Written assessment Written Assessment – Clinical Case Study Report Weight: 50% of the total unit...

Question

Written assessment Written Assessment – Clinical Case Study Report Weight: 50% of the total unit mark Length: 2000 words± 10% Task Task The objective of the clinical case study is to gain a...

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Written assessment

Written Assessment – Clinical Case Study Report

Weight: 50% of the total unit mark

Length: 2000 words± 10%

Task

Task

The objective of the clinical case study is to gain a comprehensive knowledge and understanding of chronic kidney diseases (CKD) within Australia. As a Registered Nurse, you will need to identify people at risk and manage people with CKD.

In this case, study report of Glenda you are required to integrate practice and theory, so that you can relate theoretical concepts to real-life practical/professional situations. This written report enables you to integrate practice and theory. To assist you in setting the scene for CKD in Australia you will need to know the incidence/ prevalence and main causes of chronic kidney disease in Australia. This will help you identify the risk factors of CKD for Glenda, and how to assist Glenda to reduce her risk of CKD and improve her kidney health. It is important to consider Glenda's remote environment/community and culture within the management of each stage of her CKD to ensure that your case report is relevant to her (person centred).Focus on the stages of CKD for Glenda including the assessment and management of each stage.
Within the Moodle unit HSNS265 “Case: Glenda;Glenda is from the Tiwi Islands.

Your assignment needs to be structured according to the conventions of academic writing following American Psychological Association (APA) - 6th Edition - commonly referredto asAPA 6and include an introduction, an integrated conclusion. You must write this case report in an essay style: donotuse dot pointformat.

Your response needs to be supported byrecent evidence based resources.This could include information from your texts or from other peer-reviewed sources.

In this case study report you will present the clinical case of Glenda and discuss her kidney disease and management at each stage of her chronic kidney disease; this will include:

Theassessment and management of each of the stages of Glenda’s chronic kidney disease. Consider for each stage of her kidney disease; the pathophysiology, health priorities, interdisciplinary team approaches, health promotion strategies, health concerns and communication strategies that you would apply to Glenda, her family and wider community.

Rationale (Based on Unit Learning Outcomes 1 – 5)

This activity will allow you to demonstrate your ability to:

1. demonstrate an understanding of the renal system including related anatomy and physiology, pathophysiology, diagnostics, pharmokinetics, pharmodynamics, the quality use of medicines and complementary therapies;

2. demonstrate and apply comprehensive renal assessment and evidence based clinical reasoning skills in theory, clinical and simulated environments;

3. demonstrate the capacity to integrate and relate principles of ethical and legal practice within a team approach to person centred care;

4. learn and apply reflective practice and intra and interprofessional communication strategies that facilitate the delivery of safe and effective quality care across diverse settings;

5. plan and implement person centred primary health care and health promotion strategies related to renal health and wellbeing.

This assignment is importantbecauseit will enable you developa greater understanding of the stages of kidney disease, as well as, apply a patient centred care approach to undertaking the assessment and management of each stage.You are also required to apply your critical thinking skills to the case study and show your capacity toidentify, interpret, and critically analyse issues raised by the case study. This assignment is the third assessment within the unit. The concepts that you are exploring will assist in building your knowledge in relation aregistered nurse'saccountability and responsibility for caring for patients with chronic kidney disease.

It should contain the following sections:

Introduction- Set the scene for chronic kidney disease, Glenda'schronic kidney disease.

Provide a Case Description- Provide pertinent information about Glenda - This usually begins with presenting signs and symptoms, medical history, (family history, if relevant), social history, medications, results of physical examination and/or nursing assessment, final diagnosis, treatment, nursing care provided, and outcomes.

Discussion- Critique the care,assessment and management for Glenda at each stage of her chronic kidney disease. You may include any care that may not have been effective within the case study and provide any recommendations that would have improved her care. Incorporate the relevant literature within your discussion. You can discuss any unusual aspects of the case and the care that is/would be provided to assist Glenda to manage her condition.

Conclusion -A succinct summary of the information provided to draw the case study to a close.

Reference list- APA 6 referencing style must be used. References should be as current as possible. As a general rule of thumb, literature published before 2008 will not attract marks. However, older research literature can be used for the review where necessary, ifyou can justify the importance of the seminal work to be included.Follow the link at the top right of the page for further information and examples.

Marking criteria

Rubric can be found under the assessment guidelines -you do not need to attach the rubricto the assignment as an electronic rubrics has been set up through grade book.

Submission

Follow the instructions below to upload your completed assignment file and submit it for marking.

Extensions

The School of Health Extension Application form is downloadable from the link at the top right of this page.It includes information about when and to whom extension applications must be submitted, and guidelines about reasons considered acceptable for seeking extension and the evidence required with an extension application. Extensions must be sourced the last working day before the due date.

There are two types of extension available;

Request for an extension of time for submission of an assessment

Special Extension of Time (SET).

Submission status

Submission status	No attempt
Grading status	Not marked

Answered Same DayNov 23, 2020HSNS265

Azra S · Accepted Answer

Name: Tanuja Dass
Student Number:220183921
 Unit:HSNS265
 Written assignment:Glenda’s Case Study 
 Due date:14/01/2019
Unit Co-ordinator: 
Word Limit: 2000
Word Count: 2035
Introduction 
Kidney disease is a condition of the kidney whereby the kidneys stop functioning normally. This results in the body’s inability to process and remove waste efficiently from the body in turn causing a number of complications. Kidney disease normally shows no signs in the early stages and that is why it's treatment or control is difficult since diagnosis is often delayed (Stevens & Levin, 2013).
Kidney diseases are categorized as chronic when they stop functioning properly for more than 3 months. Such kidney diseases are then referred to as CKD or Chronic Kidney Disease (Levey et al., 2005). CKD occurs over a period of time and is usually a result of another health condition. 
Severe cases of CKD can eventually result in complete impairment and non-functioning of the kidneys. This is rare and usually patients with CKD live longer lives if proper prevention, treatment and care are provided.
In the discussed case study, Glenda is a 46 year old woman whose kidney disease has been assessed to be chronic. Her medical history indicates that she exhibits several symptoms of the same including, swelling in the face, hands, ankles and feet. She also has pain and stiffness in her elbows, knees and other joints. She shows increased temperature as well of about 38.8 degrees Celsius and a high BP of about 180/100 mmHg. Glenda was also admitted to the hospital for about 12 months for a fistula formation in her left arm. Subsequently she was discharged and taken by her family back to Tiwi Island to which she belongs, where she continued her treatment at Wurrumiyang clinic. 
Due to the deteriorating condition of her kidneys, Glenda’s condition requires one of the end treatments for kidney patients. These treatments range from dialysis that involves removal of toxins from the body artificially through a dialysis machine to kidney transplant.
CKD and Tiwi Islander People
Chronic Kidney disease is an international health problem. This problem is persistent and growing in Australia. Particular mention needs to be made of the Aboriginal Population that has witnessed an excess of kidney disease since mid-1990s. Tiwi islanders especially have been noted to have some of the highest renal failures in the world mainly due to poor nutrition, poverty and poor health services (Hoy, Wang, Baker & Kelly, 2003).
This puts Glenda at a greater risk of CKD even though she shows no family history of kidney disease. Glenda however has exhibited several ill habits during her life including smoking and drinking which could be directly related to her kidney deterioration. In addition, she also has history of hypertension.
CKD Symptoms
Signs of kidney disease are not apparent in the beginning. They develop and grow gradually over time with the deterioration of kidney functions. Some of the most common kidney disease symptoms include loss of appetite, fatigue, sleep trouble, vomiting, changes in urination, swelling in feet, increased and persistent itching and high blood pressure (Jha et al., 2013).
CKD Risk factors
The risk factors of kidney disease are few, though CKD can occur in almost any individual. Prominent risk factors are- Hypertension or High BP, Diabetes, a family member with kidney disease (family history), being of African-American, Aboriginal or Asian origin and being (age)older than 60 (Haroun et al., 2003).
CKD Causes
Kidney disease does not usually occur by itself, it has a precursor. This means that kidney disease is caused mostly by health conditions that strain the kidneys. These conditions may range from, High blood pressure, kidney infections, diabetes, glomerulonephritis, high cholesterol and long term regular use of NSAIDs or similar drugs.
Five stages of Kidney Disease
Kidney disease is classified into five stages based on its severity (Levey et al., 2005).
Stages 1-2 are minimally alarming and easy to control. At this stage, usually, diagnosis is difficult but treatment is easy and possible.
Stage 3-4 marks an increase in the deterioration of the kidney functions. Some symptoms like fatigue, edema and sleep problems may present themselves (Fraser & Blakeman, 2016). Detection is difficult but if detected, disease can still be controlled with the necessary measures.
Stage 5 is the final stage of kidney disease marked by renal failure. At this stage it is important to go for some form of drastic treatment such as kidney transplant or regular dialysis.
Glenda has been observed to be well past the first four stage of CKD and is now on the 5th stage where she requires drastic treatment.

Written assessment Written Assessment – Clinical Case Study Report Weight: 50% of the total unit mark Length: 2000 words± 10% Task Task The objective of the clinical case study is to gain a...