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Assessment Task 1B Case Study (40%) Assessment name: Complex Care Task 1B Case study Marking Criteria measured: 1. Application of evidenced based principles for care assessment, care planning and...

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Assessment Task 1B Case Study (40%)
Assessment name: Complex Care Task 1B Case study
Marking Criteria measured:
1. Application of evidenced based principles for care assessment, care planning and
management of a patient with a complex condition
2. Evidence of prioritisation in response to complex health needs
3. Apply principles of equity, self-determination, rights and access to the planning of
effective, responsive care related to the selected health issue and the social justice
4. Communicates effectively in the academic context with appropriate and co
ect citations using
Length: 2000 words
Estimated time to complete
25 hours
Weighting: 40 %
Individual/Group: Individual
Formative/Summative: Summative
How will I be assessed: 5-point grading scale using a ru
ic. See the ru
ic on BB.
Due date: Friday week 6, submitted via safe assign in your NUR331 Blackboard site by 4 pm.
Date as per your group.
Presentation requirements: This assessment task must:
 Be a written academic case study containing headings
 Times New Roman Size 12, 1.5 line spacing
 use Harvard referencing for citing academic literature
 be submitted in electronic format as a word document via Safe Assign.
Task description:
The goal of this case study is for you to present a response to a clinical scenario in
which you demonstrate evidenced based principles for care assessment and the
management of the chosen case.

What you need to do:
Step 1: Identify the case assigned to your course group, these are listed in the
Step 2: Conduct a comprehensive secondary assessment of this patient and
outline the systems assessments using the systems framework.
CNS/ CVS/ RESP/ ABDO/ RENAL/ Other. Not all information for the case
will be provided. You need to research what assessments might be important
here and include these. For example blood tests or other diagnostic tests and
present what these tests may show. You may add data as needed. Eg chest
inspection showed decreased air entry in left chest. This section may not need
extensive referencing as it is the assessments needed.
Step 3: Identify the main priorities of treatment for this case. Usually only 3-4
priorities will be needed and these need to be explained with appropriate
eferences and evidenced based practice. In this section you will identify the RN
esponsibilities for care and how these will support the management of this
case. If you choose the sepsis case there will be more priorities to cover.
Step 4: Outline and discuss appropriate discharge planning for this patient that
aligns with the social justice framework and the principles of equity, rights and
access for the case.
1. Make sure you draw on best available evidence to support your assessment.
Journal articles must be no older than 5 years old. Textbooks no older than
7 years old.
2. Referencing co
ectly is an easy way to secure marks. Make sure you
eference from credible journals that are related to the topic.
3. Use the li
ary databases.
4. Draft safe assign is set up for you to use so you can check the writing and
eferencing in your assessment.
5. This is an academic essay written in academic language: use third person,
do not use ‘I’
6. Make sure you use co
ect terminology within your assessment and only
acceptable a
The case study assignment is an Individual Assessment Item. You may work
collaboratively with other students to understand concepts in this course, but
your answers must be your individual research, interpretation and application of
the materials.

Suggested Format
Introduction: (50 words max)
Outline the case chosen only to identify which case you have chosen.
This is not a full introduction as the word count is needed for the task.
(This is a case study and NOT an essay, so please use headings).
Systematic assessment: (600 words approx)
Use the headings for this section:
Include in each section the assessments you would do for the chosen case
and the expected results. This section does not need extensive
eferencing. You may use acceptable a
eviations only. Eg ECG would
e acceptable.
Priorities of treatment: (1000 words approx.)
Identify 3-4 immediate priorities of treatment. This would represent the
first 1-2 hours of care for this patient in the emergency department. Set
these out logically and discuss everything that is required in relation to
each priority. This would include the RN responsibilities here,
evaluations by the RN and all actions to manage this patient for each
priority. This would include any assessments, documentation and nursing
actions or interventions. It will also include the medical treatment for the
patient. For example it may include the administration of medications
and the RN role in giving these.
Use references to support this section. (There is no suggested number of
eferences but they need to support the information and be appropriately
used and relevant).
Discharge Planning: (200 words approx.)
Outline and discuss appropriate discharge planning for this patient
that aligns with the social justice framework. Link the SJF to any
suggestions made.
Conclusion: Not needed for this case study.
Resources needed to
complete task:
 Harvard Referencing guide
 https:
See the ru
ic on the BB for this task.

Case 1 Pneumothorax TOD Group ONLY
Mr Luke Hayes is a 25 year old man who has been admitted to the emergency department at 2000
hrs with right chest pain after a moto
ike accident. He suffered no LOC. He is feeling SOB. He
was wearing a helmet and now has a CSpine collar in situ which the QAS put on after the accident.
ent obs: T 36.5, P102 and regular, RR is 30 and shallow, BP 100/60, oxygen sats 92% on
2litres via the nasal prongs. Pain score 9/10. His GCS is 15.
Luke’s weight is 80kgs. Luke is ma
ied to Julie aged 24 years. They live in a rented house and
have 2 young children.
Allergies- Nil
ent medications- nil
Past illnesses- appendicitis at age 11.
Last ate- dinner at 1800. Chops and vegetables.
Case 2 Pulmonary Embolism TOE Group ONLY
Mr Harold Bates is a 75 year old retired schoolteacher who is driven to hospital by his wife
following a one hour history of sudden increasing shortness of
eath and pleuritic right sided
chest pain which came on while watching TV. Mr Bates is a known smoker, pale, sweaty and
anxious on a
ival and denies any regular medications. Harold lives in a subu
an area lives with
his wife Jean in a high set house with 12 steps to enter the home. He has two daughters who live
y. Harold had recently suffered from a fractured femur from a fall which was repaired and he
was now fully mobile. T 36.5 PR 98, i
egular, RR 28, BP 140/80, Oxygen sats 93% on room air,
GCS 15, BMI 27.
Allergies- nil
ent medications- atorvastatin daily
Past illnesses- pneumonia in 2018, hypercholestolaemia, fractured NOF 6 months ago.
Case 3 Septic Shock TOF group and G/H groups/ all other students
Mr John Douglas is a 70 year old man who has been admitted to the emergency department after
feeling unwell for 4 days at home with nausea and vomiting.
His cu
ent observations are: T39, HR 120, RR 24, BP 90/60, and his oxygen sats are 92%. GCS is
15. He has generalized abdominal pain which is 7/10. He has not opened his bowels for 4 days and
has abdominal distention.
He weights 88kgs. He still works as a factory worker. He admits to drinking 6 stu
ies of beer a
night. He smokes a packet of cigarettes a day and has done this for 30 years. He does little
exercise, but his job involves being on his feet all day. On assessment of John’s knowledge of his
condition, he admits that he only did Grade 5 of primary school, and really cannot read well. He is
divorced and has no children.
Allergies- nil
ent meds- nil
Past illnesses- diverticulitis, right carpel tunnel repair 6 years ago.

NUR 331 FAQ’s for assessments
NUR 331 FAQ’s for assessments
These frequently asked questions apply to tasks 1B and Task 3 in the course NUR331.
Task 2 is an exam and information for this assessment will be given in prior to the assessment.
Q. Do I need an assignment coversheet?
A. No you do not need a cover sheet.
Q. What structure should I use for the assessments?
A. See the assessment booklets on the BB under the assessment tabs. These have the case, a description of what to do and the ru
Font to be Times New Roman size 12.Line spacing: 1.5 spaces between lines for task 1B. This makes your work easier for your tutor to mark and grade your work.
Give the work a title for Task 1B and Task 3.
Use headings throughout the assessments.
Write in paragraphs especially in the nursing management/interventions section in task 1B. A paragraph should be 5-6 lines long and not a WHOLE page. This is a common e
or and makes the marking difficult and the reading for you when you writing it. Using bullet points is not ideal as it doesn’t demonstrate your learning.
Always have a line space between paragraphs. (Using space never loses marks).
Always number your pages as footer (ie at the bottom of the page on the right-hand side).
Put your name and student number as a header on the left-hand side of your paper.
Q. Can I use a
A. A
eviations such as the letters ECG can be used. Please do not make up a
eviations eg wc- wheelchair? This is not a proper a
eviation. If in doubt, please ask your tutor if an a
eviation is suitable.
Q. How many references do I need for the assessments?
A. I don’t set a specific number of references for any assignment. You need to be reading about your topic widely and incorporating the most relevant material in your discussion. You need to support
Answered Same Day Aug 23, 2021 NUR331 University of the Sunshine Coast


Pratyusha answered on Aug 25 2021
120 Votes
Name:     Student Number:
Table of Contents
Introduction    3
Systematic Assessment    3
Priorities of Treatment    5
Discharge Planning    7
References    9
The case study considered here is that of Mr. John Douglas who is a 70-year-old patient, being admitted to the emergency due to nausea and vomiting. His dietary plan is extremely unhealthy, which does not include any fi
ous food. In addition, he is unaware of a healthy lifestyle since he is less educated.
Systematic Assessment
Head to toe assessment
There is a necessity for the head to toe assessment to make sure that the patient is actually suffering from diverticulitis or any other abdominal disorder. At first, leucocytosis needs to be done regarding the same and the count of the WBC-s would provide with a proper scenario.
CNS assessment: A checking in the Glasgow Coma Scale (GCS) states that the patient has undergone mild shock, which can be considered as a septic shock due to him already experiencing fever and the septic shock arising due to the same. A GCS scale of 15 states mild shock, whereas it can go as severe as 3, thus, denoting severe shocks further. (Jain and Iverson, 2020)
Heart Rate and Respiratory Rate assessment: The respiratory rate is also above normal, which is 25, whereas normal rate should be around 20, there is a need to check his Heart Beat and Pulse Rate as well using an ECG, which would give us a better plan for the treatment.. His case can be further critical depending upon the results of the USG and depend on the ECG (So et al. 2018). Heart Rate was found to be having i
egular Tachycardia with weak peripheral pulse. There was elevated cardiac rhythm due to auscultation. This can be a result of the occu
ence of a septic shock due to recu
ent diverticulitis. The RR was further shown to increase with inspection and shallow
eaths. The patient appeared anxious and stressed out. The increase in the RR and the fall in the Oxygen level to 88% demanded his admit in the emergency. There was shortage of
eath, cyanosis around lips, cheeks and fingertips. The skin was clammy and grey in colour showed deficit of O2 level.
Abdominal Assessment: An Ultrasonography (USG) or abdominal X-ray or CT scan needs to be done of the affected region of the abdomen, in which there will be a clear view of the affected area. As this might be a case of perforated appendicitis, pancreatitis, cholecystitis, peptic ulcer or recu
ent diverticulitis, which he had suffered from before and was operated for the same with right carpel tunnel repair since the patient is experiencing tremendous abdominal pain, accompanied by nausea and vomiting. There can be a complicacy in involvement of two or more disorders altogether and overall the condition being experienced by Mr. Douglas can be considered under the um
ella term as I
itable bowel syndrome. If the pain is more pronounced towards the right side lower abdomen, then it is certainly a case of any type of appendicitis. When the USG or X-ray is done, the region of swelling can be more detected and accordingly the treatment and care plan can be announced (Dong & Zeng, 2020).
The pathological changes related to abdominal pain might be functional or visceral. As supported by Bharucha, Chakraborty and Sletten (2016), there might be a number of functional gastroenterological disorders, which are commonly associated with acute abdominal pain and having fever as a response to the pain.
The abdominal examination needs to be done to feel a rebound tenderness or guarding in the same. The left quadrant of the abdomen might appear tender. To confirm the disease, a CT scan of the abdomen is absolutely necessary which would confirm the disease if diverticulitis has occu
ed as it would show extra-colonic gases, distended loops, distortions in the air-fluid level and the case may thus be detected with the same.
Renal Assessment: A full examination of the entire abdomen along with urinalysis is most important to give a clear idea of what might have happened after giving the emergency services as the operation, if necessary can be planned accordingly. The proper assessment would show that there is distention in the renal loop and urine will be dark and cloudy or passing urine with the air. The amount of tenderness would confirm the disease. As supported by Dong and Zeng (2020), the categorisation of the abdominal pain and possibilities of the disease can be characterised according to the onset and duration of the syndrome, which would need all the...

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