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
