1. General Information and Submission Instructions
Due Date: Wednesday 28thaugust 2019 at 1200hrs
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 willNOTbe marked.
Please note we will NOT mark anything exceeding the above limit.
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 chooseONEpotential 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:
o What is the likelihood of Mr Joni experiencing this complication?
o What evidence suggests this?
· Discuss the pathophysiology of the chosen complication, and address the question:
o 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:
o be both nursing and patient based
o consider both pharmacological and non-pharmacological management
o 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.
o 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.
I have attached the relevant information for the powerpoint presentation.
I can record the presentation.
i need the powerpoint slides and the presentation description in a separate file.
need to follow the instructions as mentioned in the bellow attached files. An example ppower point presentation given in the one of teh attached files.
· 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 themarking guide and rubricon 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