NRSG370 - Clinical Integration - Speciality Practice
Assessment: Case Study Outline - Information For Students
Assessment 3: Case Study - North Sydney
The Clinical Reasoning Cycle
Students are expected to use the Clinical Reasoning Cycle (Levett-Jones, 2018) as a framework to plan and evaluate person-centred care. You are being asked to think through the case scenario and then discuss how data was collected and the type of data collected, identify problems and nursing issues, identify and state the objectives and discuss how care was provided in order to address the issues and evaluate the interventions carried out: (analyse and identify a nursing issues/problems/needs, set objectives, discuss the nursing interventions and evaluate the interventions of care carried out). As per lecture notes, students are expected to apply the clinical reasoning cycle to address the case scenario:
Application of the Clinical Reasoning Cycle
Based on the stages of the clinical reasoning cycle, the outline of the essay should have:
Title Page: (not included in the essay)
Consider the case scenario of your choosing based on your clinical electives as per assessment "Choose the once that best reflects your specialty placement" this is where you determine what information should be collected and how information is going to be collected.
You need to discuss the type of information collected and why this information was collected based on the scenario for the clinical elective. For instances, the type of information collected should consider and include the history, current presenting issues and treatment plan, observations, results of investigations done medical records etc.
The most important thing is to analyse the information that you have collected and identify areas of nursing care needs and problems. In this section, your discussion should refect analysis and interpretation of the patient's current health status using your established knowledge of physiology, pharmacology, pathology, culture, and ethics to establish needs and issues drawn form the information. This stage allows you to demonstrate synthesis of theory and experience acquired in previous and concurrent nursing units.
Identify and state the problems/needs or issues you have identified. It is important to identify the problems/needs/issues and the potential cause to determine the reason behind the patient's current issue. Examples:
Please note these are examples only, the nature of the problems you identify will depend on the nature of the case study and your analysis and interpretation of the situation.
Here, you determine the nursing goals for the patient's situation. Identify and prioritise at least three nursing problems/issues based on your assessment and collected data.
A significant amount of discussion should be attached to this section to reflect how you would address the three areas identified issues
Here you discuss the nursing interventions or measures you will undertaken in order to address the three nursing issues or problems. These measures should take in consideration the ethical, legal, evidence based, holistic person approach.
Evaluate the effectiveness of the nursing interventions you have discussed (presumably which could have been carried out or actually carried out) and reflect on how the interventions could have been improved or done better-State the potential measures that could have been considered or could have been carried out to address the problem. This phase allows you to critically analyse what has been done and how best the care was carried out or could have been improved.
the essays ends with a cogent, defendable conclusion that summarises the discussion.
Provide a list of references used in your discussion
Students are expected to apply the clinical reasoning cycle to address the case scenario using the following format:
The Marking Criteria
Please refer to the marking criteria
Here are some of the points in conjunction with the marking criteria which you should consider when applying the marking criteria to your case study essay:
Critical thinking, reasoning and evaluation of evidence: 30%
the essay demonstrates a high degree of critical thought and insight by:
Paragraph, structure/intelligibility: 10%
Sources & Referencing: 10%
Please refer to the unit outline, case study scenario on LEO and marking guide for information about assessment
NRSG370 Assessment Task 3: Case Study - Oncology
Mrs Zata Zata, a 46-year-old with Sigmoid Adenocarcinoma Stage IV
Mrs Zata Zata, a 46-year-old female, had 2-mouth history of passing dark blood stained stools per rectum when she ws referred by her medical General Practitioner (GP) to the hospital after experiencing severe cramping and bloody diarrhoea. She underwent a colonoscopy. which demonstrated an obstructive lesion in her sigmoid colon and had laparoscopic sigmoid colectomy a week ago. Pathology biopsy results shows infiltrating and poorly differentiated adenocarcinoma.
Past medical history
Temperature, 37.8, pulse, 72; respirations, 22; blood pressure (BP), 166/85
CEA> 25 ng/ml; CA- 19-9>120 U/ml; Hb 88; Neutrophils <500/mcl
Plan of Care
To be treated with six cycles of Chemotherapy to be followed by Radiotherapy
Mrs Zata ia complaining of severe pain; with her pain score ranging between 8-10 at night.
She also indicates that she has not opened bowels for four days and she has not been sleeping at night. Mrs Zata has lost 5kg in the last two weeks. Doctors state she is to remain in hospital to improve on her neutropenic state as per last blood results. The day nurse report that Mrs Zara has been refusing to get out of bed and has been refusing to eat.
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