ASSESSMENT INFORMATION Assessment Title Written Assessment Purpose This is a case study based on a surgical scenario. Students will appraise an individuals holistic health care

ASSESSMENT INFORMATION

Assessment Title

Written Assessment

Purpose

This is a case study based on a surgical scenario. Students will appraise an individuals holistic health care needs and subsequent interventions and management to assist with the application of theory into practice.

Due Date & Time

Week 7, Wednesday 16^th April 2025, 2pm

Weighting

40%

Length

1500 words +/- 10%

Assessment Rubric

Attached as Appendix A of this document

Canvas Resource

A National Q&A Session will be held during week 3 of the semester. The Q&A session will unpack the assessment task requirements. Students will have the opportunity to ask the National LICs any questions or clarifications they require. All students are recommended to attend this session. A recording of the National Q&A session will be made available for students. The link will be made available on Canvas.

LOs Assessed

LO1, LO3, LO4, LO5, LO6

Case Study One

Mrs. Patel, a 48-year-old female, was recently diagnosed with uterine cancer after experiencing abnormal bleeding and pelvic pain. Imaging has shown that the cancer is at stage 2, and it appears to have spread to the cervix. The

surgical team has recommended a total hysterectomy to remove her uterus,

cervix, and possibly surrounding tissues, depending on the findings during surgery.

Although Mrs. Patel was hesitant to sign the consent form at first but then proceeded to sign for the procedure, she expresses concerns about undergoing a total hysterectomy. She confides that she is worried about the emotional impact of “losing her uterus” and feels conflicted about how this will affect her sense of femininity and identity. She also expresses concerns about the changes to her body and her ability to have children in the future, even though she has completed her family. She is a practicing catholic and attends church each Sunday and prayer reading once a week.

Mrs. Patel has a medical history of type 1 diabetes, which she manages with insulin. Her blood glucose levels are well-controlled, but she is aware that the stress of surgery could affect her blood sugar. Additionally, she has a history of hypertension, which she is managing with medication. Mrs. Patel works as an executive assistant and lives with her husband and their two teenage children. Her weight is 75kg and height is 155cm.

Case Study Two

Mr Jack Phillips is a 71-year-old man, was recently diagnosed with an adenocarcinoma of the bowel stage C indicating that the cancer has spread to the lymph nodes near the bowel. The recommendation is for surgery to remove the affected bowel and the lymph nodes. Jack and Pippa are told that Jack will undergo a right hemicolectomy (ascending colon). Jack and Pippa are also told that Jack will need to have a temporary stoma for about

6-10 weeks. Jack is also told that he will need to have follow-up chemotherapy given the stage of his cancer.

Although Mr Phillips has filled out the consent form for the procedure, however he expresses to you as the nurse his uncertainty about the surgery as he is not quite sure what is going to happen. He shares with you that he is concerned about “having a bag” and feels conflicted, as he doesn’t want this.

Mr Phillips lives on a property located 20km from Dubbo. Mr Phillips lives with his wife, Pippa, they have been married for 50 years. Jack and Pippa have two children and four grandchildren. Their eldest child is, Sally aged 42 lives in Orange 160 kilometres away. Ben, their son, is 38 and works with his father on the family property, Ben also works for a local transport business to supplement his income. Ben is separated from his wife who lives in Sydney with their two children.

The farm is currently experiencing an extended period of drought, and this has deeply affected Jack, and he has recently been diagnosed with anxiety related to the impact of the drought on the farm. Jack also likes to have a ‘few glasses of beer’ most days. Despite saying this, Jack and Pippa are connected into the local community and play an active role in managing the local football and netball club. Mr Phillips does not attend church, but has his own spiritual believes.

Assessment Task

Students will be required to answer the questions listed below based on one

(1) of the case studies provided. Students will select one (1) case study only and read through the case study and answer the questions listed below. If a student attempts more than one case study the first submission will only be marked.

Discuss how the patients Age, Occupation, Family Situation, and religious beliefs impact their Decision Making (300 words)

Discuss and analyse Legal and Ethical Considerations: Informed Consent, Confidentiality, and Privacy related to the selected case study (400 words)

Describe the pathophysiology of 2 Common Surgical Complications following the surgical procedure of the case study selected and how these complications may influence post operative care (500 words)

The patient has expressed concerns about their pain management. Identify reasons for pain post operatively, and discuss relevant pharmacological and non-pharmacological options for pain relief for the patient in the selected case study (300 words)

Submission

Students will submit their written assessment task via the Turnitin link in the NRSG258 Canvas site national assessment tile.

Presentation

Students are not required to include the questions in the assessment submission. When providing answers to the questions, please ensure you have numbered your answers in accordance with the questions. An example of a template is made available under assessment two (2) in the assignments tab on Canvas.

FORMATTING

File format

.doc or .docx (Do not submit .pdf files or pages files)

ACU has made Microsoft Office 365 available for students for either PC or Mac versions.

Margins

2.54cm, all sides

Font and size

11-point Calibri or Arial

Spacing

1.5 spacing including the reference list

Paragraph

Aligned to left margin, indent first line of each paragraph 1.27cm

Title Page

Not to be used

Headings

Not required

Structure

Main paragraphs, reference list

Direct quotes

Always require page number. No more than 10% of word count in direct quotes

Header

Page number top right corner (9-point Calibri or Arial)

Footer

Name – Student Number Ax2 – NRG258 – 2025 (in 9-point Calibri or Arial)

REFRENCING

Referencing Style

APA 7th

Minimum References

A minimum of 11 high quality nursing related resources are to be used.

Age of References

Published in the last 5 years as this area of knowledge is rapidly developing

List Heading

References is centred, bold, on a new Page (14point Calibri or Arial)

Alphabetical Order

References are arranged alphabetically by author family name

Hanging Indent

Second and subsequent lines of a reference have a hanging indent

DOI

Presented as functional hyperlink

Penalty Timeframe

Penalty

Marks Deducted

014:01 Wednesday to 14:00 Thursday

5% penalty

5 marks

14:01 Thursday to 14:00 Friday

10% penalty

10 marks

14:01 Friday to 14:00 Saturday

15% penalty

15 marks

Received after 14:01 Saturday

No mark allocated

Example:

An assignment is submitted 12 hours late and is initially marked at 60 out of

100. A 5% penalty is applied (5% of 100 is 5 marks). Therefore, the student receives 55 out of 100 as a final mark.

Elements (Weighting)

HD 85-100

DI 75-84

CR 65-74

P 50-64

NN 31-49

NN

No attempt made

Section A Knowledge and Application of evidence

Critical Thinking and knowledge.

Analysis of the biopsychosocial, spiritual, and cultural factors.

LO1, 4

(20 marks)

Comprehensive analysis of the biopsychosocial, spiritual, and cultural factors involved. Analysis of the literature used to support all points.

Comprehensive discussion of how age, occupation, family dynamics, and religious beliefs may influence the patients experience.

Thorough analysis of the biopsychosocial, spiritual, and cultural factors involved.

Analysis of the literature to support most points. Thorough discussion of how age, occupation, family dynamics, and religious beliefs may influence the patients experience.

Adequate analysis of the biopsychosocial, spiritual, and cultural factors involved.

Analysis of the literature to support main points. Adequate discussion of how age, occupation, family dynamics, and religious beliefs may influence the patients experience.

Limited analysis of the biopsychosocial, spiritual, and cultural factors involved.

Analysis of the literature to support some points. Limited discussion of how age, occupation, family dynamics, and religious beliefs may influence the patients experience.

Little to no analysis of the biopsychosocial, spiritual, and cultural factors involved. Little to no analysis of the literature to support points. Insufficient discussion of how age, occupation, family dynamics, and religious beliefs may influence the patients experience.

No analysis of the biopsychosocial, spiritual, and cultural factors involved or relevant literature.

Critical Thinking and knowledge. Legal and Ethical issues

LO6

(20 marks)

Legal terms of consent, confidentiality and privacy comprehensively

defined with analysis and synthesis of the literature to support understanding.

These principles then applied to the case study and comprehensive discussion of what actions would need to be taken to provide ethical and legal care for the patient clearly given.

Legal terms of consent, confidentiality and privacy thoroughly defined with analysis of the literature to support understanding. These principles then applied to the case study and a thorough discussion of what actions would need to be taken to provide ethical and legal care for the patient clearly given.

Legal terms of consent, confidentiality and privacy adequately defined with academic literature used to support the main points. Most of these principles then applied to the case study and adequate discussion of what actions would need to be taken to provide ethical and legal care for the patient given.

Limited definition of the legal terms of consent, confidentiality and privacy provided. Some use of literature to support main points but it may be low quality sources. At least one of these principles then applied to the case study and some discussion of what actions would need to be taken to provide ethical and legal care for the patient given.

Definition of the legal terms of consent, confidentiality and privacy inaccurate or missing. The content is not supported by sufficient relevant and/or credible sources or is not appropriately academic.

Principles insufficiently applied to the case study or discussion of what actions would need to be taken to provide ethical and legal care for the patient not provided.

No analysis of the biopsychosocial, spiritual, and cultural factors involved or relevant literature.

Elements (Weighting)

HD 85-100

DI 75-84

CR 65-74

P 50-64

NN 31-49

NN

No attempt made

Knowledge and application of evidence. Pathophysiology of surgical complications

LO3, 4

(25 marks)

Comprehensive analysis of the main complications relating to the selected case study and the pathophysiology of 2 to 3 discussed in detail and applied to the post operative nursing care required. Draws extensively from academic literature to support insights. Comprehensive coverage or understanding of complications post operatively demonstrated.

Thorough analysis of the main complications relating to the selected case study and the pathophysiology of 2 discussed in detail and applied to the post operative nursing care required. Analysis of academic literature used to support most points. Thorough coverage or understanding of complications post operatively demonstrated with only minor omissions or less depth.

Adequate analysis of the main complications relating to the selected case study and the pathophysiology of 1 or 2 discussed in detail with some links to the post operative nursing care required.

Academic literature used to support main points Coverage or understanding of complications post operatively may be basic with some gaps in understanding.

Analysis is limited. At least one main complication relating to the selected case study and the pathophysiology discussed. Limited discussion linking the complication to the post operative nursing care required. Some use of literature to support main points but it may be low quality sources. Coverage or understanding of complications post operatively may be basic and include significant gaps.

Little to no analysis. No discussion of pathophysiology or linking to nursing care. Inadequate or no use of academic literature. Major gaps or complete absence of coverage of surgical complications relating to the selected case study.

No analysis of the biopsychosocial, spiritual, and cultural factors involved or relevant literature. No response or incomplete attempt.

Knowledge and application of evidence. Pain management

LO4, 5

(15 marks)

Comprehensive discussion of commonly used post operative pain management given. Information needed to educate the patient is provided and detailed. There is an extensive discussion demonstrating the breadth and depth of the

topic. Comprehensive education provided on pharmacological and non- pharmacological pain relief. Integrates a wealth of academic literature.

Thorough discussion of commonly used post operative pain management given.

Information needed to educate the patient is provided and detailed. There is thorough discussion that demonstrates the breadth of the

topic. Patient education is clear and relates to pharmacological and non-pharmacological pain relief. Academic literature is used effectively.

Adequate commonly used post operative pain management discussed, and appropriate information needed to educate the patient is provided.

There is adequate discussion that demonstrates the breadth of the

topic. Patient education is included on pharmacological and non-pharmacological pain relief. Academic literature is used but may lack depth or relevance.

Limited commonly used post operative pain management discussed, and basic information needed to educate patient is provided. There may be limited discussion that demonstrates the breadth of the

topic. Patient education is included but may be basic with discussion of on pharmacological and non- pharmacological pain relief. Academic literature may be sparse or inadequately utilised.

There is insufficient discussion that demonstrates the breadth and depth of the topic. Little to no education provided. Inadequate or no use of academic literature.

The discussion is absent and/or irrelevant. It does not cover the topic.

Elements (Weighting)

HD 85-100

DI 75-84

CR 65-74

P 50-64

NN 31-49

NN

No attempt made

Section B Written assignment construction

Sentence and paragraph structure.

(5 Marks)

The writing is organised into paragraphs, and the information is well-structured and fluent. Each paragraph relates to a discrete idea. All paragraphs are organised with a logical progression of ideas so content flows from one paragraph to another with clear linking sentences present.

The writing is organised into paragraphs, and the information is structured and mostly fluent. Most paragraphs relate to a discrete idea. Clear linking sentences connect most of the paragraphs to the next.

The writing is organised into paragraphs, and the information is mostly structured and fluent. Some paragraphs relate to a discrete idea; however, content does not always flow smoothly between paragraphs.

The writing is organised into paragraphs, and the information is sometimes structured and fluent. A few paragraphs relate to a discrete idea but may not be organised in a logical manner.

Content does not flow between paragraphs.

The writing is organised into paragraphs, but the information is poorly structured and/or awkward. Paragraphs do not relate to a discrete idea, and content does not flow from one paragraph to the next.

There is no evidence of paragraphs.

Grammar, spelling, and punctuation.

(5 Marks)

There is no grammar, spelling and punctuation errors, and the meaning is easily discernible.

There are minimal (1-2) grammar, spelling and punctuation errors.

However, the meaning is easily discernible.

Some (3-4) grammar, spelling, and punctuation errors exist. The errors detract somewhat, but the meaning is easily discernible.

Multiple (5-6) grammar, spelling and punctuation errors exist. The errors detract, but the meaning is discernible with some effort.

Substantial (>7) grammar, spelling and punctuation errors detract significantly from the meaning.

Grammar, spelling and punctuation are such that the reader cannot make sense of the content.

Referencing Use of APA 7th Edition required.

(5 Marks)

Accurate use of APA referencing style on all occasions: intext and reference list (1 minor error).

Accurate use of APA referencing style on most occasions: intext and reference list (1-2 errors).

Accurate use of APA referencing style on some occasions: intext and reference list (3-4 errors).

Accurate use of APA referencing style on a few occasions: intext and reference list (5-6 errors).

Substantial inaccuracies with APA referencing style: intext and reference list (>7 errors).

APA referencing style not attempted.

Knowledge and application of evidence supporting literature.

(5 Marks)

Twenty (20) or more relevant and credible nursing related academic sources cited.

A minimum of fifteen

(15) relevant and credible nursing related academic sources cited.

A minimum of thirteen

(13) relevant and credible nursing related academic sources cited.

A minimum of eleven

(11) relevant and credible nursing related academic sources cited.

Ten (10) or less relevant and credible academic sources cited. Sources cited are not relevant and/or nursing related.

No supporting literature has been