NRSG353 Acute Care Nursing 2, Semester 1 2015Page 1 of 17
Assessment Task 1 – Team Work ePoster
Teams will be required to select one (1) topic available on LEO, and appropriately research both the sides of the topic to provide a summation displaying which side they agree with.
For more comprehensive information on this assessment task, including the topics available for this assessment task , please refer to the ‘My Assessments’ Folder in LEO .
Due date: 27th March 2015 at 5pm
Weighting: 20%
Length and/or format: e-Poster presentation
Purpose: To assessment task is designed to assess the knowledge and skills related to nursing care of individuals experiencing acute medical health alterations, and the best practice in managing this exacerbation.
Specific focus will be on students working as a team to produce an e-poster which presents and supports with appropriate references the teams stance on the topic.
Learning outcomes assessed: 2, 3, 5, 6, 9
How to submit: The team will be required to submit their e-poster via a Turnitin dropbox
Return of assignment: Assessment pieces will be returned online 3 weeks after due date via the Turnitin dropbox
Assessment criteria: This assessment task will be marked according to marking rubric over the page.
Team Declaration:
This assessment task requires you as part of a team to develop a product.. As a member of your team, you will have a responsibility to ensure the successful functioning of the team. If there are any unresolvable issues with participation in your team, please inform your tutor immediately.
If it is demonstrated that a team has not functioned collaboratively or failed to communicate effectively, each team member may be penalised. Further, if it is demonstrated that a member of a team has not participated sufficiently in this assessment task, a zero grade (NN) may be allocated to that team member for this assessment task. However this will not occur unless the following criteria are met:
1. The issue is identified early (i.e. not in the week before the assessment task is due);
2. All members of the team have demonstrated sufficient timely effort to address this issue;
3. The team has maintained a thorough record (hard copy) of all meeting minutes and/or evidence to support informal meetings such as a printed email trail or screenshots of meetings via social media.
Tools/Forms are available on LEO to assist the team in managing this process
NRSG353 Acute Care Nursing 2, Semester 1 2015Page 13 of 17
Assessment Task 1: IBL Team Work ePoster – Marking Rubric (20%)
Criterion High Distinction Distinction Credit Pass Unsatisfactory
Content
40
-Content is consistently accurate, relevant and current.
– Content has clearly addressed the assessment requirements.
-All content is consistently accurate, relevant and current.
-Most content presented are accurate, relevant and current.
– Content has clearly addressed the assessment requirements.
-Question is clearly addressed.
-Some content presented are accurate, relevant and current.
– Content has mostly addressed the assessment requirements.
-Content has inaccuracies and irrelevant. – Content has partially addressed the assessment requirements at a basic level.
-Content is inaccurate and irrelevant.
-Content did not address the assessment requirements.
Argument
25
– Question is addressed clearly and logically. Arguments presented in a clear and logical manner using evidence-based literature and statistical review
– Question addressed clearly. Arguments are presented logically using literature
– Question is addressed appropriately within minimal literature review
-Question is addressed using generalized information
-Question is not addressed
Presentation and Design
5
Professionally presented with logical organization of content. Must enhance the assessment piece and be specific and relevant to the question.
All graphics enhance the theme / content of the educational resource.
Support the assessment, provide some relevance to the question and contains 1 inappropriate link that does not fully support the question
– All graphics (pictures, video and sound) support the theme / content of the educational resource.
Supports the assessment, provides minimal relevance to the question. Contains 2 inappropriate links that do not fully support the question.
– Some graphics do not support the theme / content of the educational resource.
Supports the assessments, provides little relevance to the question. Contains 3 or more inappropriate links that do not fully support the question.
– Graphics detract from the theme / content of the educational resource. Not enough graphics.
Does not support the assessment. Contain multiple inappropriate links that do not support the question
– No graphics used in your educational resource.
Grammar, Spelling and Punctuation
5
Makes no errors in grammar, spelling and/or punctuation that distract the reader from the content. There is a wide variety of sentence structures; and the work demonstrates an extensive vocabulary which is always used appropriately.
Makes one error either in grammar, spelling or punctuation that distracts the reader from the content and interrupts the flow.
Author makes two errors either in grammar, spelling or punctuation that distract the reader from the content and interrupt the flow. There is a limited range of sentence structures.
Makes three errors either in grammar, spelling or punctuation that distract the reader from the content and interrupt the flow.
Makes four or more errors in grammar, spelling and/or punctuation that distract the reader from the content.
Referencing
5
– All In text citations (including graphics) and reference list are correct and use APA style.
– Content is well supported with current, reliable and evidence-based literature.
Textbooks, authoritative websites, systematic reviews and journal articles.
– One error on the in text citation and/or reference list (Based on APA style).
– Most content is well supported with current literature.
Textbooks, authoritative websites and journal articles.
– Two errors on the in text citation and/or reference list (Based on APA style).
– Some content supported with current literature.
Textbooks and authoritative websites
– Three errors on the in text citation and/or reference list (Based on APA style)
– Few of the resources used are accurate, relevant and current. Textbooks provided.
– Four or more errors on the in text citation, referencing style and/or reference list (Based on APA style).
– Overuse of direct quotes.
– Content in not supported by literature
Use of unauthoritative references (e.g. Wikipedia).
Comments
Final Grade /80 Marker:
NRSG353 Acute Care Nursing 2, Semester 1 2015Page 14 of 17
Assessment Task 2 – Case Study
Students are to choose one (1) of the case studies available on LEO and answer the associated questions. This assignment is to be presented in a question/answer format and not as an essay (i.e. no introduction or conclusion). Each answer has a word limit and must be supported with appropriate references.
A Reference List must be provided at the end of the assignment
For more comprehensive information on this assessment task, including the case studies for this assessment task, please refer to the ‘My Assessments’ Folder in LEO .
Due date: 15th May 2015 at 5pm
Weighting: 40%
Length and/or format: 1600 words
Purpose: This assessment task is designed to assess the knowledge and skills related to nursing care of individuals experiencing acute medical health alterations, and the best practice in managing this exacerbation.
Specific focus will be on students researching the pathophysiology of the relevant disease, the pharmacology of medications used to manage the disease, and the evidence based nursing care required to look after these patients, while supporting this information with appropriate references.
Learning outcomes assessed: 1, 2, 3, 4, 5, 6,7, 8
How to submit: Students will be required to submit this assignment through the Turnitin dropbox
Return of assignment: Case study submissions will be returned to students 3 weeks after the due date via the Turnitin dropbox
.Assessment criteria: This assessment task will be marked according to the marking rubric over the page.
NRSG353 Acute Care Nursing 2, Semester 1 2015Page 15 of 17
Assessment Task 2: Case Study – Marking Rubric (40%)
Criterion High Distinction Distinction Credit Pass Unsatisfactory
Q1
Outline the causes, incidence and risk factors of the selected disease and how it can impact on the patient and their family (400 words – 20%)
Linked to case study
Provides comprehensive identification of causes, incidences and risk factors.
Provides comprehensive understanding of the disease impact on patient and family
Linked to case study
Provides a solid indication of causes, incidences and risk factors.
Provides a solid understanding of the disease impact on patient and family
Linked to case study
Provides an identification of causes, incidences and risk factors.
Provides an understanding of the disease impact on patient and family
Linked to case study
Provides minimal identification of causes, incidences and risk factors
Provides minimal understanding of the diseases impact on patient and family
Not linked to case study
Does not identify appropriate causes, incidences and risk factors.
Does not identify the impact on the patient and family
Q2
List five (5) common signs and symptoms of the selected disease, and for each one provide a link to the underlying pathophysiology (350 words -15%)
Provides a comprehensive look at the identified five (5) common signs and symptoms
Provides a comprehensive link to pathophysiology
Identifies five (5) signs and symptoms that are less common
Provides a thorough link to pathophysiology
Identifies five (5) signs and symptoms
Provides a solid link to pathophysiology
Identifies five (5) common signs and symptoms
Provides basic links to pathophysiology.
Does not identify five (5) signs and symptoms
Does not link to appropriate pathophysiology.
Q3
Describe two (2) common classes of drugs used for patients with the selected disease including physiological effect of each class on the body (350 words – 15%)
Two (2) classes of drugs appropriately identified.
A comprehensive understanding and explanation of the physiological effects on the body
Two (2) classes of drugs appropriately identified.
A thorough understanding of the physiological effects on the body
Two (2) classes of drugs appropriately identified.
Some understanding of physiological effects on the body
One (1) class identified in appropriate
Minimal identification of physiological effect on the body
Drugs identifies not appropriate
No identification of physiological effect on the body
Q4
Identify and outline, in order of priority the nursing care strategies you, as the registered nurse, should use within the first 24 hours post admission for this patient (500 words – 40%)
40%
The care plan was articulate, logical, balanced and convincing. A diverse range of perspectives offered. All important aspects are covered demonstrating comprehensive knowledge of the key areas.
The care plan was cohesive and logical. A sound attempt at analysis and critique from a range of perspectives was also made. Most of the key areas are covered demonstrating an advanced understanding of the important issues.
The care plan was cohesive and logical. Some attempt at analysis and critique was made. A number of key areas are covered demonstrating a clear understanding of the important issues.
A logical care plan was presented but mostly descriptive. Some structure to ideas with satisfactory explanation of some key areas provided. A basic understanding was demonstrated.
There is little/no cohesion to the flow of the case study. Broad generalisations are made. Irrelevant content and unstructured points are made. Key areas are not addressed. Minimal understanding is demonstrated.
NRSG353 Acute Care Nursing 2, Semester 1 2015Page 16 of 17
Referencing
5%
An extensive range of relevant literature utilised with sophisticated interpretation and analysis.
Accurate referencing using APA format.
An extensive range of relevant literature utilised with appropriate interpretation & application.
Accurate referencing using APA format.
Satisfactory use of literature with appropriate interpretation & application.
Mostly accurate referencing using APA format.
Satisfactory use of literature. Some attempt to interpret & apply the literature is evident.
Mostly accurate referencing using APA format.
Unsatisfactory use of literature. No attempt to interpret & apply the literature is evident.
Not accurate referencing using APA format.
1
NRSG353 Assessment Task 2 –Case Study
Due Date: 15th May 2015 at 5pm via Turnitin
Weighting: 40%
Word count: 1600 words (every question has a specific word count, which must be adhered to)
Instructions:
? Students are to choose one (1) of the case studies below and answer the associated questions. The assignment is to be presented in a question/answer format not as an essay (i.e. no introduction or conclusion).
? Each answer has a word limit (1600 in total); each answer must be supported with citations.
? A Reference List must be provided at the end of the assignment.
? Please refer to the marking guide available in the unit outline for further information.
** The following questions must be answered for your chosen case study **
The following questions relates to the patient within the first 24 hours:
1. Outline the causes, incidence and risk factors of the identified condition and how it can impact on the patient and family (400 words)
2. List five (5) common signs and symptoms of the identified condition; for each provide a link to the underlying pathophysiology (350 words)
a. This can be done in the form of a table – each point needs to be appropriately referenced
3. Describe two (2) common classes of drugs used for patients with the identified condition including physiological effect of each class on the body (350 words)
a. This does not mean specific drugs but rather the class that these drugs belong to.
4. Identify and explain, in order of priority the nursing care strategies you, as the registered nurse, should use within the first 24 hours post admission for this patient (500 words).
2
Case Study Question 1
Mrs Sharon McKenzie is a 77 year old female who has presented to the emergency department with increasing shortness of breath, swollen ankles, mild nausea and dizziness. During your assessment Mrs McKenzie reports the shortness of breath has been ongoing for the last 7 days, and worsens when she does her gardening and goes for a walk with her husband.
On examination her blood pressure was 105/55 mmHg, HR 54 bpm, respiratory rate of 24 bpm with inspiratory crackles at both lung bases, and Sp02 at 92% on RA. Her fingers are cool to touch with a capillary refill of 1-2 seconds. Mrs McKenzie states that this is normal and she always has to wear bed socks as Mr McKenzie complains about her cold feet.
Her current medications include: digoxin 250mcg daily, frusemide 40mg BD, enalapril 5mg daily, warfarin 4mg daily.
The following blood tests were ordered: a full blood count (FBC), urea electrolytes and creatinine (UEC), liver function tests (LFT), digoxin test, CK and Troponin. Her potassium level is 2.5mmol/L.
Mrs McKenzie also has an ECG which showed sinus bradycardia, and a chest x-ray showing cardiac enlargement and lower-lobe infiltrates, suggesting the presence of acute exacerbation of congestive cardiac failure.
Impression: Congestive cardiac failure with ?digoxin toxicity
3
Case Study Question 2
Mrs Josie Shara is a 31 years old female, who was admitted after being referred by her GP due to complaints of palpitations, severe fatigue and anterior neck enlargement.
Past medical history: Caesarean section x 2, Gestational Diabetes
Allergies: Nil Known
Current medications: Nil
Social History: Josie and her family migrated from Zimbabwe last year. She had a baby 7 months ago via caesarean section and she is currently breastfeeding. She has two older children whom she reports to be helping her with the new baby. Josie is a primary school teacher in her country but she is currently unemployed. Her husband is working as a registered nurse in a nursing home.
On examination: Josie is alert and orientated. She reports that over the past few months she has increasing lethargy and sleep disturbance that she initially attributed to her recent delivery. She has unintentional weight loss of 16 kg despite having good appetite. Josie’s husband also raised concern that she has been unusually irritable and anxious. Last week, Josie saw the GP for what was presumed to be viral infection as she had fever, sore throat and night sweats but was not commenced on any medication except for paracetamol. She also noted that her neck is getting swollen but denies any dysphagia. Josie reported that she has been experiencing more frequent palpitations even at rest. She has nil complaints of chest pain but has slight shortness of breath. The ECG showed sinus tachycardia.
Observations: BP: 146/58 mmHg, HR: 127 bpm, RR: 24 bpm, Temp: 36.8C, SpO2: 98% on RA, Weight 53 kg, BGL 5.2 mmol/L
Case Study Question 3
Mr Sam Smithson, is a 51 year old male who was admitted to the high dependency unit for investigation of melaena. He has had two previous admissions for cirrhosis in the last 6 months. He was an interstate truck driver for 15 years and is married with 4 children. Mr Smithson is a current smoker and known to consume 5-6 bottles of beer per day. He has a history of hypertension and mild hypercholesterolemia.
On assessment:
Mr Smithson is lethargic but orientated to time, place and person and slightly irritable. He is slightly tachypnoeic with moderate use of accessory muscles. His wife reported that Mr Smithson has been spitting blood stained sputum for the last few weeks with no associated cough or shortness of breath. From the previous admission record it showed that Mr Smithson has lost 9 kilos which he attributed simply to his lack of appetite. No changes were reported with his urine output. On examination his sclera is mildly jaundiced and has some “unexplained” bruises on his arms and legs. His abdomen is tight and distended and pitting oedema noted on his ankles.
Observations: BP: 115/60mmHg, HR: 110 bpm, RR: 24 bpm, SpO2: 88% on RA, 95% on 6L via Hudson Mask, Temp: 37.8C
Laboratory Findings:
88 to 137 ml/min
Mr Smithson was ordered Vitamin K 1 mg IM and underwent urgent gastroscopy which showed bleeding from gastric ulcer. A diagnosis of alcoholic cirrhosis with gastritis is made.
His current medications include: aldactone 25mg PO TDS, lactulose 15mls PO TDS, neomycin sulphate 1 gram PO every 4 hours for 5 days, vitamin B12 100mg IV TDS.
Impression: Alcoholic liver disease – alcoholic cirrhosis with gastritis