Assignment – Medical / Nursing Tutors Only

URN: QUT19732 | PATIENT: Brickland, Matthew DOB: 7/5/XXXX | Room: 449

Matthew is a 14 year old adolescent with Cystic Fibrosis.

He was visited at home by the Hospital in the Home team

for IV antibiotic therapy received via his portacath. Matthew

has a frequent productive cough. He tells you that his

sputum has changed from yellow to greenish in colour

recently. His respiratory rate is 22 breaths/min and he has

crackles upon auscultation. His temperature is 37.6 C.

Matthew’s mother confides that she is worried about her

son as he hasn’t been engaging in as much aerobic sport

and physio lately and she has seen Matthew discarding

tablets (pancrease capsules) in the rubbish bin. When you

weigh Matthew you note that he has lost 2 kgs of weight

since your last visit 2 months ago. His weight is 47kgs and

his height is 168cms. You speak with Mathew’s doctor who

organises his admission to hospital.
URN: QUT19734 | PATIENT: Simmons, Beryl

DOB: 4/10/19XX | Room: Outpatient

Beryl is a 50 year old woman with Hypertension who is

attending a Healthy Heart Workshop at her local

Community Health Centre. Beryl’s blood pressure is

160/95, she is 150cms in height and her weight is 105kg.

Beryl reports that she drinks two to three glasses of wine

per night, eats a lot of take away foods as she’s too busy

with her executive management job to think about cooking.

She is a single mother caring for three school aged children

to always cook. She states that she rarely exercises due to

lack of time. Beryl visited her GP last week after feeling

unwell. Pathology was taken and Beryl’s GP report shows

that her total cholesterol is 6 mmol/L, Low Density

Lipoprotein 3.1 mmol/L and High Density Lipoprotein

0.8mmol/L. The GP commenced Beryl on medications but

she states “I keep forgetting to take them, my life is just so

stressful at the moment. I really don’t have time to be here,

I need to be at work”.
I have provided this template to assist you with answering assessment 2 case study. Remember monitoring is not an intervention, this is part of your assessment process. You also need to have at least one independent intervention and only 2 of your interventions can be medication for your essay.

You have to identify two (2) priority problems linking to the case study assessment data and underlying pathophysiology. Use the template below to assist you here.

Priority Problem

Goal

Assessment data

Underlying pathophysiology

1.

2.

Your essay states you can choose two interventions to discuss in detail for your priority problems. These can be independent or collaborative, but you must have at least one independent intervention. For the collaborative interventions identify the other members of the healthcare team.

PROBLEMS ARE NOT ASSESSMENT DATA and INTERVENTIONS ARE NOT EVALUATION OR ASSESSMENT

Priority Problem

Intervention

Independent/Collaborative?

Allied health care team involved

1.

2.

You may choose to use medication as two (2 only) of your interventions for your selected priority problems. Your other two interventions must NOT be medication. Using online resources, complete the table below and consider the following information which is to be included in your essay if you are discussing medication.

Priority problem 1

Medication name:

Medication type:

Indications for medication:

Actions of medication:

Usual dose and route:

Any special precautions needed:

Contraindications:

Education required specific to drug including common side effects:

Nursing responsibilities with administering medication

Priority problem 2

Medication name:

Medication type:

Indications for medication:

Actions of medication:

Usual dose and route:

Any special precautions needed:

Contraindications:

Education required specific to drug including common side effects:

Nursing responsibilities with administering medication

Now consider your evaluation of your interventions

Priority Problem

Intervention

Evaluation linked to goal

1.

2.

NSB231 Integrated Nursing Practice 2 On Campus

NSB231 Assessment Task 2 Page 2 of 9

Assessment Task 2

Assessment name: NSB231 Integrated Nursing Practice 2 (On Campus) Case Study

Task description: For this essay, select either Essay Case Option 1 (the paediatric case) or Essay Case Option 2 (the adult case). Review your chosen case and the clinical documents. Using the clinical reasoning cycle you are required to assess, plan, implement and evaluate your care for the patient. After identifying the relevant assessment data you must identify two (2) priority problems for your patient. For each priority problem identified, list two (2) nursing interventions (collaborative/independent) linking to your research of the literature. Include a one to two line rationale for each intervention. Evaluation of your care is essential.

Learning outcomes assessed:

1. Apply and integrate knowledge of the key NMBA Registered Nurse Standards for Nursing Practice, National Safety and Quality Health Service Standards, and National Health Priorities to enable effective clinical decision making, planning and action in a range of situations that reflect the diversity of contemporary health care settings and challenge.

2. Apply knowledge of anatomy, physiology and pathophysiology to support evidence-based decisions for planning and action in a range of clinical situations.

3. Demonstrate clinical reasoning and clinical decision making in line with safe and quality person-centred care across the lifespan.

4. Apply knowledge and skills to communicate and collaborate effectively with consumers and families.

5. Reflect on the clinical placement experience and care provision,

using feedback from a range of sources, to identify opportunities to enhance individual practice.

What you need to do: The 2200 word essay should cover the points below: • Introduction (150 words approx): State an overview of the

patient’s condition and identify the TWO priority nursing problems. Give a brief plan for the essay topics.

• For each of your identified priority problems (950 words approx):

Briefly explain how it relates to the patient’s assessment data. You will need to draw on your understanding of pathophysiology to explain the link between the problem and the patient’s signs and symptoms. Identify TWO priority nursing interventions to address the problem. Justify the nursing interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature. Outline the evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.

NSB231 Integrated Nursing Practice 2 On Campus

NSB231 Assessment Task 2 Page 3 of 9

• Conclusion (150 words approx): Briefly restate the patient’s condition and problems and how the nursing interventions can benefit the patient’s health.

• You need to discuss at least one independent nursing intervention

in your essay.

For any collaborative nursing interventions you must discuss the nursing responsibilities and actions in relation to this collaborative intervention.

Medications cannot be both of your chosen collaborative interventions for a problem. If a medication is one of your collaborative interventions you must identify an appropriate drug that is likely to be/or has been prescribed by the doctor. You must consider and discuss the nursing responsibilities associated with the medication (action, dose, side effects, prevention and management of same, administration requirements, evaluation).

Length: 2200 words +/-10% (word length includes in-text referencing and excludes your reference list)

Estimated time to complete task:

Approximately 25 – 30 hours

Weighting: 40%

Individual/Group: Individual

Formative/Summative: Yes

How will I be assessed: Summative

Due date: Friday 4th May submitted via Turnitin in your NSB231 Blackbord site by 2359 pm. More information about Turnitin is available on the FAQs about Turnitin page.

Presentation requirements:

This assessment task must:

Use QUT APA referencing for citing academic literature Assignment cover sheet must be included as the first page of your

document. Then continue using this word document on page 2 to write the rest of your assessment.

Be submitted in electronic format as a single Abode Acrobat

PDF document via Turnitin

Format of assignment: Your assignment should be • Be a written academic essay containing an introduction, body and

conclusion, addressing the task. • Use QUT APA referencing for citing academic literature • Assignment cover sheet must be included as the first page of your

document

NSB231 Integrated Nursing Practice 2 On Campus

NSB231 Assessment Task 2 Page 4 of 9

• A minimum 20 references but be cited from valid, contemporary journal articles or books no older than 7 years.

and prepared as follows: Has a cover sheet with the assessment title, your name, student

number, tutor name and word count. Coversheet template is required. 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 Times New Roman, font size 12 QUT APA style referencing (see http://www.citewrite.qut.edu.au/)

What you need to submit:

One word document that contains the following items: Assignment Cover Sheet & your work in the provided template with a

reference page

Resources needed to complete task:

• Case study outline and clinical documents available in your Blackboard site

• Clinical Reasoning template available in your Blackboard site

• Learning through reflection web site. QUT Cite Write APA guide.

Turnitin Tip Sheets.

Videos under the assessment link on:

Introduction to Evidence in Evidence Based Practice Academic Integrity.

Academic Integrity The School of Nursing takes academic integrity very seriously. All work submitted must be your own work. The work of others needs to be correctly acknowledged and referenced according to the 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.

 
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