5000DT Neurology and Ethical Decision-Making Coursework Brief
1500 word +/-10% case study to assess the following learning outcomes:
- Examine and evaluate how nutritional requirements are influenced and the impact of
these diseases on nutritional status. - Appraise new advances, guidelines, and issues in dietetic practice to inform clinical
reasoning and changes in evidence-based dietetic practice. - Critically discuss ethical decision-making relevant to the practice setting.
The word limit is 1500 +/- 10%. Subheadings and words in tables in the main body of text do count towards the word count therefore be judicious with their usage. The reference list and any appendices are not included in the word count. Footnotes are not permitted. Please include a word count on the submission. A penalty of 10% of the mark awarded will be applied if the submitted coursework exceeds the word count limit by more than 10% (1650 words).
Please state the word count on a front title page which includes a title, module code and your student number – not your name. This assessment should be typed and double-line spaced and should be written in size 12 or 14 font. Ensure the work is free of spelling and grammatical errors.
The assessment must include appropriate in-text citations and a reference list. Referencing must be in APA style: https://libguides.coventry.ac.uk/apa.
Your case
Scott Summers is 63 years old, his usual weight is 14 stone and height is 5’ 10’’. He lives with his wife Sandy and they have one son who lives locally and one daughter who lives 2.5 hours away. A few months ago he was admitted to hospital with confusion as a neighbour found him wandering in the street during the day. During this admission he was diagnosed with early-onset dementia and was discharged home with support from his family. His wife Sandy is 52 years old and continues to work full time in an office job, so whilst she is able to get him ready in the morning and spend time with him in the evening, she is unable to watch him during the day. Recently she has been struggling to cope and is finding it more difficult to get him to eat and drink. Before she leaves for work she prepares sandwiches and makes him a jug of squash for during the day, however when she comes home these are usually untouched. Scott often gets distracted when eating breakfast and his evening meal so has not been having very much of these either. His son also works full time in construction so is only able to see him in the evenings and his daughter visits around once per month with his 2 grandchildren.
He has been re-admitted to hospital this week with delirium secondary to a urinary tract infection and poor intake of fluids which require antibiotics and intravenous fluids to treat. His weight on admission is 68kg and he has a MUST score of 3. The nursing staff on the ward have raised concerns of minimal intake of food and drink. Scott complains of being hungry and thirsty, but he gets agitated when ward staff keep prompting him to eat and drink. He has had a mental capacity assessment and is deemed not to have capacity at current to make his own decisions. Medical staff are worried he will rapidly decline unless his nutritional intake improves and have attempted to insert a nasogastric tube (NGT) in Scott’s best interest. However, he has already pulled out 2 NGTs related to agitation. When you speak to the medical team on the ward, they are discussing whether it would be appropriate or not to insert another NGT with the addition of a bridle.
The following biochemical results were obtained on admission (reference ranges in brackets):
| Sodium
147mmol/L (135-145mmol/L) |
Urea
7.1mmol/L (3.0-6.5mmol/L) |
Creatinine
130µmol/L (60-125µmol/L) |
Potassium
3.4mmol/L (3.5-5.0mmol/L) |
| Phosphate 0.7mmol/L (0.8-1.5 mmol/L) |
Magnesium 0.5mmol/L (0.7-1.05 mmol/L) |
C-reactive protein 127 mg/L
(<10 mg/l) |
White Blood Count 9.0 x 109/L
(4.0-11×109/L) |
Structure your coursework with the following sections and content:
Section 1 (~25% of the word count)
Define dementia and outline the disease pathophysiology, signs and symptoms, diagnosis, progression of the disease, and associated consequences. In consideration of consequences consider the effect on nutritional requirements, nutritional status, and biochemistry.
Section 2 (~75% of the word count)
Using ethical principles, consider the issues related to dietetic practice in this case. Outline and justify a short and long term treatment plan using evidence based practice. You should also include discussion of ethical decision-making related to your plan.
Marking Criteria for 5000DT
| % | DISEASE AND ITS EFFECT ON NUTRITIONAL STATUS (30%) | EVIDENCE-BASED DIETETIC PRACTICE
(30%) |
ETHICAL DECISION-MAKING (30%) | USE OF EVIDENCE AND REFERENCING; GRAMMAR AND WORD CHOICE (10%) |
| Excellent
72, 75, 78 82, 85, 88 90, 95, 100
|
The entirety of what is written is analytical, evaluative, and critical. An excellent understanding of the topic is demonstrated with an application of theory to practice. Arguments are fully and well-articulated, supported by a critical evaluation and discussion of the disease and its effect on nutritional status. Clearly and succinctly written. A confident, convincing, and authoritative work.
For the higher marks in this band, these aspects should be outstanding |
The entirety of what is written is analytical, evaluative, and critical. An excellent understanding of the topic is demonstrated with an application of theory to practice. Arguments are fully and well-articulated, supported by a critical evaluation and discussion of the patient-centred treatment plan and monitoring of it. Clearly and succinctly written. A confident, convincing, and authoritative work.
For the higher marks in this band, these aspects should be outstanding
|
The entirety of what is written is analytical, evaluative, and critical. An excellent understanding of the topic is demonstrated with an application of ethical principles to the case study and to the practice setting. Arguments are fully and well-articulated, supported by a critical evaluation and discussion of ethical decision-making. Clearly and succinctly written. A confident, convincing, and authoritative work.
For the higher marks in this band, these aspects should be outstanding
|
Demonstrates creativity and originality in the selection and presentation of a wide range of evidence. Provides thorough critical analysis of evidence used and the evidence is relevant and relatable to the arguments made. Correct referencing format used in-text and in the reference list. The work is written with no grammatical nor expression errors. Word choice and terminology are used correctly.
For the higher marks in this band, these aspects should be outstanding
|
| Very Good
62, 65, 68
|
The majority of what is written is evaluative and critical, and limited description. A very good understanding of the topic is demonstrated with an application of theory to practice. Arguments are partially well-articulated and mainly supported by a critical evaluation and discussion of the disease and its effect on nutritional status. Clearly written and understandable. | The majority of what is written is evaluative and critical, and limited description. A very good understanding of the topic is demonstrated with an application of theory to practice. Arguments are partially well-articulated and mainly supported by a critical evaluation and discussion of the patient-centred treatment plan and monitoring of it. Clearly written and understandable.
|
The majority of what is written is evaluative and critical, and limited description. A very good understanding of the topic is demonstrated with an application of ethical principles to practice. Arguments are partially well-articulated and mainly supported by a critical evaluation and discussion of ethical decision-making. Clearly written and understandable. | The evidence selected is of high quality, and wider reading is demonstrated. Most arguments are supported by relevant evidence that has been critically appraised. Correct referencing format used in-text and in the reference list. The work is written with few grammatical nor expression errors. Word choice and terminology are used correctly.
|
| Good
52, 55, 58
|
Some evaluation but the majority of the work is descriptive. An understanding of the topic is demonstrated with an application of theory to practice. Some critical discussion of the disease and its effect on nutritional status is present but this is limited. Not well articulated but otherwise understandable.
|
Some evaluation but the majority of the work is descriptive. An understanding of the topic is demonstrated with an application of theory to practice. Some critical discussion of the patient-centred treatment plan and monitoring of it is present but this is limited. Not well articulated but otherwise understandable.
|
Some evaluation but the majority of the work is descriptive. An understanding of the topic is demonstrated with an application of ethical principles to practice. Some critical discussion of ethical decision-making is present, but this is limited. Not well articulated but otherwise understandable.
|
Some relevant evidence is presented which is generally well utilized and there is evidence of some critical appraisal of the evidence used. The evidence is related to the arguments made. Correct referencing format used in-text and in the reference list. The work is written with some grammatical and/or expression errors. Word choice and terminology are used correctly. |
| Pass
42, 45, 48
|
Descriptive account of the disease and its effect on nutritional status. Limited evaluative and critical discussion. Some understanding of the topic is demonstrated with some application of theory to practice. Structure lacks coherence, relationships between statements and sections are not always articulated well. Some sections are incomprehensible. | Descriptive account of the patient-centred treatment plan and monitoring of it. Limited evaluative and critical discussion. Some understanding of the topic is demonstrated with some application of theory to practice. Structure lacks coherence, relationships between statements and sections are not always articulated well. Some sections are incomprehensible. | Descriptive account of ethical decision making. Limited evaluative and critical discussion. Some understanding of the topic is demonstrated with some application of ethical principles to practice. Structure lacks coherence, relationships between statements and sections are not always articulated well. Some sections are incomprehensible. | Some evidence is included but this is limited and/or irrelevant. Omissions and errors in referencing format are evident. Poor grammar, expression, and/or word choice is evident, and incorrect use of terminology.
|
| FAIL
35, 30, 25, 20,10, |
No discussion of the disease and its effect on nutritional status. A limited understanding of the topic and application of theory to practice is limited. Mainly incomprehensible.
At lower levels of the band, these aspects are very poor or missing
|
No discussion of the patient-centred treatment plan and monitoring of it. A limited understanding of the topic and application of theory to practice is limited. Mainly incomprehensible.
At lower levels of the band, these aspects are very poor or missing
|
No discussion of ethical decision-making. A limited understanding of the topic and application of theory to practice is limited. Mainly incomprehensible.
At lower levels of the band, these aspects are very poor or missing
|
Minimal reference is made to relevant and supportive evidence, with little indication of wider reading. Incomplete and/or missing references. Poor referencing format. Poor grammar, expression, and/or word choice is evident throughout, and incorrect use of terminology.
At lower levels of the band, these aspects are very poor or missing
|
| 0 | Late or empty submissions | |||
APA
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The post Scott Summers is 63 years old, his usual weight is 14 stone and height is 5’ 10’’. He lives with his wife Sandy and they have one son who lives locally and one daughter who lives 2.5 hours away. A few months ago he was admitted to hospital with confusion as a neighbour found him wandering in the street during the day. During this admission he was diagnosed with early-onset dementia and was discharged home with support from his family. His wife Sandy is 52 years old and continues to work full time in an office job, so whilst she is able to get him ready in the morning and spend time with him in the evening, she is unable to watch him during the day. Recently she has been struggling to cope and is finding it more difficult to get him to eat and drink. Before she leaves for work she prepares sandwiches and makes him a jug of squash for during the day, however when she comes home these are usually untouched. Scott often gets distracted when eating breakfast and his evening meal so has not been having very much of these either. His son also works full time in construction so is only able to see him in the evenings and his daughter visits around once per month with his 2 grandchildren. appeared first on Apax Researchers.
