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1 NUR272 Palliative, Rehabilitation and Continuing Care Assessment Task 2 Case Study Goal To apply knowledge to practice in a selected case study to demonstrate skills in assessment and person-centred care planning. Word count 2000 words (including in-text citations excluding Reference List). ±10% margin applies. Weighting 50% of total mark. Individual/Group Individual. Due time/date 11.59pm, Friday 23rd July 2021. Course Learning Outcomes assessed 1. Demonstrate critical thinking in the decision making, care planning, care delivery and management which align to the socioecological framework. 2. Provide rationales for factors that may facilitate (contribute to) or hinder goals in the management of the case. 3. Correct application of APA 7 referencing style and effective academic communication. Task instructions 1. Read these Instructions and the Rubric very carefully. 2. Read the Case Study and answer the questions on a separate document as per the Instructions. 3. Use the Draft Submission area for a SafeAssign check, with a Word document format. 4. Upload your completed work to the Final Submission area as a PDF document. Presentation requirements • Use the structure provided in the Instructions. • Conform to the requirements of academic writing including academic language and document layout (font style and size, line spacing, and margins). • Use APA7 referencing style (see the sway in the Assessments section). Assessment criteria 1. Demonstrates knowledge and comprehension of relevant assessment components in PEoLC relevant to the case study. 2. Demonstrates knowledge and comprehension of relevant management components in PEoLC relevant to the case study. 3. Demonstrates an overall critical approach that includes appropriate application of peer-reviewed literature to provide rationales for components of assessment and management. 4. Demonstrates effective academic communication and appropriate referencing using the APA7 style. 2 CASE STUDY SCENARIO Background This case study introduces you to Aleki Tupuola, a 42yo man married to Donna for the last 15 years. Born in Australia to Samoan parents, Aleki was raised in Brisbane amongst his large, churchgoing family. A heavy drinker in his youth, Aleki settled down once he was married, and lives on the Sunshine Coast where he has worked as a housepainter. Aleki and Donna have three children – son Jayden (14yo), daughter Sophie (10yo) and their ‘surprise baby’, son Fetu (18 months old). Aleki’s mother is now in her early 70s, and his father died three years ago from complications of diabetes. Aleki is one of six children, all still living in and around SE Queensland. Donna’s parents live in Townsville, and she is very close to her sister Kaylee who lives in Rockhampton. Diagnosis and prognosis A year ago, Aleki presented to hospital with constant, severe ache over his right upper quadrant, unrelated to movement, with occasional sharp spasms of epigastric pain. He had persistent nausea, loss of appetite, and weight loss. He believed he had a duodenal ulcer, as two of his brothers also had them. Upon further investigation, Aleki was found to have Stage III exocrine pancreatic cancer. He underwent a Whipple’s procedure followed later by chemotherapy. He has been unable to work since and although he is paid a pension, the financial strain has been great, as Donna only has part time work whilst looking after Fetu at home. With mild but persistent pain and low-grade nausea over the months that followed, further investigation showed that Aleki’s cancer had spread to his liver, now designated as Stage IV. Aleki and Donna were told by his oncologist last week that he has a prognosis of ‘perhaps three months’. He and Donna have told their extended families, and the two older children. Donna has been appointed his Enduring Power of Attorney for health matters and, with their GP’s help, completed an Advance Care Plan. Presentation Aleki has been admitted to the oncology unit with rapid exacerbation of pain, nausea and yellowed sclera. His abdomen is a little swollen. He is very weak, with very poor sleep at night; he is saying that his father ‘died like this’. Donna is visibly distressed when she visits Aleki and looks exhausted. Jayden and Sophie have visited a couple of times too, but Fetu has not seen his father in hospital. Aleki’s current medication is: • Oxycontin 60mg bd • Oxycodone 10-20mg prn - averages 4 doses a day with reducing benefit • Dexamethasone 2mg daily • Pantoprazole 40mg daily • Coloxyl and Senna 2-4 tablets at night • Metoclopramide 10mg tds • Ondansetron 4mg prn • Temazepam 20mg nocte Donna and Aleki are adamant he should return home for the remaining time he has left. 3 Instructions: • Create a new document to address the questions below. • Please number your answers to correspond to the numbering of these questions • Don’t write out or cut and paste the questions onto your answers. • The total word count is 2000 words. As a guide, each answer should be around 330 words however there is flexibility in this, and it is the total word count that will be counted by the markers. It is essential, however, that each question is answered comprehensively. • As illustrated in the rubric: o 30% of the total mark for Assessment Task 2 is allocated for the questions related to Clinical Assessment; o 30% of the total mark for Assessment Task 2 is allocated for the questions related to Care Management; o 20% of the total mark for Assessment Task 2 is allocated for critical appraisal and integration of sources; and, o 20% of the total mark for Assessment Task 2 is allocated for academic communication, appropriate referencing, and academic integrity. Part One: Clinical Assessment 1. What is the likely trajectory of Aleki’s illness? You can use a diagram to illustrate. Explain the 5-year life expectancy of someone with Stage IV exocrine pancreatic cancer. 2. Consider your approach to the assessment of Aleki’s pain. What type of pain/s does he describe? What elements of his pain should you assess? What assessment tool/s might be helpful to assess his pain experience? 3. Social assessment: identify three key issues in Aleki and Donna’s social world that are influencing their experience. How could you explore these with them? Part Two: Care Management 4. Who might the members of the multidisciplinary team be for Aleki and his family during his hospitalisation? Explain how their roles address the care needs identified during assessment. 5. Discuss the management of Aleki’s pain. Explain what pharmacological and non-pharmacological strategies might be effective. 6. A family conference is held. Explain how a discussion of goals of care could inform Aleki’s discharge and care at home. Reference List (not included in the word count) This must include all references that are cited in this Assessment Task. NUR272 Palliative, Rehabilitation and Continuing Care 07/06/2021 2021 Session 4, NUR272, Palliative, Rehabilitation and ... https://online.usc.edu.au/webapps/rubric/do/course/manageRubrics?dispatch=view&context=course&rubricId=_83535_1&course_id=_37466_1 1/1 NUR272 Assessment Task 2 - Case Study (2000 words) Levels of Achievement Criteria High Distinction Distinction Credit Pass Fail 1. Demonstrates knowledge and comprehension of relevant assessment components in PEoLC relevant to the case study. 85.00 to 100.00 % Demonstrates sophisticated knowledge in identi�cation and explanation of selected components of assessment. 75.00 to 84.00 % Demonstrates thorough knowledge in identi�cation and explanation of selected components of assessment. 65.00 to 74.00 % Demonstrates clear and coherent knowledge in identi�cation and explanation of selected components of assessment. 50.00 to 64.00 % Demonstrates basic knowledge in identi�cation and explanation of selected components of assessment. 0.00 to 49.00 % Demonstrates limited or inaccurate knowledge in identi�cation and explanation of selected components of assessment. 2. Demonstrates knowledge and comprehension of relevant management components in PEoLC relevant to the case study. 85.00 to 100.00 % Demonstrates insightful and sophisticated knowledge in identi�cation and explanation of selected components of management. 75.00 to 84.00 % Demonstrates thorough knowledge in identi�cation and explanation of selected components of management. 65.00 to 74.00 % Demonstrates clear and coherent knowledge in identi�cation and explanation of selected components of management. 50.00 to 64.00 % Demonstrates basic knowledge in identi�cation and explanation of selected components of management. 0.00 to 49.00 % Demonstrates limited or inaccurate knowledge in identi�cation and explanation of selected components of management. 3. Demonstrates an overall critical approach that includes appropriate application of peer- reviewed literature to provide rationales for components of assessment and management. 85.00 to 100.00 % Demonstrates advanced and sophisticated critical thinking including application of highly relevant literature. 75.00 to 84.00 % Demonstrates thorough critical thinking including application of relevant literature. 65.00 to 74.00 % Demonstrates clear and coherent critical thinking including application of relevant literature. 50.00 to 64.00 % Demonstrates basic critical thinking including application of relevant literature. 0.00 to 49.00 % Demonstrates descriptive thinking with limited or no application of relevant literature. 4. Demonstrates e�ective academic communication and appropriate referencing using the APA7 style. 85.00 to 100.00 % Exemplary written communication. Shows comprehensive understanding of elements of assessment task. No spelling or grammatical errors. Correct referencing using APA7, with no errors. Demonstrates academic integrity in written work. 75.00 to 84.00 % Advanced written communication. Shows thorough understanding of elements of assessment task. Minimal spelling or grammatical errors. Correct referencing using APA7, with minimal errors. Demonstrates academic integrity in written work. 65.00 to 74.00 % Satisfactory written communication. Shows satisfactory understanding of elements of assessment task. Several errors in spelling or grammar. Referencing uses APA7, with few errors. Demonstrates academic integrity in written work. 50.00 to 64.00 % Adequate written communication. Shows simple understanding of elements of assessment task. Spelling or grammar require improvement. Referencing uses APA7, with some errors. Demonstrates academic integrity in written work. 0.00 to 49.00 % Inadequate written communication. Does not show understanding of elements of assessment task. Spelling and grammar require signi�cant improvement. Multiple errors in APA7, or APA7 not used. Does not demonstrate academic integrity in written work. Name Description Rubric Detail Weight 30.00% Weight 30.00% Weight