Posted: September 13th, 2017

Professional Portfolio – Part B;/ Health Assessment Case Study

Professional Portfolio – Part B;/ Health Assessment Case Study

Description: Health Assessment Case Study

Length and/or format: 1500 words – Health Assessment Case study
Purpose: To demonstrate an advanced understanding of health assessment in particular the use of focused assessment skills and considerations relating to the provided case study.
Learning outcomes assessed: 1, 2, 4, 5, 6, 7, 9 and 10
How to submit: Turn-it-in Drop Box. Electronically complete the student assignment declaration/honesty form the marking criteria is automatically there for the markers usage, do not try to attach or embed these forms as a PDF or picture file in your essay.
Return of assignment: Grades will be released in grade book. Feedback will be available through Turn it in.
Assessment criteria: This task will be assessed using the marking criteria on the following page.
Please refer to LEO – Assessment Folder for a more comprehensive description of this task
Case Study
Mr James Saunders a 36 year old single male has been admitted to your ward with exacerbation of his asthma. His hearing is also moderately impaired and he wears hearing aids in both ears. After introducing yourself, you notice that his respiratory rate appears moderately fast at 28 breaths per minute. He tells you that he’s always struggled with the disease since a child, but during the early spring he tends to get worse, especially on windy days. He reports not feeling ‘too bad’ at present and that this degree of shortness of breath is ‘pretty usual’ for him. He denies coughing up any sputum, or any chest pain. He appears flushed, and is speaking in short sentences. You take his vital signs and note a BP of 140/70 and his oxygen saturation is 90% on room air. When you inspect Mr Saunders chest your note moderate use of accessory muscles and on auscultation there is wide spread respiratory wheeze.
Describe a detailed focussed health assessment of Mr Saunders carried out to address his current presentation of asthma. The essay should address the following points in your discussion.
• Describe the area of focussed assessment to be considered for Mr Saunders stating the rational for such a choice.
• Describe the normal assessment parameters of the assessment identified in the previous question
• Describe how Mr Saunders’s presentation deviates from these normal assessment parameters explaining the pathophysiological developments associated with each relevant symptom presented in the above case study.
• Mr Saunders presents with a history of asthma, from your research on asthma identify any further areas to be investigated and what further assessment needs to be conducted to collect more data.
• Explain the relationships that may exist between individual pieces of assessment data that enables you to identify a specific problem area
• Identify potential risk factors that could contribute to Mr Saunders experiencing asthma in the future.
ASSESSMENT TASK 1: Professional Portfolio – Part B: Health Assessment Case Study 40% – MARKING GUIDE
Elements (Weighting) NRSG 125 Portfolio task 1B
7 (HD)
6 (D)
5 (CR)
4 (P)
3 (F)
0 (No attempt made)
Focus and Introductory Statement (10 Marks)
10
8
6
4
2
0
There is a clear introduction that outlines the topic, and profiles the scope, content and the sequence of the essay topic.
There is a clear introduction that outlines the topic, and profiles the content and the sequence of the essay topic.
There is a clear introduction that outlines the topic and the content to be covered.
There is an introductory sentence that outlines the topic.
There is an introductory sentence which states the topic without providing an outline of the topic.
There is no introduction.
Sequencing (20 Marks )
20
16
14
12
10
0
The content in the essay matches the outline presented in the introductory paragraph. Most paragraphs are organised in a logical manner so that content flows from one paragraph to the next, and the essay ends with a rational conclusion.
The content in the essay mostly matches the outline presented in the introductory paragraph. Most paragraphs are organised in a logical manner, and the essay ends with a rational conclusion.
There is a clear introduction, followed by the body of the essay, with a conclusion. However, content within the body and within paragraphs is not always logically sequenced.
There is a clear introduction, followed by the body of the essay, with a conclusion. However, there is little evidence of sequential presentation of information.
There is not a clear introduction, body and conclusion.
There is no sequencing.
Closing Paragraph/ Conclusion (10 Marks)
10
8
6
4
2
0
There is a concluding paragraph which restates the topic, provides a summary of all of the key points, and presents an overall conclusion.
There is a concluding paragraph which restates the topic, provides a summary of most of the key points, and presents an overall conclusion.
There is a concluding paragraph which restates the topic, and provides a summary of most of the key points.
There is a concluding sentence which restates the topic, and provides a summary of some of the key points.
There is a concluding sentence which restates the topic without providing an summary of the content.
There is no conclusion.
Content, Evidence and Examples (20 Marks)
20
16
14
12
10
0
The content is relevant to the topic. Appropriate evidence and examples are presented.
The content is relevant to the topic. Evidence and examples are presented of varying quality.
Most content is relevant to the topic. Evidence and examples are presented of varying quality.
Some content is relevant to the topic. Evidence and examples are minimal.
There is insufficient content presented that is relevant to the topic, and no evidence and/or examples are presented.
The content, evidence and examples are not appropriate.
Sources and Referencing (5 Marks)
5
4
3
2
1
0
Credible and relevant references are used. Accurate use of APA referencing style on most occasions. There is limited use of a range of in-text citation formats.
Credible and relevant references are used. Accurate use of APA referencing style on most occasions.
Most references are credible and relevant. Accurate use of APA referencing style on most occasions. There is no variation of in-text citation format.
Most references are relevant, but some lack credibility. Accurate use of APA referencing style on most occasions. There is no variation of in-text citation format.
Not all references are credible and/or relevant. Many inaccuracies with the APA referencing style.
There are no references used.
Audience Awareness (5 Marks)
5
4
3
2
1
0
The language is appropriate for the target audience, and suits the purpose for which the essay is intended.
The language is appropriate for the target audience, and mostly suits the purpose for which the essay is intended.
The language is appropriate for the target audience.
Most of the language is appropriate for the target audience.
Much of the language is not appropriate for the target audience.
The language in the essay is not suited to the target audience.
Sentence and Paragraph Structure/Intelligibility (5 Marks)
5
4
3
2
1
0
The writing is organised into paragraphs, and the information is mostly organised appropriately within the paragraph. Most paragraphs relates to a discrete idea. There is a clear linking sentence that links most paragraphs to the next.
The writing is organised into paragraphs, and the information is mostly organised appropriately within the paragraph. Most paragraphs relates to a discrete idea. The paragraphs mostly link to one another.
The writing is organised into paragraphs, and the information is mostly organised appropriately within the paragraph. Most paragraphs relates to a discrete idea.
The writing is organised into paragraphs, and the information is mostly organised appropriately within the paragraph.
The writing is organised into paragraphs, but the information is not organised appropriately within the paragraph.
There is no evidence of paragraphs.
Mechanics – Grammar, Spelling and Punctuation (5 Marks)
5
4
3
2
1
0
There are minimal errors with grammar, spelling and punctuation, and the meaning is easily discernible.
There are some errors with grammar, spelling and punctuation. However, the meaning is readily discernible.
There are substantial errors with grammar, spelling and punctuation. The errors detract significantly, but the meaning is discernible.
There are substantial errors with grammar, spelling and punctuation. The errors detract significantly, but the meaning is discernible with some effort.
There are substantial errors with grammar, spelling and punctuation, such that the errors detract significantly from the meaning.
Grammar, spelling and punctuation are such that the reader cannot make sense of the content.