Assessment Task 3 – Case Study (50%)
|Assessment name:||Assessment Task 3 Case study|
|Marking Criteria measured:||Utilisation of appropriate assessment frameworks to identify the pathophysiology of the condition in the case study.|
Application of evidence to explain the actions the registered nurse / registered midwife take to implement and evaluate two (2) interventions to care for the patient in the case study.
Critical appraisal of evidence supporting nursing / midwifery practice applicable to the patient in the case study.
Application of the ICN or ICM codes of ethics to the actions of the registered nurse / registered midwife in patient discharge.
Encouragement of access to, and participation in healthcare using the Social Justice Framework to underpin the actions of the registered nurse / registered midwife in patient discharge.
Academic writing evidences academic integrity in the application of the APA7 referencing style.
|Estimated time to complete task:||25 hours|
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.
|How will I be assessed:||5-point grading scale using a rubric|
|Submission details:||Safe Assign in NUR241 Blackboard|
|Presentation requirements:||This assessment task must:|
|Task goal:||The goal of this case study is for you to identify the role of the registered nurse / registered midwife in evidence-based assessment and care of individuals experiencing health alterations when access to healthcare is suboptimal or compromised. You also articulate the role of the nurse in encouraging access to, and participation in healthcare.|
|Task description:||Present a response to a clinical scenario demonstrating appropriate assessment, management and discharge of an individual experiencing health alterations.|
|What you need to do:||In this task you will conduct a case study. There are three clinical scenarios, you will study only one. Please follow the steps below:|
Step 1: Identify your allocated clinical scenario
Detail the secondary assessment and investigations appropriate for this patient (400 words).
Step 3: Explain the pathophysiology of the health alteration Explain the pathophysiology that explains the patient assessment findings and underpins the interventions (300 words).
Step 4. Implementation and evaluation
Select, justify and describe two (2) essential interventions and describe the nursing / midwifery actions required to implement and evaluate it (800 words).
Step 5. Plan the patient discharge
Select and describe nursing / midwifery actions to prepare the patient for discharge utilising the social justice framework to address the social determinants of health (SDH) that impede the access to, and participation in healthcare (300 words).
Select interventions that corrects the pathophysiological change within the patient. Patient monitoring actions (completing vital signs and fluid balance charts) is considered as assessment or evaluation, it is not an intervention.
Clinical Scenario 1 (for Group A nursing students)
|Identification||Mrs Sadie Mangle, 82 year old, retiree.|
|Situation||Mrs Mangle found in collapsed in the front yard by neighbours Scott & Charlene at 8:30am. She had weakness in the right arm and leg, facial droop and was “talking nonsense”. The patient is admitted to the Medical Ward with an ischaemic CVA.|
Medication: Metformin, actrapid, atorvastatin, ACE inhibitors Past illnesses: T2DM, hypercholesterolaemia, hypertension Last meal: Dinner the previous night.
Events leading up to presentation: recent episodes of abnormal sensation that resolved within the hour.
|Assessment||RR: 22Show More|
SpO2: 95% RA (room air)
HR: 95, strong pulse
GCS: 14 (confused to time, place, person)
BGL: 10 mmol/L
Cap. Refill Time: 2 seconds, flushed face
CT: ischaemic stroke
When Mrs Mangle was found she was in her pyjamas without her dressing gown. This is unusual as normally she is up and dressed, walking with Alby at 6am. Alby was inside the house calling out to Sadie. It is suspected that Mrs Mangle collapsed during the night while letting her dog, Bouncer, go to the toilet.
Mrs Mangle is now bed bound due to weakness in the right side (failed on bed mobility test). Mrs Mangle is unable to change positions in bed. The physiotherapy review is pending.
Mrs Mangle requires a modified diet due to delayed swallow (assessed by a speech pathologist