Recent Question/Assignment

NMBA Standards for Registered Nurse Practice
NMBA Standards for Practice Learning Outcomes
1. Thinks critically and analyses nursing practice.
1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 1.7 1.
2. Engages in therapeutic and professional relationships.
2.1, 2.2, 2.3, 2.4, 2.5, 2.6, 2.7, 2.8 3, 4, 6
3. Maintains the capability for practice.
3.1, 3.2, 3.3, 3.4, 3.7 1, 2, 3, 4, 5, 6
4. Comprehensively conducts assessments.
4.1, 4.2, 4.3, 4.4 2, 3, 4, 5, 6
5. Develops a plan for nursing practice.
5.1, 5.2, 5.3, 5.4 2, 3, 4, 5,
6. Provides safe, appropriate and responsive quality nursing practice.
6.1 1, 2, 3, 4, 5, 6
7. Evaluates outcomes to inform nursing practice.
7.1, 7.2 3, 4, 5
Assessments
Assessment Task Word Length Due Date Weighting (%) Learning
Outcomes Assessed Graduate
Attributes Assessed
Written assignment Surgical case study 1800 Week 8
Date: Monday 20th April 23:59 50% 2, 3, 4, 5, 6, 1, 3, 4, 5, 8,9

Examination ~ 2000 University Examination Period Date and time to be confirmed 50% 1,2, 5, 6, 1, 3, 4, 5,7, 8
Assessment One
Case study (50%) Monday 20th April 2020 (by 23:59)
• 1800 words +/- 10% via Turnitin dropbox.
• Answer the questions relating to the case study
• Discussion must be academic and supported by appropriate academic references
• Information must BE RELEVANT to the patient in the case study
• HINT: Label your drafts e.g. draft 1, draft 2 and then FINAL so you do not submit a draft in error.
• In the in the Case Study folder on LEO additional information will be available to assist you. These will include:
– Assignment Guide to help you write your assignment
– Quick Guide to APA Referencing to help you reference
– Format your Assignment guide to help you set out
– Rubric so you know what is being marked
Planning - Writing begins with a process
• Assessment Task 1: Case Study
• Instructions/ Questions
• Marking criteria
Use these documents for:
• Priorities for topics (themes) to include
• Sources to include
• Writing style (i.e. formal language)
• Format and presentation
See the Checklist for assignment writing in the ACU Study Guide
Assessment Questions
• Question 1: Use stage one of the clinical reasoning cycle (CRC) ‘Consider the patient situation’ to identify the biopsychosocial, spiritual and cultural impacts of Ted’s surgery for him and his family
(250words)
[Hint: use the RLT model in your answer]
• Question 2: The information for stage two of the CRC collect cues and information has been provided for you in the case study. Use this information to provide responses to CRC stages three
‘Process the information’ and stage four ‘Identify Problems.’ Please link to pathophysiology and provide evidence from the literature to support your thinking. (600words)
Assessment Questions
• Question 3: Using stage five of the CRC Establish goals outline and justify (5) nursing care interventions/strategies the registered nurse would implement to provide care for Ted. Justify your thinking with links to current peer reviewed evidence and literature
(600words) [Hint: can be in dot point format]
• Question 4: Select two classes of drugs that would be used to manage Ted’s post operative condition. Please provide a rationale for why that drug class would be suitable for Ted. Provide a detailed description of the pharmaco-dynamics of each of the selected class of drug as well as the potential side effects and the nursing implications for administration
(250 words)
[Hint: How do they work? How would it help Ted resolve his issue?]
Case Study – Edward (Ted) Williams
• Edward (Ted) Williams is an 82year old male who is day 4 post-operative following a bowel resection and formation of a temporary colostomy. Ted had previously had a coloscopy and biopsy that confirmed a malignant mass. He has a past medical history of; heart failure, type II diabetes melilites, obesity and gout. (BMI 37.6m2; Height 175cm; weight 115kgs)
• Ted is a widower and lives alone. His wife died 3 years ago following a bout of pneumonia. One year ago, Ted moved into a retirement village located in a regional area two and a half hours from the city. The retirement village is near where he lived with his wife and children until they left home. Ted has 2 grown up children, a son Christopher who lives overseas with his wife and son, and a daughter Janice who lives with her husband and 3 children in the city. While Ted lives alone, he has a partner Gwen 78, who also lives in the same retirement village as Ted.
Case Study – Edward (Ted) Williams
• Current medication:
Metformin 500mg Mane
Captopril 12.5mg mane
Frusemide 40mg mane
Allopurinol 100mg Daily
Paracetamol 1g QID
• Ted is now day 4 post op. He was Nil By Mouth (NBM) for the first 48 hours after surgery. Yesterday he commenced on a full fluid diet and has upgraded to a light diet yesterday evening. Today, Ted was given his regular metformin and ate breakfast. Since then Ted has vomited twice and feels nauseous. He has been given ondansetron 4mg for nausea.
Case Study – Edward (Ted) Williams
• Teds vital signs at 10am are as follows: T 38.1; HR 98 reg; BP 135/85; RR 26; SpO2 94% on 3L NP. He has right sided inspiratory coarse crackles and he has a moist productive cough. He has PCA morphine in situ for effective pain regulation. Ted has some abdominal pain that he says is at a scale of 4-5/10, he says the pain worsens on palpation to 7/10 and you note that his abdomen is distended. The colostomy bag is intact and the stoma can be sighted through the bag. The stoma is warm, pink, moist and slightly raised above the skin. There has been no output since his surgery. He has sluggish bowel sounds and has not passed flatus. The abdominal laparotomy has a clear occlusive dressing (opsite) and there is minimal ooze present. He has a redivac drain with 30mls of haemoserous fluid, and a urinary catheter in situ and is passing approx. 60-70mls of urine/hr.
Hints
• Hints for completing this assessment:
• Please review the marking Rubric and see the weighting for each question. This should guide your answers along with the suggested word limit for each. Note: word limits are suggestion ONLY. The whole assessment is 1800words +/-10%
• This is not an essay however I do expect full sentence structure and academic writing,
• The word count is minimal therefore your answers need to be concise. (this is a skill of academic writing). You do not have the word limit to ramble.
• Please use headings such as 'Question 1'; 'Question 2' etc. and then answer the question beneath. This will save your word count.
• For Question 3 you can use dot points for each intervention to save on word count but please maintain proper sentences structure. And you still must provide enough explanation so the reader knows what your nursing intervention involves and why?

Criterion High Distinction (=85%) Distinction (75-84%) Credit
(65-74%) Pass
(50-64%) Fail
(=49%)
Q1: Identify the biopsychosocial, spiritual and cultural impacts of surgery for Ted and his family
(15%) Provides comprehensive understanding of the biopsychosocial, spiritual and cultural factors influencing care for Ted and his family by covering all the necessary factors Provides a solid undertanding of the biopsychosocial, spiritual and cultural factors influencing care for Ted and his family by covering most of the necessary factors Provides an understanding of the biopsychosocial, spiritual and cultural factors influencing care for Ted and his family by addressing a lot of the necessary factors Provides minimal understanding of the biopsychosocial, spiritual and cultural factors influencing care for Ted and his family by covering some of the necessary factors Does not identify biopsychosocial, spiritual and cultural factors inlfuencing care for Ted and his family
Q2: Provide responses to Stage three and four of CRC by processing the information and
identifying patient problems (30%) Provides comprehensive discussion and identification of the underlying pathophysiology and identifies 2 or more patient problems justified by literature and comprehensively links to case study Provides a solid discussion and indentification of the underlying pathophysiology and identifies 2 or more patient problems justified by literature and strong links to case study. Provides some discussion of the pathophysiology and
identifies 2 patient
problems with some justification by literature and some links to case study Provides minimal discussion, and identification of the underlying pathophysiology and identifies 2 patient problem with weak
links to literature and minimal links to case study. Does not discuss adequately the underlying pathophysiology,
identified 1 or no problems. Inadequate use of literature and discussion not linked to case study.
Criterion High Distinction (=85%) Distinction (75-84%) Credit
(65-74%) Pass
(50-64%) Fail
(=49%)
Q3: Establish goals outline and justify (5)
nursing care interventions/ strategies the registered nurse would implement to provide care for Ted. Justify with evidence/literature to support. (30%) Patient care goals clearly identified using SMART objectives. (5) nursing care interventions identified. The care plan was articulate, logical, balanced and convincing. All important aspects are covered demonstrating comprehensive knowledge of the key areas. Comprehensive analysis and critique provided. Patient care goals clearly identified using SMART objectives. (5) nursing care interventions stated The care plan was cohesive, logical and balanced.
demonstrating great knowledge of the key areas. A strong attempt at analysis and critique Patient care goals clearly identified. (4 to
5) nursing care interventions stated. The care plan was cohesive and logical. A number of key areas are covered demonstrating an understanding of the important issues. Some attempt at analysis and critique was made. Patient care goals adequately identified (3 to 4) nursing care interventions stated. A logical care plan was presented but mostly descriptive. Some structure to ideas with satisfactory explanation of some key areas provided. A basic understanding was demonstrated. Less than (3) nursing care interventions stated. There is little/no cohesion to the flow of the case study. Broad generalisations are made. Irrelevant content and unstructured points are made. Key areas are not addressed. Minimal understanding is demonstrated.
Criterion High Distinction (=85%) Distinction (75-84%) Credit
(65-74%) Pass
(50-64%) Fail
(=49%)
Q4: select two classes of drugs that would be used to manage Ted’s Post operative condition. Please provide a rationale for why that drug class would be suitable or ted. (15%) Two (2) classes of drugs appropriately identified with rationale of benefits. A comprehensive understanding and explanation of the pharmaco-dynamic,
potential side effects
and nursing implications for administration are provided
(12.75 - 15) Two (2) classes of drugs appropriately identified with rationale of benefits. A detailed understanding of the pharmaco-dynamic,
potential side effects
and nursing implications for administration are provided
(11.25 – 12.74) Two (2) classes of drugs appropriately identified with some rationale provided. Some understanding of pharmaco-dynamic,
potential side effects
and nursing implications for administration are provided
(9.75 – 11.24) Two (2) classes of drugs appropriately identified no rationale provided.
Minimal identification of pharmaco-dynamic, potential side effects
and nursing implications for administration are provided
(7.5- 9.74) Less than 2 classes of drugs identified &/or not appropriate and no rationale.
No identification of pharmaco-dynamic,
potential side effects
and nursing implications for administration are provided. (0 - 7.4)
Criterion High Distinction (=85%) Distinction (75-84%) Credit
(65-74%) Pass
(50-64%) Fail
(=49%)
Mechanics- Grammar, spelling and punctuation
(5%) There are no errors with grammar, spelling and punctuation that impact readability, and the meaning is easily discernible. The case study reads without interruption. There are no errors with grammar, spelling and punctuation that impact readability, and the meaning is easily discernible. There are minimal errors with grammar,
spelling and punctuation that impact readability, and the meaning is easily discernible. There are some errors with grammar, spelling and punctuation that impact readability.
However, the meaning is discernible. There are substantial errors with grammar,
spelling and punctuation that impact readability. The errors detract significantly, but the meaning is discernible
Referencing
(5%) All In text citations and reference list are correct and use APA style. Textbooks, authoritative websites, systematic reviews and
journal articles provided. One error in the in text citation and/or reference list (Based on APA style). Textbooks, authoritative websites and journal articles provided. Two errors in the in text citation and/or reference list (Based on APA style). Textbooks and authoritative websites provided. Three errors in the in text citation and/or reference list (Based on APA style) Textbooks provided. Four or more errors on the in text citation, referencing style and/or reference list (Based on APA style). Use of unauthoritative references (e.g.
Wikipedia).

Mind Mapping
Design your group concept map based on the previous information about Ted
Start with identifying normal versus abnormal and build
What are abnormal data, red flags
What do you think they indicate/mean
What other piece of information is missing that you may want? (collect cues)

Primary sources-using search tool such as google scholar or
CINHAL Non-Primary sources-doing your assessment tasks with Dr Google
Journals, periodicals-scientific research publications
Peer reviewed
• The Medical journal Australia
• The British Medical journal
• Journal of American medical association
• The Lancet
• Australian journal of Public health
• Australian Critical Care nursing
• Advances in Integrative medicine
• Australasian Emergency Nursing Journal
• Collegian
• Qualitative Health Research
• Journal of Clinical Nursing
• Journal of Advanced Nursing
• Journal of Applied Psychology
You must know more than your patient
You must know how to read, analyse an understand a peer reviewed journal article • Care direct
• Health care online
• Health care direct
• Cleveland clinic-medical centre in USA
• Queensland Health? Who? Where? What?
• Oz med
• Mayo clinic
• Princess Alexandra Hospital? Who? Where? What? • Stroke association-look for bibliographies on site
• Veterinarian nursing-tropical birds !!!!!
• MS society-look for bibliographies on site
• Patient care tools
• Nursing times
• ANY Patient support sites
• My brother said, my friend told me….
• Better health Channel
• Nursing slides.com
• Wikipedia
• If your GP used these sites to treat YOU what would your response be?
Credible evidence; where to get it?
Quick search
Database Quick search - Library
• Clinical key • Tollefson psychomotor skills • Uptodate • Textbooks/ articles
o A & P
• Joanna Briggs o Health assessment
• BMJ Best Practice o Physical assessment
• ProQuest Nursing & Allied Health
Database Other reputable sources
• CINAHL Complete • Clinical Excellence Commission
• NSW Health
• Agency for Clinical Innovation

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