Case study essay

NUM2306 Adult Health 1

_{Semester 2/2022}

Assessment details

Assessment 2: Case study essay

Weighting: 40%

Word count: There is a word limit of 1250 words.

Due date: Friday 23^rd September at 10 am

Submission details: via Canvas > Assignments

Patient profile

Rebecca Bates is a 19-year-old lady who lives at home with her parents. She is regularly active and swims every week. She has a history of asthma and is usually well controlled on her asthma medication. Rebecca presented to the emergency department, complaining of shortness of breath and tightness in her chest.

Subjective data

• Was diagnosed with asthma at age 6 years

• Is taking daily salbutamol prn and Seretide 125/25 via MDI 2 puffs twice a day.

• Has a non–productive cough and dyspnoea

• Appears distressed

• Able to speak in short phrases

Objective data

Physical examination

• Audible bilateral wheeze on expiration

• BP 110/60mmHg, HR 115 bpm, Temp 38.6 ⁰Celsius, Resp 24 bpm, SaO2 90% RA, GCS 15

• Pulsus paradoxus palpable

• Visible use of accessory muscles

• Lung auscultation, decreased air entry both sides L=R

Diagnostic studies

• Peak flow 75% predicted value

• Chest Xray NAD

^{• ABG’s: pH 7.47, HCO3 23 mmol/L, PaCO}2 ^{35mm Hg, PaO}2 ^{72mm Hg}

Your assignment is to produce a written piece of work addressing the following areas.

PATHOPHYSIOLOGY

• ^{Briefly explain the pathophysiology of asthma in this patient. In your answer identify the} clinical manifestations of asthma demonstrated by Rebecca and why these are occurring.

MANAGEMENT

• Outline the immediate nursing and medical management Rebecca requires in the treatment of this exacerbation of asthma. In your answer include the pharmacological management required by a patient with an acute exacerbation of asthma.

MEDICATIONS

• Identify three medications that would be used in the treatment of Rebecca and outline the indication for use, mechanism of action, administration method, side effects, and nursing care required for these medications (No tables).

Important details about your assessment

• This essay requires a standard essay introduction and conclusion.

• There is a word limit of 1250 words (+/– 10% as per SNM Presentation and Assignment

Guidelines).

• Marks will be allocated as per SNM Assessment Rubric & the essay specific criteria below.

• Submission instructions and the link is accessible under the ‘assessments’ tab.

• Students should refer to the SNM Presentation and Assignment Guide, ECU APA Referencing Guide, and the SNM Marking Assessment Rubric.

_{• Graphs, tables, and flow charts to support the statistical data will not be accepted.}

Marking criteria:

Below you will find two tables: The first is the SNM generic marking rubric, the second is an interpretation of that rubric to help you recognize which areas are important (it shows you what elements you need to address to get full marks). The points in brackets show you how those elements are weighted, e.g., the introduction can get up to 2 points etc. Elements with more points would be expected to require more words/paragraphs.

	Well Below Average (<25%)	Below Average (26–49%)	Pass/Average (50–59%)	Credit (60–69%)	Distinction (70-79%)	High Distinction (>80%)
Content	Does not address assessment item. No evidence to support main ideas. Unable to demonstrate an understanding of the main ideas or concepts. No credible sources used to support main ideas.	Does not or poorly addresses assessment item. Insufficient evidence to support main ideas. Unable to or poorly demonstrates an understanding of the main ideas or concepts. Ideas are not relevant to the topic. Limited referencing to support ideas.	Assessment item addressed at a superficial level. Minimal evidence to support main ideas. Able to demonstrate an understanding of the main concepts at a basic level. Some ideas presented have relevance to the topic.	Most parts of the assessment item addressed at a satisfactory level and supported by adequate evidence. Able to demonstrate an understanding of the main concepts. Most ideas presented have relevance to the topic.	All parts of the assessment item addressed at a good level and supported by quality evidence. Able to demonstrate a solid understanding of the main concepts. Most ideas presented have relevance to the topic.	Content fully addresses all parts of the assessment item. Thorough exploration of concepts and well–formed ideas, supported by high quality evidence. Able to demonstrate an in– depth understanding of the main concepts. All ideas presented have relevance to the topic.
	0–10	11–19	20–23	24–27	28–31	32–40
Application of Critical Thinking	Does not demonstrate critical thinking appropriate to required level. No application of professional practice and/or evidence-based thinking to assessment item.	Poorly demonstrates critical thinking appropriate to required level. Poor application of professional practice and/or evidence-based thinking to assessment item.	Limited demonstration of critical thinking appropriates to level of education. Limited application of professional practice and/or evidence-based thinking to assessment item.	Demonstration of critical thinking appropriate to level of education. Application of professional practice and/or evidence-based thinking to assessment item.	Very good demonstration of critical thinking appropriates to level of education. Very good application of professional practice and/or evidence-based thinking to assessment item.	Excellent demonstration of critical thinking appropriates to level of education. Excellent application of professional practice and/or evidence base to practice in assessment.
	0–7	8–14	15–16	17–19	20–23	24–30
Structure and Presentation	The assignment does not conform to the structure of the assessment item. No introduction to the assessment. Poor or non–existent paragraphing. No logical/cohesive development of ideas. No summation of key points in conclusion. Does not comply with ECU SNM Assignment Writing Guidelines.	Limited aspects conform to the structure of the assessment item. Poor introduction to the assessment. Limited paragraphing. Omits or poor summation of key points in conclusion. Poorly complies with ECU SNM Assignment writing Guidelines. Does not follow specific assignment instructions as per Unit Semester Plan	Some aspects conform to the structure of the assessment item. Limited introduction of topic and summation of key points in conclusion. Minimal paragraphing, and logical/cohesive development of ideas.	Most aspects conform to the structure of the assessment item. Introduction adequately introduces topic and summarises key points in conclusion. Paragraphing is evident, and there is a logical/cohesive development of ideas in some of the assessment item. Complies with ECU SNM Assignment Writing Guidelines. Follows specific assignment instructions as per Unit Semester Plan	Most aspects conform to the structure of the assessment item. Very good introduction of topic and summation of key points in the conclusion that reflects the student’s position and provides clear insights into the issue. Very good paragraphing, and logical/cohesive development of ideas. Complies with ECU SNM Assignment Writing Guidelines to a very high standard. Follows specific assignment instructions as per Unit Semester Plan completely.	All aspects conform to the structure of the assessment item. Excellent introduction of topic and strong summation of key points in the conclusion that reflects the student’s position and provides clear insights into the issue. Excellent paragraphing and logical/cohesive development of ideas throughout Complies with ECU SNM Assignment Writing Guidelines to an excellent standard. Follows all specific assignment instructions as per Unit Semester Plan
	0–2	3–4	5	6–7	8–9	10
Referencing	Referencing does not follow instructions in the ECU Referencing Guide. In text and/or end–text referencing has multiple errors. Includes references in conclusion.	Referencing poorly follows instruction in the ECU Referencing Guide. In text and/or end–text referencing has many errors. Includes references in conclusion.	Mainly adheres to instruction in the ECU Referencing Guide. In text and/or end–text referencing has some errors.	Adheres to instruction in the ECU Referencing Guide. In text and/or end–text referencing has few errors.	Adheres to instruction in the ECU Referencing Guide. In text and/or end–text referencing has very few errors.	Completely adheres to all instruction in the ECU Referencing Guide. In text and/or end–text referencing has no errors.
	0–2	3–4	5	6–7	8–9	10
	Low Proficiency	Developing Proficiency	Moderate Proficiency		High Proficiency
English Proficiency	Multiple grammatical, spelling and punctuation errors were present throughout. Sentence structure poor making it difficult to determine meaning.	Many grammatical spelling and punctuation errors were present and needs improvement. Sentence structure needs improvement.	Mostly correct grammar, spelling and punctuation evident throughout. Sentence structure acceptable but needs improvement.	Mainly correct grammar, spelling and punctuation. Very few errors. Sentence structure was of a good standard.	Grammar, spelling and punctuation were error free. Sentence structure of a high standard. Effective use of all sentence and paragraph writing conventions were clearly demonstrated. Logical application of arguments throughout paper.	Grammar, spelling and punctuation were error free. Sophisticated use of all sentence and paragraph writing conventions were clearly demonstrated. Logical application of arguments throughout paper.
	0-2	3-4	5	6	7-8	9–10

Language

_{Table 1: Marking rubric}

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Case study specific criteria to be considered in conjunction with the SNM Assessment rubric:	Points Available	Rubric Points Available
Introduction	(2)	Structure/Presentation
• Definition; objectives; scope & structure • Getting the reader’s interest		10
Formatting and Presentation	(3)
• Submitted via Turnitin • Title page • Page numbers • Use double–spacing throughout the entire paper • Spacing MUST be consistent between the headings/subheadings and the text • Times New Roman 12–point font, in black color and same size font throughout
Paragraphing & Logic	(3)
• Logical arguments and logical connection between ideas. • Well–developed paragraphs. • Use of third person • Appropriate professional language
Conclusion	(2)
• Summary of key points • Do not introduce new topics • No references in the conclusion
Pathophysiology	(15)	Content
• Explanation of pathophysiology of asthma. • Clinical manifestations		40
Management	(15)
• Medical
• Nursing
Medications	(10)
• Indication for use, mechanism of action, administration method, side effects, and nursing care required for these medications,
Discussion throughout the essay)	(30)	Application of Critical Thinking 30
• Identify link between pathophysiology, clinical symptoms, and nursing care • Providing rationales for care based on evidence–based research and best practice guidelines (Australia) (This section for critical thinking is assessed throughout the essay)
Referencing & APA	(10)	Referencing
• Strict APA 7th ed. is required in–text and in the reference section • Marks will not be awarded if in–text citations are not clear • You should use a minimum of 10 references of which at least 7 are journal articles. You can also use Government and organizational reports but make sure the sources are credible and that you understand the statistical data that is presented. All resources are up to 5 years old, textbooks can be 10 years old. • Wikipedia and Dictionary.com will not be accepted as a reference source!		10
English Language	(10)	ELP
Grammar, spelling, and punctuation were error free. Sophisticated use of all sentence and paragraph writing conventions were clearly demonstrated. Logical application of arguments throughout paper.		10

Table 2: Elements required in case study essay to meet marking rubric criteria

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