Assessment 3 Case Study Analysis Essay
Assessment Description Case Study Analysis Essay
Team or Individual Individual assessment
Format Length: 2000 words (plus or minus 10%).
Word (or similar) digital document.
The document should be formatted with 1.5 line spacing.
Due Date and time Week 13 Monday 28th October, 2019 at 0900
How to Submit Electronically via Blackboard Assessment 3 folder
Learning Outcomes 1-6
Professional Competencies N/A
Marking Criteria Please refer to Blackboard Assessment Assessment 2 Marking Guidelines/Rubric
Feedback Feedback results available via Blackboard My Grades
The case study:
Elenor is a 16 year old who attended the rural accident and emergency department (ED) complaining of lower abdominal pain. Accompanied by her mother, Elenor was initially triaged by the registered nurse (RN), who recorded her vital signs, which were within normal parameters, and a pain score of 3 out of 10. The RN also tested her urine and no abnormalities were detected, hence, Elenor was asked to sit in the waiting room with her mother until she could be seen by a medical officer. At that point a number of people were admitted to the ED as a result of being injured in a motor vehicle accident (MVA) involving a number of cars and a motorcyclist, therefore Elenor was kept waiting. The motorcyclist had major head, leg and chest injuries whilst the other patients had a number of significant but not so critical injuries. Elenor and her mother were informed by the nurse of the accident and that there may be a delay but they also noticed how short staffed the department appeared to be, therefore did not want to complain.
Elenor was called through to the treatment area of the ED four hours after her initial presentation, where a doctor commenced her examination. By this time her pain score had increased to 5 out of 10, and her vital signs were indicative of her discomfort. Prior to completing his examination the doctor was called to attend to one of the patients in the MVA who was deteriorating. Unfortunately, the cause of Elenor’s abdominal pain at this point was unknown but as he left the doctor ordered her to be kept nil by mouth (NbM), to have intravenous (IV) fluids, pain relief and a full blood count. The RN explained the treatment and the plan of care in full to Elenor and her mother, following which she commenced IV fluids and organised for a full blood count to be done along with continued monitoring of Elenor’s vital signs. However, Eleanor declined pain relief advising that she may be pregnant and that she did not want her mother to know. The nurse did however, inform the doctor who ordered an urgent ultrasound scan, confirming pregnancy but no fetal heartbeat.
Elenor subsequently haemorrhaged heavily vaginally, and the doctor ordered more blood specimens for haemoglobin (HB) group and hold in preparation for surgery to evacuate the remaining uterine contents, at which time her mother advised that she and Elenor were Jehovah’s Witnesses. Consent for surgery was gained but on the way to the operating theatre Elenor stated that she was happy to consent to receive blood products if necessary and the doctor was informed. During the operation Elenor lost a significant amount of blood and the doctor ordered a blood transfusion to save her life. In theatre, nursing staff assisted the doctor to complete the blood transfusion. Following the procedure, Elenor was transferred to recovery area and then to a ward. Her mother was angry and aggressive towards the nurses when she discovered that her daughter had a blood transfusion in progress.
Case study analysis assignment brief:
The case study analysis essay word limit is 2000 (plus or minus 10% as per the School of Nursing & Midwifery
Undergraduate Assignment Guidelines). All words are calculated towards the word limit except for the title page, direct quotes and end-text references. If you write less or more than this, penalties will apply. If you write less, it is unlikely you will have covered all aspects of the assignment.
The assignment brief is structured under the same headings as the marking rubric, please consider both documents carefully as you construct your essay.
This assignment has a weighting of 60%.
The assignment worth 60% will be marked using the School of Nursing and Midwifery standard marking rubric, which you will find on the unit Blackboard site. Please read each criterion carefully and reflect the positive criteria in your essay.
You need to consider:
The legal and ethical concerns that the situation in the case study raises.
Apply all the relevant unit content throughout the essay.
The possible actions (or inactions/omissions) that could be taken and the implications of those actions (or omissions).
You do not need to provide the ‘right’ answers, what you will be assessed on is your ability to determine the implications of different actions or inactions from a legal and ethical perspective.
Think of the possible courses of action, and inaction that could be taken, and then consider, do any ethical theories support (or not) the actions that you discuss?
Which ethical principles, doctrines or concepts apply to the actions/inactions put forward and if so, how?
Consider the application of professional codes of conduct and ethics
Do any of the ethical principles conflict with each other or with the law?
Which torts or other legal concerns apply to your suggested actions/inactions?
Structure & presentation
There is no need for headings, the paper should flow in one long sequence.
You need to address the possible actions / inactions in a logical piece of writing that shows the possible implications of these two different pathways of care / omission of care.
The main part of the assessment is that each of those areas (ethics and law) contains appropriate material.
The main body should contain a logical and cohesive development of ideas and your ability to sustain logical arguments will be assessed.
Your conclusion should provide a summation of the key points of the work.
Full sentence structure is required.
Do not rewrite the case study. Apply ethical theories concepts and principles to parts of the case study throughout your work
It is recommended that you use the ethical decision making model discussed in the unit content.
Application of critical thinking
You will be assessed on your ability to consider the implications of the suggested actions/inactions and the application of theory to practice. You will also be assessed on your ability to support the arguments you put forward with evidence from appropriate literature.
There is a minimum of 10 references required, although you should read widely and incorporate that reading into your assignment – the more references, the better! The more you read, the more evidence you will find to weave into your essay. References for this essay should be within 5 years of publication – unless it is sentinel work.
Do not leave areas in your work that are unsupported by evidence. Each paragraph should include a reference. Check the similarity report and ensure that you have paraphrased information and provided a reference.
You must comply with the ECU SNM assignment writing guidelines, follow these specific assignment instructions and use the ECU referencing guide to ensure all in-text and end-text references are correct. Please use the School of Nursing and Midwifery Assignment Guidelines and the ECU Referencing Guide to present your work. There is no excuse for deviating from these guidelines as they are available through several links, here, in the unit guide and on the Blackboard site. If you are unsure about referencing, see the Learning Consultant early in the semester.
English language proficiency (ELP)
As with all written assignment work that you undertake at ECU, you will be assessed for ELP within this assignment.
NCS3203 is not a prescribed unit for ELP, so the weighting against this criterion is not as high as in the prescribed units. However, you should make every effort to ensure that you pay close attention to the construction of sentences, ensuring spelling, grammar and syntax are correct.
Poor writing will detract from the content of the essay if you are unable to articulate the true meaning you are trying to put across and this will make you lose valuable marks.
** If you are at all concerned about your written work, please see the learning adviser early in the semester.
General instructions for the assignment:
Please note your submission date, as detailed in your unit guide. You are strongly advised not to leave your submissions until the last day, rather you work on your assessments enabling you to focus on your studies whilst working around any practicum or personal commitments or other units, you will have two attempts to submit the essay assessment component through Turnitin, enabling you to review the similarity report. Remember, it can take up to 24 hours to generate this report.
The case study must be presented in accordance with the ECU School of Nursing & Midwifery Undergraduate
Assignment Guidelines (available on Blackboard). Students can submit their written paper to Turnitin at any time during the semester but no later than assignment submission deadline that is stated within the unit plan. Keep your Turnitin receipt as evidence of submission. If you submit your case study late, 5% will be deducted for each day the assignment is late for up to seven days (including the weekends) after the due date, at which point a mark of zero will be assigned.
If a student wishes to apply for an extension from the Unit Coordinator, they are required to do so prior to the due date, in writing, using the correct ECU form for requesting extensions, stating the grounds for the extension request and any evidence to support the extension (eg. a medical certificate. Examples in unit plan).