NSB236 Integrated Nursing Practice 3: On campus ASSESSMENT TASK 1: The deteriorating patient This document contains:  Assessment requirements.  Detailed instructions for completing the task. ...

files attached


NSB236 Integrated Nursing Practice 3: On campus ASSESSMENT TASK 1: The deteriorating patient This document contains:  Assessment requirements.  Detailed instructions for completing the task.  Criterion Reference Assessment (CRA) Rubric that markers use to grade the assessment task. NSB236: Integrated Nursing Practice 3 NSB236 – Assessment Task 1 Page 2 of 19 Assessment Task 1 Assessment name: Case Study: The Deteriorating Patient Task description: For this essay you are required to select ONE (1) case scenario related to the clinical deterioration of a patient: Option 1: Hypovolemic shock Option 2: Septic Shock The assessment tasks requires you to: 1. From the chosen case study identify and discuss two (2) signs or symptoms of clinical deterioration associated with the pathophysiology of the patients’ presenting problem. 2. Following on from your discussion, and related to the patients deterioration, identify one (1) priority problem associated with the patient’s clinical presentation, and through the application of contemporary research provide a justification as to why the problem is a clinical priority within the case. 3. Discuss two (2) nursing interventions to address the priority problem and how to evaluate the efficacy of these interventions. 4. Identify one psychosocial issue derived from the information provided within the case study, and applying a patient centred approach, discuss the care needs and considerations related to the patient and their family. References: A minimum of 15 contemporary references no older than 7 years. The reference list is to be presented in accordance to QUT APA requirements and identify eight (8) papers that are considered by the author (you) to be of high importance. These eight (8) papers are to include a three (3) sentence annotation that outlines their significance (please refer to the example provided within this resource). Indicate these in your list using ** (see example provided below). What you need to do: In order to undertake this essay you will need to research the topic using current and relevant peer reviewed literature, in conjunction with reviewing:  The lecture and tutorial materials associated with the relevant topic.  Your knowledge and understanding related to: 1. The physiology and pathophysiology of the primary diagnosis and associated clinical data identified within the chosen case study; 2. The physiological assessments relevant to the features within the case study. This assessment task is an individual assessment item and should be reflective of your own independent work. NSB236: Integrated Nursing Practice 3 NSB236 – Assessment Task 1 Page 3 of 19 Length: 1700 words +/-10% (word length includes in-text referencing and excludes your reference list and annotations). Estimated time to complete task: Approximately 30 hours Weighting: 50% How will I be assessed: 7-point grading scale using a rubric Due date: Week 9: Friday September 20th, 2019 submitted via Turnitin in your NSB236 Blackboard site by 23:59 hours. More information about Turnitin is available on the FAQs about Turnitin page. Presentation requirements: This assessment task must:  Be a formal written academic essay containing an introduction, body and conclusion, addressing the task, its specified requirements and adhering to the prescribed word limit.  Use QUT CiteWrite APA referencing for citing academic literature (see http://www.citewrite.qut.edu.au/).  Assignment cover sheet must be included as the first page of your document with the assessment title, your name, student number, tutor name and word count included. Template is accessible via the NSB236 Blackboard site  Be submitted in electronic form via Turnitin as a word document only.  A minimum of 15 relevant references to be cited from valid, contemporary journal articles only, no older than 7 years.  Include a footer on each page with your name, student number, unit code and page number.  3 cm margins on all sides, double-spaced text  Use font, such as Times New Roman, Arial or Calibri; font size 12  CiteWrite APA style referencing (see http://www.citewrite.qut.edu.au/) Please note:  The use of websites as references is NOT permitted.  The citation of textbooks are NOT included in the minimum referencing requirements (for example if you cite two (2) textbooks, you will still need 15 references to be cited from valid, contemporary journal articles, no older than 7 years).  The submitted essay should NOT contain tables, figures or appendices.  The use of dot points are NOT permitted.  Subheadings are NOT permitted in this essay https://qutvirtual4.qut.edu.au/group/student/it-and-printing/qut-blackboard/assessment-on-qut-blackboard/submitting-assignments/turnitin https://qutvirtual4.qut.edu.au/group/staff/teaching/teaching-with-technology/supported-technologies/online-assessment/turnitin/frequently-asked-questions http://www.citewrite.qut.edu.au/ http://www.citewrite.qut.edu.au/ NSB236: Integrated Nursing Practice 3 NSB236 – Assessment Task 1 Page 4 of 19 Learning outcomes assessed: 1. Consolidate knowledge of key NMBA Registered Nurse Standards for Practice, National Safety and Quality Health Services Standards, and National Health Priorities to enable effective decision planning and action in a range of complex clinical situations across the lifespan. 2. Apply knowledge of anatomy, physiology and pathophysiology to support evidence-based decision making associated with planning and action. 3. Demonstrate structured decision making and clinical reasoning to review a range of health situations, synthesise evidence and data, determine priorities and formulate plans of care and interventions in line with timeframes and agreed goals What you need to submit: One word document that contains the following items: 1. Assignment Cover Sheet that completed in its entirety and written assessment addressing the tasks as per the assessment outline. Must be submitted in electronic form via Turnitin by the assigned date. Resources needed to complete task:  Case studies and clinical documents available within this document.  Documents such as additional readings available on your blackboard site.  Access to the prescribed texts for this unit as outlined in the unit details  Cite|Write APA guide.  Turnitin Tip Sheets. Academic Integrity The School of Nursing takes academic integrity very seriously. All work submitted must be your own work and work not previously submitted for other study. The work of others needs to be correctly acknowledged and referenced according to the CiteWrite APA guidelines. There are serious consequences that will be imposed should you be found to breach academic integrity. Make sure you are familiar with the MOPP C/5.3 Academic Integrity and view the Academic Integrity video and explore the Academic Case Studies available on your Blackboard site. Maintaining academic integrity is your responsibility. If in doubt, check it carefully. Assignment Hints http://www.citewrite.qut.edu.au/cite/qutcite.jsp#apa https://qutvirtual4.qut.edu.au/group/student/it-and-printing/qut-blackboard/assessment-on-qut-blackboard/viewing-marks-and-feedback-in-turnitin http://www.citewrite.qut.edu.au/cite/qutcite.jsp http://www.citewrite.qut.edu.au/cite/qutcite.jsp http://www.mopp.qut.edu.au/C/C_05_03.jsp NSB236: Integrated Nursing Practice 3 NSB236 – Assessment Task 1 Page 5 of 19 This assignment requires you to critically consider the signs and symptoms associated with clinical deterioration in relation to the patient’s primary clinical diagnosis, with consideration to:  The change in health status associated with the primary clinical diagnosis;  Consider how the patients clinical history may impact on assessment data and core interventions;  The identified clinical priority which should clearly emerge from your discussion of the patients health history.  The application of clinical data and research to identify two (2) core interventions and assessments that address the stated clinical priority.  Demonstrating your clinical reasoning with in the selected case study.  Demonstrating your understanding and application of evidence based care i.e. the research you have selected to support your discussion and key points regarding clinical interventions and assessment outcomes. Additional information:  There MUST be two (2) nursing interventions discussed to address the priority problem.  Of the two interventions, a MAXIMUM of one (1) intervention can be solely related to a pharmacological agent and/or a collaborative intervention.  All interventions should consider the nursing role within the provision of the intervention. Example of an annotated reference list: N.B this is an example of an annotated reference list. Please ensure that you are familiar with the APA requirements for this assessment item. (**: papers of importance). **Besedovsky, L., Ngo, H.V., Dimitrov, S., Gassenmaier, C., Lehmann, R. & Born, J. (2017). Auditory closed-loop stimulation of EEG slow oscillations strengthens sleep and signs of its immune-supportive function. Nature Communications. 8(1):1984. The study investigated the electroencephalographic slow oscillations and the effect of auditory stimulus and their physiological implications on sleep amongst healthy individuals. Freedman, N.S., Gazendam, J., Levan, L., Pack, A.I. & Schwab, R.J. (2001). Abnormal sleep/wake cycles and the effect of environmental noise on sleep disruption in the intensive care unit. American Journal of Respiratory and Critical Care Medicine.163(2):451-7. **Horsten, S., Reinke, L., Absalom, A.R. & Tulleken, J.E. (2018). Systematic review of the effects of intensive-care-unit noise on sleep of healthy subjects and the critically ill. British Journal of Anaesthesia.120(3):443-52. The systematic review evaluated the impact of environmental noise as a sleep disturbing factor. The meta-analysis identified considerable variability NSB236: Integrated Nursing Practice 3 NSB236 – Assessment Task 1 Page 6 of 19 between studies and risks of bias. Noise reduction has a positive impact on healthy individuals. Muzet A. (2007). Environmental noise, sleep and health. Sleep Medicine Review.11(2):135-42; **Trivedi, M.S., Holger, D., Bui, A.T., Craddock, T.J. & Tartar, J.L. (2017). Short-term sleep deprivation leads to decreased systemic redox metabolites and altered epigenetic status. PloS one.12(7):e0181978. Researchers demonstrated the presence of oxidative stress and ATP deletion in healthy individuals who are subjected to sleep deprivation. NSB236: Integrated Nursing Practice 3 NSB236