ASSESSMENT 1A: Response Template
\nStudent Name
\nStudent ID
\nDate
\nCourse\tHLT54115 Diploma of Nursing
\nSubject Code and Title\tAPN108 Applying Nursing Practice (B)
\nUnit(s) of Competency\tHLTENN012 Implement and monitor care for a person with chronic health problems
\nPerformance criteria, Knowledge evidence and Performance assessed\tPC:
\nHLTENN012: 1.1,1.2 1.3, 1.4, 1.5, 2.1, 2.3, 2.4, 2.5.
\nPE:
\nHLTENN012: 1,2
\nKE:
\nHLTENN012: 1.5 a, b, c, d, e. 2.1, 2.2, 2.5, 2.6, 2.7, 3.3, 3.7, 3.13, 4.1, 4.2, 4.3, 4.4, 4.5
\nTitle of Assessment Task \tCase Study and short-answer questions
\nType of Assessment Task\tSection 1: Case study with short answer questions
\nSection 2: Short-answer questions
\nLength\t11 questions. See each individual question for word limit.
\nSubmission\tDue by 11:55pm AEST Sunday end of Week 5 (module 3.1).
\nTask Instructions
\nTo complete Assessment 1, Part A, you must answer Section 1 and Section 2. Section 1 includes questions based on the case study below and developing a plan of care for the client, on the response template provided. Section 2 includes other questions required for the subject, but which are NOT related to the case study. All questions must be answered in full. When responding to the questions, please pay attention to the entire question being asked, as well as the prescribed word count, if provided. Use the correct medical terminology when answering all questions. Your answers should be reflective, analytical and based on critical assessments and the Enrolled nurse standards for practice and Codes of Ethics for Nursing.<\/p>\n
You will be assessed on the responses to the questions and will be deemed as either satisfactory or not satisfactory. All of the responses must be marked as satisfactory in order to pass the assessment. If your assessment is not deemed satisfactory, you will be re-assessed as per the THINK Education Assessment Policy for Vocational Education and Training (VET), before being awarded a Non-Satisfactory mark for the assessment.<\/p>\n
Case Scenario:
\nMr George McFarlane is a 53-year-old Caucasian Male, admitted to hospital after seeing his General Practitioner (GP) for an infected left (L) toe, caused by a blister\/ lesion, possibly from ill-fitting shoes. When he realised there was a lesion present, he initially did not consider it serious and did not seek medical treatment straight away. After a week, the smell disturbed him, and he sought advice from his GP who prescribed oral antibiotics and stressed the importance of cleansing and changing the dressing on his wound regularly. Due to Mr McFarlane\u2019s job which required being on the road for long hours at a time, these regular dressing changes did not occur.<\/p>\n
Subsequently, due to irregular dressing changes and Mr McFarlane\u2019s Methicillin-resistant Staphylococcus Aureus (MRSA) status and Type II diabetes, the lesion failed to heal and became larger and deeper. Mr McFarlane returned to his GP five (5) weeks later. The GP immediately referred him to a specialist wound clinic. Investigations included a full blood count (FBC). The white blood cell (WBC) count was 17x 10\u2079\/L, predominantly neutrophils. The erythrocyte sedimentation rate (ESR) was 75mm\/hr. An x-ray showed changes consistent with osteomyelitis.<\/p>\n
Mr George McFarlane was admitted to hospital for surgical debridement of his wound. A large amount of tissue was excised from his left foot, which resulted in amputation of all 5 toes. The wound was packed and placed on a suction wound dressing (negative-pressure wound therapy), to minimise the exudate at the wound surface and promote healing by granulation. Post-operatively, initially he did well. However, on the seventh day after surgery he became febrile and his diabetic control deteriorated. His left foot had swollen above the bandaging. The dressing was removed, there was tissue engorgement and cellulitis surrounding the wound and evidence of necrosis (as shown in the photograph below).<\/p>\n
Mr McFarlane has a Past Medical History (PMHx):
\n\u2022\tType ll Diabetes needing close management
\n\u2022\tOsteoarthritis in L) Knee
\n\u2022\tPeripheral Vascular Disease (PVD)
\n\u2022\tChronic Obstructive Pulmonary Disease (COPD)
\n\u2022\t Methicillin-resistant Staphylococcus Aureus (MRSA) positive
\n\u2022\tPeripheral neuropathy<\/p>\n
Social History (SHx):
\n\u2022\tSecond marriage
\n\u2022\tOccupation- Long Haul truck driver
\n\u2022\tETOH (Alcohol) usage on a regular basis
\n\u2022\tSmoker, averages 15\/20 cigarettes per day
\n\u2022\tOften consumes take away\/ fast food diet as away from home regularly<\/p>\n
Mr McFarlane\u2019s current assessment consists of the following:
\n\u2022\tBP 135\/85
\n\u2022\tRR 18
\n\u2022\tSpO2 92% Room Air (RA)
\n\u2022\tHR 89
\n\u2022\tTemp 38.2oC
\n\u2022\tBGL 13.8mmol,
\n\u2022\tU\/A (Glucose ++, ketones+, protein +, SG 1010, PH 5)
\n\u2022\tPain score 7 at rest
\n\u2022\tGCS 15
\n\u2022\tWater low score of 15 (High Risk)<\/p>\n
Reference:
\nhttps:\/\/www.gettyimages.com.au\/detail\/news-photo\/amputation-due-to-diabetes-news-photo\/151032672?adppopup=true<\/p>\n
Section 1
\nThis section relates to Mr. McFarlane\u2019s case study<\/p>\n
TASK\tAssessment Criteria
\nQuestion 1\tA.\tDiscuss the pathophysiology of each of the chronic illnesses of Mr McFarlane:
\na.\tType 2 Diabetes Mellitus
\nb.\tOsteoarthritis
\nc.\tPeripheral Vascular Disease
\nd.\tChronic Obstructive Pulmonary Disease
\ne.\tPeripheral Neuropathy
\nB.\tWhat are the signs and symptoms of each condition?
\nC.\tDiscuss how these signs and symptoms impact on the patient\u2019s different body systems and how this can affect his quality of life and independence.<\/p>\n
References required
\n(word limit 300-500 words)
\nResponse:<\/p>\n
A.\tChronic Condition\tB.\tSigns & Symptoms\tC.\tPathophysiology and Quality of Life\/Independence
\na.
\nb.
\nc.
\nd.
\ne.<\/p>\n
References:<\/p>\n
TASK
\nAssessment Criteria
\nQuestion 2\tOutline the possible implications of a chronic illness on a client\u2019s lifestyle using the headings below:
\nA.\tSocial
\nB.\tEmotional
\nC.\tPhysical
\nD.\tPsychological
\nE.\tFinancial
\nInclude in your answer how might this also impact on their family and loved ones?<\/p>\n
References required
\n(word limit 200 – 400 words)<\/p>\n
Response:<\/p>\n
Implications to Patient and\/or family and loved ones
\nA.\tSocial<\/p>\n
B.\tEmotional<\/p>\n
C.\tPhysical<\/p>\n
D.\tPsychological<\/p>\n
E.\tFinancial<\/p>\n
References:<\/p>\n
TASK\tAssessment Criteria
\nQuestion 3\t1.\tOutline five (5) rehabilitation strategies, techniques and\/ or equipment that can be used to assist and provide a greater level of independence to Mr. McFarlane. Briefly discuss how each of these would be of benefit to the client and their family and assist with their care. Consider both community and hospital-based services.
\nInclude, in your answer, strategies that include access to physiotherapy, occupational therapy, massage, music therapy (as a non-pharmacological approach to pain relief), use of a wheelchair and walking aids.
\nDiscuss what members of the Multidisciplinary Team could be involved in Mr. McFarlane\u2019s care.
\n(Word limit: 300-500 words total)
\n2.\tPlease also briefly outline the use of the following rehabilitation techniques (50 words maximum per technique)
\na.\tHydrotherapy
\nb.\tPilates
\nc.\tArt therapy
\nd.\tProsthetics<\/p>\n
References required<\/p>\n
Response:
\nPart 1:
\nFive Strategies:
\nStrategy \/ technique \/ equipment\tBenefit\tMultidisciplinary Team Member \/ s<\/p>\n
Part 2:<\/p>\n
Technique \tTechnique Use
\na)\tHydrotherapy
\nb)\tPilates
\nc)\tArt therapy
\nd)\tProsthetics
\nReferences:<\/p>\n
TASK\tAssessment Criteria
\nQuestion 4\tDiscuss what further education and preventative strategies would be required to reduce the risk of this scenario re-occurring to Mr. McFarlane. In your answer you should discuss members of the Multidisciplinary Team that you could engage with in order to access information for Mr McFarlane. Also discuss appropriate community referrals after discharge for Mr. McFarlane.<\/p>\n
Discuss, in your answer, areas including the following:
\na.\tprevention
\nb.\tuse of various treatments
\nc.\tprinciples of and practices for person-focused nursing practice
\nd.\tmaintenance of positive life roles
\ne.\tenabling change of a person\u2019s behaviour over time to improve health outcomes
\nf.\testablishing readiness for attitudinal and behavioural change
\nReferences required
\n(word limit 200-400 words)
\nResponse:<\/p>\n
References:<\/p>\n
TASK\tAssessment Criteria
\nQuestion 5\tMr McFarlane has a past medical history of
\n\u2022\tType ll Diabetes
\n\u2022\tOsteoarthritis in L) Knee
\n\u2022\tPeripheral Vascular Disease (PVD)
\n\u2022\tChronic Obstructive Pulmonary Disease (COPD)
\n\u2022\tperipheral neuropathy
\nUsing the template below, plan your care, within the Enrolled Nurse scope of practice for Mr. McFarlane.<\/p>\n
Include the following in your response:
\n\u2022\tSpecify three (3) nursing diagnoses associated with the client\u2019s current health presentations. (Ensure each diagnosis chosen relates to a different chronic condition of Mr McFarlane).
\nYou might consider poor diet, poor lifestyle, decreased activity, smoker, psychosocial effect of recent diagnosis, understanding of potential complications associated with a condition.)
\n\u2022\tRecord at least two (2) nursing interventions that could be applied for each diagnosis.
\n\u2022\tSpecify at least one (1) member of the multidisciplinary team who may be able to support your suggested interventions.
\n\u2022\tClarify how your planned intervention reflects the client\u2019s interests, physical, emotional and psychosocial needs
\nNote at least one (1) expected outcome that you would hope for as a result of each intervention.
\nResponse:
\nNursing diagnosis\tPlanning – (Nursing intervention)\tMultidisciplinary team member to provide support \tLink to personal needs\tExpected Outcome
\n1.<\/p>\n
2.<\/p>\n
3.<\/p>\n
Section 2.
\nThe following questions are not related to Mr. McFarlane’s case study<\/p>\n
TASK\tAssessment Criteria
\nQuestion 6\tDescribe the World Health Organisation’s (WHO) focus on chronic illness, and provide a description of one of the following Chronic disease models\/ programs:
\n\u2022\t The Chronic Care Model
\n\u2022\tThe Flinders Model (program)
\n\u2022\tThe Stanford Model
\n\u2022\tThe National chronic disease strategy
\n\u2022\tThe Chronic Care for Aboriginal people model of care
\nReferences required
\n(Word limit 200 words)<\/p>\n
Response:<\/p>\n
References:<\/p>\n
TASK\tAssessment Criteria
\nQuestion 7\tA.\tIdentify the 10 National priorities for chronic disease in Australia.
\nB.\tProvide a diagram for the continuum of chronic disease and briefly explain the model.
\nReferences required
\nResponse:
\nA.<\/p>\n
B.<\/p>\n
References:<\/p>\n
TASK\tAssessment Criteria
\nQuestion 8\tFor the chronic disease or chronic health condition listed below, state three (3) clinical manifestations for each (Signs and symptoms)
\n\u2022\tChronic asthma
\n\u2022\tChronic pain including back pain
\n\u2022\tChronic renal failure
\n\u2022\tCongestive heart failure
\n\u2022\tEczema
\n\u2022\tIncontinence
\n\u2022\tNeurological injury
\n\u2022\tLong- term unconsciousness
\n\u2022\tParkinson\u2019s disease
\n\u2022\tRheumatoid arthritis
\n\u2022\tStroke
\n\u2022\tSystemic lupus erythematosus<\/p>\n
References Required
\n(100 words for each)
\nResponse:<\/p>\n
Disease\/Chronic Health Condition\tClinical Manifestation
\nChronic Asthma
\nChronic pain including back pain
\nChronic renal failure
\nCongestive heart failure
\nEczema
\nIncontinence
\nNeurological injury
\nLong-term unconsciousness
\nParkinson\u2019s disease
\nRheumatoid arthritis
\nStroke
\nSystemic lupus erythematosus<\/p>\n
References:<\/p>\n
TASK\tAssessment Criteria
\nQuestion 9\tRegarding palliative care, what would be the nurse’s goal to manage chronic disease within the palliative care environment?<\/p>\n
References required
\n(word limit 150 words)
\nResponse:<\/p>\n
References:<\/p>\n
TASK\tAssessment Criteria
\nQuestion 10\tDiscuss three (3) sites within the human body for common cancer development for individuals from Australians.<\/p>\n
References required
\nResponse:<\/p>\n
References:<\/p>\n
TASK\tAssessment Criteria
\nQuestion 11\tDiscuss the purpose of a tracheostomy and why a person may have one.<\/p>\n
Define both permanent and temporary tracheostomy procedures and explain why each one may be required.<\/p>\n
References required
\n(word limit 100-200 words)<\/p>\n
Response:<\/p>\n
References:
\n===
\nSample Answer
\nStudent Name:
\nStudent ID:
\nDate:
\nCourse: HLT54115 Diploma of Nursing
\nSubject Code and Title: APN108 Applying Nursing Practice (B)
\nUnit(s) of Competency: HLTENN012 Implement and monitor care for a person with chronic health problems<\/p>\n
Section 1: Case Study with Short Answer Questions<\/p>\n
Question 1.1 (100 words)
\nIdentify and discuss two (2) priority nursing interventions required for Mr George McFarlane on admission to the surgical ward, with rationales to support your response.<\/p>\n
Answer:<\/p>\n
Two priority nursing interventions required for Mr George McFarlane on admission to the surgical ward are:<\/p>\n
Assessment and management of pain: Mr McFarlane has a pain score of 7 at rest, which may worsen with movement or dressing changes. Therefore, assessment and management of pain should be a priority intervention. Pain management can include administering analgesics such as Paracetamol or Oxycodone and the use of non-pharmacological interventions such as heat therapy or relaxation techniques. This intervention is essential to promote patient comfort, reduce anxiety and enhance patient outcomes.<\/p>\n
Assessment and management of infection: Mr McFarlane has a history of MRSA, which puts him at risk of developing an infection postoperatively. Hence, assessment and management of infection is a priority intervention. The nursing interventions to manage infection include observing the wound for signs of redness, swelling or exudate, monitoring temperature and white blood cell counts, administering antibiotics as prescribed, and following standard precautions such as hand hygiene, personal protective equipment and isolation precautions. These interventions are essential to prevent wound infection and its associated complications.<\/p>\n
Question 1.2 (100 words)
\nDevelop a plan of care for Mr George McFarlane on admission to the surgical ward, including three (3) nursing interventions, and provide rationales for each intervention.<\/p>\n
Answer:<\/p>\n
Plan of care for Mr George McFarlane on admission to the surgical ward:<\/p>\n
Assessment and management of pain: Regular assessment of pain score and provision of analgesics as prescribed, e.g. Paracetamol or Oxycodone, and non-pharmacological interventions such as heat therapy or relaxation techniques. This intervention is essential to promote patient comfort, reduce anxiety, and enhance patient outcomes.<\/p>\n
Prevention of infection: Observing the wound for signs of redness, swelling or exudate, monitoring temperature and white blood cell counts, administering antibiotics as prescribed, and following standard precautions such as hand hygiene, personal protective equipment, and isolation precautions. These interventions are essential to prevent wound infection and its associated complications.<\/p>\n
Mobilization: Encouraging and assisting the patient to mobilize as appropriate, e.g. sitting out of bed, standing, and walking with support. This intervention is essential to prevent complications such as deep vein thrombosis, pneumonia, and pressure ulcers, and promote early recovery.<\/p>\n
The above interventions will be reviewed regularly and modified as needed, based on the patient’s response and changing condition.<\/p>\n","protected":false},"excerpt":{"rendered":"
ASSESSMENT 1A: Response Template Student Name Student ID Date Course HLT54115 Diploma of Nursing Subject Code and Title APN108 Applying Nursing Practice (B) Unit(s) of Competency HLTENN012 Implement and monitor care for a person with chronic health problems Performance criteria, Knowledge evidence and Performance assessed PC: HLTENN012: 1.1,1.2 1.3, 1.4, 1.5, 2.1, 2.3, 2.4, 2.5. […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2363],"tags":[2667,2624,1689],"class_list":["post-5092","post","type-post","status-publish","format-standard","hentry","category-help-writing-nursing-essay","tag-apn108-applying-nursing-practice-b","tag-help-write-my-essay","tag-write-my-paper-online"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts\/5092","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/comments?post=5092"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts\/5092\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/media?parent=5092"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/categories?post=5092"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/tags?post=5092"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}