Recent Question/Assignment

2.4.2 Concept Map and Guided question response
Weight: 40%
Type of Collaboration: Individual
Due: Week 12, Monday 15th October 2018 at 12 midnight
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.
— 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
6
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.

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