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NRS72007 Human Response to Health Breakdown Assessment 2 descriptor

NRS72007: Human Response to Health Breakdown

Assessment 2 Descriptor Case Study

Weighting: 45%

Length: 1800 words +/-10%

Individual Assignment

A. RATIONALE

Professional nursing practice is underpinned and informed by knowledge and understanding of the aetiology, pathophysiology, clinical manifestations and pharmacological therapy of chronic health conditions. This understanding assists with identification and interpretation of clinical changes in people with chronic illness, thus informing effective health care practice.

B. AIMS

This case study will enable you to:

  1. understand the aetiology, pathophysiology, clinical manifestations and medication management required when nursing a patient with a chronic illness, Diabetes Mellitus, type 2;
  2. critically review the evidence that informs and underpins nursing management of a patient with a chronic illness, Diabetes Mellitus, type 2;
  3. demonstrate proficiency in skills of academic writing, including literature searching, paraphrasing, summarizing, critical analysis, evaluation and referencing.

C. INSTRUCTIONS

  1. Read the case study scenario in section E below.
  2. Then prepare a case study based on the information in the patient scenario as follows: a. Introduce your case study
    1. Create a mind-map summarizing the following in relation to Mrs Dharma Rao:
      • Aetiology of diabetes mellitus, type 2 (DM-2)
      • Risk factors for DM-2: Modifiable & non-modifiable risk factors for Dharma
      • Pathophysiology of DM-2
      • Current clinical manifestations of DM-2 experienced by Dharma
      • Medication management emphasizing nursing considerations in administering all medications prescribed for Dharma
      • Role of the nurse in caring for Dharma Rao: immediate, cultural safety and evidence based nursing care.
    2. Provide a written description of your mind-map with support from the wider literature and;
      • When explaining the medication management outlined in your mind-map, in addition to describing the nursing considerations related to Dharma’s meds, briefly outline the pharmacodynamics & pharmacokinetics of DM-2 medications
    3. Conclude your case study.
    4. Include a reference list.
  3. Table 1 below provides you with a suggested structure for your Case Study.

D. TABLE 1: SUGGESTED SUB-HEADINGS, WORD COUNT & SCU GUIDES

SECTION

CONTENTS OF SECTION

WORD COUNT APPROX.

HELPFUL SCU QUICK/LIBRARY GUIDES

Introduction

First sentence inspires the reader and re-states the topic (paraphrase in your own words to create interest)

Identifies the aim of the case-study

Provides a brief outline of the main areas covered in the case-study.

≈200

Writing an introduction

Assignment Checklist

Mind-map:

Diabetes

Mellitus-2

Create a mind-map accurately summarizing the following in relation to Mrs Dharma Rao:

Aetiology of diabetes mellitus, type 2 (DM-2)

Risk factors for DM-2: Modifiable & non-modifiable risk factors for Dharma

Pathophysiology of DM-2

Current clinical manifestations of DM-2 experienced by Dharma

Medication management emphasizing nursing considerations in administering all medications prescribed for Dharma

Role of the nurse in caring for Dharma Rao: immediate, evidence based nursing care with consideration of cultural safety.

≈500

Paraphrasing 1

Paraphrasing 2

Using direct quotations 1

Using direct quotations 2

Critical judgement

Description of mind-map

Using the above sub-headings (underlined above) describe your mind-map with support from the wider literature.

Medication management: in addition to describing the nursing considerations related to

Dharma’s meds, briefly outline the pharmacodynamics & pharmacokinetics of DM-2 medications.

≈900

Conclusion

Concluding paragraph summarizes what you have discovered and concluded in the main body of your case study, i.e. reinforces the main points.

Does not introduce any new information or references in the conclusion.

≈200

Writing paragraphs & a conclusion

In-Text

Citations and

Reference List

In-text citations: Uses APA 6th edition to reference all literature within the case-study using intext citations

Reference list: Uses APA 6th edition to reference all literature in the reference list on a separate page at the end of the case-study

References are

NOT included in the word count

APA 6th edition SCU referencing guide

E. PATIENT CASE SCENARIO

a) Patient profile

Mrs Dharma Rao is a 68 year old female, of Indian heritage, who was admitted to the medical ward, via the Emergency Department with complications from her existing Diabetes Mellitus, type 2 following a bout of gastroenteritis contracted while she was visiting family in India. She has no known allergies. You are the primary Registered Nurse providing care for Mrs Rao.

b) Health history & current co-morbidities

Gestational diabetes during her 3rd pregnancy (with Indira)

Hypertension

Hyperlipidaemia

Uni-polar depressive disorder.

c) Social History

Emigrated to Australia with her parents aged 12 years. Australian Citizen.

Married to Kala Rao, aged 72 years, a retired farmer who had a CVA 18 months ago and has limited mobility.

Speaks fluent Hindi and English.

Retired primary school teacher.

Adult children:

  • Daughter, Arya who is married with three children and who lives in Sydney and sees her parents 3 times per year;
  • Son, Ganesh who lives with his wife and two children in Auckland, New Zealand and sees his parents once a year;
  • Daughter, Indira who lives locally with her female partner, Lakshmi and is under treatment for generalised anxiety disorder. Indira and Lakshmi are actively involved in supporting Dharma to care for their father Kala and when Dharma is not well.

Dharma currently lives in her own home with Kala utilising community nursing services 5 times per week. Kala has assistance with showering and they receive assistance with domestic chores.

Strong ties to the local Hindi community with weekly contact.

Dharma:

  • enjoys cooking;
  • has a vegetarian diet (no meat, fish or eggs);
  • fasts every Thursday; ohas no formal exercise;
  • likes to pray each morning before breakfast and meditate regularly; ois overweight with a BMI of 28, and;
  • uses medicines both prescribed by her Doctor and Ayuveda medicines including Momordica Charantia (Bitter gourd), Gymnema Sylvestre (Gurmar) and Morus Indica (Mulberry) – dosages unknown.

d) Current Medications

Metformin hydrochloride (Diaformin) 500mg mane; 1000mg with evening meal

Repaglinide (NovonormTM) 1mg before meals

Captopril (Capoten) 12.5mg BD

Simvastatin (Zocor) 40mg nocte

Trimipramine (Surmontil) 100mg 2 hours before bedtime.

e) Health assessment on admission to the ward Objective assessment

Subjective assessment

 Vital signs

- Temp: 36.8°C (tympanic)

- HR: 94 b/min

- BP: 170/96 mmHg

- R: 16 b/min

- Sp02: 95%

- Pain: 4 related to headache

 Patient reports:

- increased fatigue & weakness

- polydipsia

- polyuria

- blurred vision

- nausea

- itchy skin

 BGL = 23mmol/L

 Appears mildly confused

Glycosuria

Blood results: TC = 6.8 mmol/l; TG = 3.0 mmol/l; HDL-C= 1.2 mmol/l; LDL-C= 4.7mmol/l; HbA1c = 86mmol/mol (10%).

Acetone breath

Dry mouth

  1. PRESENTATION and FORMATTING REQUIREMENTS Please format your Case-study as follows:
  2. Your case-study must be submitted as a PDF document (with .PDF extension). WORD files / Note pad or hand written assignments will not be accepted.
  3. Title Page: Include a title page with the following information only.

Student Name:

Case Study title:

Word count: (excluding title page and reference list)

Note: Your title page will also have a page number in the footer (starting at ‘1’) and your student name and ID number in the header as detailed in points 4 and 5 below.

  1. Margins: 2.54 left, right, top and bottom (this is the pre-set default margin setting)
  2. Header: Include your name on the left side of the header and your student ID number on the right side of the header.
  3. Footer: Include page numbers, starting at ‘1’ on the Title page on the right side of the footer.
  4. Font type: Use ‘Times New Roman’, ‘Cambria’ or ‘Arial’ font only.
  5. Font size: 12 point font only with no larger fonts used for headings (if used).
  6. Line spacing: Double line spacing should be used throughout the case-study and on the reference list with no additional spaces between paragraph, or assignment ‘sections’. New paragraphs or sections are indicated by indenting of the first line of each new paragraph.
  7. New paragraphs: Each new paragraph should be indented 5-7 spaces.
  8. Justification: No justification of text on right hand margin. Justify the left side of text in the body of your case-study except for indents required for the first lines of each new paragraph
  9. Bullet points & tables: Do not use bullet points or tables within the body of the case-study.
  10. Word count: It is expected that SCU students will adhere to the word limits and not exceed the prescribed limit by more than 10%. The 10% excess should amply accommodate in-text citations. All text included in the case study, and title page will be included in the word count (See also point H.b. below).

Extensions and Special Consideration

  1. Requests for extensions or special consideration for the Case study need to meet the rules for special consideration as outlined in the Southern Cross University policies available on the

NRS72007 blackboard site under the Assessment Policy & Procedures tab down the left side of unit site. Application does not necessarily mean approval will be granted.

G. REFERENCING REQUIREMENTS

  1. Ensure all references that appear in the body of your Case-study are listed in your reference list.
  2. Your Case-study must include a minimum of five (5) reputable references to support your ideas.
  3. References must be no more than five (5) years old unless they are seminal works.
  4. Significant marks will be lost if inappropriate journal articles / literature is used.
  5. Include in-text citations using APA 6th edition referencing style within the case-study.
  6. Include a reference list at the end of the case study in accordance with APA 6th edition conventions.
    1. The reference list should include all literature cited in the case-study. The reference list is NOT included in the word count.
    2. Ensure the reference list is on a new page and references are listed in alphabetical order.
  7. For access to the online APA 6th style of referencing guide use this link: SCU APA 6th edition referencing guide

ADDITIONAL INFORMATION Your case study must:

  1. Utilise at least five different scholarly sources (i.e. journal articles, books, government body reports) published in the past five
  2. Be no more than 1800 words +/-10% in length. In circumstances in which the word count (plus 10%) is exceeded, it is within the marker’s discretion to deduct 5% of the available mark for that assignment, from the actual mark for every 10% over the prescribed word count (or part thereof). Markers reserve the right to not read further than the assigned word count and adjudicate the assignment passed or failed based on the material presented up to the prescribed word count, (see also F. 12 above).
  3. Be written in the third person.
  4. Use evidence based literature to support your work.
  5. Be formatted in accordance with the PRESENTATION and FORMATTING REQUIREMENTS and G. REFERENCING REQUIREMENTS detailed above.
  6. NOT be the same or similar to a previous assignment submitted for this or any other unit, in order to avoid ‘self plagiarism’. Self-plagiarising is one form of academic misconduct described as, “{'recycling'} work that has been prepared for one unit by presenting it as original work for another unit or representing work previously submitted for an incomplete or failed unit unless specific appropriate permission is given” (Southern Cross University, n.d.).
  7. For further guidelines on academic misconduct, please refer to the Rules - Student Academic and Non-Academic Misconduct Rules.
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