NUR2203 Assessment 2: Written assessment Assignment Help

Assessment name

NUR2203Assessment 2: Written assessment

Brief task descriptionThis assessment requires students to plan, integrate and apply knowledge of safe nursing practice in the management of a patient with complex health conditions.
Rationale for assessment task

The purpose of this assignment is to develop your critical thinking skills and clinical decision-making abilities in the care of a client with complex needs. In doing so, you are examining and applying the following standards for Registered Nurses for a patient’s episode of care. 

  • Standard 1: Thinks critically and analyses nursing practice. Registered Nurses (RN) use a variety of thinking strategies and the best available evidence in making decisions and providing safe, quality nursing practice within person-centred and evidence-based frameworks.
  • Standard 4: Comprehensively conducts assessments. RNs accurately conduct comprehensive and systematic assessments. They analyse information and data and communicate outcomes as the basis for practice.
  • Standard 6: Provides safe, appropriate, and responsive quality nursing practice. RNs provide and may delegate, quality and ethical goal directed actions. These are based on comprehensive and systematic assessment, and the best available evidence to achieve planned and agreed outcomes.
  • Standard 7: Evaluates outcomes to inform nursing practice. RNs take responsibility for the evaluation of practice based on agreed priorities, goals, plans and outcomes and revises practice according to RN standards for practice 

Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx

Due DateFriday 6th September 2024, 2359hrs (AEST)
LengthWord length 1600 words +/-10% (word length includes in-text referencing and excludes your reference list) 

Marks out of:

Weighting:

40 % 

(Marks out of 70)

Course Objectives measured

CLO 1. Evaluate the pathophysiological, pharmacotherapy and non-pharmacological management of acute exacerbation of illness, chronic diseases, and complex conditions.

 

CLO 2. Evaluate the principles of professional nursing practice for people with diverse health concerns within the Australian contexts, including a selection of regional, rural and National Health Priorities across the lifespan including the needs of culturally diverse, disadvantaged, and vulnerable groups with acute, chronic, and complex conditions.

Task information

Task detail

Students must respond to the case study provided. Please read the case study that relates to the situation to base your assessment from. Using the case study respond to the questions provided using academic writing. Your answer will concentrate on Clare’s admission and includes discharge planning.

 

 

Case Study:

 

IntroductionClare Smith, 63-year-old female, presented to the Emergency Department (ED) with a 3-day history of urinary issues. Signs and Symptoms: polyuria,dysuria, chills, febrile, nausea and vomiting, and malaise. Diagnosed with Pyelonephritis and admitted to the ward.
Background 

Medical History: 

  • No allergies
  • Early onset Dementia (diagnosed 1 year ago)
  • T2DM, GORD, recurrent UTI’s - urinary incontinence during UTI, chronic pain due to previous fractured ankle. 
  • Weight 75kg, Height 175cm. 

     

Medications:

  • Medications prehospital: Metformin 500mg BD; Esomeprazole 20mg daily, Paracetamol Osteo 1330mg Q8hr daily, Tramadol 100mg PRN, Multi vitamins 1 tablet daily, Fish Oil 2000mg daily. 
  • Medications on admission: Ampicillin 500mg Q6hr; Vancomycin 500mg Q6hr

 

Psychosocial: 

  • Clare lives at home with her husband Jim – lives on farm 1hr from town. Son (aged 33 years) – lives in a different state.
Assessment

On admission to the ward:

  • Observations: temperature– 38.1⁰C; heart rate– 112bpm; blood pressure145/72 mmHg; respiratory rate22 bpm; Sp02 96% RA; pain – moderate as per Abbey pain scale; BGL 12.2mmoL.
  • 18g peripheral intravenous cannula (PIVC) left cubital fossain situ – VIP score 0, flushing well.
  • MSU (mid-stream urine) results include WBC 22, Urea 3.7mmol/L, Creatine 65umol/L, Lactate 1.3mmol/L 
  • Blood cultures collected – awaiting results.
  • Renal USS – no signs of calculi, obstruction, or abscess
  • CT scan with contrast – positive for moderate parenchymal involvement.
  • Kidney, ureter & bladder X-Ray (KUB) – excludes obstruction.
  • On examination: pain lower back and pelvic pain, left flank pain on urination.
RecommendationPatient for ongoing management and treatment for Pyelonephritis.

 

 

Write an academic essay using the Clinical Reasoning Cycle (provided below). 

 

  • Provide an INTRODUCTION (approximately 150words) 

An introduction will provide clear scope about the direction of your assignment. This includes providing some background to your essay (not restating the case) and defining the issues that you will be addressing in your discussion. 

 

  • Part A: Analyse the case to identify potential clinical issues and relevant nursing care (700 words)

In this section of the assessment, you are required to:

  • Discuss the pathophysiology of Pyelonephritis – include risk factors specific to Clare and her co-mobilities. Must be support by literature.
  • Based on the case study presented above, identify and discuss two (2) priority nursing problems including rationales. Must be supported by literature.
  • Discuss two (2) priority nursing interventions for each of the identified priority problems that you have discussed. Must be supported by literature.

 

  • Part B: Discharge planning (600 words)
  • Develop and discuss discharge planning for either one of the following: prevention of future complications or psychosocial issues. 
  • Your discharge plan needs to consider Clare and her co-morbidities and incorporate family centred care.
  • Be succinct and appropriate in your advice but also critically evaluate the information in the case and specifically relate this to your discharge plan. 
  • Please use academic literature to support your discharge plan.

 

  • Provide a CONCLUSION (approximately 150words)

Your conclusion succinctly summarises the main points of your assignment, not an opportunity to introduce added information.

 

Use as many resources required for you to support your discussion.Sources are required to be less than 7 years old and must be peer-reviewed. Please use databases for journal articles as taught throughout the BNSG Program. Nonacademic sources such as blogs, nurselabs, Factsheets, Cleveland clinic and Mayo clinic (etc) will not be accepted.

Writing Style
  • Correct Academic Writing as per USQ guidelines i.e., academic writing conventions and written in the third person.
  • APA 7th Edition Referencing (e.g. no less than 6 references)
  • Contemporary Literature must be sourced (no more than 7 years old)
Formatting Style
  • Double spacing
  • Font: 12 point
  • Times New Roman
  • Page numbers
  • No headings, bullet points, numbering, use of tables, or figures to be used.
Resources available to complete task

USQ academic writing is provided in links on the course Resources Tab.

https://www.usq.edu.au/library/study-support/assignments

 

Referencing

https://www.usq.edu.au/library/referencing

 

Artificial Intelligence Guide 

https://usq-qld.libguides.com/artificial-intelligence-students 

 

Plagiarism – How to avoid plagiarism.

https://www.unisq.edu.au/library/referencing/plagiarism 

Submissioninformation

What you need to submit

One Microsoft Word document to the NUR2203 StudyDesk Assessment Submission link that contains the following items:

  • Your assignment document – this must be in Microsoft Worddocument and NOT PDF
  • No coversheet but footer must include: surname_initial_studentnumber_coursecode_A1_page no
  • Do not include the marking criteria sheet
Submission requirements

This assessment must be submitted in electronic format as a Microsoft Word document via Turnitin. The Turnitin process may take up to 24 hours to produce a report. Therefore, allow adequate time to do this and address any issues of plagiarism detected by Turnitin* before final submission. 

*Any percentage that relates to plagiarism detected by Turnitin is a concern and requires you to address this. A Turnitin % of greater than 15% will not be accepted.

File Name Conventions

Save your document with the following naming conventions: surname_initial_studentnumber_coursecode_A2.doc/docx

eg: Smythe_J_q1234567_NUR2203_A2.doc

Moderation

All staff assessing your work meet to discuss and compare their judgements before marks or grades are finalised.

 

Academics can help clarify assignment questions, but we are not able to review drafts.

Academic Integrity Statement

Students should be familiar with, and abide by, USQ’spolicy on Academic Integrity and the definition of Academic Misconduct. Penalties apply to students found to have breached these policies & procedures.

 

Note well:

All standards of academic integrity, as set out in university policy and procedure, apply to this assessment. In particular, the use of an Artificial Intelligence (AI) text generator or paraphrasing tools without proper attribution and authorisation is plagiarism and could also amount to cheating. In NUR2203, authorisation is not given to use AI text generators or paraphrasing tools. No automation of written text allowed. Failure to adhere to this requirement will result in a referral to the Academic Integrity Unit (AIU) for investigation.

Late Submissions Penalty

Please refer to the link on late submission of assessment items and penalties applied – Late Submissions of Assignmentshttps://policy.usq.edu.au/documents/14749PL

 

Marks lost for late penalty 

https://policy.usq.edu.au/documents/14749PL

 

 

Note on Late submission & extensions:https://policy.usq.edu.au/documents/14749PL

 

USQ’s procedure requires applications for extensions are made PRIOR to the due date of assessment. Late penalties will be applied to submission’s that are submitted late and do not have an approved extension. Work submitted more than ten (10) days after the due date without an approved extension will have a mark of zero (0) recorded.

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