NUR3020 Case Study -Molly

Case Study

Molly is a 29-year-old with advanced cancer. She has decided, in consultation with close family members and friends that despite the severity of her illness and its symptoms, she does not want any treatment. To ensure that her wishes are respected if she loses the capacity to make choices and consent to recommended treatments and care, Molly has prepared an advanced health directive. In her advanced directive, she has outlined a comprehensive list of medical treatments and nursing care that she does not want and, if she were competent to decide, would refuse. The healthcare team involved in her care is unanimous that, at the time of preparing her advanced health directive, Molly was competent to make decisions and ‘knew what she was doing’.

You are a community nurse visiting Molly at home and notice, with concern, progressive deterioration of her condition. She has noticeable difficulty walking and is at risk of falls. You arrange for her to have a personal alarm system in place, but she refuses any additional support services. She also refuses a range of essential nursing interventions that would help to make her more comfortable, including mouth care for a mouth infection, bowel care for constipation and wound care for various superficial cuts and abrasions that she sustained following a recent fall, which have become infected. Workers from other services who come in to assist Molly are also becoming increasingly concerned about her condition, and report this to your team.

1. Outline two key ethical principles raised by this case study?

2. Considering the duty of care of the registered nurse in this situation and justify your reasons, should you and the team override or respect Molly’s wishes? This section must be supported by the literature.

3. In either case, discuss the reasons you would use to justify your critical thinking and decisions.

4. This section must be supported by the literature

5. Discuss strategies to address the ethical issues raised in the case study in order to work through the situation.

6. This section must be supported by the literature.

Guidelines / structure

Your assessment is required to be developed in the style of a visual CANVA poster with included audio presentation and script.

The presentation is to contain the following sections:

• Introduction

–The introduction should provide an outline of your intended poster discussion based on the case study and the two chosen ethical principles for investigation. The presenter notes provide the synopsis of your discussion in a script of your voiceover.

• Synopsis of Ethical Principles arising

- This section requires a synopsis of the two (2) ethical principles of concern arising from the case study, your decisions considering Molly’s wishes. This section must be linked to the literature.

• Justification of ethical principles and RN decision making practice

– This section requires a summary that specifically shares the decision making and critical thought in upholding the ethical principles as the registered nurse and in alignment with the situation identified in the case study. The section must be supported by the literature.

• Strategies

– This section requires you to consider a minimum of 3 strategies that relate to the case study and the registered nurse’s ethical responsibility with respect to the ethical principles arising. A rationale for each strategy, referenced to credible, contemporary literature is required.

Writing Style

• One CANVA poster is required to be submitted with a Voice Over of the poster completed.

• The presenter notes relating to the voiceover must be included. The presenter notes provide your script of the poster’s discussion that is being presented.

• CANVA conventions are available through a link in Cadmus on Study Desk

• Presentation conventions are expected as per https://www.usq.edu.au/library/studysupport/assignments/assignment-structure-and writing/presentations

• Academic Writing Style as per UniSQ assessment guidelines. https://www.usq.edu.au/library/study-support/assignments/academic-writing-andproofreading

Formatting Style

Presentation formatting

• The CANVA poster must have a voice over provided by you.

• The CANVA poster presentation must contain a presenter script.

• The presentation must contain the following items: a poster presented and recorded in your own voice with your face visible in one corner of the screen..

• Listen to / watch the recording before you submit it to check for sound and video quality

• Keep a copy of the recording prior to submission

• Follow the instructions for creating a voiceover recording in Cadmus this is located on study desk, assessment tab,Presentation.

Resources available to complete task

The NUR3020 StudyDesk Assessment Tab contains the following resources to help you with this assessment:

• Student Tool Kit – Assessment & Study Skills: Academic Writing.

• The link and guide to CANVA posters in Cadmus on study desk

• Unpacking the assessment recording under the Assessment - Presentation area.

• Student consultation times are available each week as advertised on the NUR3020 Study desk Study Schedule.

• Support for academic writing (and referencing) is available from the Learning Advisor and Liaison Librarian, you can find information and contact them via their site: Study and Research Support for Health & Community students

Submission information

What you need to submit

One voice over CANVA poster recording presentation and one discussion script through the Study Desk submission portal.:

• Coversheet is not required as the submission is electronic

• Do not include the marking criteria sheet in your submission

Submission requirements

This assessment task must be submitted in electronic format as a CANVA poster with voiceover and included presenter notes submitted via the link provided in the Assessment Tab, Presentation on Study Desk and uploaded if desired into your student professional portfolio

File Name

Conventions

Save your document with the following naming conventions: surname_initialORstudentnumber_coursecode_A2.doc/docx/pdf

Moderation

All staff who are assessing your work meet to discuss and compare grading decisions before marks or grades are finalised.

Academic Integrity Statement

Students should be familiar with USQ’s policy on Academic Integrity:

https://policy.usq.edu.au/documents/13752PL Turnitin has been enabled so that students can check for similarity matching within their assessment and make amendments prior to the due date to demonstrate academic integrity