代写 401010 – Health Variations

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  • 代写 401010 – Health Variations

    401010 – Health Variations 1
    Learning Guide – Autumn 2016
    ©School of Nursing and Midwifery  Page 10 of 30
    University of Western Sydney trading as Western Sydney University ABN 53 014 069 881 CRICOS Provider No: 00917K 
    Assessment 2: Short Answer Test (SAT)
    In class closed book assessment based on a case history.
    Weighting: 40%
    Word count: 1000 words
    Due Date: Week 7, in registered tutorial.
    Submission Details:  This is a closed book assessment that will be completed in your tutorial
    class in week 7.
    All students must attend their allocated tutorial to complete this assessment.
    You have an allocated time of 90 minutes.
    Marking Critieria and Standards: See page 12-17
    Aim of assessment
    The purpose of this short answer test in-class assessment is to enable the student to
    demonstrate:
      An understanding of the principles of perioperative nursing care in relation to
    a person who has Crohn’s disease (Learning outcome 1).
      An understanding of alterations in body fluid homeostasis and the
    management of fluid balance in the perioperative period (Learning outcome
    1).
      An understanding of the role of the nurse in the perioperative period in
    relation to a person who has Crohn’s disease (Learning outcome 2).
      An understanding of the pathophysiology of Crohn’s disease (Learning
    outcome 5).
      An understanding of pharmacological agents that may be used in the
    perioperative care of a person who has Crohn’s disease (Learning outcome
    6).
      An understanding of how safe and effective administration of
    pharmacological agents support people in perioperative care (Learning
    outcome 1, 6 & 7).
      An evaluation of relevant literature to support an understanding of the
    pathophysiology, pharmacological and nursing management of a person
    experiencing Crohn’s disease and express this in a clear and succinct writing
    style (Learning outcome 9).
    Details
    Lucy is a 19 year old university student. She has been admitted to hospital with a six
    (6) day history of lower right quadrant abdominal cramping pain increasing with
    intensity, diarrhoea with blood, anorexia, fatigue, nausea and episodes of vomiting.
    Lucy states that she was diagnosed with Crohn’s disease at age 15. She has had two
    previous hospital admissions for acute exacerbations of Crohn’s disease with clinical
    401010 – Health Variations 1
    Learning Guide – Autumn 2016
    ©School of Nursing and Midwifery  Page 11 of 30
    University of Western Sydney trading as Western Sydney University ABN 53 014 069 881 CRICOS Provider No: 00917K 
    manifestations of diarrhoea, abdominal pain and vomiting. Her Crohn’s disease has
    been managed with a combination of diet, medication and medical monitoring.
    Remission of her Crohn’s disease was maintained by oral mesalazine (Mesasal). Lucy
    currently rates her pain as 9/10.
    On examination, Lucy was pale, her extremities were cool, and her skin was dry with
    poor turgor. Her abdomen was distended and tender. A mass was palpable in the
    lower right abdominal quadrant.
    Observations on admission
      Blood pressure: 95/60
      Pulse rate: 110 beats/minute
      Respiratory rate: 22 breaths/minute
      Temperature: 37.7C
      Sa0 2 : 98% in room air
      Weight: 62 kilograms
      Height: 165 cm
      Urinalysis:
      specific gravity: 1040
      dark coloured urine
      no other abnormalities noted
    Initial pathology results
      Haemoglobin: 105 g/L (117 – 157 g/L)
      Haematocrit: 49% (35 – 47%)
      WBC 15000/mm 3 ( 3500 – 11000 mm 3)
      Erythrocyte sedimentation rate (ESR): 28mm/hour (0 – 20 mm/hour)
      C-reactive protein (CRP): 30mg/dl (20 mg/dl)
      Albumin: 28g/L (35 – 50 g/L)
    The MO orders the following
      fentanyl 75mcg IMI QID PRN
      metoclopramide (Maxolon) 10mg IMI TDS
      1000mL 0.9% normal saline over 8 hours
      nil by mouth
    Lucy was prepared and sent for an urgent colonoscopy, upper barium x-ray and
    abdominal CT scan. A bowel obstruction at the proximal end of the ascending colon at
    the ileocecal junction was diagnosed. A balloon dilation of the obstructed colon was
    attempted, but was unsuccessful. Lucy was scheduled for a surgical resection of the
    affected proximal ascending colon and end-to-end anastomosis of her colon.
    Questions
    Question 1. 10 marks (250 words)
    Explain the pathogenesis of Crohn’s disease that has led to the development of Lucy’s
    obstruction of the proximal ascending colon.
    401010 – Health Variations 1
    Learning Guide – Autumn 2016
    ©School of Nursing and Midwifery  Page 12 of 30
    University of Western Sydney trading as Western Sydney University ABN 53 014 069 881 CRICOS Provider No: 00917K 
    (Learning outcome 5; NMBA competency standards 2.6, 3.1, 4.2).
    Question 2. 10 marks (250 words)
    Explain the pathophysiological processes that lead to Lucy’s conscious
    perception of pain in her lower right abdominal quadrant.
    (Learning outcomes 1, 5; NMBA competency standards 2.6, 4.2, 3.1)
    Question 3. 5 marks (165 words)
    Describe the characteristics of the intravenous fluid that was ordered for Lucy,
    and the specific rationale, related to the details of the case study, for the
    administration of this intravenous fluid to Lucy.
    (Learning outcome 1, 2; NMBA competency standards 2.6, 3.1, 4.2, 5.2, 5.3)
    Question 4. 5 marks (165 words)
    Describe the mechanism of action of fentanyl in relation to its administration to
    Lucy.
    (Learning outcome 6; NMBA competency standards 1.1, 2.6, 3.1, 4.2)
    Question 5. 5 marks (165 words)
    Prioritise the nursing responsibilities and associated rationales related to the
    administration of fentanyl to Lucy.
    (Learning outcome 7; NMBA competency standards 1.1, 1.2, 1.3, 2.2, 2.5, 2.6,
    5.2, 5.3, 6.1, 7.4)
    END OF QUESTIONS
    NOTE - WORD LIMIT
    There is a total word limit of 1000 words for the SAT . If you exceed the word limit by
    more than 10% the marker will stop marking at 1100 words (word limit of 100 words +
    10%). This assessment does not require in text citations or a reference list. 
    Page 13 of 30
    Marking criteria and standards: Assessment 2 – Short Answer Test (SAT) In Class closed book assessment
    based on Case History
    Criteria  Mark  High Distinction  Distinction  Credit  Pass  Fail
    Q 1. Accurately, clearly and
    comprehensively explains the
    pathogenesis of Crohn’s
    disease that has led to the
    development of Lucy’s
    obstruction of the proximal
    ascending colon.
    /10
    Provides an
    accurate, clear and
    comprehensive
    explanation of the
    pathogenesis of
    Crohn’s disease
    that has led to the
    development of
    Lucy’s obstruction
    of the proximal
    ascending colon.
    Provides an
    accurate and clear
    explanation of the
    pathogenesis of
    Crohn’s disease
    that has led to the
    development of
    Lucy’s obstruction
    of the proximal
    ascending colon.
    Provides an
    accurate
    explanation of the
    pathogenesis of
    Crohn’s disease
    that has led to the
    development of
    Lucy’s obstruction
    of the proximal
    ascending colon.
    The information
    may be incomplete
    or lack clarity in
    explaining the
    pathogenesis of
    Crohn’s disease

    代写 401010 – Health Variations
    and the
    development of
    Lucy’s obstruction
    of the proximal
    ascending colon.
    Provides a basic
    explanation of the
    pathogenesis of
    Crohn’s disease
    that has led to the
    development of
    Lucy’s obstruction
    of the proximal
    ascending colon.
    There may be minor
    inaccuracies,
    omissions or
    repetition of
    information, lack of
    clarity or logical flow
    in explaining the
    pathogenesis of
    Crohn’s disease
    that has led to the
    development of
    Lucy’s obstruction
    of the proximal
    ascending colon.
    Provides a
    superficial
    explanation of the
    pathogenesis of
    Crohn’s disease
    that has led to the
    development of
    Lucy’s obstruction
    of the proximal
    ascending colon.
    Explanation does
    not accurately
    identify the events
    that occur in the
    pathogenesis of
    Crohn’s disease
    and the
    development of
    Lucy’s obstruction
    in her proximal
    ascending colon.
    Response does not
    demonstrate an
    understanding of
    the pathogenesis of
    Crohn’s disease
    and the
    development of a
    bowel obstruction.
    8.5-10  7.5-8  6.5-7  5-6  ≤4.5
    Page 14 of 30
    Criteria  Mark  High Distinction  Distinction  Credit  Pass  Fail
    Q 2. Accurately, clearly and
    comprehensively explains the
    pathophysiological processes
    that led to Lucy’s conscious
    perception of pain in her
    lower right abdominal
    quadrant.
    /10
    Provides an
    accurate, clear and
    comprehensive
    explanation of the
    pathophysiological
    processes that led
    to Lucy’s conscious
    perception of pain in
    her lower right
    abdominal
    quadrant.
    Provides an
    accurate and clear
    explanation of the
    pathophysiological
    processes that led
    to Lucy’s conscious
    perception of pain in
    her lower right
    abdominal
    quadrant.
    Provides an
    accurate
    explanation of the
    pathophysiological
    processes that led
    to Lucy’s conscious
    perception of pain in
    her lower right
    abdominal
    quadrant.
    The information
    may be incomplete
    or lack clarity in
    explaining the
    pathophysiological
    processes that led
    to Lucy’s conscious
    perception of pain in
    her lower right
    abdominal
    quadrant.
    Provides a basic
    explanation of the
    pathophysiological
    processes that led
    to Lucy’s conscious
    perception of pain in
    her lower right
    abdominal
    quadrant.
    There may be minor
    inaccuracies,
    omissions or
    repetition of
    information, lack of
    clarity or logical flow
    in explaining the
    pathophysiological
    processes that led
    to Lucy’s conscious
    perception of pain in
    her lower right
    abdominal
    quadrant.
    Provides a
    superficial
    explanation of the
    pathophysiological
    processes that led
    to Lucy’s conscious
    perception of pain in
    her lower right
    abdominal
    quadrant.
    Explanation does
    not accurately
    identify the events
    that occur in the
    pathophysiological
    processes that led
    to Lucy’s conscious
    perception of pain in
    her lower right
    abdominal
    quadrant.
    Response does not
    demonstrate an
    understanding of
    the
    pathophysiological
    processes that led
    to Lucy’s conscious
    perception of pain in
    her lower right
    abdominal
    quadrant.
    8.5-10  7.5-8  6.5-7.0  5-6  ≤4.5
    Page 15 of 30
    Page 16 of 30
    Criteria  Mark  High Distinction  Distinction  Credit  Pass  Fail
    Q 3. Accurately, clearly and
    comprehensively describes
    the characteristics of the
    intravenous fluid that was
    ordered for Lucy, and the
    specific rationale, related to
    the details of the case study,
    for the administration of this
    intravenous fluid to Lucy.
    /5
    Provides an
    accurate, clear and
    comprehensive
    description of the
    characteristics of
    the intravenous fluid
    that was ordered for
    Lucy, and the
    specific rationale,
    related to the details
    of the case study,
    for the
    administration of
    this intravenous
    fluid to Lucy.
    Provides an
    accurate and clear
    description of the
    characteristics of
    the intravenous fluid
    that was ordered for
    Lucy, and the
    specific rationale,
    related to the details
    of the case study,
    for the
    administration of
    this intravenous
    fluid to Lucy.
    Provides an
    accurate description
    of the
    characteristics of
    the intravenous fluid
    that was ordered for
    Lucy, and the
    specific rationale,
    related to the details
    of the case study,
    for the
    administration of
    this intravenous
    fluid to Lucy.
    Some information
    may be incomplete
    or lack clarity.
    Provides a basic
    description of the
    characteristics of
    the intravenous fluid
    that was ordered for
    Lucy, and the
    specific rationale,
    related to the details
    of the case study,
    for the
    administration of
    this intravenous
    fluid to Lucy.
    There may be minor
    inaccuracies,
    omissions or
    repetition of
    information, lack of
    clarity or logical
    flow.
    Provides a
    superficial
    description of the
    characteristics of
    the intravenous fluid
    that was ordered for
    Lucy, and the
    specific rationale,
    related to the details
    of the case study,
    for the
    administration of
    this intravenous
    fluid to Lucy.
    Response does not
    demonstrate an
    understanding of
    the characteristics
    of the intravenous
    fluid and/or the
    specific rationale,
    related to the details
    of the case study,
    for its administration
    to Lucy.
    4.5-5  4  3.5  2.5-3  ≤2
    Page 17 of 30
    Criteria  Mark  High Distinction  Distinction  Credit  Pass  Fail
    Q 4. Accurately, clearly and
    comprehensively describes
    the mechanism of action of
    fentanyl in relation to its
    administration to Lucy.
    /5
    Provides an
    exceptionally
    accurate, clear and
    comprehensive
    description of the
    mechanism of
    action of fentanyl in
    relation to its
    administration to
    Lucy.
    Provides an
    accurate and clear
    description of the
    mechanism of
    action of fentanyl in
    relation to its
    administration to
    Lucy.
    Provides an
    accurate description
    of the mechanism of
    action of fentanyl in
    relation to its
    administration to
    Lucy.
    However, the
    response may lack
    some relevant
    information or
    clarity.
    Provides a basic
    description of the
    mechanism of
    action of fentanyl in
    relation to its
    administration o
    Lucy.
    Description may
    contain minor
    inaccuracies,
    omission of relevant
    information,
    repetition or lack
    clarity.
    Provides a
    superficial
    description of
    mechanism of
    action of fentanyl in
    relation to its
    administration to
    Lucy.
    Response does not
    show an
    understanding of
    the mechanism of
    action of fentanyl in
    relation to its
    administration to
    Lucy.
    4.5-5  4  3.5  2.5-3  ≤2
    Page 18 of 30
    Criteria  Mark  High Distinction  Distinction  Credit  Pass  Fail
    Q 5. Accurately, clearly and
    comprehensively prioritises
    the nursing responsibilities
    and associated rationales in
    relation to the administration
    of fentanyl to Lucy.
    /5
    Comprehensively,
    clearly and
    accurately
    prioritises all
    relevant nursing
    responsibilities
    related to the
    administration of
    fentanyl to Lucy.
    Provides detailed
    and accurate
    rationales for each
    of these actions.
    Accurately
    prioritises all
    relevant nursing
    responsibilities
    related to the
    administration of
    fentanyl to Lucy.
    Provides accurate
    rationales for each
    of these actions.
    Accurately
    prioritises most
    relevant nursing
    responsibilities
    related to the
    administration of
    fentanyl to Lucy.
    Provides accurate
    rationales for each
    of these actions.
    Identifies most
    relevant nursing
    responsibilities
    related to the
    administration of
    fentanyl to Lucy.
    Nursing
    interventions may
    not be presented in
    a prioritised order.
    Provides superficial
    rationales for these
    actions.
    Some nursing
    actions may lack
    specific rationales.
    Identifies minimal
    relevant nursing
    responsibilities
    related to the
    administration of
    fentanyl to Lucy.
    Does not provide
    associated
    rationales for these
    actions.
    Rationales may be
    inaccurate,
    incomplete and not
    related to specific
    nursing actions.
    4.5-5  4  3.5  2.5-3  ≤2
    Page 19 of 30
    Criteria  Mark  High Distinction  Distinction  Credit  Pass  Fail
    Academic Writing Style.
    /5
    Writes in an
    advanced style
    exhibiting highly
    coherent and logical
    flow of ideas.
    No errors in
    spelling, grammar,
    punctuation or
    sentence structure.
    Writes clearly and
    succinctly with a
    coherent, logical
    flow of ideas
    exhibiting advanced
    clarity.
    No errors in
    spelling, grammar,
    punctuation or
    sentence structure.
    Ideas are clearly
    expressed.
    Use of language
    enables effective
    flow of ideas.
    Minor errors in
    spelling, grammar,
    punctuation or
    sentence structure
    that do not impede
    the logical flow of
    ideas and meaning.
    Writes in a
    reasonably clear
    style, but limited
    use of language
    sometimes hinders
    the effective flow of
    ideas and meaning.
    Minor, frequent
    errors in spelling,
    grammar,
    punctuation or
    sentence structure
    sometimes impede
    meaning and the
    flow of ideas.
    Writes in an
    elementary style
    with basic use of
    language and poor
    articulation of ideas.
    Organisation of
    material and main
    points are unclear,
    confused or
    disorganised
    Multiple errors in
    spelling, grammar,
    punctuation and
    sentence structure.
    4.5-5  4  3.5  2.5-3  ≤2
    Comments:
    Total Mark:
    /40
    Mark:
    /40%
    Marker:  Date: / /2016

    代写 401010 – Health Variations