Case Study/Reflection Weight: 30% Word length: 1500 words Students are required to comply with word and time limits. You are not expected to achieve exactly the required length, and a 10% leeway on...

Case Study/Reflection Weight: 30% Word length: 1500 words Students are required to comply with word and time limits. You are not expected to achieve exactly the required length, and a 10% leeway on either side is acceptable. The marker will not mark beyond the 10%. Only your work to that point will be marked against the assessment criteria. Must Complete: Yes Notes: Case Study/Reflection Due Date: Is displayed at the bottom of this page Task Overview Ian a 72-year-old male nonsmoker with a history of gout and mild dementia was referred to the main hospital by GP for shortness of breath due to suspected pneumonia. Patient was brought to the hospital by his son who mentioned that Ian had cough with thick yellow sputum and complained of pleuritic chest pain for the past 3 days.  Ian is febrile and tachypneic, has a blood pressure of 145/65, and has an oxygen saturation of 93% on room air. Physical examination is significant for rhonchi in the right lower lung fields, and a chest x-ray shows a right lower lobe infiltrate. Blood, urine and sputum sample were sent for investigation and Ian was admitted in the medical ward. Laboratory studies showed high white blood cell count and no evidence of acute renal failure. Blood cultures came back positive for Streptococcus pneumonia which confirmed the diagnosis as community-acquired pneumonia. Antibiotics commenced. Patient’s condition improved intitially. By day 5, Ian started to become febrile again with increased work of breathing and decreased oxygen saturation requiring high flow oxygen. Patient was transferred to high dependency unit. Chest X-ray showed increase in lung consolidation in right lower lung fields and diminished air entry to right mid and lower zone of the lung on auscultation. Blood culture came back positive for multi-resistant staphylococcus aureus.  Patient was managed in high dependency unit for 3 days and then transferred back to the medical ward. Ian’s condition improved and was subsequently discharged from the ward on day 15. This task provides an opportunity to explore a specific case study in- depth encompassing all the units learning outcomes, your theoretical learning and application of clinical nursing skills within this unit. This task will assess your understanding of conducting a comprehensive assessment of Ian. You will be required to provide a comprehensive overview relevant patient care and management such as an in-depth understanding of the patient's condition (pneumonia), related pathophysiology, relevant diagnostics including the pharmacodynamics of medications. Develop a nursing care plan and discussion about infection control measures in a hospital setting. Assessment Instructions 1.  Analyse and interpret relevant objective and subjective data and explain them based on the pathophysiological changes associated with the patient condition 2.  Discuss pharmacological management of patient’s condition 3.  Identify nursing diagnoses relevant to the case study and develop a nursing care plan with rationales (Do not use tables for nursing care plan) 4.  Explain about nurse’s role in infection control. 5.  Adhere to UNE general academic writing and presentation 6.  Demonstrate broad research on the topic from peer reviewed resources which are current and follow APA referencing standards Unit: HSNS264 Assessment Task: Written Assignment XXXXXXXXXXwords) Assessment weight: 30% Assessment Instructions: 1. Analyse and interpret relevant objective and subjective data and explain them based on the pathophysiological changes associated with the patient condition 2. Discuss pharmacological management of patient’s condition 3. Identify nursing diagnoses relevant to the case study and develop a nursing care plan with rationales (Do not use tables for nursing care plan) 4. Explain about nurse’s role in infection control. 5. Adhere to UNE general academic writing and presentation 6. Demonstrate broad research on the topic from peer reviewed resources which are current and follow APA referencing standards Criteria HD D C P N Total 17-20 15-16 13-14 10-12 0-9 1 Critically analyse any signs and symptoms and pathophysiological changes associated with the condition Provides comprehensive discussion around all subjective and objective data relevant to the condition, including pathophysiological changes in the respiratory system Discussion successfully demonstrates supported and substantial arguments and ideas Provides comprehensive discussion around most of the subjective and objective data relevant to the condition and pathophysiological changes in the respiratory system Discussion demonstrates supported and substantial arguments and ideas with only minor digressions Provides comprehensive discussion around some of the subjective and objective data relevant to the condition, including pathophysiological changes in the respiratory system Discussion demonstrates supported and substantial arguments and ideas with some digression Provides only basic information about some of the subjective and objective data relevant to the condition, and pathophysiological changes in the respiratory system - without any in-depth analysis. Discussion has limited demonstrated support and substantial digression No information about subjective and objective data relevant to the condition and or pathophysiological changes in the respiratory system Discussion lacks demonstrated support and substantial arguments and ideas /25 Criteria HD D C P N Total 21-25 19-20 16-18 13-15 0-12 2 Demonstrate a good understanding of pharmacological management of the condition Provides a comprehensive discussion about all the medications and treatment regime that might be used with appropriate rationales including any latest findings for treating resistant bacteria as per literature. Discussion successfully demonstrates supported and substantial arguments and ideas Provides comprehensive discussion about antibiotic treatment regime including discussion about resitant and non-resistant bacterias and some respiratory medications that might be used with appropriate rationales . Paper reviews and integrates current and relevant literature and text books. Discussion demonstrates supported and substantial arguments and ideas with some digression Provides comprehensive discussion about antibiotic treatment regime and some respiratory medications that might be used with appropriate rationales. Paper reviews and integrates current and relevant literature and text books. Discussion demonstrates supported and substantial arguments and ideas with some digression Provides only basic information about either respiratory medications and or antioboitoics with no elaborate discussion Discussion has limited demonstrated support and substantial arguments and ideas Provides no discussion about pharmacological management Discussion lacks demonstrated support and substantial arguments and ideas /20 Criteria HD D C P N Total 30-35 26-29 23-25 18-22 0-17 3 Provides nursing care plan and infection control measures Provides a comprehensive description of a nursing care plan with more than 3 nursing diagnosis discussed in detail and a separate paragraph discussing nurses role in preventing nosocomial infections Provides a comprehensive description of a nursing care plan with at least 3 nursing diagnosis discussed in detail and a separate paragraph discussing nurses role in preventing nosocomial infections Provides a comprehensive description of a nursing care plan with some of nursing diagnosis discussed in detail and a separate paragraph discussing nurses role in preventing nosocomial infections Provides a basic description of a nursing care plan with some of nursing diagnosis discussed in detail and a separate paragraph discussing nurses role in preventing nosocomial infections No or Minimal description of a nursing care plan and or infection control measures /35 Criteria HD D C P N Total 9-10 7-8 6 5 0-4 4 Follows requirements for structure, presentation grammar and spelling. Accurately and consistently adheres to essay format writing conventions, grammatical conventions with no errors and is a logical / well and succinctly structured assignment Mostly accurate and consistent adherence to essay format writing conventions, adheres to grammatical conventions with few errors and is a logical and well-structured assignment Partial but close adherence to essay format writing conventions, adheres to grammatical conventions, but with frequent errors, mainly a well- structured assignment, lacking cohesion in places Minimal adherence to essay format writing conventions, minimal adherence to grammatical conventions with multiple errors, a weakly structured assignment, frequently lacking cohesion Little attempt to adhere to essay format writing conventions, multiple grammatical errors with minimal attention to writing / spelling conventions that significantly distract the reader from the content. A poorly structured assignment, lacking cohesion or Word strength less than 1350 /10 Criteria HD D C P N Total 9-10 7-8 6 5 0-4 5 Demonstration of wide research of the topic from appropriate resources, follows requirements for referencing (APA 7th Edition) and the application of evidence At least 10 references Included and at least 7 are peer-reviewed Australian journal articles published within past 5 years compared to consumer websites, brochures, new paper article, UNE teaching material, prescribed text books etc Accurately and consistently adheres to APA referencing conventions for the in-text and reference list At least 10 references included and more than 5 of them are are peer-reviewed Australian journal articles published within past 5 years compared to consumer websites, brochures, new paper article, UNE teaching material, prescribed text books etc Mostly offers accurate and consistent APA referencing conventions for the in-text and reference list At least 10 references included and less than 5 resources listed are peer-reviewed Australian journal articles published within past 5 years compared to consumer websites, brochures, new paper article, UNE teaching material, prescribed text books etc A number of inaccurate and inconsistent APA references in the in-text and reference list 5-9 references listed. Multiple inaccurate and inconsistent APA references in the in-text and reference list Did not adhere to the APA referencing conventions and/or made catastrophic, multiple and consistent APA errors throughout Little or no acknowledgment of sources used throughout the assignment /10 / 100