Assessment Task 1: Analytical Essay

Assessment Task 1: AnalyticalEssayApplication of health assessment, planning, implementation and evaluation ofprofessional nursing care to a clinical deterioration patient scenarioDue date: Wednesday 21st April 11.59pm 2021Weighting: 40%Purpose: This assessment task is designed to develop the student’s ability to integrate theory into practicalclinical knowledge using a patient case scenario. This task is intended to encourage students … Continue reading “Assessment Task 1: Analytical Essay”

Assessment Task 1: AnalyticalEssayApplication of health assessment, planning, implementation and evaluation ofprofessional nursing care to a clinical deterioration patient scenarioDue date: Wednesday 21st April 11.59pm 2021Weighting: 40%Purpose: This assessment task is designed to develop the student’s ability to integrate theory into practicalclinical knowledge using a patient case scenario. This task is intended to encourage students to practisewriting and presenting researched material in a logical and concise manner that is academically rigorous.Therefore, each student is to demonstrate critical thinking, development of argument, discerning use ofresources and the application of the principles of academic writing. Referencing, spelling and grammar, andoverall presentation will also be assessed.Word Count: 2500 words (+/- 10%)Format: The layout is a questions and answer style; an introduction or conclusion is NOT necessary.However, should include logically structured discussion sections. May use diagrams in their answers whereappropriate. You are strongly encouraged to use headings to assist in the flow of your writing, but they mustconform to APA guidelines. The preferred layout of your paper should be double spaced with blockparagraphing (no indenting). Do not indent the first line of each paragraph. Page numbers are to be includedon the bottom left corner of the page.Presentation: All work should be typed in 12-point font, double spaced; and written and presented accordingto the academic guidelines using APA (7th Edition) referencing. For further assistance in relation to academicwriting and referencing, refer to the Federation University library home page: length of the essay is 2500 words (+/- 10%). Any task that is under or over the allocated limits by 10% willattract a deduction from the final mark for the task.References: A minimum of 15-20 references must be used for the essay. These should be no more than 7years old unless of historical significance and/or of specific relevance to the topic (for example; the OttawaCharter from 1986). These references must be a mixture of books and journals or Library database sources.Dictionaries or Wikipedia are not considered a primary reference and therefore will not be counted in thereference count. Direct quotes, appendices or the reference list, are not counted in the word limit. Directquotes must be limited to no more than 50 words and be according to APA 7th Edition style. Please ensurethat you adhere to the specific guidelines set out by the APA 7th Edition guidelines available within theCRICOS Provider No. 00103DRTO Code 4909CRICOS Provider No. 00103DRTO Code 4909general guide to referencing: DITION_ed.pdfSubmission: All essays for Assessment task 2 are to be submitted before or on the due date and stipulatedtime and submitted electronically via Turnitin. Please ensure the first page of your submitted work includes theassessment title, due date, relevant academic, student name AND student ID number. When submittingonline, please ensure that the file name includes the Course Code, Surname and Student ID number. Forexample: NURBN3030Smith30109999. Ensure there are no spaces or use of punctuation (!?/;_-). Marksmaybe deducted if the file name does not conform to these instructions (presentation guidelines).Turnitin: Turnitin software will be used in this course and all essays submitted for marking must be submittedthrough the Turnitin software. For assistance with the use of Turnitin please see the section Assistance withOnline Submission provided in this document. Students are required to submit their Essay as a MicrosoftWord file (.doc/.docx) via the corresponding assessment task Turnitin dropbox within the Assessment Moduleof Moodle. Please note that your Essay will be graded within Turnitin using GradeMark and therefore you areno longer required to submit your work via the submission link in Moodle. The GradeMark® digital mark-uptool allows instructors to mark and grade papers online in a paperless environment. Instructors can createcustom sets of comments and marks for grading as well as use rubric scorecards that feature quick scoring ofstudent papers against a list of scaled criteria created by the instructor or educational institution. Forinstructions about using Turnitin, please go to the following link: Note: If Turnitin prevents the electronic submission of your assignment (e.g. if either service isdefective or unavailable) you should contact the ICT Service Desk and attempt to resolve the problem. If theproblem cannot be resolved, you must email an electronic copy of your final assignment directly to the CourseCoordinator before the due date. The Course Coordinator or the assessor of the assignment may then elect tosubmit the assignment to Turnitin on your behalf. Please note you will need to indicate in a covering emailwith the assignment submission, the date, time and circumstances of the reason that you could not submityour assignment to Turnitin. Please note that you should always attempt to complete and submit yourassignment as early as possible to avoid any potential problems. Please note that written work not submittedto Turnitin will not be marked, and therefore result in a zero grade.Marking: Marking of essays will be completed by relevant academics and feedback will be provided both viaelectronic track changes and on the marking guide (see final page of this document). The marking guide willdemonstrate assessment standards for expected content as well as structure, grammar and spelling.Referencing will also be assessed. Assessment grades will be provided to students via Moodle. Marking is tobe completed and grades allocated within approximately 3-4 weeks of submission as per university policy.Appeals: In accordance with the Student Appeals Procedure, an appeal against a final grade must besubmitted in writing and lodged within 10 working days of the publication of the final grade or result. FollowingCRICOS Provider No. 00103DRTO Code 4909due consideration (within 30 days) the student will be provided with a written response to the appeal, includingreasons for the decision. The School must notify Student Administration of any amended results following anappeal. If the student is not satisfied with the decision, they can submit an appeal to the Appeals Committee inaccordance with Regulation 2.2.Description:This assessment task allows students to demonstrate theoretical clinical knowledge around nursingassessment, pathophysiology of factors impacting on clinical deterioration, planning of nursing care, nursingand medical management, and evaluation of care. Students are required to answer the case scenarioquestions provided.Students should attempt all questions in the case study:…You are a Graduate Nurse commencing your afternoon shift on a surgical ward. You have arrived inrecovery to collect your patient, Mr Yousef Kahil.• 72-year-old Male who has had a Hartmann’s procedure resulting in the formation of a colostomy.• Past Medical History: Newly diagnosed bowel cancer, hypertension, hypercholesterolemia, currentsmoker (20 pack per day), Chronic Obstructive Pulmonary Disease.• Nil Known Allergies. Question 1: Describe the Hartmann’s Procedure including definition, indications, and complications.Ensure you apply this discussion to Mr Kahil. (400 words) You are handed over that the procedure went well with no complications. Mr Kahil was stable throughout therecovery period. His observations pretransfer to the ward are:• Alert and coherent• Temperature: 35.9 and warm on palpation• Pulse: 72 bpm and regular• Blood Pressure: 110/72mmHg (MAP 65mmHg)• Respiration: 16 bpm• SpO2: 99% on 1lt intranasal delivery• Pain: 1/10 (localised to abdomen, dull in characteristics)CRICOS Provider No. 00103DRTO Code 4909Mr Kahil is transported back to your ward for ongoing management. When you arrive on the ward you noticethat Mr Kahil appears to be diaphoretic and cool to touch. You immediately complete a set of vital signs:• Drowsy• Temperature: 35.1 and cool on palpation• Pulse: 102 bpm and regular• Blood Pressure: 91/58mmHg (MAP 60mmHg)• Respiration: 14 bpm• SpO2: 92% on 1lt intranasal delivery• Pain: 1/10 (localised to abdomen, dull in characteristics) Question 2: Review the above vital signs of Mr Kahil. Using your knowledge of the commoncauses of clinical deterioration in the postoperative patient; state which likely reversible cause(one of the 4H’s & 4T’s) Mr Kahil is experiencing and describe its pathophysiological causeresulting in Mr Kahil’s deterioration. Ensure you include a discussion of the pathophysiology of thereversible cause and link to the above vital signs. (600 words)Question 3: Discuss THREE specific nursing assessments that would be prioritised for MrKahil’s deterioration (excluding vital signs). For EACH nursing assessment, ensure your discussionincludes a description of these assessments in the context of Mr Kahil’s condition AND clear rationaleas to why these assessments would be priority. (450 words).Question 4: Discuss THREE specific nursing interventions that YOU as a Registered Nursecould initiate to manage Mr Kahil’s deterioration. For EACH intervention, ensure your discussionincludes link to evidence-based practice AND provides rationale as to how it would improve thephysiological outcomes of Mr Kahil’s condition. (450 words)*Nursing interventions would include nursing activities or actions that the nurse could initiate inresponse to nursing assessment findings. Note: please be aware of the difference between anassessment and an intervention. CRICOS Provider No. 00103DRTO Code 4909 Questions 5: Mr Kahil is prescribed a bolus of intravenous isotonic crystalloid fluids. Describethe indication for and physiological effect of administration of bolus fluids. Ensure you link to thepathophysiology occurring in Mr Kahil’s deterioration and how intravenous fluids may assist. (450words)Question 6: Describe THREE nursing evaluations that you would complete in response to theassessments and interventions you have completed. For EACH evaluation, provide a brief rationaleas to how these evaluations will assist in preventing the further clinical deterioration of Mr Kahil. (150words). CRICOS Provider No. 00103DRTO Code 4909 NURBN3030 ASSESSMENT TASK 1- CLINICAL CASE STUDY RUBRIC0 MARKS2 MARKS4 MARKS6 MARKS8 MARKS10 MARKSQ1- Discussionof Hartmann’sProcedureNil discussionprovided.Poor explorationof the proceduredemonstratedthrough limitedpatient links indiscussionand/or nosupport byevidenceprovided.Minimalexploration of theproceduredemonstratedthrough weakpatient links indiscussion and/orlimited support byevidence provided.Moderateexploration of theproceduredemonstratedthrough weakpatient links and/orunclear discussions.Further support byevidence required.Substantialexploration of theproceduredemonstratedthrough links topatient, andconcise discussionssupported byevidence.Excellentexploration ofproceduredemonstrated withclear links topatient, and clearand concisediscussionssupported byevidence.Q2- Likelycause ofdeteriorationNil discussionprovided.Poor explorationof thepathophysiologyof deteriorationdemonstratedthrough limitedpatient links indiscussionand/or nosupport byevidenceprovided.Minimalexploration of thepathophysiology ofdeteriorationdemonstratedthrough weakpatient links indiscussion and/orlimited support byevidence provided.Moderateexploration of thepathophysiology ofdeteriorationdemonstratedthrough weakpatient links and/orunclear discussions.Further support byevidence required.Substantialexploration of thepathophysiology ofdeteriorationdemonstratedthrough patientlinks, with concisediscussionssupported byevidence.Excellentexploration of thepathophysiology ofdeteriorationdemonstratedthrough well linkedto patient, withclear and concisediscussionssupported byevidence.Q3- NursingassessmentsNoappropriatenursingassessmentsidentifiedrelated topatientpresentation.No rationalefor priorityapplied.Unclearidentification of1-2 appropriatenursingassessments ofpatientpresentation.No clearrationale forpriority.Unclearidentification of 2appropriatenursingassessments ofpatientpresentation.Poor or incorrectrationale forpriority.Clear identificationof 2 appropriatenursingassessments ofpatientpresentation.Some rationale forpriority.Goodidentification of 3mostlyappropriatenursingassessments ofpatientpresentation.Reasonably clearrationale forpriority.Excellent andthoughtfulidentification of 3appropriatenursingassessments ofpatientpresentation.Clearly andcorrectlyexplained withrationale forpriority.Q4- NursingInterventionsNoappropriatenursinginterventionsidentifiedrelated topatientpresentation.No rationaleapplied.Unclearidentification of1-2 appropriatenursinginterventionsfor patientpresentation.No clearrationale.Unclearidentification of 2appropriatenursinginterventions forPatientpresentation.Poor or incorrectrationaleClear identificationof 2 appropriatenursinginterventions forpatientpresentation.Some reasonablerationalepresentedGoodidentification of 3mostlyappropriatenursinginterventions forpatientpresentation.Reasonably clearrationale.Excellent andthoughtfulidentification of 3appropriatenursinginterventions forpatientpresentation.Clear and correctlyexplainedrationale forpriority. CRICOS Provider No. 00103DRTO Code 4909 Q5-Administrationof fluidNo discussion.No benefits oreffectdescribed. Nolinks topatientpresentation.Poordiscussion ofbenefits OReffect of fluidbolusdescribed andlackedapplication topatientpresentationand/or nosupport byevidenceprovided.Minimaldiscussion ofbenefits OReffect of fluidbolus describedthrough weaklinks to patientpresentationand/or limitedsupport byevidenceprovided.Moderatediscussion ofbenefits ANDeffect of fluidbolus describedthrough weak orunclear links topatientpresentation.Further supportby evidenceprovided.Substantialdiscussion ofbenefits ANDeffect of fluidbolus describedthrough conciselinks to patientpresentationsupported byevidence.Excellentdiscussion ofbenefits ANDeffect of fluidbolus described.Well linked topatientpresentationthrough clearand concisediscussion andsupported byevidence.Q6- NursingevaluationsNoappropriatenursingevaluationsidentifiedrelated topatientpresentation.No rationaleapplied.Unclearidentification of1-2 appropriatenursingevaluations forpatientpresentation.No clearrationale.Unclearidentification of 2appropriatenursingevaluations forPatientpresentation.Poor or incorrectrationaleClear identificationof 2 appropriatenursingevaluations forpatientpresentation.Some reasonablerationalepresentedGoodidentification of 3mostlyappropriatenursingevaluations forpatientpresentation.Reasonably clearrationale.Excellent andthoughtfulidentification of 3appropriatenursingevaluations forpatientpresentation.Clear and correctlyexplainedrationale forpriority.Writing/Presentation0 MARKS1 MARK2 MARKS3 MARKS4 MARKS5 MARKSReadability:StructureElementsStructuredisplays noplanning orstructure,jumping fromone topic to thenext with nolinkingdialogue.Structure lacksevidence of asequenced plan.Minimal linkingdialoguebetween topicsof discussion.Structure lacksevidence of asequenced plan.More attentionrequired to linktopics of discussion.Structure requires amore structuredand sequencedplan, and/or hassome elementsmissing.Moderate structurethat includes allelements andmostly follows alogical sequenceand linkingdialogue.Excellent structurethat includes allelements andfollows a logicalsequence withlinking dialogue.Readability:ProfessionalProseInconsistentlevels ofarticulation andexpression,numerousspelling, andgrammaticalerrors and/orlack ofsentence orparagraphstructurePoor level ofarticulation andexpression, withconsiderablesentence orparagraphstructureunclear, and/ornumerousspelling orgrammaticalerrors.Minimal level ofarticulation andexpression, withsome sentence orparagraph structureunclear, and/orseveral spelling orgrammatical errors.Moderate level ofarticulation andexpression,requiring sentenceand paragraphstructure to bemore concise,and/or severalspelling orgrammatical errors.Substantial level ofarticulation andexpression, withclear and concisesentence andparagraphstructure, andminimal spelling orgrammatical errors.Excellent level ofarticulation andexpression, withclear and concisesentence andparagraphstructure, and nospelling orgrammatical errors.Readability:FluencyThearrangement ofSentence and/orparagraphstructure isSentence and/orparagraph structureis sometimesModerate sentenceand paragraphstructure requiringSentence andparagraphstructure areSentence andparagraphstructure is well CRICOS Provider No. 00103DRTO Code 4909 content isillogical.often undefined,lack structure, orare too long ortoo short. Thearrangement ofcontent ishaphazard anddifficult tofollow.undefined or lacksclarity through notprovidingintroductory orlinking sentences.Some paragraphsare too long/short.more clarity withintroductory andlinking sentences.Some paragraphsare too long/short.mostly well-definedand clear withintroductory andlinking sentences.defined and clearwith introductoryand linkingdialogue. Keydefinitions areaddressed.References:MinimumNumberNo referencesprovided.Less than 15minimumreferences usedto supportpresentationmaterial or offerdirection forfurtherinformation.Minimum 15references used tosupportpresentationmaterial or offerdirection for furtherinformation.More than 15minimumreferences used tosupportpresentationmaterial and offerdirection for furtherinformation.References:Selection &CredibilityNo referencesreputable,current,extensive, orcredible,and/or theconnectionbetween thearticles and thepurpose ismissing.Many referencesare NOTreputable,current,extensive, orrelevant, and/orthe connectionbetween thearticles and thepurpose ispoorlydemonstrated.Some referencesare reputable,current, extensive,and relevant,and/or theconnectionbetween some ofthe articles and thepurpose is unclear.Most references arereputable, current,extensive, andrelevant, and/or theconnectionbetween some ofthe articles and thepurpose isdeveloping.All references arereputable, current,extensive, andrelevant. All articlesare relevant to thepurpose.References:APA styleIncorrect APAreferencingstyle for in-textcitations quotesand/orreferences.Numerous errorsnoted in APAreferencing ofin-text citations,quotes, orreferences.A couple of errorsnoted in APAreferencing of intext citations,quotes, orreferences.All in-text citations,quotes andreferences are inAPA style.AcademicRequirements:PresentationNil submission.Paper does notconform topresentationrequirements asset out in CourseDescriptor.Significant numberof areas of paper donot conform torequirements as setout in CourseDescriptor.A few areas ofpaper do notconform torequirements as setout in CourseDescriptor.Paper mostlyconforms topresentationrequirements as setout in CourseDescriptor.Paper conforms toall presentationrequirements as setout in CourseDescriptor.Total marks/90converted to40% weighting/40



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