Respiratory system assignment
Case Study/Reflection
Weight: 30%
Word Count: 1500
Students are required to comply with word and time limits. You are not expected to achieve exactly the required length, and a 10% leeway on either side is acceptable. The marker will not mark beyond the 10%. Only your work to that point will be marked against the assessment criteria.
Must Complete: Yes
Notes: Case Study/Reflection
Due Date: See bottom of this page
Task Overview
This task provides an opportunity to explore a specific case study in- depth encompassing all the units learning outcomes, your theoretical learning and application of clinical nursing skills within this unit. This task will assess your understanding of conducting a comprehensive assessment of Boris introduced within the HSNS264 Moodle site (Module 4 Case study 1) who has TB. You will be required to provide a comprehensive overview relevant patient care and management such as an in-depth understanding of the patient's TB condition, related anatomy and physiology, pathophysiology, relevant diagnostics including the pharmacodynamics of medications. Develop a nursing care plan and provide a relevant educational teaching plan prior to his discharge from hospital.
Instructions
Explore the case study on Boris, and consider a comprehensive assessment of his condition and the relevant patient care, medication treatment and management. Provide a detailed discussion of TB anatomy, physiology and pathophysiology. Discuss the pharmacological management of Boris's TB condition, including the pharmacodynamics of medications in relation to his condition. Develop a nursing care plan prioritising his care and any relevant patient teaching prior to his discharge from hospital.
Assessment 2
1. Analyse and interpret relevant objective and subjective data and explain them based on the pathophysiological changes associated with TB
2. Evaluate and critique the pharmacological management prescribed for the patient
3. Identify nursing diagnoses relevant to the case study and develop a nursing care plan with rationales (Do not use tables for nursing care plan)
4. Discuss about education topics relevant to the patient prior to his discharge from hospital.
5. Adheres to UNE general academic writing and presentation
6. Demonstrate broad research about the topic from peer reviewed resources which are current and follow APA referencing standard
Case -Tuberculosis (TB)
Boris Vasilescu of Romanian heritage is a 62 year old factory worker. He has had an ongoing productive cough for 5 months with intermittent chest pain, experiencing night sweats, extreme tiredness, recently coughing up blood stained phlegm. His wife Magda has reported that he won’t eat the meals she cooks as a result; he has lost 10 kg from when his symptoms first started.
Upon presentation to hospital he is exhibiting the following physical symptoms: sharp chest pain, clammy skin, unilateral crepitation (crackling), shortness of breath, a respiratory rate of 20 breaths/min, temperature 38°C, oxygen saturation is 98% on room air, Pulse 110, BP 130/76, Weight 70kg.
He has had a chest X-ray showing upper lobe and cavity infiltrates suggestive of TB. A few days later - Boris has been diagnosed with active TB. He has been given appropriate antimicrobial medications upon discharge from the hospital.
Refer to medication chart below
On follow up, one month after discharge from the hospital his wife Magda discloses that he does not always take his medications, correctly or on time and she was worried about his long term health. Boris states that he started to feel better after a week or two of taking his medications and in his view were no longer necessary.