Assessment Task 3 Case Study (40%) Assessment name: Health Alterations Assessment Task 3 Case study Marking Criteria measured: 1. Demonstrate an understanding of the pathophysiological underpinnings of health alterations 2. Articulate the role of the registered nurse in assessment and management of healthcare 3. Application of the Social Justice Framework to a clinical scenario to encourage equitable access and participation in healthcare 4. Quality of communication including grammar and spelling 5. Accuracy of citation and referencing using the Harvard referencing system Length: 1600 words Estimated time to complete task: 25 hours Weighting: 40 % Individual/Group: Individual The case study assignment is an Individual Assessment Item. You may work collaboratively with other students to understand concepts in this course, but your answers must be your individual research, interpretation and application of the materials. Formative/Summative: Summative How will I be assessed: 5-point grading scale using a rubric Due date: Friday 22nd May 2020 submit via safe assign in your NUR241 BB site by midnight. Presentation requirements: This assessment task must: · Times New Roman Size 12 Justified 1.5 line spacing · use Harvard referencing for citing academic literature · be submitted in electronic format as a, pdf/.doc document via SafeAssign. · Please use a heading to indicate which case you have chosen. · Answer each question as Q1… (Response)..Then on a new line start Q2….(Response). Do not copy the actual questions into your assignment document · No Introduction or Conclusion is required as this is not an essay. Task description: The goal of this case study is for you to present a response to a clinical scenario in which you demonstrate appropriate assessment and management of an individual experiencing health alterations when access to healthcare is suboptimal or compromised. What you need to do: In this task you will provide a response to a case study. There are 2 case studies; you will select and answer questions for only one of these Case studies. Please follow the steps below: Step 1: Choose a clinical scenario (I am doing this) Clinical scenario 1: Chronic Obstructive Pulmonary Disease Mr. Krum is a 70yr/old male who presented to the ED at 8am today. He was c/o SOB, dyspnea, wheezing, and had a productive cough with yellow sputum. He is tachypneic with a RR 30 and has decreased Sats of 87% on Room Air. Intercostal and substernal accessory muscle use is evident. History: Ax: nil Meds: Ventolin 4 puffs via spacer PRN. Atrovent 500 mg BD. Past illnesses: Current cigarette smoker, emphysema, malnutrition Last meal: Dinner Last Night Events leading up to presentation: trying to shower this morning His vital signs are a Temp 39, GCS 15, HR 105, NiBP- 140/90, Sp02- 87%, RR 30. He was given his regular meds and a PIVC is insitu in R) ACF - patent. Clinical scenario 2: Gestational Diabetes Mellitus- Hyperglycemia Ms Cho Chang is an 28-year-old female who presented to the hospital with GCS- 14 confused to time and place and a BGL of 26mmol. A- Nil allergies, M- nil meds, P- nil past illnesses, Last meal- this morning at 0800 fruit loops, E- She is 30 weeks gestation and has had symptoms of increased thirst, increased urination, increased hunger have been ongoing and increasing over the last 2 months. Her vital signs are a Temp 36.8, GCS 14, HR 95, NiBP- 140/80, Sp02- 96%, RR 20. PIVC insitu R) ACF- patent. Step 2: Answer the following questions for your selected case Question 1: Identify 2 priority problems for your patient. Refer to the ABCDE framework to justify your decision. (100words) Question 2: Explain how these problems developed and their clinical manifestations (signs and symptoms) from the case using your knowledge of pathophysiology. (400words) Question 3: Identify 2 interventions (one for each priority problem). Provide a rationale for each intervention that refers to pathophysiology, as well as a discussion of related nursing care. *Monitoring such as completing vital signs and fluid balance charting is not an intervention. An intervention needs to effect a pathophysiological change. Monitoring is a related nursing consideration (400 words on each intervention= 800words) Question 4: Outline and discuss appropriate discharge planning for this patient that Is guided by the social justice framework. (300 words) Suggested Format Considerations: 1. Make sure you draw on best available evidence to support your assessment. Journal articles and text books must be no older than 7 years old. 2. Referencing correctly is an easy way to secure marks so put effort into this. Make sure you reference from peer reviewed journals that are related to the topic. For example; do not use references that are related to oxygen administration in children as this information is not transferable to this patient. It needs to be applicable to this patient. 3. Do not use google! Use the library databases. 4. Draft safe assign is set up for you to use so you can check your referencing in your assessment. Be sure to fix any issues before submitting your final assessment. 5. This is an academic writing: use third person, do not use ‘I’ 6. Make sure you use correct medical terminology within your assessment. Resources needed to complete task: · Harvard Referencing guide · https://www.usc.edu.au/learn/student-support/academic-and-study-support/online-study-resources/referencing-and-academic-integrity-guide/harvard NUR241 Health Alterations Nur241 Health Alterations – Assessment Task 3 Page 2 of 5 NUR241 Assessment Task 2 RubricWeighting: 40 % Criteria High Distinction Distinction Credit Pass Fail Creative and critical thinking LO:1 Weighting: 10% Demonstrate an understanding of the pathophysiological underpinnings of health alterations 2 appropriate priority problems identified with an advanced justification. Advanced discussion of the pathophysiology in relation to the assessment data, and identified priority problems 2 appropriate priority problems identified with a proficient justification. Proficient discussion of the pathophysiology in relation to the assessment data, identified priority problems 2 appropriate priority problems identified with a satisfactory justification. Satisfactory discussion of the pathophysiology in relation to the assessment data, identified priority problems 2 appropriate priority problems identified with an adequate justification. Adequate discussion of the pathophysiology in relation to the assessment data, identified priority problems 2 priority problems were not identified, or the problems identified were not a priority for the patient. There was little, poor or incorrect coverage and understanding of the essential pathophysiological Concepts in relation to the identified priority problems Empowered LO: 2, 5 Weighting: 10% Articulate the role of the registered nurse in assessment and management of healthcare Advanced discussion of the role of the Registered nurse in managing the patient with health alterations in the scenario. Proficient discussion of the of the role of the Registered nurse in managing the patient with health alterations in the scenario Satisfactory discussion of the role of the Registered nurse in managing the patient with health alterations in the scenario Adequate discussions the role of the Registered nurse in managing the patient with health alterations in the scenario Incomplete or superficial discussion of the role of the Registered nurse in the management of the patient in the scenario. Ethical Weighting: 10% Application of the Social Justice Framework to a clinical scenario to encourage equitable access and participation in healthcare Demonstrated advanced knowledge and application of the actions the Registered Nurse may take to encourage access to, and participation in healthcare within discharge planning of the patient in the scenario Demonstrated proficient and appropriate knowledge and an application of the actions the Registered Nurse may take to encourage access to, and participation in healthcare within discharge planning of the patient in the scenario Satisfactory knowledge and application of actions the Registered Nurse may take to encourage access to, and participation in healthcare within discharge planning of the patient in the scenario Adequate knowledge of actions the Registered Nurse may take to encourage access to, and participation in healthcare within discharge planning of the patient in the scenario Limited knowledge and/or application of actions the Registered Nurse may take to encourage access to, and participation in healthcare within discharge planning of the patient in the scenario Communication Weighting: 5% Quality of communication including grammar and spelling Case study demonstrates an advanced standard of academic writing, is articulate with a logical and succinct expression. Correct terminology and professional language used throughout, there were no mistakes in English expression, spelling, grammar &/or syntax Kept to word limit. Case study demonstrates a proficient standard of academic writing, is structured logically and succinctly. Uses correct terminology and professional language, there were very few minor mistakes in English expression, spelling, grammar &/or syntax, that do not interfere with meaning. Kept to word limit. Case study demonstrates a satisfactory standard of academic writing, is structured in a logical progression. Correct terminology and professional language used, Infrequent mistakes in English expression, spelling, grammar &/or syntax that do not impede meaning. Kept to word limit. Case study demonstrates an adequate standard of academic writing, is structured in a mostly logical progression. Use of correct terminology, syntax and professional language was adequate, and there were occasional mistakes in English expression, spelling, grammar &/or syntax that impede meaning. Kept to word limit. Case study did not have a clear focus, arguments were not clearly constructed, and/or it was difficult to discern a logical progression Case study contained incorrect terminology or unprofessional/ inappropriate word use. Frequent mistakes in English expression, spelling, grammar & syntax that impeded meaning. Was under or over the word limit. Communication Weighting: 5% Accuracy of citation and referencing using the Harvard referencing system Arguments consistently supported from high quality sources. Citation and referencing comply with Harvard referencing style Arguments consistently supported relevant sources. Citation and referencing comply with Harvard referencing style Arguments supported throughout from relevant sources. Citation and referencing comply with Harvard referencing style Support is provided for arguments throughout from relevant sources. Citation and referencing comply with Harvard referencing style Insufficient support provided to evidence arguments made in the and/or citation and referencing format errors Tutors Feedback: What did the student do well? What could the student improve? Overall Comment: (This is short and in no way robust- just a quick example) :) I hope this helps . Q 1 writing eg: Health care professionals utilize the ABCDE framework as a tool to assess the deteriorating patient. Priorities of; airway, breathing, circulation, disability, and exposure, have been organized systematically with airway patency considered most crucial. Smith and Bowden (2017) explain the importance for health care professionals to not only utilize the framework but to identify abnormalities in patient data and link the pathophysiology concepts. By conducting a primary survey, it is evident that Mr. Smith has both breathing and circulatory dysfunction. Specifically, his priority problems are