DTH107 Determine Health Assessment 1: Case Study – Care Action Plan
DTH107 Determine Health Assessment 1: Case Study – Care Action Plan
DTH107 Determine Health Assessment 1: Case Study – Care Action Plan
Assessment 1 Care Action Plan
STUDENT NAME
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DATE
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Course
HLT54115 Diploma of Nursing
Subject Title
DTH107 Determine Health
Unit of Competency
HLTAAP003 Analyse and respond to client health information
Performance Criteria,
Knowledge and
Performance Evidence
Assessed
PC: HLTAAP003: XXXXXXXXXX, XXXXXXXXXX
PE: HLTAAP003: 1
KE: HLTAAP003: 1, 2a-c, 3a-m, 4a-b, 5, 6, 7, 8, 9, 10, 12, 13a-c, 14a-c
Title of Assessment Task
Assessment 1: Case Study
Length
1000 words +/- 10%
Submission
Due by 11:55pm AEST Sunday end of Module 3.2 (Week 6).
For this assessment, students must view ONE (1) case study and respond to a care action plan . This action plan requires analysis and care planning and is based on the following diagram.
Remove surgical interventions
Care Action Plan: Scenario
For this action plan, students must view the following case study and follow this step to determine how to manage Rob’s issues. His specifications are noted here.
Name: Rob Ca
ington
Gender: Male
Ethnicity: Caucasian
Australian
Aged: 53 years
Family Status: Father
Religion: Anglican
· Ma
ied
· Occupation – Delivery driver
· Earns good money
· Travels a lot
· Overweight 135kg
· Likes TV and beer to cope with stress
· Has Type II Diabetes needing close management for job
· Smoker
· Diet preferences are Convenience foods/ fast food
· Unknown social support and external interests
· Has osteoarthritis in L) knee
The steps in the action plan for Rob Ca
ington are listed on the following pages. At each step, there are a number of questions you must respond to. Questions 1-14 relate to Rob’s situation.
Read these questions and take note of the information or actions that need to be addressed at each step. Then, respond in the spaces provided.
Step 1
Definition of Health Disorder
Question 1
Rob has presented with a number of issues and symptoms; some of which are acute, some of which are chronic. In the table below, list which items are either chronic or acute.
Acute Issue
Chronic Issue
Response...
Response...
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Question 2
Of Rob’s issues, which should be dealt with first; acute or chronic? Explain why in 50 words.
Response...
Question 3
List five (5) body systems that are affected by Rob’s situation, and
iefly note their purpose or function. Related to Robs chronic/ acute presenting issues.
Referencing required
Response...
Step 2
Normal Anatomy and Physiology
Question 4
For three (3) of the body systems affected by Rob’s acute issues, list two (2) signs or symptoms that might indicate there might be a variation from normal function. Referencing required
Response...
Question 5
The body consists of different levels of structural organisation and complexity. In 100 words, describe how each of the following items combine to make up the human body. In your response, specify what the different types of muscle tissue are and how human body systems are formed at a cellular level.
Referencing required
· Atoms
· Molecules
· Cells
· Organs
· Muscle tissue
· Human Body systems
Response...
Step 3
Physiology
Question 6
For each body system below, describe:
· One (1) disorder or disease that may affect it
· The pathophysiology of the disease associated with the body system (20 words each system)
· The impact of the disease on the body system and their related structures in relation to potential impact of specific health procedures provided (30 words each).
· Referencing required
Body System
Potential Disease
Pathophysiology of Disease
Impact of disease on body system
Endocrine system
Response...
Response...
Response...
Musculoskeletal system
Response...
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Special Senses
Response...
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Nervous system
Response...
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Respiratory system
Response...
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Cardiovascular system
Response...
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Question 7
ROB has type 2 diabetes. In 50 words discuss the process of ca
ohydrate metabolism, including your understanding of anabolism and catabolism.
Referencing required
Response...
Step 4
Diagnostic Tests
Question 8
List three (3) methods you could use as an enrolled nurse/ within your scope of practice to assess Rob’s abnormalities, and
iefly describe each one.
Response...
Step 5
Prognosis
Question 9
In 150 words,
9A: Define the acute event that Rob is presenting with.
9B. The effects it has on the various body systems. Include potential signs and symptoms.
9C. The impact this could have on wellbeing and Rob’s health.
Referencing required
Response...
Step 6
Conservative Medical Care
Question 10
Rob may need both conservative medical and surgical treatment. For each intervention (medical and surgical) specify:
· What the impact would be to Rob (20 words)
· One (1) relevant pharmacological process and one (1) drug action
· One (1) potential indication and one (1) potential contraindication
· The role of one (1) member of the interdisciplinary team that might be required
· One (1) limitation of each member
· Referencing required
Medical Treatment
Impact to Rob
Response...
Discuss one medication related to Robs presenting issue for medical treatment, its Pharmacological process and action.
Refer to your e-MIMs
Response...
Medication Indication and contraindication
Response...
Interdisciplinary team member role
Response...
Limitation of
interdisciplinary team member
Response...
Step 7
Nursing Care Plan
Question 11
Based on your analysis of Rob’s health information, you must now prepare a nursing care plan that demonstrates your understanding of appropriate care and consideration of his needs.
Fill in the template below, noting four (4) issues Rob has and how you will manage each one. Do not complete the final column (Discharge Plan), as it will be clarified in Step 9.
Referencing maybe required
Nursing Care Plan
Nursing Diagnosis
(Note the issues you have diagnosed in
Rob)
Actual
(How has that issue manifested?)
Potential
(What additional issues or
contraindications or
Complications should be considered?)
Implementation
(How should it be treated?)
Expected Outcomes
(What do you expect after treatment?)
Discharge Plan
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DTH107 Determine Health Assessment 1: Case Study – Care Action Plan
DTH107 Determine Health Assessment 1: Case Study – Care Action Plan
DTH107 Determine Health Assessment 1: Case Study – Care Action Plan
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Step 8
Potential Complications
Question 12
Describe the effects of biological maturation and ageing processes on the body systems related to Robs presentations (acute/ chronic) as discussed in the case study.
Referencing required
Response...
Question 13
Revised question:
Rob has suffered a cardiac a
est. In 150 words explain:
13A: The major types of cardiac adaptation
13B: How does a cardiac event affect the cardiac muscles/ tissues?
13C: Explain the changes a cardiac event has on the heart?
13D: How could physical exercise increase the strength of the cardiac muscles?
Referencing required
Response...
Step 9
Discharge Planning
Question 14
Discharge planning should form part of a care plan. For the four (4) issues you specified in Step 7, provide a discharge plan that includes:
· The appointments that should be made for the client upon discharge • The information or documentation that should be provided
· The healthcare professionals who should be involved.
Do not fill in the greyed out boxes.
Nursing Care Plan
Nursing Diagnosis
(Note the issues you have diagnosed in Rob?)
Actual
Potential
Implementa
tion
Expected
Outcomes
Discharge Plan
(List what should be done to prepare the client for discharge)
Response...
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Response