NSB236 Integrated Nursing Practice 3: On campus ASSESSMENT TASK 1: The deteriorating patient This document contains:  Assessment requirements.  Detailed instructions for completing the task. ...

NSB236
Integrated Nursing Practice 3: On campus
ASSESSMENT TASK 1: The deteriorating patient
This document contains:
 Assessment
equirements.
 Detailed instructions for
completing the task.
 Criterion Reference
Assessment (CRA) Ru
ic
that markers use to grade
the assessment task.
NSB236: Integrated Nursing Practice 3
NSB236 – Assessment Task 1 Page 2 of 19
Assessment Task 1
Assessment name: Case Study: The Deteriorating Patient
Task description:
For this essay you are required to select ONE (1) case scenario related
to the clinical deterioration of a patient:

Option 1: Hypovolemic shock
Option 2: Septic Shock
The assessment tasks requires you to:
1. From the chosen case study identify and discuss two (2)
signs or symptoms of clinical deterioration associated
with the pathophysiology of the patients’ presenting
problem.
2. Following on from your discussion, and related to the patients
deterioration, identify one (1) priority problem associated
with the patient’s clinical presentation, and through the
application of contemporary research provide a justification as
to why the problem is a clinical priority within the case.
3. Discuss two (2) nursing interventions to address the
priority problem and how to evaluate the efficacy of these
interventions.
4. Identify one psychosocial issue derived from the
information provided within the case study, and applying a
patient centred approach, discuss the care needs and
considerations related to the patient and their family.
References: A minimum of 15 contemporary references no older
than 7 years. The reference list is to be presented in accordance to
QUT APA requirements and identify eight (8) papers that are considered
y the author (you) to be of high importance. These eight (8) papers are
to include a three (3) sentence annotation that outlines their significance
(please refer to the example provided within this resource). Indicate
these in your list using ** (see example provided below).


What you need to do:
In order to undertake this essay you will need to research the topic using
cu
ent and relevant peer reviewed literature, in conjunction with
eviewing:

 The lecture and tutorial materials associated with the
elevant topic.
 Your knowledge and understanding related to:
1. The physiology and pathophysiology of the primary
diagnosis and associated clinical data identified within
the chosen case study;
2. The physiological assessments relevant to the
features within the case study.

This assessment task is an individual assessment item and should be
eflective of your own independent work.

NSB236: Integrated Nursing Practice 3
NSB236 – Assessment Task 1 Page 3 of 19
Length: 1700 words +/-10% (word length includes in-text referencing and
excludes your reference list and annotations).
Estimated time to
complete task:
Approximately 30 hours
Weighting: 50%
How will I be assessed: 7-point grading scale using a ru
ic
Due date: Week 9: Friday September 20th, 2019 submitted via Turnitin in your
NSB236 Blackboard site by 23:59 hours. More information about
Turnitin is available on the FAQs about Turnitin page.
Presentation
equirements:
This assessment task must:
 Be a formal written academic essay containing an introduction,
ody and conclusion, addressing the task, its specified
equirements and adhering to the prescribed word limit.
 Use QUT CiteWrite APA referencing for citing academic literature
(see http:
www.citewrite.qut.edu.au/).
 Assignment cover sheet must be included as the first page of
your document with the assessment title, your name, student
number, tutor name and word count included. Template is
accessible via the NSB236 Blackboard site
 Be submitted in electronic form via Turnitin as a word document
only.
 A minimum of 15 relevant references to be cited from valid,
contemporary journal articles only, no older than 7 years.
 Include a footer on each page with your name, student number,
unit code and page number.
 3 cm margins on all sides, double-spaced text
 Use font, such as Times New Roman, Arial or Cali
i; font size 12
 CiteWrite APA style referencing
(see http:
www.citewrite.qut.edu.au/)
Please note:
 The use of websites as references is NOT permitted.
 The citation of textbooks are NOT included in the minimum
eferencing requirements (for example if you cite two (2)
textbooks, you will still need 15 references to be cited from valid,
contemporary journal articles, no older than 7 years).
 The submitted essay should NOT contain tables, figures or
appendices.
 The use of dot points are NOT permitted.
 Subheadings are NOT permitted in this essay
https:
qutvirtual4.qut.edu.au/group/student/it-and-printing/qut-blackboard/assessment-on-qut-blackboard/submitting-assignments/turnitin
https:
qutvirtual4.qut.edu.au/group/staff/teaching/teaching-with-technology/supported-technologies/online-assessment/turnitin/frequently-asked-questions
http:
www.citewrite.qut.edu.au
http:
www.citewrite.qut.edu.au
NSB236: Integrated Nursing Practice 3
NSB236 – Assessment Task 1 Page 4 of 19
Learning outcomes
assessed:
1. Consolidate knowledge of key NMBA Registered Nurse
Standards for Practice, National Safety and Quality Health
Services Standards, and National Health Priorities to enable
effective decision planning and action in a range of complex
clinical situations across the lifespan.

2. Apply knowledge of anatomy, physiology and pathophysiology to
support evidence-based decision making associated with
planning and action.
3. Demonstrate structured decision making and clinical reasoning to
eview a range of health situations, synthesise evidence and
data, determine priorities and formulate plans of care and
interventions in line with timeframes and agreed goals
What you need to
submit:
One word document that contains the following items:
1. Assignment Cover Sheet that completed in its entirety and written
assessment addressing the tasks as per the assessment outline.
Must be submitted in electronic form via Turnitin by the assigned
date.
Resources needed to
complete task:
 Case studies and clinical documents available within this
document.
 Documents such as additional readings available on your
lackboard site.
 Access to the prescribed texts for this unit as outlined in the unit
details
 Cite|Write APA guide.
 Turnitin Tip Sheets.
Academic Integrity

The School of Nursing takes academic integrity very seriously. All work
submitted must be your own work and work not previously submitted
for other study. The work of others needs to be co
ectly
acknowledged and referenced according to the CiteWrite APA
guidelines.

There are serious consequences that will be imposed should you be
found to
each academic integrity. Make sure you are familiar with the
MOPP C/5.3 Academic Integrity and view the Academic Integrity video
and explore the Academic Case Studies available on your Blackboard
site.

Maintaining academic integrity is your responsibility. If in doubt,
check it carefully.
Assignment Hints
http:
www.citewrite.qut.edu.au/cite/qutcite.jsp#apa
https:
qutvirtual4.qut.edu.au/group/student/it-and-printing/qut-blackboard/assessment-on-qut-blackboard/viewing-marks-and-feedback-in-turnitin
http:
www.citewrite.qut.edu.au/cite/qutcite.jsp
http:
www.citewrite.qut.edu.au/cite/qutcite.jsp
http:
www.mopp.qut.edu.au/C/C_05_03.jsp
NSB236: Integrated Nursing Practice 3
NSB236 – Assessment Task 1 Page 5 of 19
This assignment requires you to critically consider the signs and symptoms
associated with clinical deterioration in relation to the patient’s primary clinical
diagnosis, with consideration to:
 The change in health status associated with the primary clinical diagnosis;
 Consider how the patients clinical history may impact on assessment data
and core interventions;
 The identified clinical priority which should clearly emerge from your
discussion of the patients health history.
 The application of clinical data and research to identify two (2) core
interventions and assessments that address the stated clinical priority.
 Demonstrating your clinical reasoning with in the selected case study.
 Demonstrating your understanding and application of evidence based care
i.e. the research you have selected to support your discussion and key points
egarding clinical interventions and assessment outcomes.
Additional information:
 There MUST be two (2) nursing interventions discussed to address the
priority problem.
 Of the two interventions, a MAXIMUM of one (1) intervention can be solely
elated to a pharmacological agent and/or a collaborative intervention.
 All interventions should consider the nursing role within the provision of the
intervention.
Example of an annotated reference list:
N.B this is an example of an annotated reference list. Please ensure that you are
familiar with the APA requirements for this assessment item. (**: papers of
importance).
**Besedovsky, L., Ngo, H.V., Dimitrov, S., Gassenmaier, C., Lehmann, R. &
Born, J XXXXXXXXXXAuditory closed-loop stimulation of EEG slow
oscillations strengthens sleep and signs of its immune-supportive
function. Nature Communications. 8(1):1984.
The study investigated the electroencephalographic slow oscillations and the
effect of auditory stimulus and their physiological implications on sleep
amongst healthy individuals.
Freedman, N.S., Gazendam, J., Levan, L., Pack, A.I. & Schwab, R.J.
XXXXXXXXXXAbnormal sleep/wake cycles and the effect of environmental
noise on sleep disruption in the intensive care unit. American Journal
of Respiratory and Critical Care Medicine.163(2):451-7.
**Horsten, S., Reinke, L., Absalom, A.R. & Tulleken, J.E. (2018).
Systematic review of the effects of intensive-care-unit noise on sleep
of healthy subjects and the critically ill. British Journal of
Anaesthesia.120(3):443-52.
The systematic review evaluated the impact of environmental noise as a
sleep distu
ing factor. The meta-analysis identified considerable variability
NSB236: Integrated Nursing Practice 3
NSB236 – Assessment Task 1 Page 6 of 19
etween studies and risks of bias. Noise reduction has a positive impact on
healthy individuals.
Muzet A XXXXXXXXXXEnvironmental noise, sleep and health. Sleep Medicine
Review.11(2):135-42;
**Trivedi, M.S., Holger, D., Bui, A.T., Craddock, T.J. & Tartar, J.L. (2017).
Short-term sleep deprivation leads to decreased systemic redox
metabolites and altered epigenetic status. PloS one.12(7):e0181978.
Researchers demonstrated the presence of oxidative stress and ATP deletion
in healthy individuals who are subjected to sleep deprivation.


NSB236: Integrated Nursing Practice 3
NSB236