1. General Information and Submission Instructions Due Date: Friday 13th September 2019 at 2359hrs Weighting: 50% Time limit: 10 minutes maximum, 10 PowerPoint slides (9 for content, and 1 for your...

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1. General Information and Submission Instructions






Due Date: Friday 13th September 2019 at 2359hrs


Weighting: 50%


Time limit: 10 minutes maximum, 10 PowerPoint slides (9 for content, and 1 for your reference list). You also need to include your notes under the slides, however, these will NOT be marked.


Please note we will NOT mark anything exceeding the above limit.



Submission Instructions:


You are required to submit your oral presentation recording and PowerPoint slides into the Assessment 1 dropbox located on your campus specific tile on LEO. Feedback and marks will be provided via the same dropbox.


You will be using the LEO video recording software called Kaltura Capture. You will need to download this (it's free), using the instructions below. You will then record your presentation and then upload this into the assessment dropbox.






STEP 1:


Install Kaltura Capture:



•Read and follow the instructions on"How to install and run Kaltura Capture"-https://staff.acu.edu.au/2321782







Record your presentation using Kaltura Capture:



•Then read the guide on “Create a Recording with Kaltura Personal Capture" -https://knowledge.kaltura.com/create-recording-kaltura-personal-capture



◦Click on the webcam button so it is turned off (see below image). To record your presentation, you only need the screen and audio available



◦Make sure you have yourPowerPoint presentation open in slide show view, and you are ready to start speaking



◦When you are ready, press thered buttonto start recording.




•When you are done, click stop. It will take you to the below page. Press play to watch your video and make sure it's within the time limit, clear and complete.



•Once you are happy with this, click on "save and upload". This will upload your recording onto "My Media" on LEO so you can submit this onto the LEO assessment dropbox







STEP 2:


Upload your recording and slidesvia the Assessment 1 dropbox onlocated on your campus specific tile on LEO.



•Go to your assessment dropbox on LEO and follow the instructions outlined here -https://staff.acu.edu.au/1199003



•You need to ensure you upload your PowerPoint Slides (with accompanying notes) in the same dropbox






NOTE:


We will be providing you with a demonstration during week 4 and 5 Campus Based Resource Sessions as well






2. Assessment 1 Case Study Information


You have been provided with the following case study about Mr Tomasi Joni, who presented to his GP clinic for his annual health check. Following the review of his laboratory tests and assessment results, the GP was concerned that Mr Joni was at risk of developing multiple health complications. He has since been referred to you, the practice nurse, for a care plan to reduce his risk of these medical complications and improve his overall health.


Based on the information provided in this case study, you are required to choose ONE potential health complication that Mr Joni is at risk of developing, and present your discussion using the Levett-Jones’ (2018) Clinical Reasoning Cycle Steps 1-6 and the below guidelines:






Steps 1, 2, 3 and 4 – Consider the patient situation, collect cues, process information and identify the issue:



  • Discuss the incidence of the chosen complication, and address the questions:


    • What is the likelihood of Mr Joni experiencing this complication?

    • What evidence suggests this?


  • Discuss the pathophysiology of the chosen complication, and address the question:


    • What are the consequences of this complication for Mr Joni?



Steps 5 and 6 - Establish goals and take action



  • In consultation with Mr Joni, set twogoals for him to reduce his risk of developing the complication?

  • Identify interventions to achieve the above goals. The interventions should:


    • be both nursing and patient based

    • consider both pharmacological and non-pharmacological management

    • recognise strategies to empower and education Mr Joni to take initiative to alter his lifestyle factors.



NOTE: The below steps 7 and 8 areNOTrequired as part of your assessment. You can choose to include this information as part of your conclusion, however, it is NOT mandatory/required for this task.


Steps 7 and 8 - Evaluation and Reflection (OPTIONAL)



  • Consider what strategies/aspects would determine that the patient and nurse interventions have been successful or effective for Mr Joni?

  • Include your conclusion here, and part of that should include an overall statement of what have you learned from doing this presentation on this patient


3. Tips and Advice for Success


Discussion:



  • There is much further depth required to meet the criteria on rubrics when you are being asked to critically discuss and critically analyse. This moves beyond merely 'describing' events or processes and requires you to make much deeper links that are supported by theory and evidence-based literature.


    • For example, you may include the pathophysiology of a disease process, but unless you can explain the link between the patient and their conditions, this does not demonstrate sufficient critical analysis or understanding


  • Your discussion needs to utilise high quality academic sources to support your arguments, and refrain from using consumer websites






Slides:



  • Avoid text heavy slides which can detract from the meaning being presented on the slide. Stick to your main points (e.g., 3-5 points per slide), and verbally explore the points further.

  • Try to use diagrams, pictures/images or schematics which can break the slides up, as well as aid visual learners. However, these need to be relevant to the discussion

  • Ensure all slides and diagrams are referenced

  • Consider the use of an appropriate font type, colour and size to ensure ease of reading for the audience.

  • Proof read your work for grammatical errors, spelling mistakes or issues with punctuation. Remember, this is a piece of academic writing and needs to be at a high standard.






Oral presentation:



  • Avoid simply reading from your notes/slides

  • Ensure your discussion flows logically, i.e. you should still introduce your presentation, the discuss your main arguments and then finish off with a conclusion

  • Be succinct but include everything that you need to include. Remember, you have a time limit and you do not get the option to deliver your information in another capacity

  • Practice, practice, practice, and only start recording when everything is ready to go and you are confident



Please refer to the marking guide and rubric on page 15 of the NRSG265 unit outline for more information and guidance.


If you have any questions about the assessment, please post it on LEO under “Assessments" --> “Assessment 1 Oral Presentation Q&AForum






4. Case Study - Mr Tomasi Joni


Mr Tomasi Joni is a 56 year old male of Fijian background, who currently lives with his wife (Theresa) and three children (ages 14, 17 and 18 ) in the Inner West City of Melbourne.


He recently presented to his GP clinic for his annual health check. Following the review of his laboratory tests and assessment results, the GP was concerned that Mr Joni was at risk of developing multiple health complications.


He has since been referred to you, the practice nurse, for a care plan to reduce his risk of these complications and improve his overall health.



Mr Joni works full time as a mechanical engineer and is currently averaging 50 hours/week which means he needs to work on most weekends. He has always been socially active within his Church community, but due to his increased working hours this has restricted his ability to attend mass and contribute to his community. He states that he needs to “prioritise any free time I have so I can spend it with the kids, especially my oldest who is doing VCE this year”.


Mr Joni states that he tries to exercise when he has time and walks to the train station every day to get to work, which is 8 minutes each way. He also goes bowling with his friends every Thursday night and then enjoys a pub dinner afterwards with a “couple of beers”. He smokes 1 pack of cigarettes a week but this can increase if work becomes “too stressful”.


As Theresa also works full time, they do not have a lot of time to cook. Therefore, the family eat takeaway 3 times/week and then go to his parent’s house for dinner the rest of the week.


Mr Joni has a history of hypertension, gout and had an AMI in 2016. He has moderate Obstructive Sleep Apnoea (OSA) and requires CPAP for overnight sleep.



Family history


Father has hyperlipidemia and had a stroke in 2015.


Mother had breast cancer in 2012 and is in remission currently.



Medications


Metoprolol 100mg daily


Aspirin 100mg daily


Allopurinol 500mg daily



Current vital observations:


BP 142/96mmHg


HR 96bpm


RR 22 bpm


SpO2 96% on RA


T 36.7C



Health assessment findings:


Height 1.7m, Weight 93kg, excess abdominal fat evident. Waist circumference 104cm


Total cholesterol level - 9.2mmol/L


Fasting BGL - 9.6mmol/L


Albumin-to-Creatinine Ratio (Urine ACR) - 10 mg/mmol

Answered Same DaySep 10, 2021NRSG265

Answer To: 1. General Information and Submission Instructions Due Date: Friday 13th September 2019 at 2359hrs...

Sunabh answered on Sep 12 2021
152 Votes
NURSING
NURSING
CASE STUDY ANALYSIS OF MY JONI
Incidence of Chosen Complication and its Likelihood of Occurrence to Mr. Joni
Mr. Joni may be at risk of developing hyperlipidemia.
High blood cholesterol level have been identified as 9.2mmol/L.
Mr. Joni also faces hypertension and high heart rate.
Smoking and drinking makes him prone to develop
hyperlipidemia.
Incidence of Chosen Complication and its Likelihood of Occurrence to Mr. Joni
Mr. Joni may be at risk of developing hyperlipidemia. This is evident from the blood reports presented by him where the blood cholesterol level have been identified as 9.2mmol/L. It is necessary to consider that Mr. Joni also faces hypertension as well as have a high blood pressure and heart rate. Mr. Joni has a stressful as well as busy life and therefore, he does not cook their own food instead he is dependent upon outside food, which may be high in fats and low-density lipids (LDL).
2
Incidence of Chosen Complication and its Likelihood of Occurrence to Mr. Joni
(contd.)
It is necessary to consider hypertension, high blood pressure and heart rate.
Mr. Joni smokes, drinks therefore, prone to hyperlipidemia.
Incidence of Chosen Complication and its Likelihood of Occurrence to Mr. Joni
Moreover, Mr. Joni’s lifestyle clearly reflects that he may not possess sufficient time to provide towards his health because he is too busy earning money for his family. Further, smoking and having alcohol may increase the risks associated with this disease, Mr. Joni has accepted both the actions as a part of his lifestyle, and therefore, he is prone to develop hyperlipidemia
3
Evidence suggesting Hyperlipidemia
Mr. Joni may have inherited it from his father who was also a patient.
He is overweighed that is 93kg for a person with 1.7 meters height.
Reflects a high body fat percentage of around 23 or 24%.
Evidence suggesting Hyperlipidemia
It is necessary to consider that Mr. Joni’s father was a patient of this disease and dies due to stroke in 2015. Therefore, it can be considered that this could be a genetic of family disease and Mr. Joni may have inherited it from his father. Further, aside from the high blood cholesterol levels, Mr. Joni is overweighed that is 93kg for a person with 1.7 meters height. He also have access and unwanted abdominal fat, which reflects a high body fat percentage of around 23 or 24% (Taghizadeh et al., 2019). Further, high blood pressure, heart rate as well as high respiration rates definitely suggests that he may be suffering from hyperlipidemia (Navar-Boggan et al., 2015).
4
Pathophysiology of Hyperlipidaemia
Accumulation of lipids such as cholesterol and other triglycerides in blood causes this disease.
Accumulation of LDL may cause ‘Hypercholesterolemia’ which is a category of hyperlipidemia.
Hyperlipidemia arises as a result of genetic and Mr. Joni may have received it from his father (Karanchi & Wyne, 2019).
Pathophysiology of Hyperlipidaemia
Hyperlipidemia occurs majorly due to the accumulation of lipids such as cholesterol and other triglycerides in blood. Hypercholesterolemia is one sub-category of hyperlipidemia where there is accumulation of LDL as a result of which this accumulated around the lining of blood vessels (Onwe et al., 2015). LDL has low viscosity and therefore they stick to the inner walls of blood vessels, due to this alignment blood vessels constricts and as a result constricts the required blood supply. In response to this, heart has to pump more blood and...
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