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NRSG265: Principles of Nursing Medical
NRSG265 _ Assessment 1: Oral Presentation (Online) © Australian Catholic University 2022 _ Page 1 of 4
ASSESSMENT INFORMATION
Assessment Title Assessment Task 1 – Oral Presentation (Online)
Purpose This assessment enables students to demonstrate understanding of the health
consumer’s perspective regarding a medical health alteration.
The oral presentation assessment will engage students with the application of
theory to practice, and is designed to facilitate an understanding of the impact of
illness on the patient. It is also intended to give students the opportunity to
demonstrate the ability to use the eight steps of the Clinical Reasoning Cycle
(CRC). Your presentation will be structured using the CRC steps, and a template
will be provided for your use. This mode of assessment aims to
oaden
students’ communication strategies, which is a necessary skill in nursing and will
enable the student to become a safe and effective nurse.
Due Date Wednesday 14th September 2022
Time Due 12:00
Weighting 50%
Length
Na
ation length: 10 minutes (+/- 10%)
Slide deck length: 10 slides (using provided template)
Assessment Ru
ic Appendix A of the NRSG265 unit outline
LEO Resource A national pre-recorded lecture will be uploaded onto LEO in week four (4),
which will provide students with an overview of the assessment as well as
esources and advice on how to approach the task.
A campus-based Q&A session will be held during week six (6) of the semester
via zoom. The Q&A session will provide students with the opportunity to clarify
any questions but the expectation is that students will have viewed the pre-
ecorded national lecture prior to attending. The date and a link for this session
will be made available on LEO unit.
Students are encouraged to post questions on the Assessment 1 Q&A forum on
LEO and to check for answers there as a first point of query.
LOs Assessed LO1, LO2, LO3, LO4
Task
Students will assess, prioritise and plan the care of the case study patient using
the CRC. The information will be presented within a PowerPoint presentation
using the provided template on LEO (NRSG265 Assessment 1 Template Slides),
which you will then record as a video.
Instructions on how to record your video for submission are available on the LEO
assessment tile.
Appropriate evidence-based literature must be used to support your
presentation.
The key components of Assessment 1 are:
• Step 1 and 2: Consider the patient situation and identify the key elements of
assessment by:
• Providing an initial impression of the patient and identifying relevant
and significant features;
NRSG265: Principles of Nursing Medical
NRSG265 _ Assessment 1: Oral Presentation (Online) © Australian Catholic University 2022 _ Page 2 of 4
• discussing in detail, the pathophysiology of the disease and how Mr
Kowalski’s signs and symptoms reflect the underlying
pathophysiology;
• identifying the key elements of a comprehensive nursing assessment;
• Including evidence to support your discussion.

• Step 3 and 4: Process patient information, identifies relevant activities of
living impacted, and identifies nursing issues for the patient:
• Interpret and analyse the information you have been given about his
condition;
• Identify and prioritise 3 nursing issues you must address for Mr
Kowalski, and justify why they are priorities and support your
discussion with evidence;
• discuss the potential impact of the disease on Mr Kowalski’s 3 most
important activities of living. Link your discussion to the Roper-Logan
and Tierney model.

• Steps 5 and 6: Establish goals and take action:
• Identify 3 SMART goals (1 per nursing issue identified) with
comprehensive discussion of the desired outcome, within a suitable
time frame;
• Identify interventions to achieve the above goals. The interventions
should be nursing based;
• consider both pharmacological and non-pharmacological
management;
• recognise strategies to empower and educate Mr Kowalski.

• Steps 7 and 8 - Evaluation and Reflection:
• Consider what strategies/aspects would determine that the
interventions have been successful or effective for Mr Kowalski?
• Include your conclusion here, and part of that should include an
overall statement of what have you learned from doing this case
study (what has been learnt, what went well, and what could have
een improved)
Case Study Mr Jan Kowalski is a 54 years-old male who presented to the emergency
department (ED) due to crushing chest pain (pain score 8/10) that was
associated with nausea, dyspnoea and diaphoresis. He stated that the pain
came on suddenly this morning while he was watching TV at home, and
esolved spontaneously after 30 minutes, but started again 2 hours later and had
gotten worse since. Mr Kowalski stated that he had never experienced chest
pain like this before and delayed coming into hospital as he thought the pain
would subside again. His wife
ought him in as he was looking pale, and the
pain was moving to his jaw and left arm.
Mr Kowalski has a past medical history of hypertension (diagnosed in 2014)
which is managed with Perindopril, and he has been advised by his GP to
educe his salt intake and lose weight to help reduce his blood pressure.
The ED registrar has requested an ECG, continuous cardiac monitoring, blood
tests (total cholesterol, cardiac troponin, FBC and UEC), and has ordered a
STAT dose of aspirin 300mg, and sublingual glyceryl trinitrate (GTN) 300-
600mcg every 5 minutes for a maximum of 3 doses.
NRSG265: Principles of Nursing Medical
NRSG265 _ Assessment 1: Oral Presentation (Online) © Australian Catholic University 2022 _ Page 3 of 4
Patient history:
Mr Kowalski migrated from Poland over 40 years ago with his family, and he
cu
ently lives with his wife and son (age 18) in the regional city of Ballarat in
Victoria. He works full time as a civil engineer and is cu
ently working overtime
most weeks, averaging 50-60 hours/week. He states that “work has been
incredibly busy” and that he “needs to look after multiple work sites due to
ongoing staff sick leave”.
He usually smokes 1 pack of cigarettes per week, but recently this has increased
to 2 packs per week. Due to his and his wife’s long working hours, the family eat
takeout most days and he states he has gained “some weight” over the past few
months.
Family history:
• Father passed away in 2015 due to an acute myocardial infarction (AMI).
• Mother had
east cancer in 2020 and is in remission cu
ently. She lives
in Poland with her sister.
Cu
ent medications:
• Perindopril 4mg daily
Initial vital observations:
• BP 138/95 mmHg
• HR 106 bpm
• RR 22 bpm
• SpO2 95% on RA
• T 37.2ºC
Health assessment findings and laboratory results:
• Height 1.67m, Weight 89kg, excess abdominal fat evident. Waist
circumference 101cm
• Alert and orientated to time, place, and person. GCS 15
• Cool, dry hands and feet. Moist mucous mem
anes
• CRT 2 seconds
• Total cholesterol level - 8.0mmol/L
• Cardiac troponin – elevated
• FBC and UEC – results NAD
Following the review of his laboratory tests and assessment results, Mr Kowalski
has been diagnosed with a NSTEMI. He is to have serial cardiac troponin done
4-8 hourly, repeat ECG with changes to pain level or cessation of chest pain,
and continuous cardiac monitoring. Apply supplemental oxygen if SpO2 < 93%.
Administer GTN for chest pain, and consider IV morphine if pain not controlled
with GTN (please consult with medical staff prior to administration). He also
needs to be prepared for an angiogram +/- PCI this afternoon.
You are the nurse looking after Mr Kowalski, and you are required to plan his
care using the CRC and the provided case study information.
NRSG265: Principles of Nursing Medical
NRSG265 _ Assessment 1: Oral Presentation (Online) © Australian Catholic University 2022 _ Page 4 of 4
Submission Via the assessment dropbox in the NRSG265 LEO site on your campus tile.
FORMATTING
File format PowerPoint Presentation, recorded as a video which is then submitted as an
ECHO360 file. Do not submit the PowerPoint file.
Presentation is to be structured as per the PowerPoint template provided. Do not
add or remove slides.
More information is provided on LEO under the “Assessment” tile.
REFRENCING
Referencing Style APA 7th edition
Minimum References
A minimum of 12 high quality resources are to be used. All arguments must be
supported using a variety of high-quality primary evidence. Avoid using any one
source repetitively.
Age of References Published in the last 5 years unless using seminal text.
Alphabetical Order References are a
anged alphabetically by author family name
Hanging Indent Second and subsequent lines of a reference have a hanging indent
DOI Presented as functional hyperlink
Spacing Double spacing the entire reference list, both within and between entries
ADMINISTRATION
Late Penalties
Late penalties will be applied from 12:01pm on the due date, incu
ing 5%
penalty of the maximum marks available up to a maximum of 15%. Assessment
tasks received more than three calendar days after the due or extended date will
eceive feedback but will not be allocated a mark.
Penalty Timeframe Penalty Marks
Deducted
12:01pm Wednesday to 12pm Thursday 5% penalty 5 marks
12:01pm Thursday to 12pm Friday 10% penalty 10 marks
12:01pm Friday to 12pm Saturday 15% penalty 15 marks
Received after 12:01pm Saturday No mark allocated
Example:
An assignment is submitted 12 hours late and is initially marked at 60 out of
100. A 5% penalty is applied (5% of 100 is 5 marks). Therefore, the student
eceives 55 out of 100 as a final mark.
Final Assignment
Marks will generally be returned in three weeks of the submission due date; if
there are any changes you will be notified via the LEO announcements forum.

Assessment template project informed by ACU student forums, ACU Li
arians and the Academic Skills Unit.

Introduction
NRSG265 Assessment 1
Case study – Mr KOWALSKI
Student Name
ID Number
General presentation tips:
Choose whichever design you wish as long as it looks professional and is easy to read. This goes with font and colour scheme too
Remember, images are great if they’re
Answered 2 days After Sep 12, 2022

Solution

Robert answered on Sep 15 2022
76 Votes
Introduction
NRSG265 Assessment 1
Case study – Mr KOWALSKI
Student Name
ID Number
General presentation tips:
Choose whichever design you wish as long as it looks professional and is easy to read. This goes with font and colour scheme too
Remember, images are great if they’re RELEVANT to your presentation. Don’t include pictures for the sake of just including pictures (images must be cited too)
You can use flowcharts or tables etc to present your information if you’d like
Anything in red in this template must be kept as is for your assessment. Everything else is adaptable
1
Introduction
Nursing care is a component of the overall health organisation that aims to meet the nursing requirements of patients and the community. 
Acute myocardial infarction is among the main causes of fatality in the developed world  (Daniel et al., 2019).
This paper focuses on the case study of Mr Kowalski, considering the patient situation, major assessment elements, his disease’ pathophysiology, signs and symptoms, top three nursing priorities, and relevant activities of living relevant to Mr Kowalski by reflecting on Roper-Logan and Tierney model, 3 smart goals, established goals and intervention and evaluation of the effectiveness of the intervention.
NSTEMI is a form of acute coronary syndrome. 
It refers to three conditions that result in a dearth of blood flow to the heart.
Unstable angina and STEMI are the other two situations (Karataş & Polat, 2020).
2
Step 1 and 2: Consider the patient situation and identify the key elements of assessment
As Mr Kowalski has been suffering from crushing chest pain and was diagnosed with NSTEMI, this myocardial infarction can result in severe complications (Li & Liu, 2018). 
In this case, the focus must be given to associated symptoms, quality, and onset. As he has been a smoker, has hypertension, is overweight, and has a family history of heart disorders, he is at higher risk of developing serious medical conditions such as heart attacks. The risk of myocardial infarction is higher in smokers as odd ratios appear as 3.71 in some studies (Kim et al., 2018). 
Obesity and being overweight without or with metabolic syndrome are linked to the elevated risk of ischemic heart disease and NSTEMI in the general populace.
Electrolytes and chemistry profiles will also help in the assessment of Mr Kowalski's condition as the imbalance of potassium and sodium may impact conduction and hinder contractility (Zaben & Khalil, 2019).
3
NSTEMI involves partial occlusion of a coronary artery which leads to less circulation of oxygenated blood to the heart muscles. In the case of Mr Kowalski, the blockage in arteries might be caused by chemicals that cause the thickening of the blood and the formation of clots inside blood vessels. This NSTEMI is a form of heart attack that occurs when the oxygen demand of the heart is not met. 
Clinical manifestations of coronary syndrome include nausea, chest pain, cold sweat, lightheadedness, etc (Daniel et al., 2019).
Step 1 and 2: Consider the patient situation and identify the key elements of assessment (continued)
This condition has been termed as a difficult detectable electrical pattern just like other major types of heart attacks. 
It is less detrimental than STEMI, but it requires immediate medical diagnosis and therapy (Karataş & Polat, 2020).
4
Step 3 and 4: Process patient information, identifies relevant activities of living impacted, and identifies nursing issues for the patient
As Mr Kowalski has increased blood pressure, tachycardia, tachypnea, normal SpO2 at RA, normal body temperature,...
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