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Assessment Task 2 Case Study (40%)
Assessment name: Health Alterations Assessment Task 2 Case study
Marking Criteria measured: 1. Demonstrate an awareness of appropriate assessment and management that is linked to pathophysiological changes for individuals experiencing health alterations when access to healthcare is suboptimal or compromised
2. Articulate the role of the registered nurse in providing and encouraging access to, and participation in healthcare
3. Application of the social Justice framework and Professional ethical and practice standards
4. Quality of communication including grammar and spelling
5. Accuracy of citation and referencing using the Harvard referencing system
Length: 2000 words
Estimated time to complete task: 25 hours
Weighting: 40 %
Individual/Group: Individual
Formative/Summative: Summative
How will I be assessed: 7-point grading scale using a rubric
Due date: Friday 12 April 2019 submitted via safe assign in your NUR241 Blackboard site by 4 pm.
Presentation requirements: This assessment task must:
• Be a written academic essay containing an introduction, body and conclusion, addressing the task
• Times New Roman Size 12 Justified 1.5 line spacing
• use Harvard referencing for citing academic literature
• be submitted in electronic format as a PDF document via SafeAssign.
Task description: The goal of this case study is for you to identify the role of the Registered nurse in the appropriate assessment and management of an individual experiencing health alterations when access to healthcare is suboptimal or compromised.

What you need to do: Step 1: Consider the case study below:
Mr. Smith is a 70yr/old male who presented to his GP at 10am today with an exacerbation of his CHF. He was complaining of chest pain that is pleuritic in nature, SOB, weakness, fatigue, a hacking cough with bilateral bibasal coarse crackles.
History:
A: penicillin
Meds: atorvastatin 20m Mane, frusemide 20 mg mane, Metoformin XR 1000mg BD
Past illnesses: hypercholesterolaemia, MI, angina, hypertension, Increased BMI 34, T2DM
Last meal: 7am (3hrs ago), bacon eggs, sausages toast and hash browns
Events leading up to presentation: walking/gardening on his farming property 3 hours away from the nearest hospital
His vital signs are a Temp 36.8, GCS 15, HR 105, NiBP- 170/90, Sp02- 92%, RR 24. Initial ECG displayed new abnormalities and initial bloods showed a negative troponin of TNI: 0.02. He was given his regular meds & 5mg IV morphine, 1gm paracetamol which reduced his pain to 2/10. PIVC insitu R) ACF- patent.
Step 2: Based on your assessment of the case study, identify2 health care priorities for your patient. Refer to the ABCDE framework to justify your decision.
Step 3: Identify interventions (no more than 3 and at least one for each priority problem) to manage each priority. Provide a rationale for each intervention that refers to pathophysiology, as well as a discussion of related nursing care.
*Monitoring such as completing vital signs, telemetry and fluid balance charting is not an intervention. An intervention needs to effect a pathophysiological change. These may be nursing considerations

Step 4: Outline and Discuss appropriate discharge planning for this patient that aligns with the social justice framework
Considerations:
1. Make sure you draw on best available evidence to support your assessment. Journal articles must be no older than 5 years old. Textbooks no older than 7 years old may be used sparingly and only to support pathophysiological information.
2. Referencing correctly is an easy way to secure marks so put effort into this. Make sure you reference from credible journals that are related to the topic. For example; do not use references that are related to oxygen administration in children as this information is not transferable to this patient. It needs to be applicable to this patient.
3. Do not use google! Use the library databases.
4. Draft safe assign is set up for you to use so you can check your referencing in your assessment. Be sure to fix any issues before submitting your final assessment.
5. This is an academic essay written in academic language: use third person, do not use ‘I’
6. Make sure you use correct terminology within your assessment.
The case study assignment is an Individual Assessment Item. You may work collaboratively with other students to understand concepts in this course, but your answers must be your individual research, interpretation and application of the materials.

Suggested Format Introduction: (150 words max)
Outline the case including the main topics that will be discussed in the essay
Primary Priorities: (250 words approx.)
Identify 2 primary priorities according to the ABCDE framework. Demonstrate your knowledge of pathophysiology by linking these priorities to the assessment data provided. Conclude with a sentence that identifies 3 interventions to address these primary priorities.
Interventions: (1200 words approx.)
Identify interventions (no more than 3 and at least one per priority) you would implement to manage the patient’s primary priorities. Set these out logically, discuss everything that is required in relation to intervention 1 first then move on to interventions 2 and 3. For example;
Intervention 1: State the intervention in a heading
Topic sentence: identify the intervention. Describe the pathophysiology in relation to data provided. Explain why this is an appropriate intervention for this patient. Discuss the nursing considerations/ role of the RN in implementing the intervention and identify the intended outcome?
Discharge Planning: (300 words approx.)
Outline and Discuss appropriate discharge planning for this patient that aligns with the social justice framework.
Conclusion: (100 words max)
Conclude your assessment by providing an overview of your conclusions.
Resources needed to complete task: • Harvard Referencing guide
• https://www.usc.edu.au/learn/student-support/academic-and-study-support/online-study-resources/referencing-and-academic-integrity-guide/harvard

NUR241 Assessment Task 2 Rubric Weighting: 40 %
Criteria High Distinction Distinction Credit Pass Fail
Creative and critical thinking
LO:1 Weighting: 10%
Demonstrate an awareness of appropriate assessment and management that is linked to pathophysiological changes for individuals experiencing health alterations when access to healthcare is suboptimal or compromised
Pathophysiology
comprehensively
discussed in relation to the identified priority problems
assessment and management of the patient in the scenario
Pathophysiology discussed with minor gaps/omissions in its application to the identified priority problems
assessment and management of the patient in the scenario
Some appropriate pathophysiology
discussed, but some
gaps/omissions in relation to the identified priority problems
assessment and management of the patient in the scenario
Appropriate pathophysiology, assessment and management discussed of the patient in the scenario
There was little, poor or incorrect coverage and understanding of the essential pathophysiological Concepts in relation to the identified priority problems
assessment and management of the patient in the scenario
Empowered
LO: 2, 5 Weighting: 10%
Articulate the role of the registered nurse in providing and encouraging access to, and participation in healthcare Insightful and sophisticated
discussion of the role of the Registered nurse in managing the patient with health alterations in the scenario. Thoughtful and informed discussion of the of the role of the Registered nurse in managing the patient with health alterations in the scenario Clear and coherent discussion of the role of the Registered nurse in managing the patient with health alterations in the scenario Discusses the role of the Registered nurse in managing the patient with health alterations in the scenario Incomplete or superficial discussion of t role of the Registered nurse in the management of the patient in the scenario.
Ethical
LO: 3, 5 Weighting: 10%
Application of the social
Justice framework and
Professional ethical and
practice standards Advanced evaluation and justification of the actions the Registered Nurse may take to encourage access to, and participation in healthcare within discharge planning of the patient in the scenario with suboptimal access Discerning evaluation of significant actions the Registered Nurse may take to encourage individual or group access to, and participation in healthcare within discharge planning of the patient in the scenario with suboptimal access Knowledge and application of important actions the Registered Nurse may take to encourage individual or group access to, and participation in healthcare within discharge planning of the patient in the scenario with suboptimal access Broad foundational knowledge of actions the Registered Nurse may take to encourage individual or group access to, and participation in healthcare within discharge planning of the patient in the scenario with suboptimal access Limited knowledge and/or application of actions the Registered Nurse may take to encourage individual or group access to, and participation in healthcare within discharge planning of the patient in the scenario with suboptimal access
Communication
LO:4 Weighting: 5%
Quality of communication including grammar and spelling 6. Essay is articulate with a logical succinct expression of argument. Correct terminology and professional language used throughout, there were no mistakes in English expression, spelling, grammar &/or syntax
Kept to word limit. Essay arguments are expressed logically and succinctly Poster uses correct terminology and professional language,
7. There were very few minor mistakes in English expression, spelling, grammar &/or syntax, that do not interfere with meaning.
Kept to word limit. 8. Essay expressed arguments succinctly with a logical progression. correct terminology and professional language used, Infrequent mistakes in English expression, spelling, grammar &/or syntax that do not impede meaning.
Kept to word limit.
Essay is structured to present arguments in a logical progression. use of correct terminology, syntax and professional language was adequate, and there were occasional mistakes in English expression, spelling, grammar &/or syntax that impede meaning.
9. Sentences are limited in variety.
Kept to word limit. Essay did not have a clear focus, arguments were not clearly constructed, and/or it was difficult to discern a logical progression Poster contained incorrect terminology or unprofessional/ inappropriate word use. Frequent mistakes in English expression, spelling, grammar & syntax that impeded meaning.
10. Was under or over the word limit.
Communication
LO:4 Weighting: 5%
Accuracy of citation and referencing using the Harvard referencing system Arguments consistently supported from 15 high quality sources
Citation and referencing comply with Harvard referencing style Arguments consistently supported 14 relevant sources.
Citation and referencing comply with Harvard referencing style Arguments supported throughout the Poster from 12 relevant sources. Citation and referencing comply with Harvard referencing style Support is provided for arguments throughout the Poster from 10 relevant sources. Citation and referencing comply with Harvard referencing style Insufficient support provided to evidence arguments made in the poster and/or citation and referencing format errors
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