Case study: Medical History of HT

Case study: Medical History of HT

Case study: Medical History of HT

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Case study:
Ms Gladys Liu is a 45 year old woman has a medical history of HT and a 20 year history of T2DM which is no longer controlled by lifestyle changes.
She has presented to the ED following a possible UTI for last few days.
Her admission vital signs are T: 38.7C HR: 125bpm RR 25 BP 100/65 mmHg
On examination: left flank pain with a pain score of 8/10 cracked lips poor appetite and sunken eyes on examination.
Question 1
Explain the pathophysiology of the above signs and symptoms as they apply to Gladys.
Question 2
Discuss the investigations/tests that you think should be ordered for Gladys and explain your rationale and expected results (including the normal ranges).
Question 3
Discuss how the information and understanding you have collated in question 1 and 2 informs your nursing care of Gladys
Performance Standard
Assessment Criteria Excellent Good
Satisfactory Unsatisfactory
A detailed explanation of the signs and symptoms presented in the patient scenario with clear links displaying understanding of the pathophysiology /pathogenesis of the illness/ disease. (30%) Accurate highly relevant information provided with clear succinct explanation of signs /symptoms related to the specific case.
Accurate succinct relationship between pathophysiology / pathogenesis and signs/ symptoms presented.
Demonstrates excellent understanding.
(26-30) ? Clear relevant information provided explaining the signs/ symptoms of the specific case study with minor omissions or errors present.
Good explanation of the relationship between pathophysiology / pathogenesis and signs/ symptoms presented.
Demonstrates good understanding with moderate linkage to the related case study.
(21-25) ? Basic relevant information provided explaining the signs/ symptoms of the specific case study with some details absent or incorrect.
Basic explanation of the relationship between pathophysiology / pathogenesis and signs/ symptoms presented.
Demonstrates generalised understanding with basic linkage to the related case study.
(15-20) ?
Poor explanation/ irrelevant information provided displaying poor understanding of the signs/ symptoms related to the specific case study.
Poor or very limited explanation of the relationship between pathophysiology / pathogenesis and signs/ symptoms presented.
Demonstrates unsatisfactory understanding / incorrect linkage to the related case study.
(0-14) ?
A detailed explanation of any investigations considered necessary related to the case study including a discussion with rationales and possible results. (30%)
Accurate highly relevant linkage provided between investigations / case study and rationales.
Succinct discussion of investigations and expected results.
(26-30) ?
Clear explanation of links between investigations / case study and rationales although some errors present or information missing.
Clear discussion of investigations and expected results demonstrated
(21-25) ? Basic explanation of investigations.
Generalised discussion with basic rationales and generalised results demonstrated.
Generalised links between investigations/ case study and rationales demonstrated.
(15-20) ? Poor explanation of investigations.
Poor presentation of links between investigations/ case study and rationales.
Minimal discussion with no results provided.
Information missing or irrelevant.
Demonstrates unsatisfactory understanding.
(014) ?
Discussion on the application of the identified pathophysiology/ pharmacology and investigational information to nursing practice for the case study patient (30%)
Accurate succinct highly relevant explanation of applying pathophysiology/ pharmacology/ investigational information to nursing practice.Discussion comprehensively supported by relevant evidence (26-30) ?
Clearexplanation some elements omitted- explanation of applying pathophysiology/ pharmacology/ investigational information to nursing practice.Discussion well supported by relevant evidence
(21-25) ?
Basic/generic safe explanation ofapplying pathophysiology/ pharmacology/ investigational information to nursing practice.Discussion well supported by relevant evidence
(15-20) ?
Poor/ unsafe explanation ofapplying pathophysiology/ pharmacology/ investigational information to nursing practice.Demonstrated unsafe understanding.
No or irrelevant evidence
(014) ?
Meet all style and academic requirements. Quality of sources and correct use of references (10%) Uses Harvard Referencing with no errors. Mostly peer reviewed references used essay structure/style excellent.
(9-10) ? Uses Harvard Referencing. Very minor errors in presentation of the reference list and/or in-text referencing.
General and peer reviewed references used structure /style good.
(7-8.5) ? Uses Harvard Referencing with a number of errors evident in presentation of the reference list and/or in-text referencing. Mostly general references used structure/style unclear in areas.
(5-6.5) ? Harvard Referencing not used or consistently incorrect or absent. Referencing MUST be used appropriately. Failure to do so may result in a fail grade.Lacking structure/style.
(0-4.5) ?
Markers Name:
Grade: Pass/ Fail Overall Comment:
Case study
youhave learnt how to link signs and symptoms to anatomy and pathophysiology in order to understand themedical management and develop comprehensive relevant nursing care. In developing this understanding you have also explored linking the pharmacology through mode of action dosages adverse effects and nursing precautions.
For your supplementary assessment you are asked to present an academic paper that investigates the below case study with reference to the presented questions. The marking rubric will guide your development of this paper.
Length: 2000 words
Case study:
Ms Gladys Liu is a 45 year old woman has a medical history of HT and a 20 year history of T2DM which is no longer controlled by lifestyle changes.
She has presented to the ED following a possible UTI for last few days.
Her admission vital signs are T: 38.7C HR: 125bpm RR 25 BP 100/65 mmHg
On examination: left flank pain with a pain score of 8/10 cracked lips poor appetite and sunken eyes on examination.
Question 1
Explain the pathophysiology of the above signs and symptomsas they apply to Gladys.
Question 2
Discuss the investigations/tests that you think should be ordered for Gladys and explain your rationale and expected results (including the normal ranges).
Question 3
Discuss how the information and understanding you have collated in question 1 and 2 informs your nursing care of Gladys

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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