Assignment 3 - Written Assignment (Case Study)
Case Study 40%
Assignment 3 - Written Assignment (Case Study)
Must Complete:Yes
Weighting:40%
Assessment Notes:Case Study
No. Words:2000 words
Relates to Learning Outcomes:ULO1, ULO2, ULO3, ULO4, ULO6
Due Date:See below.
Case study
Chandler, a 47-year old male presented to the hospital with mid-epigastric pain, bloating, and nausea 30 to 60 minutes after meals. He also noticed dark coloured stools over the past two days. Chandler works as an accountant in a highly stressful work environment and consumes coffee regularly while at work. He has been taking Ibuprofen for the last three weeks for a sprained ankle and sometimes aspirin for headaches. He drinks 4 to 6 glasses of whisky on weekends.Chandler was admitted to the hospital. Stool-antigen test and urea breath test were positive for H pylori. Oesophagogastroduodenoscopy confirmed multiple bleeding gastric ulcers.A nasogastric tube was inserted for 4th hourly aspiration. He was kept nil by mouth for two days with IV fluid therapy. Chandler was given antiemetics, antibiotics and medications to decrease stomach acidity via the intravenous route. The nasogastric tube was removed after two days and Chandler was commenced on a soft diet. IV fluid therapy was stopped on day 3. His condition improved and Chandler was discharged from the hospital after seven days with a referral to a local GP clinic for review every six months.
Task
Discuss the pathophysiology of gastric ulcer and the contributing factors for the disease condition in Chandlers case
Explain about focused gastrointestinal assessment (collecting subjective and objective data) for Chandler on admission
List the classes of medications to decrease stomach acidity and explain their mechanism of action
Detail the nursing management of Chandler while admitted to the hospital and briefly outline patient education topics on discharge.
Assessment criteria
Pathophysiology of gastric ulcer and the contributing factors relating to the case study
Gastrointestinal assessment on admission related to the case study
An understanding of the medication used for the management of reducing stomach acidity includes the pharmacodynamics of these drugs.
Nursing management including discharge education
Write the paper using academic tone, language, formatting and presentation. Follow the essay format that is attached below (Introduction, body and conclusion) and use headings.You must write completeparagraphs and are not permitted touse dot points, lists or tables.
Paper is widely researched using credible academic literature; in-text referencing and the reference list are in APA 7th edition.
Referencing
You must use the APA referencing system. Follow the link at the top right of the page for information and examples.
HSNS 270 Assignment 3 Rubric Tri 2 2021.docx8 June 2021, 9:56 PM
Unit:HSNS270
Assignment 3 - Written Assignment (Case Study)
Weight: 40%
Word Length: 2000 words
1. Discuss the pathophysiology of gastric ulcer and the contributing factors for the disease condition in Chandlers case
2. Explain about focused gastrointestinal assessment (collecting subjective and objective data) for Chandler on admission
3. List the classes of medications to decrease stomach acidity and explain their mechanism of action
4. Detail the nursing management of Chandler while admitted in the hospital and briefly outline patient education topics on discharge.
Introduction and conclusion are not necessary for this assignment task. You may use headings but no subheadings.
Criteria
7.5 - 8 6.5 - 7 5.5 - 6 4 4.5 0 3.5 Total
1 Pathophysiology of gastric ulcer and the contributing factors Provided
comprehensive discussion about pathophysiology of gastric ulcer and listed all of the contributing factors with details
Provided
comprehensive discussion about pathophysiology of gastric ulcer and listed most of the contributing factors with details
Provided
comprehensive discussion about pathophysiology of gastric ulcer and listed some of contributing factors with details
Provides basicdiscussion about pathophysiology of gastric ulcer and listed some of the contributing factors without providing any details
Minimal discussion on pathophysiology of gastric ulcer and or minimal discussion about contributing factors
/8
2 Gastrointestinal assessment (subjective and objective data) required for Chandler on admission Provided comprehensive details about collecting both subjective and objective data as part of gastro intestinal assessment and explained it based on details of case study
Provided comprehensive details about collecting subjective and objective data as part of gastro intestinal assessment in general but not related back to the case study
Provided comprehensive details about collecting either subjective or objective data as part of gastro intestinal assessment in general
Provides only basic information about collecting either subjective or objective data or both as part of gastro intestinal assessment without any details
Provides minimal details about collecting either subjective or objective data or both as part of gastro intestinal assessment
Or
Information provided is about general physical assessment unrelated to Gastro intestinal system
/8
7.5 - 8 6.5 - 7 5.5 - 6 4 4.5 0 3.5 Total
3 Medications to decrease stomach acidity and explain their mechanism of action Listed all classes of medication for reducing stomach acidity and explained the mechanism of action in detail for each of them
Listed most of the classes of medications for reducing stomach acidity and explained the mechanism of action in detail for each of them
Listed most of the classes medications but provided detailed mechanism of action of only few of the listed medications
Listed only few classes of medications for reducing stomach acidity and explained the mechanism of action in detail for each of them
Listed only few classes of medications without detailing the mechanism of action
/8
7.5 - 8 6.5 - 7 5.5 - 6 4 4.5 0 3.5 Total
4 Nursing management and discharge education
Provided
comprehensive discussion about nursing management strategies with appropriate rationales and discharge education topics
Provided
comprehensive discussion about most of the nursing management strategies with appropriate rationales and discharge education topics.
Provided
comprehensive discussion about more than two nursing management strategies with appropriate rationales, but minimal discussion on discharge education topics
Discussion demonstrates supported and
substantial arguments
and ideas with some digression
Provided
basic discussion about some of nursing management strategies and discharge education topics
or
Provided
comprehensive discussion about only one nursing management strategy and basic discussion on discharge education topics
Provides basic discussion about only one nursing management strategy and no discussion on discharge education topic orNo discussion on nursing management and basic discussion on one discharge education topic
Or
Minimal discussion on both nursing management and discharge education
/8
4 3 2 0-1 Total
4 Presentationgrammar and spelling.
No grammatical or spelling errors, appropriate paragraph structure, academic writing standard followed Mostly accurate and consistent, with very few grammatical and spelling errors and appropriate paragraph structure
Appropriate paragraph structure with no difficulty in understanding contents but with grammatical and spelling errors frequently
Multiple grammatical errors and spelling mistakes throughout the assignment with minimal attention to academic writing conventions that significantly distract the reader from the content.
and or
Word strength less than 1800 (excluding references)
/4
4 3 2 0-1 Total
5 Demonstrate wide research about the topic from appropriate resources, follows requirements for referencing (APA 6th or 7th Edition) and the application of evidence
Included at least 12 references
published within past 5 years other than consumer websites, brochures, news paper article, UNE teaching material, etc
Accurately and consistently adheres to APA referencing conventions for the in-text and reference list
Included at least 10 references
published within past 5 years other than consumer websites, brochures, news paper article, UNE teaching material, etc
Mostly offers accurate and consistent APA referencing conventions for the in-text and reference list
Included at least 8 references
published within 5 years other than consumer websites, brochures, news paper article, UNE teaching material, etc
Multiple inaccurate and inconsistent APA references in the in-text and reference list
Did not adhere to the APA referencing conventions and/or made catastrophic, multiple and consistent APA errors throughout
Little or no acknowledgment of sources used throughout the assignment /4
/40
