Case study assessment

Case study assessment

Criteria

Unit code and name

HLTAAP003 | Analyse and respond to client health informationQualification/Course code and name

HLT54121 | Diploma of Nursing

Student details

Student number

Student name

Assessment declaration

Note: If you are an online student, you will be required to complete this declaration on the TAFE NSW online learning platform when you upload your assessment.

This assessment is my original work and has not been:

plagiarised or copied from any source without providing due acknowledgement.

written for me by any other person except where such collaboration has been authorised by the Teacher/Assessor concerned.

Student signature and date

Version:20221019

Date created:19 October 2022

2022 TAFE NSWRTO Provider Number 90003 | CRICOS Provider Code: 00591E

This assessment can be found in the: Learning BankThe contents of this document are copyright TAFE NSW 2022 and should not be reproduced without the permission of TAFE NSW. Information contained in this document is correct at the time of printing: DATE @ "d MMMM yyyy" * MERGEFORMAT 20 October 2022. For current information please refer to our website or your Teacher/Assessor as appropriate.

Assessment instructions

Table SEQ Table * ARABIC 1 Assessment instructions

Assessment details Instructions

Assessment overview The aim of this assessment is to assess your ability to use your knowledge of anatomy and physiology to analyse client health information and plan appropriate health services within the scope of your role.

Assessment event number 2 of 4

Instructions for this assessment This is a case study assessment that assesses you on your knowledge and performance skills required for the unit.

This assessment is in 1 part:

Case study with short answers

And is supported by:

Assessment feedback

Submission instructions On completion of this assessment, you are required to submit it to your Teacher/Assessor for marking. Where possible, submission and upload of all required assessment files should be via the TAFE NSW online learning platform.

Ensure you have included your name at the bottom of each page of documents you submit.

It is important that you keep a copy of all electronic and hardcopy assessments submitted to TAFE and complete the assessment declaration when submitting the assessment.

What do I need to do to achieve a satisfactory result? To achieve a satisfactory result for this assessment you must answer all the questions correctly.

If a resit is required to achieve a satisfactory result it will be conducted at an agreed time after a suitable revision period.

What do I need to provide? TAFE NSW student account username and password. If you do not know your username and password, contact your campus or service centre on 131601.

Computer or other device with word processing software and internet access.

Writing materials, if required.

What will the Teacher/Assessor provide? Access to this assessment and learning resources, including any supporting documents or links.

Prescribed textbook: Koutoukidis, G, Stainton, K (2021) Tabbners Nursing Care (8th ed.) Elsevier, Chatswood (e-textbook).

Access to an online learning platform for completing or uploading of assessments.

Due date

Time allowed

Location Refer to Unit Assessment Guide for due date

2 hours (indicative only)

This is an unsupervised, take-home assessment. You may access your referenced text, learning notes and other resources.

Assessment feedback, review or appeals In accordance with the TAFE NSW policy Manage Assessment Appeals, all students have the right to appeal an assessment decision in relation to how the assessment was conducted and the outcome of the assessment. Appeals must be lodged within 14 working days of the formal notification of the result of the assessment.

If you would like to request a review of your results or if you have any concerns about your results, contact your Teacher/Assessor or Head Teacher. If they are unavailable, contact the Student Administration Officer.

Contact your Head Teacher for the assessment appeals procedures at your college/campus.

Part 1: Case study with short answer questions

Read the case study below, then complete your written responses to the questions in the spaces provided in this document, using relevant resources from Clinical Key (URL: https://www.clinicalkey.com/student/nursing/) and other reputable resources. Please take note of the word count requirement where indicated.

At the end of your assessment, you must include a reference list using APA reference style to acknowledge the sources you have used to base your answers on. For guidelines use the following link: A guide to TAFE NSW referencing: APA 7 style). (URL: https://tafensw.libguides.com/ld.php?content_id=41117567)

Case study

Mrs Robyn Jennings, a 78-year-old-woman with type 1 diabetes mellitus, was admitted with an ulcer on her right toe and under the ball of her right foot. Her right foot and lower leg are cool and pulseless.

What does this assessment tell us about Mrs Jennings peripheral vascular system? (30 70 words)

Mrs Jennings angiogram shows severe atherosclerosis with complete obstruction of the right popliteal artery.

Describe the pathophysiology of atherosclerosis and the impact of this disorder on the vascular system. (30 70 words)

The decision was made to perform an above-the-knee amputation on Mrs Jennings right leg. She has returned to the ward after the surgery, her wound is intact, clean and dry, she is drowsy and on 2L of O2, via the nasal prongs. Her observations on return to the ward are:

SA02: 2L O2 94%

HR: 95 bpm

BP: 110/55 mmHg

RR: 12 breath/min

Temp: 36.5oC

Mrs Jennings has a PCA running with Fentanyl 1000microg/100mL of normal saline. PCA bolus dose 10microg-20microg, lockout time 5 minutes.

Using the internet, MIMS Online or a current hard copy of MIMS, research the medication Fentanyl and complete the following table.

Table 2 Extended response

Indication Short duration analgesia in the immediate post-operative period

Action Contraindications Adverse reactions

Before you leave Mrs Jennings, you ensure that the nurse buzzer is within reach. It is important to ensure Mrs Jennings is not having any adverse reactions to the medication.

Identify 3 signs and symptoms of an adverse reaction to Fentanyl.

Mrs Jennings has a history of Type 1 diabetes mellitus.

Which body system is commonly associated with Type 1 diabetes mellitus? (2 words)

Describe the pathophysiology of Type 1 diabetes mellitus and the impact it will have on Mrs Jennings homeostatic balance. (75 150 words)

Why do cells require glucose? (10 20 words)

Which transport system transports glucose into a cell? (2 words)

Summarise the following transport systems by completing the table below.

Table 3 Extended response

Transport system Example of substance moved Is the movement down the concentration gradient? Is energy required?

Osmosis Simple diffusion Active transport At 1.30pm Mrs Jennings blood glucose level (BGL) is 10.4mmols.

Complete the following table with the normal ranges for blood glucose levels.

Table 4 BGL ranges

mmol Fasting Min Fasting Max 2 hrs post meals

Normal What affect could diabetes have on Mrs Jennings wound healing? (30 60 words)

For each of the following body systems, identify one age-related change that is likely to affect Mrs Jennings recovery. (10 30 words for each response)

Table 5 Extended response

Body system Changes due to ageing process

Cardiovascular Musculoskeletal Integumentary Endocrine Immune Why is it important to encourage Mrs Jennings to perform range of movement (ROM) exercises during her recovery? (20 50 words)

Following the amputation, Mrs Jennings is displaying signs of impaired body image. She is withdrawn and expressing little interest in rehabilitation or prosthesis.

Identify 3 support services and 3 members of healthcare team you would refer Mrs Jennings to, for rehabilitation. (10 30 words)

Mrs Jennings is in a four-bedded bay. There are 3 other women in the bay.

Mrs Carmen Dupont is in Bed 2. She is 54 years-old and has a peptic ulcer. Her test results are as follows:

upper GI tract ultrasound shows abnormalities in the mucosa

upper GI endoscopy confirms the presence of an ulcer

breath urea test shows the presence of H pylori.

In the following table, complete an analysis of the health information and planned care for Mrs Dupont. (100 250 words in total)

Table 6 Extended response

Bed 2 Mrs Carmen Dupont, a 54-year-old woman with a peptic ulcer

Pathophysiology Signs and symptoms Likely impacts and problems Planned action Referral options Ms Nondita Patel is in Bed 3. She is 63 years-old and has renal calculi. Her test results are as follows:

renal ultrasound revealed renal calculi

was less than 5mm in the right kidney

urinalysis increased specific gravity 1.010, pH less than 5.5, moderate haematuria and positive leucocytes

24-hour urine collection showed increased uric acid excretion levels

In the following table, complete an analysis of the health information and planned care for Ms Patel. (100 250 words in total)

Table 7 Extended response

Bed 3 Ms Nondita Patel, 63-year-old woman with renal calculi

Pathophysiology Signs and symptoms Likely impacts and problems Planned action Referral options Mrs Mei Wong is in Bed 4. She is 83 years-old and has a past history of a right-sided cerebrovascular accident (CVA), left hemiparesis, slurred speech and dysphagia. Her test results are as follows:

CT scan shows evidence of thrombotic stroke and revealed ischemia

carotid ultrasound detected occlusion

In the following table, complete an analysis of the health information and planned care for Mrs Wong. (100 250 words in total)

Table 8 Extended response

Bed 4 Mrs Mei Wong, 83-year-old woman with a right-sided CVA 1 year ago, left hemiparesis, slurred speech and dysphagiaPathophysiology Signs and symptoms Likely impacts and problems Planned action Referral options

Reference list

Include a reference list using the APA style of referencing.

Assessment feedback

NOTE: This section must have the Teacher/Assessor and student signature to complete the feedback. If you are submitting through the TAFE NSW online learning platform, your Teacher/Assessor will give you feedback via the platform.

Assessment outcome

Satisfactory

Unsatisfactory

Assessor feedback

Has the Assessment Declaration for this assessment event been signed and dated by the student?

Are you assured that the evidence presented for assessment is the students own work?

Was reasonable adjustment in place for this assessment event?

If yes, ensure it is detailed on the assessment document.

Comments:

Assessor name, signature and date:

Student acknowledgement of assessment outcome

Would you like to make any comments about this assessment?

Student name, signature and date