1 Assessment 3: NUR2102 Written Assignment Task overview Assessment name NUR2102 Written Assignment Brief task description Apply the Clinical Reasoning Cycle to identify and describe how you would assess, intervene and evaluate care for the case study “Mr Noel Smith”. Rationale for assessment task. This assessment will develop clinical reasoning skills and demonstrate the application of models of evidence-based care to work collaboratively with individuals with chronic conditions. It will develop theoretical concepts to assess, plan and intervene and evaluate care for people with a chronic condition. The assessment will develop graduates who are; well informed individuals with discipline-specific and industry knowledge relevant to their profession or area of study; critical, creative, thinkers who can integrate and apply knowledge and relevant skills, including research and digital literacy skills, to analyse and evaluate ideas, concepts, theories and problems, and offer insights, innovative approaches and solutions; ethical, engaged professionals and citizens who engage in non-discriminatory and sage practices and consider the local, global, social, economic legal and environmental influences on, and impact of, their attitudes and actions; and employable, enterprising professionals who are confident, self-directed, know how they learn, and are resourceful, resilient, and adaptable to change. Due Date 23/10/20, 23:59 (AEST) Length 1800 words +/-10% Word count includes in-text referencing and excludes the reference list Marks out of: Weighting: Marks out of 100 Weighting 45% Course Objectives measured CLO 1. Apply clinical reasoning skills and models of evidence-based care to work collaboratively with individuals with chronic conditions across the lifespan; CLO 2. Apply theoretical concepts in simulated practice to assess, plan and therapeutically intervene and evaluate care for people with various chronic conditions;
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Assessment 3: NUR2102 Written Assignment Task overview
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Assessment 3: NUR2102 Written Assignment
Task overview
Assessment name NUR2102 Written Assignment
Brief task
description
Apply the Clinical Reasoning Cycle to identify and describe how you would assess, intervene
and evaluate care for the case study “Mr Noel Smith”.
Rationale for
assessment task.
This assessment will develop clinical reasoning skills and demonstrate the application of
models of evidence-based care to work collaboratively with individuals with chronic
conditions. It will develop theoretical concepts to assess, plan and intervene and evaluate care
for people with a chronic condition. The assessment will develop graduates who are; well
informed individuals with discipline-specific and industry knowledge relevant to their
profession or area of study; critical, creative, thinkers who can integrate and apply knowledge
and relevant skills, including research and digital literacy skills, to analyse and evaluate ideas,
concepts, theories and problems, and offer insights, innovative approaches and solutions;
ethical, engaged professionals and citizens who engage in non-discriminatory and sage
practices and consider the local, global, social, economic legal and environmental influences
on, and impact of, their attitudes and actions; and employable, enterprising professionals who
are confident, self-directed, know how they learn, and are resourceful, resilient, and adaptable
to change.
Due Date 23/10/20, 23:59 (AEST)
Length 1800 words +/-10% Word count includes in-text referencing and excludes the reference list
Marks out of:
Weighting:
Marks out of 100
Weighting 45%
Course Objectives
measured
CLO 1. Apply clinical reasoning skills and models of evidence-based care to work
collaboratively with individuals with chronic conditions across the lifespan;
CLO 2. Apply theoretical concepts in simulated practice to assess, plan and therapeutically
intervene and evaluate care for people with various chronic conditions;
2
GA 1. Well informed individuals with discipline-specific and industry knowledge relevant to
their profession or area of study;
GA 2. Critical, creative, thinkers who can integrate and apply knowledge and relevant skills,
including research and digital literacy skills, to analyse and evaluate ideas, concepts,
theories and problems, and offer insights, innovative approaches and solutions;
GA 3. Ethical, engaged professionals and citizens who engage in non-discriminatory and
sage practices and consider the local, global, social, economic legal and environmental
influences on, and impact of, their attitudes and actions;
GA 4. Employable, enterprising professionals who are confident, self-directed, know how
they learn, and are resourceful, resilient, and adaptable to change.
3
Task information
Task detail
Step 1: Review the elements of the Clinical Reasoning Cycle (The Clinical Reasoning Cycle Lecture is
located in Module 1 on the StudyDesk and the chapter from the textbook is located in the
Assessment tab - Written Assignment Two). No submission of the Clinical reasoning Cycle is
required.
Step 2: Using the information provided in the patient situation and the current patient information
and supported by the best available scholarly evidence apply the Clinical Reasoning Cycle in short
answer format responding to the following questions:
4
Case study
Short answer responses:
Note: You may use headings to differentiate the three parts of your response to the assignment
questions
Patient situation:
Mr Noel Smith a 55-year-old retired mining manager presents to the local Emergency Department with marked dyspnoea and audible wheeze increasing over the past 24 hours. He was diagnosed with asthma 20 years ago. Mr Smith recently divorced from his wife of 15 years. While he used to be very active socially, he has withdrawn from family and friends since the divorce. He smokes 30 cigarettes a day, consumes 3-4 standard drinks daily and his diet is high in saturated fat and sodium. Mr Smith is independent with daily care and mobility however, he does not exercise routinely. Mr Smith does not routinely visit his General Practitioner (GP). Over the past 5 years, his episodes of coughing and wheezing have increased. Mr Smith only takes his prescribed medications sporadically or when his symptoms worsen. He acknowledges that he once had an asthma action plan but admits that he does not understand it or has never had it reviewed by his GP. He does not feel that his diet or weight contributes to his asthma and states that exercise only makes him feel “puffed”.
Current patient information
Objective Data Past Medical History Social & Family History
Weight 95kgs
Height 176 cm
BMI 30.7
BP 155/95
HR 110
RR 32
Sp02 92%
Audible wheeze and decreased air entry
Productive cough
Accessory muscle use
Talking in short sentences
Hypercholesterolemia
Hypertension
Asthma diagnosis at 35 years of age
Obstructive Sleep Apnoea, does not like to use CPAP overnight
Gastroesophageal Reflux Disease (GORD)
Seasonal hay fever
Reports being “wheezy” as a child and having recurrent chest infections
Current Medications
Salbutamol
Ipratropium Bromide
Atorvastatin
Amlodipine
Esomeprazole
Recently divorced from his wife of 15 years
Retired mining manager
Smokes 30 cigarettes a day
Drinks alcohol 3-4 standard drinks a day
Independent with daily care and mobility
Family history
Father deceased-Chronic Obstructive Pulmonary Disease (COPD)
Brother deceased -Myocardial Infarction
Mother lives in aged care (82 years old)
Subjective Data
“My chest feels tight and it’s hard to breathe”
“I get like this 3-4 times per year”
“My puffer didn’t help but it could be out date”
“I don’t have a current asthma action plan”
Consider
the patient
situation
5
Part A. Collect cues and recall knowledge (400 words)
1. From the provided patient situation and current patient information, identify the relevant
patient cues/information and using best available scholarly evidence explain how these
relate to asthma pathophysiology.
2. Analyse the subjective and objective data in the current patient information table and
compare normal vs abnormal signs and symptoms. From this comparison provide an
interpretation of his overall health status with support from the best available scholarly
evidence.
Part B. Identify problems, establish goals, take action and evaluate outcomes (1000 words)
1. Identify and discuss the acute and chronic problems/issues for Mr Noel Smith. Provide
a rational for the identified problems based on the cues/information collected from
Part A.
2. From the chronic problems/ issues identified, outline ONE (1) SMART goal developed in
collaboration with Mr Noel Smith.
Ensure all the elements: S (specific) M (measurable) A (achievable), R (realistic) T
(timely) elements are incorporated. (Refer to Appendix A)
3. Identify relevant nursing interventions that will assist Mr Noel Smith in achieving the
identified SMART goal. Using the best available scholarly evidence provide a rationale
as to why these interventions are appropriate for Mr Smith.
4. Using best available scholarly evidence, describe the strategies you would use to
evaluate the effectiveness of the nursing interventions you identified in Question 3.
Collect cues and Information
Process
information
Identify
problems
and issues
Establish
goals
Take
action
Evaluate
outcomes
6
Part C. Contemplate/reflect on new learning (400 words)
Critically discuss the role of the nurse in facilitating self-efficacy and self-management for
patients (and their families) living with a chronic condition in order to achieve improved
health outcomes and quality of life. Use the best available scholarly evidence to support
your discussion.
Writing Style This assessment piece will be written in the form of academic short answers supported by scholarly
evidence from peer reviewed resources.
An introduction and conclusion are NOT required
Write in full grammatical sentences
Use correct spelling and punctuation
Paragraph format is required. Dot/bullet points or numbered lists are not permitted
Keep your writing formal and in third person.
Express your ideas clearly and concisely
Appropriately reference any information sources used.
Referencing/
citations
For this assessment you will use either APA 6th or APA 7th referencing style.
Sources: the majority of the references contained within your reference list must be no older
than 6 years old.
In text citations: You must include in text citations in the body of your work. Each new point or
piece of evidence must be attributed (via in-text citation) to the source.
Formatting
Style
Assignment must be presented as follows;
Microsoft word document format
Double Line Spacing with page numbers to be provided
Times New Roman, 12-point font
Use APA formatting style. The first line of each paragraph is indented. The reference list starts
on a new page with the heading “References”
Resources
available to
complete
task
NUR2102 course modules, specifically 1, 2, 3 & 4
Clinical Reasoning Cycle (Clinical Reasoning Cycle Module 1 on the StudyDesk and the Clinical
Reasoning Cycle chapter located in the assessment tab-Written Assignment Two
SMART Goals information (see information and examples in Appendix A)
USQ academic writing style is provided in links on the course Resources Tab.