Application of pathophysiological concepts
NUR231 Assessment Task 3 – Case study (50%)
| Assessment Name | Case study |
| Goal | In your future role as a nurse or midwife you will be required to interpret and use contemporary drug therapy information and evidence to support patients or the pregnant woman in the quality use of medicines. You will interpret and use evidence to inform evidence based and responsive practice when managing a medication regimen. |
| Product | Case study |
| Length | 2000 words |
| Weighting | 50% |
| Individual/Group | Individual |
| Formative/Summative | Summative |
| How will I be assessed | 5-criterion grading scale using the rubric provided |
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| Presentation requirements | This assessment task must: · Be a written academic case study containing headings · Times New Roman, size 12, 1.5 line spacing · Use of Harvard referencing mandatory · Be submitted in an electronic format as a PDF document via SafeAssign |
| What you need to do | 1. Review the Task 3 clinical case study 2. Describe the pathophysiological concepts related to the case 3. Apply principles of pharmacokinetics and pharmacodynamics to explain how the medications work and interact with the human body. 4. Relate the drug mechanism of action to main side-effects of the drug and, discuss benefits, risks and management of adverse reactions using person-centred approaches. 5. Use an evidence-based argument and justification of decisions with coherent written expression and presentation. 6. Reference the writing using the style conforming to Harvard referencing style used at USC. |
| Suggested Format | Introduction (100 words) Briefly outline the main concepts identified in the case study Describe the relevant pathophysiology evident from the case (500 words) Use your understanding of the physiological processes to explain the clinical presentation of the case study Discuss the medications from the case and relate their mechanism of action (600 words) Using appropriate drug therapy references describe the effects of the drug therapy on the person described in the case study. Describe your prioritised interventions for the case (700 words) Use your clinical reasoning to prioritise necessary person-centred interventions. Relate the interventions to addressing clinical issues related to the drug therapy regimen described in the case. Use evidence from scholarly health literature to support and justify your discussions and interventions. (Intext references are included in the word counts. The reference list is not included in the word count. The word count leniency is +/- 10%) Conclusion: (100 words) Briefly recount the key concepts discussed in the case study response. Make a strong statement that reiterates the clinical reasoning of your case study response. Avoid repeating the introduction in past tense. |
| Resources needed to complete task | · Task 3 Assessment guide · Harvard Referencing Guide https://www.usc.edu.au/current-students/student-support/academic-and-study-support/online-study-resources/referencing-and-academic-integrity-guide/harvard · NMBA Registered Nurse Standards of Practice · NMBA Midwife Standards for Practice |
Task 3 Case study
Jolene is now 35 and still living in Dalby with Jack. The farm is not doing so well due to the drought. Jolene has had to help on the farm for the past 2 years. About 18-months ago she had a motorbike accident that resulted in a compound fractured tibia and fibula and a blunt force head trauma.
The fractures were surgically repaired with pins and plates. Jolene has recovered from the orthopaedic surgery and is now fully mobile but does experience leg pain and surgical site discomfort at times.
About 3-months after the surgery Jolene returned to the emergency department with extreme chest pain and dyspnoea. During that admission she was diagnosed with a pulmonary embolus and DVT. She remains on anticoagulant medication.
About 12-months ago Jack found Jolene disorientated on the veranda. He called the ambulance. While being transported to the emergency department Jolene had a tonic-clonic seizure lasting 3-minutes. The physician at the hospital diagnosed traumatic epilepsy related to the motorbike accident and prescribed medication to treat the condition.
Now Jolene is at the GP clinic for a follow-up appointment. Her protracted recovery has contributed to her feeling depressed. The GP had previously prescribed medication and other therapies for the depression. However, today’s visit from Jolene is because she believes she is pregnant. The GP has estimated that Jolene is in the first trimester of confinement.
You are the clinic nurse/midwife.
Review the medication regimen of Jolene.
Write an academic essay that includes discussion of the following points.
- Application of pathophysiological concepts
- Application of pharmacokinetics and pharmacodynamics to explain how medications work and interact with the human body.
- Relate the drug mechanism of action to main side-effects of the drug and, discuss benefits, risks and management of adverse reactions using person-centred approaches.
- Evidence-based argument and justification of decisions, coherent written expression and presentation
Referencing style conforms to Harvard referencing style used at USC
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RUBRIC
| Criteria | High Distinction | Distinction | Credit | Pass | Fail |
| Application of pathophysiological concepts (15%)
| Accurate and complete discussion of the relevant pathophysiology | A comprehensive and informed discussion of the relevant pathophysiology | Clear and coherent discussion of the relevant pathophysiology | Discusses some of the relevant pathophysiology | Incomplete or inaccurate discussion of the relevant pathophysiology |
| Application of pharmacokinetics and pharmacodynamics to explain how medications work and interact with the human body. (30%).
| Sophisticated analysis of pharmacokinetics and pharmacodynamics. Demonstrates In-depth understanding of how medications work and interact with the human body. | Insightful analysis of pharmacokinetics and pharmacodynamics. Demonstrates insightful conclusions about how medications work and interact with the human body. | Critical analysis of pharmacokinetics and pharmacodynamics. Demonstrates accurate conclusions about how medications work and interact with the human body. | Developing links of pharmacokinetics and pharmacodynamics. Demonstrates accurate conclusions about how medications work and interact with the human body.
| A descriptive account with limited or no links of pharmacokinetics and pharmacodynamics. Absence/ Inconsistent conclusions about how medications work and interact with the human body. |
| Relate the drug mechanism of action to main side-effects of the drug and, discuss benefits, risks and management of adverse reactions using person-centred approaches. (40%). | Exemplary application of the evidence to describe the mechanism of action to main side-effects of the drug and, discuss benefits, risks and management of adverse reactions using person-centred approaches. | Insightful application of the evidence to describe the mechanism of action to main side-effects of the drug and, discuss benefits, risks and management of adverse reactions using person-centred approaches. | Appropriate application of the evidence to describe the mechanism of action to main side-effects of the drug and, discuss benefits, risks and management of adverse reactions using person-centred approaches. | Developing application of the evidence to describe the mechanism of action to main side-effects of the drug and, discuss benefits, risks and management of adverse reactions using person-centred approaches. | Limited evidence of the application of the evidence to describe the mechanism of action to main side-effects of the drug and, discuss benefits, risks and management of adverse reactions using person-centred approaches. |
| Evidence-based argument and justification of decisions, coherent written expression and presentation (10%). | Exemplary academic communication. All arguments are fully and clearly supported by multiple sources of relevant evidence. | Advanced academic communication. All arguments are fully and clearly supported by evidence, demonstrating comparisons and synthesis. | Proficient academic communication. Arguments are generally supported by appropriate evidence with some synthesis cited. | Satisfactory academic communication with minor errors only. Arguments are supported by evidence; however, there is limited critical analysis of evidence from the sources used. | Academic communication contains several errors. Limited evidence supports the arguments or evidence from sources is treated uncritically. |
| Referencing style conforms to Harvard referencing style used at USC (5%). | Twelve or more appropriate references cited in the case study response. All citations meet the Harvard referencing style conventions. No errors. | Eleven or more appropriate references cited in the case study response. Consistent, accurate and complete referencing style with minor errors. | Ten or more appropriate references cited in the case study response. Consistent and complete referencing style with some errors. | Nine or more appropriate references cited in the case study response. Generally consistent in the referencing technique but needs attention to Harvard style details. | Less than Nine references cited in the case study response. Inadequate number of scholarly sources. Incorrect referencing style and technique. |
Task 3 Case study
Jolene is now 35 and still living in Dalby with Jack. The farm is not doing so well due to the drought. Jolene has had to help on the farm for the past 2 years. About 18-months ago she had a motorbike accident that resulted in a compound fractured tibia and fibula and a blunt force head trauma.
The fractures were surgically repaired with pins and plates. Jolene has recovered from the orthopaedic surgery and is now fully mobile but does experience leg pain and surgical site discomfort at times.
About 3-months after the surgery Jolene returned to the emergency department with extreme chest pain and dyspnoea. During that admission she was diagnosed with a pulmonary embolus and DVT. She remains on anticoagulant medication.
About 12-months ago Jack found Jolene disorientated on the veranda. He called the ambulance. While being transported to the emergency department Jolene had a tonic-clonic seizure lasting 3-minutes. The physician at the hospital diagnosed traumatic epilepsy related to the motorbike accident and prescribed medication to treat the condition.
Now Jolene is at the GP clinic for a follow-up appointment. Her protracted recovery has contributed to her feeling depressed. The GP had previously prescribed medication and other therapies for the depression. However, today’s visit from Jolene is because she believes she is pregnant. The GP has estimated that Jolene is in the first trimester of confinement.
You are the clinic nurse/midwife.
Review the medication regimen of Jolene.
Write an academic essay that includes discussion of the following points.
- Application of pathophysiological concepts
- Application of pharmacokinetics and pharmacodynamics to explain how medications work and interact with the human body.
- Relate the drug mechanism of action to main side-effects of the drug and, discuss benefits, risks and management of adverse reactions using person-centred approaches.
- Evidence-based argument and justification of decisions, coherent written expression and presentation
- Referencing style conforms to Harvard referencing style used .
