Posted on Mar 17, 2017

Case Study Report Part A Co-morbidities

Task

The written assessment tasks for this subject require you to submit a Case Study Report in which you explore the potential impact of chronic and complex conditions on the patient. 

In addition to a brief introduction and conclusion, PART A of your report should include:

  • A discussion of the pathophysiology and related clinical manifestations of EACH diagnosed chronic illness that the patient is presenting with in the case study
  • A discussion of the chronicity and complexity of the patient’s condition, including the identification of two (2) possible interactions between the patient’s co-morbidities and a discussion of how these conditions will impact the patient and her family. You will need to consider the pathophysiology, clinical manifestations and the medication the patient is taking in this part of the report.

Your report must adhere to academic writing conventions. Sub-headings may be used, but dot points and tables should not be included in this part of the assessment item.

You should support your discussion with a MINIMUM 10 recent (less than 7 years old) and credible sources.  Credible sources include, peer reviewed journal articles, text-books, evidence summaries, best practice guidelines, government documents, health facility clinical guidelines and policies/procedures and websites containing content aimed at health professionals.  Please note that lecture slides will not be considered to be credible sources for this assessment task.

Assignment Task 

Case Study for Part A 

Luigi is a 77 year old Italian man who has lived in Australia for 40 years. He lives with his wife and son, who was born in Australia and attends university. Luigi speaks English well as he worked as an accountant for many years before his retirement. His wife who is also Italian has limited English as she has stayed at home caring for her husband and her son for most of her married life, thus Luigi does most of the shopping, pays bills etc.

Luigi’s health has declined over the last 15 years with a history of poorly controlled  type 2 diabetes for which he takes metformin 500mg BD. He is overweight, does not pay much attention to his blood sugar levels or his diet and leads a relatively sedentary lifestyle.

Lately Luigi notices his ankles are swelling and his vision is blurring. After a visit to the GP it is noticed his blood pressure is elevated and he has protein and glucose in his urine. This leads to further investigations where Luigi is diagnosed with chronic renal failure. 

Rationale

It is known that chronic disease is the leading cause of death across the world (Johnson & Chang, 2014). Nurses need to be able to provide care to all health consumers, with a significant role in assessing a person, planning care, communicating with colleagues and ensuring that the holistic needs are met and evaluated. The ongoing nature of the conditions can result in longer term debilitating outcomes if not addressed appropriately. Children, young people, adults and older adults all experience the full range of health issues yet manage them differently.

This assessment task addresses the following subject learning outcomes:

  • Plan nursing care for patients with complex co-morbidities demonstrating rationale for how one affects the other.
  • Plan nursing care of a patient with a co-morbidity in consultation with individuals/groups significant others and the interdisciplinary health care team in the clinical setting
  • Collaborate with the interdisciplinary health care team to provide comprehensive nursing care in the clinical setting
  • Evaluate and reflect on their own ability to implement strategies to lead teams and care coordination

Marking criteria

NRS223 Assessment Item 2 Marking Criteria – 201660                             Student Name:

Criteria HD DI CR PS FL Mark

Discusses the Pathophysiology of Chronic and Complex Conditions and their Related Clinical Manifestations

(25 marks)

 

 

There is a detailed, succinct and accurate discussion of the disruptions to normal physiological processes that underlie each condition, with consistently clear links to all of the clinical manifestations.

All clinical manifestations are clearly linked to underlying pathophysiology

 

21-25 marks

 

There is a clear, more detailed and accurate discussion of the disruptions to normal physiological processes that underlie each condition.

The main, and some additional clinical manifestations of each condition have been identified and most have been clearly linked to the related underlying pathophysiology

19-21 marks

 

There is a basic and accurate explanation of the disruptions to the normal physiological processes that underlie each condition.

The main clinical manifestations of each condition have been identified and some have been linked to the related underlying pathophysiology.

 

 

16-18.5 marks

 

There is a basic explanation of the disruptions to normal physiological processes that underlie each condition, with some minor inaccuracies.

The main clinical manifestations of each condition have been identified, but most have not been linked to the related underlying pathophysiology.

12.5-16 marks

 

 

There is no, minimal or a very superficial discussion of the disruptions to physiological processes that occur in each condition

and/or

The discussion contains several inaccuracies

and/or

The main clinical manifestations of each condition have not been identified.

0-12 marks

 

Explains the Concepts of Co-morbidity, Chronicity and Complexity
(15 marks) 
The definitions of each of the key terms have been integrated into a detailed, succinct and accurate discussion of the chronicity and complexity of the patient’s condition.
13-15 marks 

 

 

Each of the key terms has been defined and then clearly linked to a detailed and accurate discussion of the chronicity and complexity of the patient’s condition.
11.5-12.5 marks 

 

Each of the key terms has been defined and then loosely linked to a general but accurate discussion of the chronicity and complexity of the patient’s condition.

10-11 marks

There is a basic but accurate definition of each the key terms, with a limited explanation of the chronicity and complexity of the patient’s condition.
7.5- 9.5 marks 
The key terms have not been defined and/or there is minimal or no discussion of the chronicity and complexity of the patient’s condition.
0-7 marks

Discusses the Impact of Chronic and Complex Conditions on the Patient

(30 marks)

 

There is a comprehensive, accurate and integrated discussion of two ways in which the conditions may impact on each other and the possible effects of the conditions on the patient in the case study, with substantial links made to the previously discussed pathophysiology and clinical manifestations.

 

25.5-30 marks

 

 Two ways in which the conditions may impact on each other been identified and a detailed explanation provided.

The likely effects of the conditions on the patient in the case study have been discussed, with mostly clear links made to the previously discussed pathophysiology and clinical manifestations.

 

22.5-25 marks

 

 Two ways in which the conditions may impact on each other have been accurately identified and clearly explained.
The most likely effects of the conditions on the patient in the case study have been clearly explained, with some links made to the previously discussed pathophysiology and clinical manifestations. 

 

 

19.5-22 marks

 

 Two ways in which the conditions may impact on each other have been accurately identified and a basic explanation provided.
Some of the most likely effects of the conditions have been identified and a basic explanation provided, but with limited reference to the patient in the case study and/or the previously discussed pathophysiology and clinical manifestations. 

15-19marks

 

Less than 2 ways in which the conditions may impact each other have been identified and/or explained
and/or
There is a very limited/superficial discussion of the combined impact of the conditions on the patient.and/or
Multiple unsupported assumptions or generalisations have been made about the combined impact of the conditions on the patient
0-14.5 marks

 

Use of Evidence to Support the Discussion

(10 marks)

 An extensive range of highly relevant and current sources have been located, evaluated and synthesised to
substantially support the discussion8-10 marks
A range of relevant sources and current sources have been located, evaluated and synthesised to support the discussion

6-8 marks

 

A range of relevant and current sources have been located, evaluated and incorporated to mostly support the discussion

4-6 marks

 

Information from the minimum number of required sources has been located and incorporated to provide some support for the discussion

2-4 marks

 

Less than the required number of appropriate sources have been used to support the discussion

0-2 marks

 

 

 

 

Academic Writing and Presentation

 

(10 marks)

 

The report is logically and succinctly structured according to academic writing conventions.
The content is presented in such a manner that it creates a cohesive, coherent and analytical report.
There is use of formal academic language throughout, including the accurate use of nursing terminology.
The content consistently adheres to grammatical conventions. There are no spelling mistakes or errors in punctuation.
8.5-10 marks 
 The report is logically structured according to academic writing conventions.
The content is presented in such a manner that it creates a cohesive and coherent piece of work.
There is use of formal language throughout, including the accurate use of nursing  terminology.
The content mainly adheres to grammatical conventions. There are only a few minor spelling mistakes or errors in punctuation.
7.5-8 marks 
The report is generally well structured according to academic writing conventions.

The content is structured in such a manner that it creates a mostly logical and coherent piece of work.

There is use of formal language throughout, including accurate use of some nursing terminology.

The content generally adheres to grammatical conventions, with some minor spelling mistakes and errors in punctuation

6.5-7 marks

 

 The report is partially organised into loosely linked and basic paragraphs.

There is occasional use of informal language and/or the use of nursing terminology requires improvement.

The content mostly adheres to grammatical conventions, though there are some spelling mistakes and errors in punctuation evident.

5-6 marks

 

The report does not adhere to academic writing conventions and is disjointed and/or poorly organised.
There is frequent use of informal language and/or nursing terminology is either not used or incorrectly applied.
There are multiple spelling mistakes and errors in punctuation.
0-4.5 marks 
Referencing

(10 marks)

All sources are explicitly acknowledged in-text.
APA guidelines for in-text referencing and the reference list are consistently adhered to.
All sources cited-in text match those cited in the reference list. 

8.5-10

All sources are explicitly acknowledged in-text.
APA guidelines for in-text referencing and the reference list are mostly adhered to, with 1 or 2 minor errors.
All sources cited-in text match those cited in the reference list6-8.5

 

 

The majority of sources used have been explicitly acknowledged.
APA guidelines for in-text referencing and the reference list are mostly adhered to, with some minor errors.
All sources cited-in text match those cited in the reference list. 

 

2.5-6

 Some sources have not been explicitly acknowledged in the report.
There has been attempt to adhere to APA guidelines for in-text referencing and the reference list, but errors are evident.
There are 1-or two inconsistencies between the in-text the sources cited in text and those cited in the reference list.1-2.5
Multiple sources not acknowledged or no in-text referencing included
and/or
APA referencing guidelines have not been adhered to in-text or in the reference list
and/or
There are multiple inconsistencies between the souces cited in-text and those cited in the reference list.
0-1 
 

 

 

 

 

 

 

Final Mark /100:              Converted Mark / 40

Comments

Presentation

Please ensure that your submitted report meets the presentation requirements below:

3 cm margins
Work must be double spaced
Font must be 12pt, unless otherwise indicated
Number all pages
Include your name and student number in the header or footer of every page
All assignments should include a title page which includes – student name & number, subject code and name, lecturer, assessment title, due date and date of submission.

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