Assessment 1 Care Action Plan
Assessment 1 Care Action Plan
STUDENT NAME Add your full name
DATE Enter date here
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: 1.1-1.4, 2.1-2.3
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 Robs issues. His specifications are noted here.
Name: Rob Carrington
Gender: Male
Ethnicity: Caucasian
Australian
Aged: 53 years
Family Status: Father
Religion: Anglican Married
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 Carrington are listed on the following pages. At each step, there are a number of questions you must respond to. Questions 1-14 relate to Robs 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...
Response... Response...
Response... Response...
Question 2 Of Robs 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 Robs situation, and briefly 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 Robs 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... Response... Response...
Special Senses Response... Response... Response...
Nervous system Response... Response... Response...
Respiratory system Response... Response... Response...
Cardiovascular system Response... Response... Response...
Question 7
ROB has type 2 diabetes. In 50 words discuss the process of carbohydrate 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 Robs abnormalities, and briefly 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 Robs 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 Robs 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
Response... Response... Response... Response... Response...
Response... Response... Response... Response... Response...
Response... Response... Response... Response... Response...
Response... Response... Response... Response... Response...
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 arrest. 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... Response...
Response... Response...
Response... Response...
Response... Response...
Question 15 In 50 words, describe homeostasis and the relationship between homeostatic imbalance and disease.
Referencing required
Response...
Step 2 Physiology
Question 16 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
Urinary System Response... Response... Response...
Lymphatic System Response... Response... Response...
Special Senses Response... Response... Response...
Digestive system Response... Response... Response...
Integumentary system Response... Response... Response...
Reproductive system Response... Response... Response...
Immune system Response... Response... Response...
Question17 In 50 words explain the process of osmosis including osmotic and hydrostatic forces.
Referencing Required
Response...
Step 4 RENAL ACIDOSIS and ALKALOSIS
Question 18 A UTI presents with ketones, blood, nitrates and leucocytes
In 50 words, explain the process of renal acidosis and alkalosis and what effect this has on the pH of the blood.
Referencing required.
Response...
Additional Health Information Knowledge
Questions 19- 21-29 are not specifically linked to the care action plan you completed above. However, they relate to a range of healthcare information that you, as a healthcare professional should know in order to provide appropriate care to you clients.
Question 19 For each of the issues below:
Give an example of what the issue could be
Note two (2) body systems that could be affected
Explain the impact on each body system
Referencing required
Issue Example Two (2) Affected Body Systems Impact on Body System
Diving emergency Response... Response... Response...
Tissue damage Response... Response... Response...
Altitude emergency Response... Response... Response...
Temperature exhaustion emergency Response... Response... Response...
Overdose or poisoning Emergency Response... Response... Response...
Skin penetration wound Response... Response... Response...
Blunt object wound Response... Response... Response...
Question 20 In 20 words, for each response, address the below points:
Explain the difference between molecules and compounds
Describe metabolism and the two processes it involves
What is pH?
How does respiratory acidosis occur?
What is alkalosis and how is it prevented?
Referencing required
Point to Address Response
Molecules and compounds Response...
Metabolism Response...
pH Response...
Respiratory acidosis Response...
Alkalosis Response...
Question 21 For each of the body processes described below, specify the type of transport it relates to, using this list.
Passive-Simple diffusion
Active transport
Passive- Facilitated diffusion
Osmosis
Hydrostatic pressure
Type of Transport Process
Response... The passage of water molecules down the concentration gradient across a semipermeable membrane.
Response... Sodium potassium pump: The movement of sodium ions from a lower concentration inside the cell to a higher concentration outside the cell, with the assistance of ATP.
Response... Cellular metabolism requires glucose, a large molecule. The cell provides glucose-specific carrier proteins that bind to glucose molecules and allow them to enter the cell from a higher to lower concentration.
Response... Gas exchange at the alveoli: Oxygen is exchanged from the air to the blood and carbon dioxide from blood to air.
Response... The force exerted by blood against the walls of the blood vessels by the pumping action of the heart.
Reference List (APA):
