Assessment Task 1b:
Case Study
Application of health assessment, planning, implementation and evaluation of
professional nursing care to a clinical deterioration patient scenario
Due date: Thursday 5th May 11.59pm 2022
Weighting: 30%
Purpose: This assessment task is designed to develop the student’s ability to integrate theory into
practical clinical knowledge using a patient case scenario. This task is intended to encourage
students to practise writing and presenting researched material in a logical and concise manner that is
academically rigorous. Therefore, each student is to demonstrate critical thinking, development of
argument, discerning use of resources and the application of the principles of academic writing.
Referencing, spelling and grammar, and overall presentation will also be assessed.
Word Count: 2000 words (+/- 10%)
Format: The layout is a questions and answer style; an introduction or conclusion is NOT necessary.
However, should include logically structured discussion sections. May use diagrams in their answers
where appropriate. You are strongly encouraged to use headings to assist in the flow of your writing,
ut they must conform to APA guidelines. The prefe
ed layout of your paper should be double
spaced with block paragraphing (no indenting). Do not indent the first line of each paragraph. Page
numbers are to be included on the bottom left corner of the page.
Presentation: All work should be typed in 12-point font, double spaced; and written and presented
according to the academic guidelines using APA (7th Edition) referencing. For further assistance in
elation to academic writing and referencing, refer to the Federation University li
ary home page:
http:
federation.edu.au/li
ary. The length of the essay is 2000 words (+/- 10%). Any task that is
under or over the allocated limits by 10% will attract a deduction from the final mark for the task.
References: A minimum of 15 references must be used for the essay. These should be no more than
7 years old unless of historical significance and/or of specific relevance to the topic (for example; the
Ottawa Charter from XXXXXXXXXXThese references must be a mixture of books and journals or Li
ary
database sources. Dictionaries or Wikipedia are not considered a primary reference and therefore will
not be counted in the reference count. Direct quotes, appendices or the reference list, are not counted
in the word limit. Direct quotes must be limited to no more than 50 words and be according to APA 7th
Edition style. Please ensure that you adhere to the specific guidelines set out by the APA 7th Edition
CRICOS Provider No. 00103D
RTO Code 4909
http:
federation.edu.au/li
ary
CRICOS Provider No. 00103D
RTO Code 4909
guidelines available within the general guide to referencing:
https:
federation.edu.au/__data/assets/pdf_file/0020/313328/FEDUNI-GENERAL-GUIDE-TO-
REFERENCING2016-E DITION_ed.pdf
Submission: All essays for Assessment task 1b are to be submitted before or on the due date and
stipulated time and submitted electronically via Turnitin. Please ensure the first page of your
submitted work includes the assessment title, due date, relevant academic, student name AND
student ID number. When submitting online, please ensure that the file name includes the Course
Code, Surname and Student ID number. For example: NURBN3030Smith XXXXXXXXXXEnsure there are
no spaces or use of punctuation (!?/;_-). Marks maybe deducted if the file name does not conform to
these instructions (presentation guidelines).
Turnitin: Turnitin software will be used in this course and all essays submitted for marking must be
submitted through the Turnitin software. For assistance with the use of Turnitin please see the section
Assistance with Online Submission provided in this document. Students are required to submit their
Essay as a Microsoft Word file (.doc/.docx) via the co
esponding assessment task Turnitin dropbox
within the Assessment Module of Moodle. Please note that your Essay will be graded within Turnitin
using GradeMark and therefore you are no longer required to submit your work via the submission
link in Moodle. The GradeMark® digital mark-up tool allows instructors to mark and grade papers
online in a paperless environment. Instructors can create custom sets of comments and marks for
grading as well as use ru
ic scorecards that feature quick scoring of student papers against a list of
scaled criteria created by the instructor or educational institution. For instructions about using Turnitin,
please go to the following link:
https:
guides.turnitin.com/01_Manuals_and_Guides/Student_Guides/Turnitin_Classic_for_Students/1
5_Gra demark.
Please Note: If Turnitin prevents the electronic submission of your assignment (e.g. if either service is
defective or unavailable) you should contact the ICT Service Desk and attempt to resolve the
problem. If the problem cannot be resolved, you must email an electronic copy of your final
assignment directly to the Course Coordinator before the due date. The Course Coordinator or the
assessor of the assignment may then elect to submit the assignment to Turnitin on your behalf.
Please note you will need to indicate in a covering email with the assignment submission, the date,
time and circumstances of the reason that you could not submit your assignment to Turnitin. Please
note that you should always attempt to complete and submit your assignment as early as possible to
avoid any potential problems. Please note that written work not submitted to Turnitin will not be
marked, and therefore result in a zero grade.
Marking: Marking of essays will be completed by relevant academics and feedback will be provided
oth via electronic track changes and on the marking guide (see final page of this document). The
marking guide will demonstrate assessment standards for expected content as well as structure,
https:
federation.edu.au/__data/assets/pdf_file/0020/313328/FEDUNI-GENERAL-GUIDE-TO-REFERENCING2016-E%20DITION_ed.pdf
https:
federation.edu.au/__data/assets/pdf_file/0020/313328/FEDUNI-GENERAL-GUIDE-TO-REFERENCING2016-E%20DITION_ed.pdf
CRICOS Provider No. 00103D
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grammar, and spelling. Referencing will also be assessed. Assessment grades will be provided to
students via Moodle. Marking is to be completed and grades allocated within approximately 3-4
weeks of submission as per university policy.
Appeals: In accordance with the Student Appeals Procedure, an appeal against a final grade must be
submitted in writing and lodged within 10 working days of the publication of the final grade or result.
Following due consideration (within 30 days) the student will be provided with a written response to
the appeal, including reasons for the decision. The School must notify Student Administration of any
amended results following an appeal. If the student is not satisfied with the decision, they can submit
an appeal to the Appeals Committee in accordance with Regulation 2.2.
CRICOS Provider No. 00103D
RTO Code 4909
Description:
This assessment task allows students to demonstrate theoretical clinical knowledge around nursing
assessment, pathophysiology of factors impacting on clinical deterioration, planning of nursing care,
nursing and medical management, and evaluation of care. Students are required to answer the case
scenario questions provided.
Students should attempt all questions in the case study:
…You are a Graduate Nurse commencing your afternoon shift in a busy Emergency Department.
Your patient has been stepped down from the resuscitation bay to your monitored cubicle. The ISBAR
handover highlights:
• Identify: Robert is a 78-year-old male who presented to the Emergency Department 2 hours
ago. His wife Agnes is present with him at the bedside.
• Situation: after waking this morning with left upper and lower limb moderate weakness, left
side facial droop and aphasia. His wife noted his symptoms and called an ambulance. His CT
Brain confirms signs of a cere
ovascular accident (stroke), however because no time of
onset can be identified he is not a candidate for thrombolytic management.
• Background: Previous ST- elevation Myocardial Infarction (STEMI) 5 yrs ago with associated
Left Ventricular Failure (LVF), hypertension and hypercholesterolaemia. Managed with
medications: Aspirin, Furosemide, Enalapril, and Bisoprolol. He has nil known allergies.
• Assessments: Pathology has been sent for initial Urea & Electrolytes, Glucose, Full Blood
Examination, coagulation studies, cardiac markers, and C-Reactive Protein (CRP) and results
are normal so far. Initial ECG reveals Robert’s cardiac rhythm is Atrial Fi
illation, which is
new for him. Of interest, his vital signs indicate a moderate hypertension 165/96 and altered
conscious state GCS cu
ently 12. He has two intravenous cannulas inserted to his left and
ight cubital fossa.
• Review: Robert is awaiting a formal medical admission to stabilise his risk factors for further
cere
al vascular accident and commence rehabilitation.
Question 1: Using your existing knowledge of Cere
ovascular Accident (CVA), identify and
describe the pathophysiology of the most likely type of CVA Robert has presented with. In your
esponse include a definition, causes, clinical manifestations, and typical initial management. Ensure
you link this discussion to Robert’s presentation and history. (approx. 400 words)
CRICOS Provider No. 00103D
RTO Code 4909
… You check on Robert to undertake routine post CVA assessments and note the following:
• Altered conscious state, GCS 10
• Temperature: 35.1 and cool on palpation
• Pulse: 65 bpm and i
egular
• Blood Pressure: 196 / 120 mmHg
• Respiration: 14 bpm
• SpO2: 96% on room air
• Pain scale using Baker Wong pain scale indicates no pain.
Question 2: Discuss TWO specific nursing assessments that should be PRIORITY for Robert’s
deterioration (excluding vital signs). For EACH nursing assessment, ensure your discussion
includes a description of the undertaking of each assessment in the context of Robert’s condition AND
clear rationale as to why these assessments would be priority. (approx. 400 words).
…During your assessment, Robert starts to seize. You grab some gloves and observe no immediate
danger, Robert provides no pain response so you press the emergency call bell and lay the bed flat,
awaiting the assistance of other staff.
Question 3: Discuss THREE specific nursing interventions that YOU as a Graduate Nurse could
initiate to initially support Robert’s airway and ventilation. For EACH intervention, ensure your
discussion includes link to evidence-based practice AND provides rationale as to how it would improve
the physiological outcomes of Robert’s condition. (approx. 400 words)
*Nursing interventions would include nursing activities or actions that the nurse could initiate in
esponse to nursing assessment findings. Note: please be aware of the difference between an
assessment and an intervention.
…The resuscitation team a
ives and provides supportive care, and after 5 minutes an stat order of
Lorazepam 8mg Intravenously is prescribed.
CRICOS Provider