2807NRS Chronic Condition Management
2807NRS Chronic Condition Management
A1 Written Assignment Nursing Care Plan
1500 words
Weighting: 40%
Due Date: see course profile
Aim
In this assessment item you will have the opportunity to demonstrate the progression of your critical thinking skills by planning nursing care in partnership with a person who has a chronic condition. Nursing care planning enables nurses and student nurses to demonstrate their clinical decision-making capabilities and supports safe evidence-based practice.
This assessment item will assess:
Learning Outcome 1: Demonstrate theoretical knowledge, practical skills, and interprofessional and cultural capabilities that underpin safe and competent nursing care for people living with chronic conditions in a range of nursing practice contexts; &
Learning Outcome 2: Create an evidence-based plan of nursing care for the person with a chronic condition, that is focused on optimising self-management and health promotion in primary health care.
Task Description
Within Modules 2 and 3 you have explored chronic condition management and nursing care plans.
Examine ONE of the following case studies, and with reference to appropriate scholarly literature, write a 1500 word care plan in which you:
Identify TWO (2) potential or actual chronic condition concern/problem for the patient described in the case study and justify your selection (this may include mortality & morbidity statistics, specific burden of disease for the case study or other justified reasons);
Identify patient data relevant to the potential or actual chronic condition concern and specify any additional assessment techniques or tools you would use to collect patient data;
Identify and prioritise TWO (2) goals for care of the patient in planning the nursing care (ensure these are SMART goals);
Describe and justify TWO (2) evidence-based nursing interventions you would implement for EACH of the identified goals; and
Predict expected outcomes and describe how these would be evaluated for each nursing intervention.
Case Study 1:
Identification: Ivy Brown is a 48-year-old novigender woman who has had a high BMI since early teenage years. She loves music and attending live concerts. Ivy hates exercise and hates feeling sweaty. Ivy works as a teachers aide at the local primary school, and she volunteers in the local band as a flutist. Ivy has self-diagnosed irritable bowel syndrome (IBS) and avoids going out if she doesnt know where the toilet is at the venue. Ivy has negative feelings about what she has achieved so far in her life.
Situation: You have come to know Ivy as she brings her mother, Muriel, into the GP clinic where you work as a practice RN. She made an appointment to see you a week ago about her general health and long term back pain.
Observations: Her vital signs are: HR 125bpm regular, SpO2 97% on RA, Temp 36.5 C, RR 24 bpm, BP 148/94mmHg. She describes back pain that wakes her in the night (rated 7/10) and daily pain (rated around 3/10). You note that Ivys spine is in alignment with a small amount of tenderness over lumbar (L4) vertebrae. Ivy describes feeling bloated, but her abdominal assessment is normal.
Background: Ivy tells you that she is really tired of the back pain and that she thinks she wants to make changes in her life before she gets too old. She treats her back pain with Panadol and Nurofen and says that she has a script for Endone that she knows is stronger pain relief but that she feels scared about taking it in case she gets addicted. This is the first time she has been to see anyone about her health in a year. Ivy doesnt believe in checking for breast or cervical cancer as, if it is your time to die, then that is the way it goes.
These are Ivys medications:
Paracetamol 1g 4/24 (no more than 4g /day)
Ibuprofen 400mg 4-6/24
Oxycodone 5mg PRN (not ever taken yet)
Glucosamine 500mg TDS
Metamucil 1 Tbsp mane
Mylanta 10-20 mls PRN
Responsibility: You have decided that Ivy could benefit from nursing interventions about chronic health concerns.
Case Study 2:
Identification: James Clark is a 68-year-old cisgender man who is travelling around Australia with his wife Geraldine on the trip of a lifetime with a 4WD and caravan. They left Queensland 5 months ago. When he unhooked the caravan last night, he noticed tingling in his left arm and he felt short of breath. He sat quietly for 30 mins and the feeling passed. James really doesnt like to make a fuss. He woke up during the night to go to the toilet and felt dizzy. Geraldine has insisted he get checked at the hospital before they start the drive across the Nullarbor Plain.
Situation: You are working in an Adelaide ED and James is a patient in the sub-acute area.
Observations: His vital signs are BP 135/90mmHg, HR 95 BPM regular, RR 22, SaO2 97 % on RA. Temp 36.9 degrees. His ECG has no acute changes (No ST elevation or ST depression). Air entry is equal in both lung bases and no crackles or wheeze evident. He has a superficial wound on his left lower leg (5 cm x 5 cm) that he states was a scratch from a piece of firewood that I mishandled but its been there for a month now. There is no elevation in his troponin blood level and his GCS 15/15 and CT head is normal.
Background: James has had asthma since childhood with periods of exacerbation of asthma related to seasonal pollen in the air and infrequent chest infections. James has brought his medication in to the clinic and shows you a list of the medication he takes (he states he doesnt really know what all his medications do).
These are James medications:
Metoprolol 25mg daily
Hydrochlorothiazide 12.5mg daily
Zinc 10mg daily
Caltrate 600mg daily
Salbutamol X2 puffs PRN
Symbicort X2 puffs BD
Responsibility: You have been allocated the care of James and decide that James could benefit from nursing interventions about his chronic health concerns.
Other elements:
You need to adhere strictly to the word limit of 1,500 words. The word limit for an assessment item includes in text citations, tables and quotations. The word limit DOES NOT include the reference list. Please note the marker will cease marking your submitted work once they have reached the allocated word limit.
Always refer to the Griffith Health Writing and Referencing Guide. Ensure your assignment format strictly adheres to these guidelines.
Ensure that you use scholarly literature (digitised readings, research articles, relevant Government reports and textbooks) that has been published within the last five [5] years.
Use the APA7 referencing style.
Unless otherwise instructed, write in the third person.
Use academic language throughout.
Refer to the marking rubric when writing your assignment. This will assist you in calculating the weightings of the sections for your assignment.
Submit your assignment as per the instructions on your Learning@Griffith course site.
Assessment Detail:
For this assessment item, headings are encouraged to ensure the Nursing care plan is clear.
The headings should be:
Potential/Actual Chronic Concern/Problem 1 (PACCP 1) justification of this selection
Potential/Actual Chronic Concern/Problem 2 (PACCP 2) - justification of this selection
Patient data underpinning PACCP 1 and PACCP 2 and additional Assessment Techniques/Tools
Goal for Care 1 (G1)
Nursing Intervention 1 (NI1) for G1
Nursing Intervention 2 (NI2) for G1
Goal for Care 2 (G2)
Nursing Intervention 3 (NI3) for G2
Nursing Intervention 2 (NI4) for G2
Expected Outcomes- and how these would be evaluated.
2807NRS Chronic Care Management
A2 Written Assignment: Nursing Care Plan
MARKING RUBRIC
2803NRS A2
Assessable Elements EXEMPLARY
Exceptionally high quality of performance or standard of learning achievement. ACCOMPLISHED
High quality performance or standard of learning achievement. DEVELOPING
Satisfactory quality of performance or standard of learning achievement. NOT THERE YET
Unsatisfactory quality of performance or standard of learning achievement. TOTAL MARK
Criterion One
Identify two potential/actual chronic concerns/problems (PACCP1, PACCP 2) and justify the selection Exceptionally high standard as evidenced by a clear identification and comprehensive description of all cues that accurately identify the clinical concern/problem High quality standard as evidenced by clear identification and description of most cues that accurately identify the clinical concern/problem Satisfactory standard as evidenced by an adequate description of some cues that identify the clinical problem, although some errors were evident Unsatisfactory standard as evidenced by limited description of cues with flawed identification of the clinical concern/problem /12
Mark allocation PACCP 1 6 5 3-4 0-2 Mark allocation PACCP 2 6 5 3-4 0-2 Criterion Two
Identify and apply appropriate assessment tools and process to the chronic concerns/ problems Exceptionally high standard as evidenced by a clear and comprehensive description of all appropriate assessment tools and process with relevance to the patients care High quality standard as evidenced by clear description of assessment tools and process with relevance to the patients care Satisfactory standard as evidenced by an adequate description of assessment tools and process with relevance to the patients care. One assessment tool missing from discussion Unsatisfactory standard as evidenced by limited description of assessment tools and process with relevance to the patients care. More than one assessment tool missing from discussion /12
Mark allocation 11-12 8-10 6-7 0-5 Criterion Three
Identify and prioritise two goals (G) for care Exceptionally high standard as evidenced by a clear and comprehensive identification and appropriate prioritisation of goals for the patients care High quality standard as evidenced by clear identification and appropriate prioritisation of goals for the patients care Satisfactory standard as evidenced by an adequate identification and attempt to prioritise goals for the patients care Unsatisfactory standard as evidenced by limited identification and appropriate prioritisation of goals for the patients care Mark allocation G1 6 5 3-4 0-2 /6
Mark allocation G2 6 5 3-4 0-2 /6
Criterion Four
Describe four relevant nursing interventions and provide an evidence-based rationale for nursing intervention Exceptionally high standard as evidenced by an insightful and succinct description of FOUR nursing interventions appropriate for the specific health care needs of the patient in the case study.
Exceptionally high standard as evidenced by synthesis and accurate integration of high quality, credible evidence to provide a comprehensive and considered rationale for each nursing intervention; regular reference is made to the specific needs of the patient in the case study High quality standard as evidenced by a clear and succinct description of FOUR nursing interventions appropriate for the specific health care needs of the patient in the case study.
High quality standard as evidenced by some synthesis and integration of good quality, credible evidence to provide a logical rationale for each nursing intervention; regular reference is made to the specific needs of the patient in the case study Satisfactory standard as evidenced a basic description of four nursing interventions appropriate for the specific health care needs of the patient in the case study.
Satisfactory standard as evidenced by attempted synthesis and integration of reasonable quality, credible evidence to provide a sufficient rationale for each nursing interventions; occasional reference is made to the specific needs of the patient in the case study Unsatisfactory standard as evidenced by a limited description of nursing interventions or interventions are not appropriate for the specific health care needs of the patient in the case study.
Unsatisfactory standard as evidenced by a lack of of evidence resulting in an undeveloped rationale for nursing interventions; little reference is made to the specific needs of the patient in the case study Mark allocation NI1 6 5 3-4 0-2 /6
Mark allocation NI2 6 5 3-4 0-2 /6
Mark allocation NI3 6 5 3-4 0-2 /6
Mark allocation NI4 6 5 3-4 0-2 /6
Criterion Five
Discuss expected outcomes for interventions and provide description of how this outcome would be evaluated Exceptionally high standard as evidenced by a clear and succinct identification of expected outcomes and insightful discussion of a range of ways the outcomes could be evaluated with reference to the case study High quality standard as evidenced by clear and appropriate identification of expected outcomes and thorough discussion of ways the outcomes could be evaluated with reference to the case study Satisfactory standard as evidenced by a basic identification of some expected outcomes and basic discussion of ways to evaluate the outcomes with reference to the case study Unsatisfactory standard as evidenced by limited or incorrect identification of expected outcomes and inadequate or poor discussion of how outcomes could be evaluated with limited or no reference to the case study /12
Mark allocation 11-12 8-10 6-7 0-5 Criterion Six
Presentation, grammar and academic writing Exemplary demonstration of academic writing standards;
Exemplary sentence and paragraph structure, with few, if any errors, exemplary and overall logical flow, that indicates a sophisticated ability to communicate ideas effectively High quality demonstration of academic writing standards;
appropriate sentence and paragraph structure, with some error and overall logical flow, that indicates an effective ability to communicate ideas effectively Sufficient demonstration of academic writing standards;
Developing sentence and paragraph structure, and/or there are some errors that disrupt the logical flow or communication of ideas Does not comply with academic writing standards;
Poor sentence and paragraph structure, and poor logical flow demonstrates an inability to communicate ideas effectively /12
Mark allocation 11-12 8-10 6-7 0-5 Criterion Seven
Evidence and referencing Exceptionally high standard as evidenced by exemplary use of APA 7 format in-text and reference list with no errors.
9 or more high quality, appropriate references used High quality standard as evidenced by the consistent use of APA 7 format in-text and reference list with minimal errors.
7-8 quality, appropriate references used Satisfactory standard as evidenced by the developing use of APA 7 format in-text and reference list, but with several errors. Less than 8 appropriate references used Unsatisfactory standard as evidenced by the poor or absent use of APA 7 format in-text and reference list with many errors. Less than 5 references used or used several low-quality references /16
Mark allocation 15-16 12-14 9-11 0-8 TOTAL /100
