Word Count: 3000 +/- 10%

Weightage: 50%

Submission: Turnitin

Lina is a 22-year-old female, currently working as a personal care worker at one of the Aged Care Homes. She lives with her partner Tim for the last three years. Also has a history of Bipolar Disorder and Anxiety. She has a history of Bipolar Disorder and Anxiety.  Lina had previous admissions in the past. Lina takes 1gram of cannabis daily and drinks 3 to 5 times per week (mainly wine, 2-3 glasses).

Her boyfriend brought her into the hospital as direct admission to the Mental Health Unit from her psychiatrist. According to her boyfriend, Lina is said to be experiencing worsening symptoms of Bipolar and deterioration in mental state for four days. Among the symptoms, are restlessness, elevated mood, loudness, confusion at times, dry mouth, stomach pains, muscle weakness with aches and pains and now experiencing some drowsiness with slight tremors. During the admission interview, Tim presented as loving and caring. Tim stated that he did not know what to do when he noticed Lina was not responding well to her medications.  Later, he started giving Lina extra Lithium doses and has also been giving her Tramadol 100mg twice daily for the aches and pains in the past four days. Tim also said he gave Lina two doses of Diazepam 10mg, later Citalopram 20mg as Lina was loud at night and Brufen 400mg. She still was not improving and decided to make an appointment. Current medications

1.       Lithium Carbonate 900mg (450mg tablets) po bd (slow release)

2.       Diazepam 5-10mg PO PRN

11/1/ 2022:1500 hours

Part A: Word Count: approx. 400 Words

What are the priorities of care (with rationale)?

Explain your initial assessments? (Physical and mental health)

11/1/2022: 1600 hours

Part B: Word Count: approx. 400 Words

Blood sample for Lithium Levels along with other blood tests sent -1600 hours

What is Lithium Toxicity?

Assessment and management of Lithium Toxicity

What are other potential differential diagnoses from Lina’s history

11/1/2022: 2100 hours

Part C: Word Count: approx. 400 Words

At 2100hrs night shift commenced. The medication nurses for the night noticed that Lina’s electronic chart shows ‘overdue’. She administered nocte dose of Lithium (meant for 2000hrs), despite Lina struggling to wake up. While doing her checks of the patient’s electronic charts, the charge nurse noticed that Lina received Medication that needed to be withheld.

List 5 contributing factors to this medication error (From Lina’s case)

Explain the incident management process after a medication error

11/1/2022 -18/1/2022

Part D: Word Count: 1500

Lina is going to stay as an inpatient in the adult acute unit. Explain the nursing care and management of Lina

Essential points: Follow the person-centred, recovery model care, a complete care plan, evidence of consumer and carer participation in decision making, management included non-pharmacological interventions, education, discharge planning, and follow up.

Marking Criteria

	5 marks	4 marks	3 marks	2 marks	1 mark	0 mark
Introduction (5 marks)	Comprehensively introduces the topic/ themes included in the scenario—a clear and brief overview of the overall focus of the essay. A clear contextualisation of where this topic fits within the clinical practice is provided.	Generally, introduces the topic/themes included in the scenario—some brief overview of the overall focus of the essay. A contextualisation of where this topic fits within the clinical practice is provided.	Provides some overview of the topic. Some aspects of the focus of the essay. Context is mentioned but requires further elaboration.	A basic overview provides a few main points and a brief overview of the essay but lack information. Contextualisation is also minimal.	Minimal introduction, overview and contextualisation to clinical practice.	No information Provided.
Part A (5 marks)	The comprehensive discussion clearly outlines and contextualises the priorities of care and initial assessment. A realistic and evidence-based approach in prioritising care and initial assessment.	Substantial discussion outlining the priorities of care and initial assessment. The most realistic and evidence-based approach in prioritising care and initial assessment.	Some discussion provided outlining the priorities of care and initial assessment. Some pieces of evidence were provided.	Minimal identification of priorities and initial assessment. Information provided is lacking support from literary	Poor identification of priorities and initial assessment	No discussion
Part B (5 marks)	The comprehensive discussion clearly outlining and contextualising Lithium toxicity A realistic and evidence-based approach	Substantial discussion outlining and contextualising Lithium toxicity A realistic and evidence-based approach	Some discussion outlining and contextualising Lithium toxicity A realistic and evidence-based approach	Minimal discussion outlining and contextualising Lithium toxicity	Poor discussion outlining and contextualising Lithium toxicity.	No discussion
Part C (5 marks)	Critically analysing factors that contributed to the medication error and management of the critical incident	Substantial analysis of factors that contributed to the medication error and management of the critical incident	Some level of analysis of factors contributed to the medication error and management of the critical incident	Minimal analysis of factors contributed to the medication error and management of the critical incident	Poor analysis of factors contributed to the medication error	No discussion
Part D (15 marks)	The comprehensive discussion clearly outlining and contextualising nursing care and therapeutic management based on the recovery-oriented model.  Discharge planning and follow up care are also included. The care plan is therapeutic comprehensive and evidence-based (20-25 marks)	Substantial discussion outlining and contextualising nursing care and therapeutic management based on the recovery-oriented model. Discharge planning and follow up care are also included. The care plan is therapeutic comprehensive and evidence-based (15-19 marks)	Some discussion provided outlining and contextualising nursing care and therapeutic management based on the recovery-oriented model. Some elements are missing (10-14 marks).	Minimal discussion outlining and contextualising nursing care and therapeutic management based on the recovery-oriented model. Many points are missing (5-9 marks).	Poor discussion outlining and contextualising nursing care and therapeutic management. Several vital points are missing (1-4 marks)	No discussion (0 marks)
Conclusion (5 marks)	The conclusion is clear and linked to the opening paragraph. Leaves the reader with a clear final impression and significance of the topics discussed.	The conclusion is linked to the opening paragraph. Leaves the reader with a the clear final impression of the significance of the topics discussed.	The conclusion is linked to the opening paragraph. Leaves the reader with some sense of significance of the topics discussed	Inconclusive. Multiple main points of the arguments task omitted. Leaves the reader with some sense of its significance of the topic discussed.	Fails to link the conclusion to the topics discussed. Leaves the reader with no clear sense of the topics discussed.	No conclusion
Academic writing (5 marks)	Written and easy to follow. Meaning is consistently clear. Appropriate language and academic tone were consistently presented. No errors in grammar, syntax or spelling. The structure is always clear	Mostly well written. Meaning is mostly clear. Appropriate language, the academic tone was mostly presented. Minor errors in grammar or spelling. The structure is mostly clear	Can generally be understood, although one or more sections are ambiguous to follow. Meaning is sometimes unclear. Appropriate language, academic tone. Several errors in grammar or spelling.	The general argument can be followed, but the meaning is often unclear. Many errors in grammar or spelling. Appropriate language, academic tone not always presented	Disjointed and difficult to follow. Many errors in grammar and Spelling.	No academic writing
References (5 marks)	Evidence of complete reading and all peer-reviewed articles. Most refs ≤7 years old Critical appraisal and paraphrasing are evident. Adheres to APA 7th ed. No errors in in-text citations or reference list (approx. 1 academic ref. for every 100-150 words).	Good use of a range of literature.  Mainly peer-reviewed article. Refs. are mostly well integrated. Critical appraisal, paraphrasing is most evident. Adheres to APA 7th ed. Minimal errors.	Mainly peer reviewed articles. Refs. are mostly well placed /integrated. Demonstrates some attempt at critical appraisal Generally, adheres to APA 7th ed. Some errors.	Limited selection of appropriate refs. Many errors in critical appraisal, in-text referencing and APA 7th edition referencing style.	Poor choice of article. Multiple errors. A minimal critical appraisal.	No references.

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