Length: 1800 words

Group Assessment: No

Submission method options: EASTS (online)

TASK

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This assessment task requires you to analyse the case study provided below.  In the case study,  a patient is experiencing a range of health challenges. You are required to read the case study carefully and complete the following assessment items.

Case Study 

Mrs Grace Simpson is a 70-year-old woman admitted to hospital following a fall in her home. Six hours later her son found her in pain on the kitchen floor. She was conscious. 

At the hospital Mrs Simpson was diagnosed with a left fractured neck of femur (left hip joint fracture). She suffered bruising to her head. She was severely dehydrated with symptoms of hypovolemia. Mrs Simpson has a pain score of 8/10 and a Glasgow coma score of 14 (E4, V4, M6). She is experiencing some confusion as she is unable to recall the current year. 

Mrs Simpson has a past medical history of ischemic heart disease. She had an acute myocardial infarction 2 years ago. Her current medications include Frusemide, Metoprolol, Aspirin, and Potassium supplements. 

Taking into consideration the information in the above case study, please analyse the following assessment items.

1. Describe the type, aetiology and relevant physiology of Mrs Simpson’s pain (approx. 400 words).

2. Explain the pathophysiology of how diuretic medication such as frusemide can lead to hypovolemia, hyponatremia, and hypokalaemia (approx. 1000 words).

3. Identify and describe one (1) preventative nursing care strategy and one (1) collaborative (inter-professional) care strategy that may assist to prevent Mrs Simpson from having another fall at home (approx. 400  words).

Your assignment submission must adhere to academic writing conventions. Your discussions must be supported by several credible sources of information including textbooks and peer reviewed journal articles. All sources must be correctly referenced in-text and in the reference list in accordance with APA 7th Edition referencing style. 

RATIONALE

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SUBJECT LEARNING OUTCOMES

This assessment task will assess the following learning outcome/s:

• be able to explain the alterations to health for body systems including integumentary, nervous cardiovascular, respiratory, endocrine and exocrine systems.
• be able to explain the underlying pathophysiology of abnormal assessment findings in the context of selected health challenges to the integumentary, nervous, cardiovascular, respiratory, endocrine and exocrine systems.
• be able to demonstrate an understanding of the application of nursing care and collaborative care to prevent and/or manage exacerbations of health challenges to the integumentary, nervous, cardiovascular, respiratory, endocrine and exocrine systems.
• be able to explain alterations to fluid and electrolytes balances during health challenges.
• be able to demonstrate an understanding of the application of nursing care and collaborative care to prevent and/or manage exacerbations of fluid and electrolyte health challenges.

GRADUATE LEARNING OUTCOMES

This task also contributes to the assessment of the following Charles Sturt Graduate Learning Outcome/s:

• Professional Practice (Knowledge) – Charles Sturt Graduates possess the knowledge and understanding of the discipline and the nature of professionalism required for the given profession or discipline in contemporary societies.
• Professional Practice (Skill) – Charles Sturt Graduates demonstrate discipline-specific technical capabilities and self-appraisal required for a beginning practitioner or professional.
• Professional Practice (Application) – Charles Sturt Graduates exercise professionalism, initiative and judgement in decision making, actions and evaluation in professional practice at the level of a beginning practitioner or professional.

MARKING CRITERIA AND STANDARDS

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Criteria	HD	DI	CR	PS	FL	Mark
Describe the type, aetiology, and relevant physiology associated with Mrs Simpsons pain. The description is required to be supported by credible sources of literature.	An outstanding description of the type, aetiology, and relevant physiology associated with  Mrs Simpsons pain has been provided AND the description has been supported by 4 or more credible sources of literature that include a combination of textbooks and peer reviewed journal articles AND/OR credible health related policy documents or guidelines.   28-30	A thorough description  of the type, aetiology, and relevant physiology associated with  Mrs Simpsons pain has been provided AND the description has been supported by 3-4 credible sources of literature that include a combination of textbooks and peer reviewed journal articles.   24.5-27.5	An above average description of the type, aetiology, and relevant physiology associated with Mrs Simpsons pain has been provided AND the description has been supported by 2-3 credible sources of literature that include a combination of textbooks and peer reviewed journal articles.   19.5-24	A satisfactory and accurate description of the type, aetiology, and relevant physiology associated with Mrs Simpsons pain has been provided AND the description has been supported by 1-2 textbook sources of literature only.   15-19	A description of the type of pain has not been provided, AND/ OR an explanation of the aetiology, and relevant physiology of Mrs Simpsons pain has not been provided, AND/ OR an explanation of the type, aetiology, and associated physiology of Mrs Simpsons pain has been provided but the description has NOT been supported by any credible sources of literature. 0-14.5	/30
Provide an explanation of the pathophysiology in relation to the mechanisms by which diuretic medication can lead to the development of hypovolemia, hyponatremia, and hypokalaemia. The explanation is required to be supported by credible sources of literature.	An outstanding explanation of the pathophysiology in relation to the mechanisms by which diuretic medication  can lead to hypovolemia, hyponatremia, and hypokalaemia has provided AND the explanation has been supported by 4 or more credible sources of literature that include a combination of textbooks and peer reviewed journal articles AND/OR credible health related policy documents or guidelines. 28-30	A thorough explanation of the pathophysiology in relation to the mechanisms by which diuretic medication  can lead to hypovolemia, hyponatremia, and hypokalaemia has been provided AND the explanation has been supported by 3-4 credible sources of literature that include a combination of textbooks and peer reviewed journal articles.   24.5-27.5	An above average explanation of the pathophysiology in relation to the mechanisms by which diuretic medication  can lead to hypovolemia, hyponatremia, and hypokalaemia has been provided AND the explanation  has been supported by 2-3 credible sources of literature that include a combination of textbooks and peer reviewed journal articles.   19.5-24	A satisfactory and accurate explanation of the pathophysiology in relation to the mechanisms by which diuretic medication  can lead to hypovolemia, hyponatremia, and hypokalaemia has been provided AND the explanation has been supported by 1-2 textbook sources of literature only.   15-19	An explanation of the pathophysiology in relation to the mechanisms by which diuretic medication  can lead to hypovolemia, hyponatremia, and hypokalaemia, has NOT been provided AND/ OR only one or two mechanisms (i.e., hypovolemia or hyponatremia, or hypokalaemia) have been explained, AND / OR the explanation provided has not been supported by any credible sources of literature.   0-14.5	/30
Identify and describe one (1) preventative nursing care strategy and one (1) collaborative (inter-professional) care strategy that may assist to prevent Mrs Simpson from having another fall at home. The discussion is required to be supported by credible sources of literature.	An outstanding identification and description of one (1) preventative nursing care strategy and one (1) collaborative (inter-professional) care strategy has been conducted AND the description has been supported by 4 or more credible sources of literature that include a combination of textbooks and peer reviewed journal articles AND/OR credible health related policy documents or guidelines.   18-20	A thorough   identification and description of one (1) preventative nursing care strategy and one (1) collaborative (inter-professional) care strategy has been conducted AND the description has been supported by 3-4 credible sources of literature that include a combination of textbooks and peer reviewed journal articles.   15-17.5	An above average  identification and description of one (1) preventative nursing care strategy and one (1) collaborative (inter-professional) care strategy has been conducted AND the description has been supported by 2-3 credible sources of literature that include a combination of textbooks and peer reviewed journal articles.   12.5-14.5	A satisfactory  identification and description of one (1) preventative nursing care strategy and one (1) collaborative (inter-professional) care strategy, has been conducted AND the description has been supported by 1-2 textbook sources of literature only.   10-12	The identification and description of one (1) preventative nursing care strategy and one (1) collaborative (inter-professional) care strategy has NOT been provided, AND / OR  only one (1) care strategy has been identified and described, AND / OR the description has NOT been supported by any credible sources of literature.   0-9.5	/20
Presentation guidelines have been followed, academic writing, spelling, grammar, punctuation, and language features are followed.	Presentation guidelines have been followed with  academic writing, spelling, grammar, punctuation, and language features   largely error free (1-2 errors only).   9.5-10	Presentation guidelines have been followed with few errors (between 2-4)evident in academic writing, spelling, grammar, punctuation, and language features. These errors do not impact on the overall clarity of the assignment.   8-9	Presentation guidelines have been followed. Minor errors (between 4-5) evident in academic writing, spelling, grammar, punctuation, and language features. These errors do not impact on the overall clarity or interpretation of   the assignment. 6.5-7.5	Presentation guidelines have been followed. Moderate errors (of between 8-10) in academic writing, spelling, grammar, punctuation and language features are evident, these may impact the overall clarity of the assignment but do NOT impact on the interpretation of the assignment.   5-6	Presentation guidelines have NOT been followed. AND/OR poor academic writing consisting of large amounts of errors (>10) with spelling, grammar, and punctuation is evident, affecting the overall clarity and interpretation of the assignment content .   0-4.5	/10
Referencing conforms to the conventions of APA (7th ed.) style.	Referencing, conforms to the conventions of APA (7th ed.) style and is largely error free (1-2 errors or omissions only),  demonstrating outstanding academic integrity   8.5-10	Referencing conforms to the conventions of APA (7th ed.) style.  Few errors or omissions (between 2-4) in style and formatting choices are evident, these have no impact on the transparency and traceability of the source, or the demonstration of academic integrity.   7-8	Referencing is mostly accurate according to the conventions of APA (7th ed.) style.  Minor errors  or omissions (between 4-5) in style and formatting choices are evident, these have no impact on the transparency and traceability of the source, or the demonstration of academic integrity.   6.5-7	Referencing is mostly accurate according to the conventions of APA (7th ed.) style.  Moderate errors or omissions (of between 8-10) in style and formatting choices are evident, these have no impact on the transparency and traceability of the source, or the demonstration of academic integrity.   5-6	Referencing is NOT accurate with APA (7th ed) style.   AND /OR frequent significant omissions or errors with referencing are evident and impact on the transparency and traceability of the source and the demonstration of academic integrity. 0-4.5	/10
Academic Integrity Assessment will be submitted to Turnitin by the Subject Coordinator. Students can submit their assignments to Turnitin before uploading to EASTS.	Turnitin report indicates a clear attempt has been made to adhere to academic integrity and referencing conventions and avoid plagiarism. It is evident that the student has taken steps to show respect for and acknowledge others’ work appropriately, as per the CSU Academic Integrity Policy. SY	Turnitin report indicates the student has not adhered to the Academic Integrity Policy. US	SY/US
Comments:	/100

PRESENTATION

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Assessment Presentation Requirements

This assignment does NOT require an introduction or conclusion.

Scholarly papers, reports, or other similar assessment items must be ‘word processed’ using ‘Microsoft Word’.  Do not submit your assignment as a PDF document, ‘Pages’ document or any other software type.

Presentation / formatting requirements include:

• Leave 2 cm margins and double line space your work;
• Use 12pt font, unless otherwise indicated;
• Number all pages;
• Insert your student name and number in header or footer of every page of every assignment; and
• Include a title page that includes the subject name and code, title of the assessment task, due date, lecturer’s name, your name and your student number.

REQUIREMENTS

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Referencing:

Correct and consistent referencing is an important component of producing professional and credible academic work. Marks will be awarded for high quality referencing. 

Please refer to the following text for information on how to reference your paper: 

American Psychological Association (APA). (2020). Publication Manual of the American Psychological Association (7th ed.). APA. 

You may also access CSU’s Academic Referencing Tool (ART) which provides detailed referencing examples for the referencing style – APA 7.

Text-matching 

In the School of Nursing, Midwifery and Indigenous Health, all written assessments are processed through TURNITIN by the markers, after you have submitted you work. TURNITIN is a plagiarism checking service which checks the assessment for unoriginal content and improper citation. 

TURNITIN has a pre-emptive education function which you are encouraged to use to check your own work prior to submission.

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