ASSESSMENT
INFORMATION
|
Assessment
Title
|
Written
assessment
|
Purpose
|
The
purpose
of
this
written
task
is
to
engage
students
with
the
application
of
theory into practice and how this needs to be flexible to meet the needs of the person requiring health care assistance.
|
Weighting
|
40%
|
Length
|
1500
words
+/-
10% (includes
in-text
citations,
excludes
reference
list)
|
Assessment
Rubric
|
Refer
to
Extended
Unit
Outline
Appendix
2
|
LOs
Assessed
|
LO1,
LO3,
LO5
|
Task
|
Students
will
assess,
prioritise
and
plan
the
care
of
the
guided
case
study
patient
using
a clinical reasoning framework in hospital and community setting. Introduction and conclusion not needed.
Case
study
Mr.
Johnson
is
a
75-year-old
man,
was
brought
to
the
emergency
department
(ED)
by
his daughter with concerns about his increasing levels of pain, intermittent periods of acute confusion and deteriorating overall general health.
Initial
Assessment
Mr. Johnson is alert but disorientated to time and place. He appears dishevelled and malnourished,
with
a
strong
odour
of
urine. He
was
brought
in
a
wheelchair
and
was guarding
his
L
knee.
Daughter
stated
Mr.
Johnson
took
two
(2)
Ibuprofen
(neurofen) tablets couple of hours ago with minimal effect.
BP
-
140/93
HR - 96 bpm and regular Peripheral
pulses
-
Present RR - 18 rpm
Temp
-
37.0C
(tympanic) Sa02 - 98% RA
BGL
–
9
mmol/L Height -170 cm
Weight
-
74
kg
(weighed
80
kgs
six
months
ago)
ECG
-
NAD
|
|
MMSE
–
23/30
L
Knee
Xray-
NAD
Urinalysis
-
dark
concentrated
yellow,
clear
urine,
SG
1.010,
pH
7,
Leukocytes
and nitrite- positive.
Medical
history
Mr. Johnson has a history of multiple chronic medical conditions, including osteoarthritis,
osteoporosis,
hypertension,
and
diabetes.
He
is
on
several
medications
and has regular visits with his primary care physician.
Medications
Ibuprofen
Panadol
osteo
Alendronate
(Fosamax)
Norvasc
Cholecalciferol
Calcium supplements
Metformin
Hydrochloride
Gliclazide Hydrochlorothiazide
Patient history
Mr. Johnson lives independently in his own home and usually cooks his own meals at home.
His
daughter
visits
him
couple
of
times
each
week.
Mr.
Johnson
walks
for
an
hour daily
and
catches
up
with
his
friends
at
the
nearby
park
once
a
week.
He enjoys
spending time with his grandchildren. He never smoked and drinks a bottle of beer after dinner while watching TV. He wears glasses for long distance and bilateral hearing aids.
Recently
the
daughter
noticed
Mr.
Johnson
increasingly
neglecting
his
personal
hygiene, nutrition, and household upkeep. Mr. Johnson has been socially isolated.
and had multiple falls at home recently.
Admitting
diagnosis:
Early
signs
of
dementia.
You
are
the
registered
nurse
looking
after
Mr.
Johnson,
and
you
are
required
to
plan
her care
guided
by
a
clinical
reasoning
framework
and
the
provided
case
study
information. Sections you need to respond to include:
1.
Patient
assessment
(500
words)
·
Provide
an
initial
impression
by
identifying
relevant
and
significant
features
from Mr. Johnson’s current ED presentation.
·
Discuss
the
possible
causes
for
Mr.
Johnson’s
intermittent
cognitive
impairment.
|
|
Do you agree or disagree with Mr. Johnson’s diagnosis of an early onset of dementia.
Justify
your
opinion
and
support
your
discussion
with
evidence
from the case study.
·
Evaluate
the
impact
a
misdiagnosis
may
have
on
the
care
provided
for
Mr.
Johnson.
Mr.
Johnson’s
intermittent
confusion
resolved
after
3
days.
He
was
assessed
by
the
Aged Care Assessment Team (ACAT) and was eligible for a community care package. Mr.
Johnson
was
discharged
home
with
regular
codeine
for
his
chronic
pain.
2.
Physiological
changes
of
ageing
and
identify
patient
issues
(500
words)
·
Discuss how the normal physiological changes of ageing may increase Mr. Johnson’s
risk of falls. Identify three (3) evidence-based
nursing interventions
with
rationales
that
should
be
implemented
for
Mr.
Johnson
to
reduce
the
risk
of falls. (Do not include referrals in your answer).
·
Evaluate
how
Mr.
Johnson’s
chronic
pain
would
impact
on
his
capacity
to complete two of his activities of daily living (ADL’s) ensuring you have justified your choice of ADL’s.
3.
Pharmacological
management
and
nursing
considerations
(500
words)
·
Discuss
why
Mr.
Johnson,
as
an
older
adult,
is
more
vulnerable
to
adverse
drug effects. Ensure you
include factors related to the anatomical,
physiological and behavioural considerations associated with ageing.
·
Identify
with
rationale
two
(2)
nursing
interventions
you
would
consider
when
caring
for
Mr.
Johnson
who
takes
multiple
medications
(polypharmacy).
(Do
not include referrals in your answer.)
|
Submission
|
The
assessment
must
be
in
word
document
format
and
is
to
be
submitted
to
the
relevant campus Turnitin assessment drop box located on NRSG266 LEO Assessment Tile
|
FORMATTING
|
File
format
|
Please
submit as a
.doc
or
.docx
(not .pdf
files)
|
Margins
|
2.54cm,
all
sides
|
Font
and
size
|
Use
11-point Calibri,
Arial
or
Times
New
Roman
|
Spacing
|
Double
spacing
|
Paragraph
|
Aligned
to
left
margin, indent
first
line of
each
paragraph
1.27cm
|
Title
page/images
|
No
cover
pages, bullet
points, numbering,
tables,
or diagrams
are
to
be
used.
|
Introduction/Conclusion
|
Introduction
or
concluding
paragraphs
are
not
required.
|
Additional
Info
|
This is an academic piece and as such, third person writing is required. Headings
must
be
used,
such
as
Question
One
and
Question
Two
and
so
on.
|
Structure
|
|
Direct
quotes
|
Always
require
a
page
number.
No
more
than
10%
of
the
word
count
should
be direct quotes.
|
Footer
|
Name
_
Student Number_
Assessment
_ Unit _
Year
(9-point Calibri
or
Arial)
|
REFERENCING
|
Referencing
Style
|
APA
7th
Edition.
|
Minimum
References
|
There is no set number of references that must be used as a minimum for this task,
but
as
a
rough
guide
only,
if
you
have
utilized
less
than
12
unique
quality peer-reviewed sources then you have not read widely enough.
All
arguments
must
be
supported
using
a
variety
of
high-quality
primary evidence. Avoid using any one source repetitively.
|
Age
of
References
|
Most
references
for
this
task
should
be
published
within
the
last
5
years,
however the appropriate use of older evidence sources (e.g. seminal theoretical ethical work) is acceptable.
|
List
Heading
|
“References”
is
centered,
bold, on
a
new
page
(14
point
Calibri
or
Arial).
|
Alphabetical
Order
|
References
are
arranged
alphabetically
by
author
family
name
|
Hanging
Indent
|
Second
and subsequent
lines
of a
reference
have
a hanging
indent
|
DOI
or
URL
|
Presented
as
functional
hyperlink
|
Spacing
|
Double
spacing
the
entire
reference
list,
both
within
and
between
entries
|
NRSG266: Principles of Nursing: Contexts of Ageing ASSESSMENT INFORMATION Assessment Title Written assessment Purpose The purpose of this written task is to engage students with the application of theory into practice and how this needs to be flexible to meet the needs of the person requiring health care assistance. Weighting 40% Length 1500 words +/- 10% (includes in-text citations, excludes reference list) Assessment Rubric Refer to Extended Unit Outline Appendix 2 LOs Assessed LO1, LO3, LO5 Task Students will assess, prioritise and plan the care of the guided case study patient using a clinical reasoning framework in hospital and community setting. Introduction and conclusion not needed. Case study Mr. Johnson is a 75-year-old man, was brought to the emergency department (ED) by his daughter with concerns about his increasing levels of pain, intermittent periods of acute confusion and deteriorating overall general health. Initial Assessment Mr. Johnson is alert but disorientated to time and place. He appears dishevelled and malnourished, with a strong odour of urine. He was brought in a wheelchair and was guarding his L knee. Daughter stated Mr. Johnson took two (2) Ibuprofen (neurofen) tablets couple of hours ago with minimal effect. BP - 140/93 HR - 96 bpm and regular Peripheral pulses - Present RR - 18 rpm Temp - 37.0C (tympanic) Sa02 - 98% RA BGL – 9 mmol/L Height -170 cm Weight - 74 kg (weighed 80 kgs six months ago) ECG - NAD NRSG266: Principles of Nursing: Contexts of Ageing NRSG266 _ Assessment 2: Written Assessment _ © Australian Catholic University 2023 _ Page 2 of 5 MMSE – 23/30 L Knee Xray- NAD Urinalysis - dark concentrated yellow, clear urine, SG 1.010, pH 7, Leukocytes and nitrite- positive. Medical history Mr. Johnson has a history of multiple chronic medical conditions, including osteoarthritis, osteoporosis, hypertension, and diabetes. He is on several medications and has regular visits with his primary care physician. Medications Ibuprofen Panadol osteo Alendronate (Fosamax) Norvasc Cholecalciferol Calcium supplements Metformin Hydrochloride Gliclazide Hydrochlorothiazide Patient history Mr. Johnson lives independently in his own home and usually cooks his own meals at home. His daughter visits him couple of times each week. Mr. Johnson walks for an hour daily and catches up with his friends at the nearby park once a week. He enjoys spending time with his grandchildren. He never smoked and drinks a bottle of beer after dinner while watching TV. He wears glasses for long distance and bilateral hearing aids. Recently the daughter noticed Mr. Johnson increasingly neglecting his personal hygiene, nutrition, and household upkeep. Mr. Johnson has been socially isolated. and had multiple falls at home recently. Admitting diagnosis: Early signs of dementia. You are the registered nurse looking after Mr. Johnson, and you are required to plan her care guided by a clinical reasoning framework and the provided case study information. Sections you need to respond to include: 1. Patient assessment (500 words) · Provide an initial impression by identifying relevant and significant features from Mr. Johnson’s current ED presentation. · Discuss the possible causes for Mr. Johnson’s intermittent cognitive impairment. Do you agree or disagree with Mr. Johnson’s diagnosis of an early onset of dementia. Justify your opinion and support your discussion with evidence from the case study. · Evaluate the impact a misdiagnosis may have on the care provided for Mr. Johnson. Mr. Johnson’s intermittent confusion resolved after 3 days. He was assessed by the Aged Care Assessment Team (ACAT) and was eligible for a community care package. Mr. Johnson was discharged home with regular codeine for his chronic pain. 2. Physiological changes of ageing and identify patient issues (500 words) · Discuss how the normal physiological changes of ageing may increase Mr. Johnson’s risk of falls. Identify three (3) evidence-based nursing interventions with rationales that should be implemented for Mr. Johnson to reduce the risk of falls. (Do not include referrals in your answer). · Evaluate how Mr. Johnson’s chronic pain would impact on his capacity to complete two of his activities of daily living (ADL’s) ensuring you have justified your choice of ADL’s. 3. Pharmacological management and nursing considerations (500 words) · Discuss why Mr. Johnson, as an older adult, is more vulnerable to adverse drug effects. Ensure you include factors related to the anatomical, physiological and behavioural considerations associated with ageing. · Identify with rationale two (2) nursing interventions you would consider when caring for Mr. Johnson who takes multiple medications (polypharmacy). (Do not include referrals in your answer.) Submission The assessment must be in word document format and is to be submitted to the relevant campus Turnitin assessment drop box located on NRSG266 LEO Assessment Tile FORMATTING File format Please submit as a .doc or .docx (not .pdf files) Margins 2.54cm, all sides Font and size Use 11-point Calibri, Arial or Times New Roman Spacing Double spacing Paragraph Aligned to left margin, indent first line of each paragraph 1.27cm Title page/images No cover pages, bullet points, numbering, tables, or diagrams are to be used. Introduction/Conclusion Introduction or concluding paragraphs are not required. Additional Info This is an academic piece and as such, third person writing is required. Headings must be used, such as Question One and Question Two and so on. Structure Direct quotes Always require a page number. No more than 10% of the word count should be direct quotes. Footer Name _ Student Number_ Assessment _ Unit _ Year (9-point Calibri or Arial) REFERENCING Referencing Style APA 7th Edition. Minimum References There is no set number of references that must be used as a minimum for this task, but as a rough guide only, if you have utilized less than 12 unique quality peer-reviewed sources then you have not read widely enough. All arguments must be supported using a variety of high-quality primary evidence. Avoid using any one source repetitively. Age of References Most references for this task should be published within the last 5 years, however the appropriate use of older evidence sources (e.g. seminal theoretical ethical work) is acceptable. List Heading “References” is centered, bold, on a new page (14 point Calibri or Arial). Alphabetical Order References are arranged alphabetically by author family name Hanging Indent Second and subsequent lines of a reference have a hanging indent DOI or URL Presented as functional hyperlink Spacing Double spacing the entire reference list, both within and between entries NRSG266 _ Assessment 2: Written Assessment _ © Australian Catholic University 2023 _ Page 5 of 5 NRSG266: Principles of Nursing: Contexts of Ageing NRSG266 _ Assessment 2: Written Assessment _ © Australian Catholic University 2023 _ Page 1 of 2 ASSESSMENT INFORMATION Assessment Title Written assessment Purpose The purpose of this written task is to engage students with the application of theory into practice and how this needs to be flexible to meet the needs of the person requiring health care assistance. Weighting 40% Length 1500 words +/ - 10% (includes in - text citations, excludes reference list) Assessment Rubric Refer to Extended Unit Outline Appendix 2 LOs Assessed LO1, LO3, LO5 Task Students will assess, prioritise and plan the care of the guided case study patient using a clinical reasoning framework in hospital and community setting. Introduction and conclusion not needed. Case study Mr. Johnson is a 75 - year - old man, was brought to the emergency department (ED) by his daughter with concerns about his increasing levels of pain, intermittent periods of acute confusion and deteriorating overall general health. Initial Assessment Mr. Johnson is alert but disorientated to time and place. He appears dishevelled and malnourished, with a strong odour of urine. He was brought in a wheelchair and was guarding his L knee. Daughter stated Mr. Johnson took two (2) Ibuprofen (neurofen) tablets couple of hours ago with minimal effect. BP - 140/93 HR - 96 bpm and regular Peripheral pulses - Present RR - 18 rpm Temp - 37.0C (ty mpanic) Sa02 - 98% RA BGL – 9 mmol/L Height - 170 cm Weight - 74 kg (weighed 80 kgs six months ago) ECG - NAD NRSG266: Principles of Nursing: Contexts of Ageing NRSG266 _ Assessment 2: Written Assessment _ © Australian Catholic University 2023 _ Page 1 of 2 ASSESSMENT INFORMATION Assessment Title Written assessment Purpose The purpose of this written task is to engage students with the application of theory into practice and how this needs to be flexible to meet the needs of the person requiring health care assistance. Weighting 40% Length 1500 words +/- 10% (includes in-text citations, excludes reference list) Assessment Rubric Refer to Extended Unit Outline Appendix 2 LOs Assessed LO1, LO3, LO5 Task Students will assess, prioritise and plan the care of the guided case study patient using a clinical reasoning framework in hospital and community setting. Introduction and conclusion not needed. Case study Mr. Johnson is a 75-year-old man, was brought to the emergency department (ED) by his daughter with concerns about his increasing levels of pain, intermittent periods of acute confusion and deteriorating overall general health. Initial Assessment Mr. Johnson is alert but disorientated to time and place. He appears dishevelled and malnourished, with a strong odour of urine. He was brought in a wheelchair and was guarding his L knee. Daughter stated Mr. Johnson took two (2) Ibuprofen (neurofen) tablets couple of hours ago with minimal effect. BP - 140/93 HR - 96 bpm and regular Peripheral pulses - Present RR - 18 rpm Temp - 37.0C (tympanic) Sa02 - 98% RA BGL – 9 mmol/L Height -170 cm Weight - 74 kg (weighed 80 kgs six months ago) ECG - NAD