your assignment against the marking rubric available before submission. This enables you to make sure all the required areas have been covered.
Presentation requirements:
• Front page: to include student name and number, Assignment title and word count.
• Adhere to word limit requirements (within 10%). The word count does not include headings, references page, reference citations and direct quotes.
• A reference list should be provided on a separate page headed ‘References’ at the end of the assignment.
• Do not include a table of contents
• Headings may be used to identify the question being answered
Specific presentation requirements as per APA style guide:
Font:
12-point type size.
Times or Times New Roman.
Spacing:
Double-line spacing (Do not insert extra lines between paragraphs or the references list entries.)
Page numbers
Page numbers to be provided on all pages except front page. Place page number in the top right hand corner Margins
2.54 cm at the top, bottom, left-hand, and right-hand sides of the page.
Paragraph indents
Indent the first line of each paragraph (using the tab key or paragraph tool).
Exceptions: abstract, block quotations, titles and headings, table titles and notes Justification of text
All text needs to be aligned to the left, not justified
Your assignment is to be converted to a PDF document before submission. Please check the document before submitting to the dropbox to ensure the formatting has not changed. Software for converting word documents to PDF is available to download from the Deakin software catalogue at no cost.
Structure:
You are not required to present an introduction and conclusion to this case study. The answers to the case study questions should normally be organised in paragraphs of approximately 150 words with each paragraph focused on explanation of one idea. There should be a logical progression of ideas as demonstrated by logically linked arguments/discussion made in each paragraph. Each paragraph should commence with a topic sentence.
Academic writing style
The conventions of written English are expected to be followed to ensure clarity of discussion. This includes correct use of grammar, punctuation and spelling as well as the use of appropriate sentence and paragraph structure. It is also expected that word choice will be formal and professional language will be used.
Paraphrasing and direct quotations
Unless really necessary, most assignments do not require the use of direct quotes. Instead, reexpression of author arguments (paraphrasing) into your own words is required. Paraphrasing of author arguments/statements must be supported by a reference. If a direct quotation is used, you must explain how it adds to the discussion and provide a reference as per APA Style guide 6.
Turnitin (Feedback Studio)
The Turnitin/Feedback Studio is a program that allows you to check whether there is any copied material in your assignment. Checking prior to submission in the dropbox gives you the opportunity to correct any errors. See the following link to Turnitin.
https://d2l.deakin.edu.au/d2l/le/content/394791/viewContent/2505293/View?_ga=2.1364919
52.1459866433.1517178021-1392669345.1509937587
Resources for essay writing
The following links will be useful in providing guidance for essay writing
http://www.deakin.edu.au/students/studying/study-support/academic-skills
http://www.deakin.edu.au/students/studying/study-support/academic-skills/academic-style
http://www.deakin.edu.au/students/studying/study-support/academic-skills/essay-writing
http://www.apastyle.org/
Referencing style
Acknowledge sources and adhere to referencing conventions as per APA Style www.deakin.edu.au/referencing
HNN215 Quality use of Medicines – Case Study 1500 words worth 40% overall grade
Performance Standards High Distinction
Assessment criteria
Distinction
Credit Pass Unsatisfactory
Criterion 1
Identifies and explains significant medication risks for Ms Tong, demonstrating breadth and depth of understanding of concepts (Q1)
(20 Marks) A synthesised response that exhibits significant breadth and depth of
understanding of concepts
(16-20 marks) Concepts have been integrated into a coherent body of knowledge
demonstrating deep understanding
(14-15 marks) Response describes concepts in depth but there are many minor knowledge errors/gaps, or one
significant error/gap
(12-13 marks) Meets most elements of the criterion but lacks depth, integration or synthesis, and/or there is more than one significant knowledge error/gap.
(10-11 marks) Does not demonstrate understanding of the criterion
( 10 marks)
Criterion 2
Describes accurate and relevant nursing strategies demonstrating breadth and depth of
understanding of concepts (Q2)
(20 Marks) A synthesised response that exhibits significant breadth and depth of
understanding of concepts
(16-20 marks) Concepts have been integrated into a coherent body of knowledge
demonstrating deep understanding
(14-15 marks) Response describes concepts in depth but there are many minor knowledge errors/gaps, or one
significant error/gap
(12-13 marks) Meets most elements of the criterion but lacks depth, integration or synthesis, and/or there is more than one significant knowledge error/gap.
(10-11 marks) Does not demonstrate understanding of the criterion
( 10 marks)
Criterion 3
Demonstrates breadth and depth of understanding of the risks associated with Ms Tong’s use of over-the-counter medications
(Q3a)
(20 Marks) A synthesised response that exhibits significant breadth and depth of
understanding of concepts
(16-20 marks) Concepts have been integrated into a coherent body of knowledge
demonstrating deep understanding
(14-15 marks) Response describes concepts in depth but there are many minor knowledge errors/gaps, or one
significant error/gap
(12-13 marks) Meets most elements of the criterion but lacks depth, integration or synthesis, and/or there is more than one significant knowledge error/gap.
(10-11 marks) Does not demonstrate understanding of the criterion
( 10 marks)
Criterion 4
Demonstrates breadth and depth of understanding of discharge medication education concepts related to the use of over-thecounter medications (Q3b)
(20 Marks) A synthesised response that exhibits significant breadth and depth of
understanding of concepts
(16-20 marks) Concepts have been integrated into a coherent body of knowledge
demonstrating deep understanding
(14-15 marks) Response describes concepts in depth but there are many minor knowledge errors/gaps, or one
significant error/gap
(12-13 marks) Meets most elements of the criterion but lacks depth, integration or synthesis, and/or there is more than one significant knowledge error/gap.
(10-11 marks) Does not demonstrate understanding of the criterion
( 10 marks)
Criterion 5
Consistently accesses the most relevant professional literature which is skillfully used to
support and develop ideas
Adhered to APA referencing style in text AND the reference list.
(10 marks) Adhered to all elements of this criterion with an occasional minor error.
(8-10marks) Adhered all elements of this criterion with several minor errors.
(7 marks) Adhered to all elements but has many minor errors or one significant gap or error.
( 6 marks) Adhered to most of elements of this criterion but has more than one significant gap or error.
(5 marks) Literature selected was either irrelevant or inadequate and/ or not used/rarely used to support discussion and/or
consistently incorrect referencing style
( 5 marks)
Criterion 6
Assignment is presented and structured according to instructions.
AND
Writing is in accordance with
standard language conventions
(10 marks) Presented according to instructions and includes writing that is at a high level of clarity and fluency, and is virtually error-free
(8-10 marks) Presented according to instructions and includes fluent writing, but has several minor errors eg., spelling, long sentences
(7 marks) Presented according to instructions and includes writing that contains regularly occurring grammatical or structural errors affect fluency
(6 marks) Presented according to instructions and writing that has errors (grammar, punctuation, sentence/paragraph structure) that detract from readability at times
(5 marks) Not presented according to instructions and/or Lacks expected structure and/or contains multiple errors in spelling/grammar and/or
punctuation that
significantly detracts from readability throughout.
( 5marks)