Version: Moderated Assessment Task 1 – Case Study Description: Please refer to the NRSG257...

Question

Version: Moderated Assessment Task 1 – Case Study Description: Please refer to the NRSG257 “Assessment” and “Additional Unit Resources” on the National LEO page for more comprehensive information on this assessment task. Due date: Sunday 8th April at 2359 hours. Weighting: 40% Length and/or format: 1600-word academic essay Purpose: This assessment task will allow students to demonstrate their critical thinking and reasoning, as well as their research skills. Students will also demonstrate how evidence based information can be implemented into contemporary Australian Nursing practice. Learning outcomes assessed: 1, 2, 3, 6, 7, 8, & 9 How to submit: Submit the essay through Turnitin in LEO Assessment Task One in your campus tile. Please review the upload box to ensure that you have submitted the correct assignment. Allow at least one day to review Turnitin submissions for similarity and consider re-submitting. Please note: Email is not an appropriate submission mode for this assessment item. Return of assignment: Grades and feedback will be made available through the method indicated by the lecturer in charge, according to ACU policy three (3) weeks after submission. Assessment criteria: The rubric for this assessment is outlined in full below. The essay is aimed at critically evaluating the research explored related to a chosen case study presented. This essay requires use and evaluation of evidence-based sources when caring for children, adolescents and their families in relation to current Australian nursing practice.  Version: Moderated INSTRUCTIONS: Choose one (1) of the case studies below. Your Assessment will be written in academic essay format with an introduction, body and conclusion according to APA Guidelines. Using evidence specific to your chosen case study, address the following two (2) points: 1. Describe the pathophysiology of the presenting complaint in the case study. (300-500 words) 2. Evaluation of the nurse’s role to deliver developmentally appropriate nursing care in relation to your chosen case study. Address: • growth and developmental theories, • family centred care and, • the effects of hospitalisation of the child, on the child and family. (1100-1300 words) Case Study 1 Anne is a 10 year old girl who has presented to the emergency department in the local hospital with right iliac fossa pain. On further assessment by the emergency registrar, appendicitis is suspected. The surgical team agree that the signs and symptoms are associated with appendicitis and take Anne to theatre for an appendectomy. The handover on return to the ward is that the surgical team found a gangrenous perforated appendix with peritonitis. Anne has returned to the ward with a nasogastric tube in situ on free drainage, morphine PCA, IV therapy and triple IV antibiotics. Due to the severity of the infection and the potential complications, Anne will need to remain in hospital for 10 days of IV antibiotics and pain management. Anne is the oldest of five children and her parents own and run an Indian restaurant in the city. Case Study 2 Jay is a four-month old boy admitted to the paediatric unit via emergency with vomiting, decreased feeds, no bowel actions and intermittent spasmodic abdominal pains. During the spasmodic pain episodes, Jay draws his legs up and has a high pitched cry. After a diagnostic ultrasound, intussusception was thought to be the cause of the presenting symptoms and Jay was admitted to the ward. His treatment plan included observation, electrolyte monitoring and IV therapy until a contrast enema could be implemented to correct the intussusception. The approximate length of stay for Jay will be 2 days, during which time, Jay’s mother is informed that the rotavirus vaccine that Jay had at 4 months has increased the incidence of this condition amongst infants. Jay’s mother is now having serious doubts regarding future vaccines for Jay. Case Study 3 Sue is a 14-year-old indigenous girl who lives in a remote community in rural Australia. Sue has been treated for repeated episodes of streptococcal pharyngitis and impetigo over the last 2 years. The local health clinic have registered Sue and her siblings for a secondary prophylaxis program where she receives Benzathine Penicillin G IM routinely to aid in reducing risk of developing ARF/ RHD. However, Sue has failed to attend the clinic on multiple occasions to receive her IM antibiotics. Sue has presented to the remote area health clinic complaining of a 4 day history of acute joint pain in her knees, ankles, elbows and shoulders. A health history taken by the remote area nurse on arrival reveals that Sue reports having a sore throat 2- 3 weeks ago, migratory joint pain starting with her knees and ankles and which now includes other joints. Her temperature is 38o C. When Sue is assessed by the remote clinic medical officer, a diagnosis of Acute Rheumatic Fever is suspected. The doctor at the clinic attending to Sue informs her mother that she needs to be transferred to a hospital for cardiology review and echocardiogram. The closest hospital that provides these services is 800km away. Sue lives with her mother and 6 younger brothers and sisters.  Version: Moderated Criterion referenced rubric for ASSESSMENT TASK 1: CASE STUDY ESSAY Marking Criteria & Allocated marks 0 (No attempt made) NN

Anju Lata · Accepted Answer

Running Head: CASE STUDY DESCRIPTION                                                
CASE STUDY DESCRIPTION		                                                   
ASSESSMENT 1
SUBJECT: BIOLOGY
CASE STUDY DESCRIPTION
Academic Essay
	
	
Student Name:________________
University_______________________
	
	
Abstract
The essay elaborates the case study of 10 year old female child, Anne, suffering from Acute Appendicitis and analyzes the pathophysiology of disease. The work evaluates the role of nursing; family and hospitalization in this case study and also demonstrates the growth and developmental theories related to Anne’s condition.
Keywords:  Appendicitis, pathophysiology, development , hospitalization.
Table of Contents
1. Abstract							2
2. Table of Contents						3
3. Introduction							4
4. Pathophysiology						5
5. Role of nurse						6
6. Development Theory						7
7. Effects on Family and Child						8
8. Effects of Hospitalization						8	
9. Conclusion						9
10. References							10
CASE STUDY 1: ANNE & APPENDICITIS
	INTRODUCTION
Anne is a 10-year-old girl brought to the emergency department of the local hospital with complaints of abdominal pain in the Right iliac fossa. This kind of pain is normally considered as acute appendicitis. Emergency registrar and the Surgical team confirmed the signs and symptoms to that of the acute appendicitis. Anne was taken for Appendectomy Surgery. The surgical team reported having found pervasively decayed soft tissues of appendix due to loss of blood supply to it and perforations with inflammation of peritoneal layer due to bacterial infection. As a post-operative treatment, Anne was provided in situ placement of Nasogastric (NG) tube through nasopharynx for free drainage detection (RCH,2018). Due to the severity of infection and possibility of future complications, she is hospitalized for 10 days in the hospital.
PATHOPHYSIOLOGY 
Right iliac fossa abdominal pain is generally diagnosed as a symptom of Acute Appendicitis. Signs and symptoms of Appendicitis include pain in abdomen especially at the lower right side, along with nausea, loss of appetite, vomiting, constipation, and fever. Appendectomy refers to a surgical operation to remove the appendix and later on the treatment is done with antibiotic medicines to heal the infection and other related complications. In Anne’s case, there were found gangrenous perforations in appendix due to the absence of any blood supply to the soft tissue and also the inflammation of peritoneal layer, caused by bacterial infection possibly due to rupture of the tissue. The acute stage of Appendicitis Anne is suffering from, includes multiple causes of abdominal pain like death or decay of peritoneal soft tissue, bacterial infection, inflammation and perforations in the inner wall. Symptoms of peritonitis include rigid abdominal muscles, and malfunctioning of related organ (Petroianu & Barroso,2016). The NG tube is inserted through the nose, passing through the pharynx and reaching to the stomach. Free Drainage or Surgical drains consist of thin plastic tubes placed near the surgically operated area of the abdomen, in order to remove extra blood or pus contents not allowing them to collect in the body. IV therapy or Intravenous Therapy is used as fastest and most effective way to deliver fluids and medicines to the patient body through injections and the passage of blood supply. Analgesic medicines like Morphine PCA and triple IV antibiotics are given to recover the post-surgical infection and related complications effectively (Cruz,n.d.).
Most of the problems of Appendicitis occur due to luminal obstructions. Such obstructions may be due to lymphoid hyperplasia, fecaliths or foreign particles. The disease has been observed to be prevalent in teenagers and young adults because in this age group there are increased lymphoid aggregates in the appendix. The obstruction results into prevention of blood flow, swelling and finally ischemia. The appendix increases in size enormously and bring about inflammatory transformations in surrounding peritoneum of appendix (Petroianu & Barroso,2016).
ROLE OF NURSE
Nursing, in this case, is required to follow ethical and standard guidelines for delivering appropriate intensive care to Anne.

Version: Moderated Assessment Task 1 – Case Study Description: Please refer to the NRSG257 “Assessment” and “Additional Unit Resources” on the National LEO page for more comprehensive information on...

Answer To: Version: Moderated Assessment Task 1 – Case Study Description: Please refer to the NRSG257...

Answer To This Question Is Available To Download

Related Questions & Answers

Submit New Assignment