identify two (2) priorities for your follow-up visit.

identify two (2) priorities for your follow-up visit.

NRSG366 Partnerships in Chronicity – Assessment 1: Information Sheet and Case Scenarios

Assessment 1: Information Sheet and Case Scenarios

Attached is information sheet and case scenarios 1&2, you can chose either one to do.
marking rubric is attached, along with the assignment FAQ page for more instructions.
NRSG366 Partnerships in Chronicity
Assessment 1: Information Sheet and Case Scenarios
For this assessment you are given a choice between two (2) case scenarios. The scenarios are your referral
information and no additional information is available.
Each student is to select one (1) scenario on which to base their assessment. The completed assessment is
to be submitted through the appropriate turn-it-in drop box on the NRSG366 LEO site. The Assessment
One marking criteria in the unit outline is to be used to guide the preparation of this assessment.
When submitting your assessment, please do not use the scenario as part of your response.
Option 1: Epilepsy
Jessica Williamson is a 28 year old woman with a past history of epilepsy. Two weeks ago Jessica was out socially, drinking
alcohol at a dance club. Jessica experienced a seizure whilst on the dance floor. Upon arrival at the local Emergency Department,
paramedic staff reported that she had experienced a full tonic-clonic seizure that lasted for three minutes, during which she lost
consciousness. Jessica was assessed and admitted. During her hospitalisation, Jessica was stabilised and discharged from
hospital 1 week after the episode. Her discharge medications included an anticonvulsant.
On discharge Jessica was asked to attend her GP for follow-up.
Medical History
Jessica was diagnosed with epilepsy in late adolescence. Initially the seizures were very difficult to control using anticonvulsants
but her condition stabilised 5 years ago. Three months ago she weaned herself off her anticonvulsants as she wanted to fall
pregnant. During her hospitalization she was recommenced on her anticonvulsant.
Four years ago Jessica was diagnosed with Type 2 Diabetes Mellitus. Jessica was taught to control her blood glucose levels using
diet and oral hypoglycaemics, this is now decreasingly effective.
Her most recent observations include:
? BP: 150/90
? P: 115 regular
? Height: 158 cms
? Weight: 122 kgs
? BGL 12.9
Her current medications are:
? Epilim 1 gm BD
? Metformin 850mg BD
Social History
Jessica lives in a two-storey house with her current partner of six years, Martin. Jessica’s parents live overseas where her mother
has been posted for work. Jessica is an only child. She works as a real estate agent selling homes and covers a large geographic
area involving long and irregular work hours. This can involve her driving long distances and for long periods of time. Jessica
enjoys her work and the challenges of being independent at work and at home. Despite being advised by her GP that she must
not drive after suffering this recent seizure, Jessica continues to do so.
Current Issue
Following the follow-up appointment with the GP, the GP was concerned about Jessica’s seemingly poor acceptance of her
medical diagnoses and her compliance with the treatment regime for both her diabetes and epilepsy. Jessica indicated she did
not need any more prescriptions for her anticonvulsants at the moment.
Jessica is not particularly careful about monitoring her blood sugar levels. She says she often forgets, and tends to check when
she “feels fuzzy”.
As this is your first visit to Jessica in her home, justify and discuss the immediate plan of care for her.
Assessment Focus
You are the Registered Nurse from the Community Nursing Service.
You will be undertaking an initial visit to Jessica’s home.
Prioritise and provide a rationale for the activities you will undertake as part of this initial visit and identify two (2) priorities for
your follow-up visit.
Option 2: Chronic Pain
John Ryan is a 66 year old male with a history of chronic back pain related to spinal stenosis, and degeneration of the left hip. He
has been reviewed in the Outpatient Pain Clinic on a monthly basis for the past 4 months, after a sudden increase in pain and
changes in his level of activity. His pain specialist is concerned about his level of function at home and has referred John to the
community nursing service for an initial assessment and review.
Medical history
John has spinal stenosis which was diagnosed in his early forties. He has significant pain in his lower back and hip, slight (L) leg
weakness and slight loss of sensation in both his feet. He is generally fit, but slightly overweight.
His most recent observations are as follows:
? BP: 135/80
? P: 60 bpm,
? R: 18 bpm,
? Height: 180 cm
? Weight 95 kg.
Current medications:
? Ibuprofen 400 mg 6qh
? Baclofen 20 mg BD
? Diazepam 2.5mg – 5mg PRN
Social history:
John is an engineer with a mining company who spends his time equally between the mine in a remote location as a Fly In, Fly
Out (FIFO) worker. He has an office location in the CBD for his locally based work.
John is married to Donna and they have two adult children, both married. Donna works part time as office manager for a small
company and is hoping they can retire soon so they can travel and see more of their grandchildren.
Their daughter Jean (37 years) lives with her husband and three small children in a large coastal community, 45 minutes drive
from John and Donna’s home. Their son Robert (39 years) lives with his partner in another major interstate city.
Current Issue
John reports being woken up by pain at night. During the day, he has pain if he sits still for too long, but also if he walks or rides
a bike for too long, and the time he can spend on these activities varies. John states he is sick of the hours of focused exercise he
needs to do to keep his core muscles strong and to keep him mobile and flexible. He is also sick of always having to take pain
medications that have not been effective. In addition he reported being ‘fed up with being aware of my back and hip all the time
and feeling limited because of them’. Recently, whilst playing with his four-year-old grandchild, swinging him through the air,
John experienced a significant flare in his level of pain.
John has been alternating between being angry about having ongoing pain, and being depressed because he is increasingly
unable to do the activities he has always done. He was a keen hiker and had dreams of spending his retirement hiking in remote
places. Now he can barely walk five kilometers on level ground without pain. He was also a keen bicycle rider. Initially this
helped with his pain management. But increasingly, he is losing interest in riding as it also causes increased pain.
John has been seen by a physiotherapist on a regular basis over the years, but he stopped going, because he felt they were not
helping him, as he was progressively experiencing more pain. He has increasing bilateral leg weakness, bilateral muscle wasting
and reduced sensation in both feet. He experiences blisters on his feet as a result of pressure on his feet, which he ignores.
The specialist at the Pain Clinic is also concerned about John’s level of medication adherence.
Assessment Focus
You are the Registered Nurse from the Community Nursing Service.
You will be undertaking an initial visit to John’s home.
Prioritise and provide a rationale for the activities you will undertake as part of this initial visit and identify two (2) priorities for
your follow-up visit.
.
Hi Ashton:)
Hope you are well.
I have a question about what is meant by “please do not use the scenario as
part of your response.”
I have read the unit outline and the additional information you have provided
for the assignment and understand we are required to present a
comprehensive discussion and justification identifying 2 care priorities within
a clinical scenario using the “Levette-Jones clinical reasoning Cycle.”
So I read more into what the levette Jones clinical reasnoing cyle was, how I
could relate it to the scenario I have chosen and the priorities I would make in
providing care for my chosen patient in the scenario and read up more on the
illness mentioned in the scenario.
However in the assessment 1 information sheet it says “please do not use the
scenario as part of your response”. So I’m alittle bit confused as to how I
formulate my discussion and present my care priorities without mentioning
the patient in scenario. Does my essay need to be based directly on the
patient of my scenario or just in general of the illness and its care priorities?
Because the assessment focus on the scenarios then say to ” prioritise and
provide a rational for the activities you will be undertaking as part of your
initial visit and identify 2 priorities for you follow up visit.” So I’m not sure if I
write about the patient directly and thecare priorities for her or not to write
about her at all.
sorry about the confusion with it all, I just wasn’t sure i was understanding it
correctly so thought I would make sure first..
thanks for you time!

jhanil
Hi Jhanil,
Thank you for your forum post and I can appreciate how this wording could
be misunderstood. .
To begin, before you can prioritise your care and implement a specific
intervention you (as in all of your clinical practice as a registered nurse) will
first need to perform an assessment that is relevant, this will add strength to
your chosen priority by demonstrating to the reader why it is that you’ve
chosen this priority. You must then explain the priority, with relevant reference
to the chosen client. This essentially, is the first three components of the
clinical reasoning cycle, consider the patient, collect cues and information and
process this information and essentially will end with you identifying the
priority ( known as identifying problems/issues). You are then required to
establish goals relevant to the patient and in doing so you must justify why
have you chosen this priority- this is the taking action component of the cycle.
You must support your chosen priority with the most relevant and up to date
evidence and then describe how you will assess the success of your
suggested intervention or in other words you will be required to reflect on the
practice you have just suggested.
The number of priorities in the first visit is entirely up to you, however
remember there is a 1600 +/- 10% word limit for the paper.
You are then required to, using the same process as above, identify a further
two priorities for your follow up visit.
Therefore, you will need to use the case study information throughout your
paper and refer back to it at times, however this phrase ‘please do not use
the scenario as part of your response’ was intended to deter students from
simply copying and pasting the entire case study as part of their assignment,
which is what happened last year- the emphasis is on you being able to
identify priorities of care given the information provided not to simply show me
that you can copy and paste.
I hope that this helps to clarify for you,
Ashton 🙂
Hi, Ashton:
Thank you for your specific explanation. However, I am a little bit confused
about the format of this essay. If I have several nursing diagnosis, Can I write
down my assessments at first (this will be very thorough and contain
everything), then I will write down these several diagnosis and apply
interventions to each diagnosis? Or I have to write down one assessment-one
nursing diagnosis- one intervention and then write down the second
assessment-second nursing diagnosis- nursing intervention?
I am not sure which format is more appropriate for this essay?
I am looking forward to your reply. Thanks
Kind regards
Sheena
Hi Sheena,
Thank you for your forum post.
Unfortunately, I am unable to provide specific guidance in relation to the
format you choose to present the assignment in. This is primarily because
there is no right or wrong answer here, there are multiple ways you could
format this, you should use the information above from me as a guide and
determine what works best in your individual case. Additionally, ensuring that
you have taken into account all aspects of the rubric will assist with this.
Ashton 🙂
Hi Ashton:)
Hope you are well.
I have a question about what is meant by “please do not use the scenario as
part of your response.”
I have read the unit outline and the additional information you have provided
for the assignment and understand we are required to present a
comprehensive discussion and justification identifying 2 care priorities within
a clinical scenario using the “Levette-Jones clinical reasoning Cycle.”
So I read more into what the levette Jones clinical reasnoing cyle was, how I
could relate it to the scenario I have chosen and the priorities I would make in
providing care for my chosen patient in the scenario and read up more on the
illness mentioned in the scenario.
However in the assessment 1 information sheet it says “please do not use the
scenario as part of your response”. So I’m alittle bit confused as to how I
formulate my discussion and present my care priorities without mentioning
the patient in scenario. Does my essay need to be based directly on the
patient of my scenario or just in general of the illness and its care priorities?
Because the assessment focus on the scenarios then say to ” prioritise and
provide a rational for the activities you will be undertaking as part of your
initial visit and identify 2 priorities for you follow up visit.” So I’m not sure if I
write about the patient directly and thecare priorities for her or not to write
about her at all.
sorry about the confusion with it all, I just wasn’t sure i was understanding it
correctly so thought I would make sure first..
thanks for you time!

jhanil
Hi Jhanil,
Thank you for your forum post and I can appreciate how this wording could
be misunderstood. .
To begin, before you can prioritise your care and implement a specific
intervention you (as in all of your clinical practice as a registered nurse) will
first need to perform an assessment that is relevant, this will add strength to
your chosen priority by demonstrating to the reader why it is that you’ve
chosen this priority. You must then explain the priority, with relevant reference
to the chosen client. This essentially, is the first three components of the
clinical reasoning cycle, consider the patient, collect cues and information and
process this information and essentially will end with you identifying the
priority ( known as identifying problems/issues). You are then required to
establish goals relevant to the patient and in doing so you must justify why
have you chosen this priority- this is the taking action component of the cycle.
You must support your chosen priority with the most relevant and up to date
evidence and then describe how you will assess the success of your
suggested intervention or in other words you will be required to reflect on the
practice you have just suggested.
The number of priorities in the first visit is entirely up to you, however
remember there is a 1600 +/- 10% word limit for the paper.
You are then required to, using the same process as above, identify a further
two priorities for your follow up visit.
Therefore, you will need to use the case study information throughout your
paper and refer back to it at times, however this phrase ‘please do not use
the scenario as part of your response’ was intended to deter students from
simply copying and pasting the entire case study as part of their assignment,
which is what happened last year- the emphasis is on you being able to
identify priorities of care given the information provided not to simply show me
that you can copy and paste.
I hope that this helps to clarify for you,
Ashton 🙂
Hi, Ashton:
Thank you for your specific explanation. However, I am a little bit confused
about the format of this essay. If I have several nursing diagnosis, Can I write
down my assessments at first (this will be very thorough and contain
everything), then I will write down these several diagnosis and apply
interventions to each diagnosis? Or I have to write down one assessment-one
nursing diagnosis- one intervention and then write down the second
assessment-second nursing diagnosis- nursing intervention?
I am not sure which format is more appropriate for this essay?
I am looking forward to your reply. Thanks
Kind regards
Sheena
Hi Sheena,
Thank you for your forum post.
Unfortunately, I am unable to provide specific guidance in relation to the
format you choose to present the assignment in. This is primarily because
there is no right or wrong answer here, there are multiple ways you could
format this, you should use the information above from me as a guide and
determine what works best in your individual case. Additionally, ensuring that
you have taken into account all aspects of the rubric will assist with this.
Ashton 🙂
NRSG366 Partnership in Chronicity, Semester 1 2016 Page 1 of 2
ASSESSMENT TASK 1: Individual Case Study Marking Criteria – Weighting: 40 %
Team Assessment
Criteria
HIGH DISTINCTION
85-100
DISTINCTION
75-84
CREDIT
65-74
PASS
50-64
FAIL
1-49
NO ATTEMPT
0
MARK
Language Awareness
and Sequencing
The language is
sophisticated, and
appropriate for the target
audience, and suits the
purpose for which the essay
is intended
The content in the essay
matches the outline
presented in the introductory
paragraph. Paragraphs are
organised, and there is a
logical progression of ideas
so that content flows from
one paragraph to the next.
The essay ends with a
rational conclusion.
The language is appropriate
for the target audience, with
integrated professional
language and terminology
that suits the purpose for
which the essay is intended.
The content in the essay
matches the outline
presented in the
introductory paragraph.
Paragraphs are organised
in a logical manner so that
content flows from one
paragraph to the next, and
the essay ends with a
rational conclusion.
The language is appropriate
for the target audience, and
suits the purpose for which
the essay is intended
The content in the essay
matches the outline presented
in the introductory paragraph.
Most paragraphs are
organised in a logical manner
so that content flows from one
paragraph to the next, and the
essay ends with a rational
conclusion.
The language is appropriate
for the target audience, and
mostly suits the purpose for
which the essay is intended
The content in the essay
mostly matches the outline
presented in the introductory
paragraph. Most paragraphs
are organised in a logical
manner, and the essay ends
with a rational conclusion.
The language is
appropriate for the target
audience. However, it
does not suit the purpose
for which the essay is
intended
There is a clear
introduction, followed by
the body of the essay, with
a conclusion. However,
content within the body
and within paragraphs is
not always logically
sequenced.
The language in
the essay is not
suited to the
target audience.
There is no
sequencing.
15%
Content – Evidence &
Examples
A clear, well-constructed and
balanced argument has
been presented. The
argument has been justified.
The content is pertinent to
the topic. High quality
evidence and examples are
presented.
The content is relevant to
the topic. High quality
evidence and examples are
presented
A clear, well-constructed
and balanced argument has
been presented..
The content is relevant to the
topic. Appropriate evidence
and examples are presented.
A clear, well-structured
argument has been
presented.
The content is relevant to the
topic. Evidence and
examples are presented of
varying quality.
A clear argument has been
presented.
Most content is relevant to
the topic. Evidence and
examples are presented of
varying quality.
A clear argument has not
been presented.
The content,
evidence and
examples are not
appropriate No
argument has
been presented..
30%
Content: Critical
Thinking, Reasoning
and Evaluation of the
Evidence
There is evidence of both
depth and breadth of
reading. A considered
argument is presented, and
is supported by adequate
and appropriate evidence.
There is evidence of both
depth and breadth of
reading. An argument is
presented, and is supported
by adequate and
appropriate evidence.
There is evidence of both
depth and breadth of reading.
A considered argument is
presented, and is supported
by adequate and appropriate
evidence.
An argument is presented,
and is supported by adequate
and appropriate evidence.
An argument is presented,
and is supported by
minimal evidence.
There is no clear
argument
presented.
50%
NRSG366 Partnership in Chronicity, Semester 1 2016 Page 2 of 2
Source & Referencing Credible and relevant
references are used.
Accurate use of APA
referencing style in all
instances. A range of in-text
citations has been used.
Credible and relevant
references are used.
Accurate use of APA
referencing style on most
occasions. A range of intext
citations has been
used.
Credible and relevant
references are used. Accurate
use of APA referencing style
on most occasions. There is
limited use of a range of in-text
citation formats.
Credible and relevant
references are used.
Accurate use of APA
referencing style on most
occasions. There is no
variation of in-text citation
format.
Not all references are
credible and/or relevant.
Many inaccuracies with the
APA referencing style.
There are no
references used.
5%
OVERALL MARK 100%


 

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