Integrated Nursing Practice

NSB231 Integrated Nursing Practice 2 (On Campus) Case Study
Task description: For this essay, select either Essay Case Option 1 (the paediatric case) or
Essay Case Option 2 (the adult case). Review your chosen case and the
clinical documents. Using the clinical reasoning cycle you are required to
assess, plan, implement and evaluate your care for the patient. After
identifying the relevant assessment data you must identify two (2) priority
problems for your patient. For each priority problem identified, list two (2)
nursing interventions (collaborative/independent) linking to your research
of the literature. Include a one to two line rationale for each intervention.
Evaluation of your care is essential.
Learning outcomes
assessed:
1. Apply and integrate knowledge of the key NMBA Registered
Nurse Standards for Nursing Practice, National Safety and Quality
Health Service Standards, and National Health Priorities to
enable effective clinical decision making, planning and action in a
range of situations that reflect the diversity of contemporary health
care settings and challenge.
2. Apply knowledge of anatomy, physiology and pathophysiology to
support evidence-based decisions for planning and action in a
range of clinical situations.
3. Demonstrate clinical reasoning and clinical decision making in line
with safe and quality person-centred care across the lifespan.
4. Apply knowledge and skills to communicate and collaborate
effectively with consumers and families.
5. Reflect on the clinical placement experience and care provision,
using feedback from a range of sources, to identify opportunities
to enhance individual practice.
What you need to do: The 2200 word essay should cover the points below:
• Introduction (150 words approx): State an overview of the
patient’s condition and identify the TWO priority nursing
problems. Give a brief plan for the essay .

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NSB231 Assessment Task 2 Page 3 of 9
• Conclusion (150 words approx): Briefly restate the patient’s
condition and problems and how the nursing interventions can
benefit the patient’s health.
• You need to discuss at least one independent nursing intervention
in your essay.
 For any collaborative nursing interventions you must discuss the
nursing responsibilities and actions in relation to this collaborative
intervention.
 Medications cannot be both of your chosen collaborative interventions
for a problem. If a medication is one of your collaborative
interventions you must identify an appropriate drug that is likely to
be/or has been prescribed by the doctor. You must consider and
discuss the nursing responsibilities associated with the medication
(action, dose, side effects, prevention and management of same,
administration requirements, evaluation).
Length: 2200 words +/-10% (word length includes in-text referencing and
excludes your reference list)
Estimated time to
complete task:
Approximately 25 – 30 hours
Weighting: 40%
Individual/Group: Individual
Formative/Summative: Yes
How will I be assessed: Summative
Due date: Friday 4
th May submitted via Turnitin in your NSB231 Blackbord site by
2359 pm. More information about Turnitin is available on the FAQs about
Turnitin page.
Presentation
requirements:
This assessment task must:
 Use QUT APA referencing for citing academic literature
 Assignment cover sheet must be included as the first page of your
document. Then continue using this word document on page 2 to
write the rest of your assessment.
 Be submitted in electronic format as a single Abode Acrobat
PDF document via Turnitin
Format of assignment: Your assignment should be
• Be a written academic essay containing an introduction, body and
conclusion, addressing the task.
• Use QUT APA referencing for citing academic literature
• Assignment cover sheet must be included as the first page of your
document
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NSB231 Assessment Task 2 Page 4 of 9
• A minimum 20 references but be cited from valid, contemporary journal
articles or books no older than 7 years.
and prepared as follows:
 Has a cover sheet with the assessment title, your name, student
number, tutor name and word count. Coversheet template is required.
 Include a ‘footer’ on each page with your name, student number, unit
code and page number.
 3 cm margins on all sides, double-spaced text
 Times New Roman, font size 12
 QUT APA style referencing (see http://www.citewrite.qut.edu.au/)
What you need to
submit:
One word document that contains the following items:
 Assignment Cover Sheet & your work in the provided template with a
reference page
Resources needed to
complete task:
• Case study outline and clinical documents
available in your Blackboard site
• Clinical Reasoning template available in your
Blackboard site
• Learning through reflection web site.
 QUT Cite Write APA guide.
 Turnitin Tip Sheets.
 Videos under the assessment link on:
 Introduction to Evidence in Evidence Based Practice
 Academic Integrity

 

CASE 1

Matthew is a 14 year old adolescent with Cystic Fibrosis.
He was visited at home by the Hospital in the Home team
for IV antibiotic therapy received via his portacath. Matthew
has a frequent productive cough. He tells you that his
sputum has changed from yellow to greenish in colour
recently. His respiratory rate is 22 breaths/min and he has
crackles upon auscultation. His temperature is 37.6 C.
Matthew’s mother confides that she is worried about her
son as he hasn’t been engaging in as much aerobic sport
and physio lately and she has seen Matthew discarding
tablets (pancrease capsules) in the rubbish bin. When you
weigh Matthew you note that he has lost 2 kgs of weight
since your last visit 2 months ago. His weight is 47kgs and
his height is 168cms. You speak with Mathew’s doctor who
organises his admission to hospital.

CASE 2

Beryl is a 50 year old woman with Hypertension who is
attending a Healthy Heart Workshop at her local
Community Health Centre. Beryl’s blood pressure is
160/95, she is 150cms in height and her weight is 105kg.
Beryl reports that she drinks two to three glasses of wine
per night, eats a lot of take away foods as she’s too busy
with her executive management job to think about cooking.
She is a single mother caring for three school aged children
to always cook. She states that she rarely exercises due to
lack of time. Beryl visited her GP last week after feeling
unwell. Pathology was taken and Beryl’s GP report shows
that her total cholesterol is 6 mmol/L, Low Density
Lipoprotein 3.1 mmol/L and High Density Lipoprotein
0.8mmol/L. The GP commenced Beryl on medications but
she states “I keep forgetting to take them, my life is just so
stressful at the moment. I really don’t have time to be here,
I need to be at work”.