Holmesglen 26-Jan-18 F:\Analyse 2018 new\Analyse assessments\Analyse Clinical Scenario 1 .docx lk CRS176 Revision 101 July 2017 Page 1 of 7 Assessment Task Two : Clinical scenario 1. Student Version:...

Assessment Task Two : Clinical scenario 1.


Holmesglen 26-Jan-18 F:\Analyse 2018 new\Analyse assessments\Analyse Clinical Scenario 1 .docx lk CRS176 Revision 101 July 2017 Page 1 of 7 Assessment Task Two : Clinical scenario 1. Student Version: Report, Project, Portfolio Student information Student name: . Student ID: . Section A – Program/Course details Qualification code: HLT54115 Qualification title: Diploma of Nursing Unit code: HLTAAP003 Unit title: Analyse Health and respond to client information Section B – Assessment task details Assessment number: 2 – Clinical Scenario 1 Semester/Year: 1 / 2018 Due date: 18/02/2018 Duration of assessment: 3 weeks Assessment task results: This assessment task will be marked as: ☐ Ungraded result: Satisfactory or Not Satisfactory ☒ Other (eg points): Graded Section C – Instructions to students Task instructions: Knowledge Evidence required for this assessment The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. Includes knowledge of: 1. role responsibilities and limitations for different members of the care team in relation to analysing health information and providing services 2. Variations and abnormal findings of the structure and function of human body systems and their interactions: cardiovascular system and respiratory system. 3. Be able to use correct anatomical and medical terminology when referring to the human body. Grading Grading will occur following a satisfactory result. Marks will be allocated AFTER your paper has been deemed satisfactory. These marks will provide you with a graded result. If you do not achieve a satisfactory result, your paper will remain ungraded. Failure 4. In the event of failure of an assessment the student’s progress will be reviewed and eligibility for a resit will be determined by the Course Coordinator/Program Manager as per departmental policy listed in the student handbook. Where relevant, remediation may be offered prior to a resit. 5. A student who successfully passes a resit shall be awarded a PX for ungraded assessments or 50% for graded assessments. Holmesglen 26-Jan-18 F:\Analyse 2018 new\Analyse assessments\Analyse Clinical Scenario 1 .docx lk CRS176 Revision 101 July 2017 Page 2 of 7 Section C – Instructions to students Task instructions: Answer the questions listed in relation to the following clinical scenario. Clinical Scenario’s 1 PART A. Mr Brown is an 87 year old man who has the following history: Left sided heart failure following a myocardial infarction 6 years ago Hypertension Chronic Obstructive Pulmonary Disease (COPD) - Emphysema Swollen ankles and legs Benign Prostate Hypermegaly (BPH) He has been admitted to the Aged Care facility for respite and for assessment for permanent admission to a care facility. He is a past smoker. He states that he finds it hard to get around as he runs out of breath and says he stays in bed most of the day and lives alone in a large house where he has been for the past 46 years. His base line observations are as follows. He is 45Kg and 1.65m tall. Current Observations: HR 90 RR 22 BP 150/84 O2 Saturation 90% on room air Q1. Explain the pathophysiology of emphysema. (2marks) Q2. Choose two vital signs that are affected by his emphysema? Explain why. (2 marks) Q3. Describe the pathophysiology of angina. (2 marks) Q4. Explain the pathophysiology of a Myocardial Infarction. Name one type of a MI – think about the area of the heart that may have been affected. (3 marks) Q5. How / why would his past AMI have caused his CCF? (2 marks) Q6. Explain how his swollen ankles and legs are related to his CCF? (1 marks) Q7. Explain Benign Prostate Hypermegaly (BPH) (2marks) Q8. What is Pulmonary Oedema? What signs and symptoms would you be looking for in case Mr Brown started to show signs of PO? (2 marks) Q9. Complete three nursing care plans for Mr Brown. Each plan must identify one patient problem/issue, one goal and two courses of action you would take. The outcome should then be evaluated. (18 marks) Q10. State the general role of Allied Health workers providing patient care. (2 marks) Q11. List those that should be involved in Mr Brown’s care to ensure that when he is discharged home, he will be able to live safely until he makes a decision to move into permanent care. Describe in detail their role and how they will assist Mr Brown (6 marks) Q12. Grammar, punctuation and sentence structure used to answer the assignment allows the assessor to read and understand the answers submitted. References included. (No allocated marks) Total marks:40 Holmesglen 26-Jan-18 F:\Analyse 2018 new\Analyse assessments\Analyse Clinical Scenario 1 .docx lk CRS176 Revision 101 July 2017 Page 3 of 7 Section C – Instructions to students PART B. Jack Jones is a 70 year old man is admitted to hospital after suffering a stroke which has resulted in right sided hemiplegia, dysphasia and dysphagia. His medical records reported that he had three TIAs in the last 12 months. He has the following history: Medical History: TIA’s x 3 Cellulitis left ankle 2 months ago Pulmonary embolus (PE) 2 years ago Chronic Asthma Current Observations: HR- 104 RR- 20 BP- 160/95 T- 37.1 O2 saturation on room air – 96% 1. What is the difference between a TIA and a stroke