Rabdomylosis
Amthan Zip/CNA320 Poster Presentation rubric.pdf
Assessment Rubric – Poster presentation CNA320
CNA320 POSTER PRESENTATION (ASSESSMENT 3.)
Criteria HD DN CR PP NN
Poster presentation is clearly linked to and expands upon previously submitted poster abstract (assessment task 2).
Weighting 10%
Poster presentation demonstrates clear alignment to intent of poster abstract. Demonstrates strong and succinct expansion of main points of poster abstract within presentation.
Evident inclusion of feedback from poster abstract. Clear expansion of key points of poster abstract within presentation.
Consideration given to feedback provided for poster abstract. Satisfactory attempt to expand on key intention of poster abstract.
Some consideration given to feedback provided for poster abstract. Satisfactory attempt to expand on key intention of poster abstract.
No clear relationship between the poster and the previously submitted abstract. Minimal evidence of feedback from the poster abstract being included in the poster and presentation.
Demonstrates an understanding of the pathophysiology and pharmacological management of the selected topic Weighting 30%
Demonstrates a comprehensive knowledge of the selected topic. Integration of these elements with the nursing care is outstanding. Can accurately and comprehensively respond to all questions thus demonstrating a high-level knowledge of the pharmacology and pathophysiology
Demonstrates a broad knowledge of the selected topic. Integration of these elements with the nursing care is excellent. Can accurately respond to all questions related to pharmacology and pathophysiology
Demonstrates knowledge of the selected topic. Integration of these elements with the nursing care is sound and logical. Can accurately respond to the majority questions related to pharmacology and pathophysiology
Demonstrates knowledge of the selected topic. Limited integration of these elements with the nursing care. Provides basic responses to the majority questions related to pharmacology and pathophysiology
Demonstrate partially- developed and/or a basic knowledge of the selected topic. No or minimal integration with nursing care Not able to respond to questions or provides insufficient or incorrect responses. Uses lay language
Selects and evaluates nursing care with the support of the best available evidence Weighting 30%
Correctly and insightfully sources and applies the key ‘best available’ evidence of the selected topic. Can accurately and comprehensively respond to all questions thus demonstrating a high-level knowledge of the poster topic/project.
Correctly sources and applies the key ‘best available’ evidence of the selected topic. Can accurately respond to all questions related to the poster topic/project and expand on key point where appropriate
Correctly sources and partially applies the key ‘best available’ evidence of the selected topic. Can accurately respond to the majority questions related to poster topic/project
Sources and partially applies the ‘best available’ evidence of the selected topic. Provides basic responses to the majority questions related to poster topic/project
No or little attempt has been made to include ‘best available’ evidence. Relies on texts, websites and organisational procedures and policies. No able to respond to questions or provides insufficient or incorrect responses. Uses lay language
Assessment Rubric – Poster presentation CNA320
Ability to create an engaging poster; and present an interesting presentation which meets the needs of the target audience. Academic rigour; Harvard referencing. Weighting 30%
Holds the attention of the audience, seldom use of cue cards. Presentation is innovative and captures the audiences’ attention. Outstanding logical presentation of the topic/project with clear consideration given to intended audience in regards to poster layout and presentation. Demonstrates a high degree of creativity in poster layout. No spelling, punctuation or grammatical errors. Accurately referencing all sources using the Harvard University of Tasmania Nursing & Midwifery referencing style.
Holds the attention of the audience, seldom use of cue cards. Presentation captures the audiences’ attention. Poster demonstrates consideration thought and logical approach to ensure engagement in its design and presentation. Demonstrates creativity in poster layout. Generally free from spelling, punctuation and grammatical errors Accurately referencing all sources using the University of Tasmania Nursing & Midwifery Harvard referencing style.
Holds the attention of the audience, seldom use of cue cards. Poster is presented in a logical format that aims to engage the intended audience in its presentation and design. Some spelling, punctuation and grammatical errors present Accurately referencing most sources using the Harvard University of Tasmania Nursing & Midwifery referencing style.
Relies heavily on cue cards or other prompts. Poster is presented in a logical format that aims to engage the intended audience. Some spelling, punctuation and grammatical errors present Accurately referencing most sources using the Harvard referencing style.
Reads from cue cards or poster. Presentation is difficult to follow. Speaks too quickly to be understood. Poster is difficult to follow/unclear and/or deviates from an appropriate poster format. Poster is text heavy. Is not aimed at the target audience. Multiple spelling, punctuation and grammatical errors. Inaccurate style or uses a style other than Harvard. References not provided on the poster.
Amthan Zip/CNA320+Poster+Template (1).ppt
Poster title goes here, containing strictly
only the essential number of words...
The page size of this poster template is A0 (84x119cm), portrait (vertical) format. Do not change this page size, MIU can scale-to-fit a smaller or larger size, when printing.
Importing / inserting files…
Images such as photographs, graphs, diagrams, logos, etc, can be added to the poster.
To insert scanned images into your poster, go through the menus as follows: Insert / Picture / From File… then find the file on your computer, select it, and press OK.
The best type of image files to insert are JPEG or TIFF, JPEG is the preferred format.
Be aware of the image size you are importing. The average colour photo (13 x 18cm at 180dpi) would be about 3Mb (1Mb for B/W greyscale). Call MIU if unsure.
Do not use images from the web.
Notes about graphs…
For simple graphs use MS Excel, or do the graph directly in PowerPoint.
Graphs done in a scientific graphing programs (eg. Sigma Plot, Prism, SPSS, Statistica) should be saved as JPEG or TIFF if possible.
Simply highlight this text and replace.
Author’s Name/s Goes Here, Author’s Name/s Goes Here
How to use this poster template…
Simply highlight this text and replace it by typing in your own text, or copy and paste your text from a MS Word document or a PowerPoint slide presentation.
The body text / font size should be between 24 and 32 points. Arial, Helvetica or equivalent.
Keep body text left-aligned, do not justify text.
The colour of the text, title and poster background can be changed to the colour of your choice.
Tips for making a successful poster…
- Re-write your paper into poster format ie.
Simplify everything, avoid data overkill. - Headings of more than 6 words should be in upper and lower case, not all capitals.
- Never do whole sentences in capitals or underline to stress your point, use bold characters instead.
- When laying out your poster leave breathing space around you text. Don’t overcrowd your poster.
- Try using photographs or coloured graphs. Avoid long numerical tables.
- Spell check and get someone else to proof-read.
For more information on:
Poster Design, Scanning and Digital Photography,
and Image / file size.
Acknowledgements
Just highlight this text and replace with your own text. Replace this with your text.
Captions to be set in Times or Times New Roman or equivalent, italic, between 18 and 24 points. Right aligned if it refers to a figure on its right. Caption starts right at the top edge of the picture (graph or photo).
Captions to be set in Times or Times New Roman or equivalent, italic, 18 to 24 points, to the length of the column in case a figure takes more than 2/3 of column width.
Captions to be set in Times or Times New Roman or equivalent, italic, between 18 and 24 points.
Left aligned if it refers to a figure on its left. Caption starts right at the top edge of the picture
(graph or photo).
Captions to be set in Times or Times New Roman or equivalent, italic, 18 to 24 points, to the length of the column in case a figure takes more than 2/3 of column width.
Captions to be set in Times or Times New Roman or equivalent, italic, between 18 and 24 points.
Left aligned if it refers to a figure on its left. Caption starts right at the top edge of the picture
(graph or photo).
Captions to be set in Times or Times New Roman or equivalent, italic, between 18 and 24 points. Right aligned if it refers to a figure on its right. Caption starts right at the top edge of the picture (graph or photo).
Title Goes Here Title Goes Here Title Goes Here
Title Goes Here Title Goes Here
Author’s Name/s Goes Here, Author’s Name/s Goes Here
Address/es Goes Here, Address/es Goes Here
The page size of this poster template is A0 (84x119cm), portrait (vertical) format. Do not change this page size, MIU can scale-to-fit a smaller or larger size, when printing. If you need a different shape start with either a landscape (horizontal) or a square poster template.
Importing / inserting files…
Images such as photographs, graphs, diagrams, logos, etc, can be added to the poster.
To insert scanned images into your poster, go through the menus as follows: Insert / Picture / From File… then find the file on your computer, select it, and press OK.
The best type of image files to insert are JPEG or TIFF, JPEG is the preferred format.
Be aware of the image size you are importing. The average colour photo (13 x 18cm at 180dpi) would be about 3Mb (1Mb for B/W greyscale). Call MIU if unsure.
Do not use images from the web.
Notes about graphs…
For simple graphs use MS Excel, or do the graph directly in PowerPoint.
How to use this poster template…
Simply highlight this text and replace it by typing in your own text, or copy and paste your text from a MS Word document or a PowerPoint slide presentation.
The body text / font size should be between 24 and 32 points. Arial, Helvetica or equivalent.
Keep body text left-aligned, do not justify text.
The colour of the text, title and poster background can be changed to the colour of your choice.
Tips for making a successful poster…
- Re-write your paper into poster format ie.
Simplify everything, avoid data overkill. - Headings of more than 6 words should be in upper and lower case, not all capitals.
- Never do whole sentences in capitals or underline to stress your point, use bold characters instead.
- When laying out your poster leave breathing space around you text. Don’t overcrowd your poster.
- Try using photographs or coloured graphs. Avoid long numerical tables.
- Spell check and get someone else to proof-read.
.
Acknowledgements
Just highlight this text and replace with your own text. Replace this with your text.
Captions to be set in Times or Times New Roman or equivalent, italic, between 18 and 24 points. Right aligned if it refers to a figure on its right. Caption starts right at the top edge of the picture (graph or photo).
Captions to be set in Times or Times New Roman or equivalent, italic, 18 to 24 points, to the length of the column in case a figure takes more than 2/3 of column width.
Captions to be set in Times or Times New Roman or equivalent, italic, between 18 and 24 points.
Left aligned if it refers to a figure on its left. Caption starts right at the top edge of the picture
(graph or photo).
Captions to be set in Times or Times New Roman or equivalent, italic, 18 to 24 points, to the length of the column in case a figure takes more than 2/3 of column width.
Captions to be set in Times or Times New Roman or equivalent, italic, between 18 and 24 points.
Left aligned if it refers to a figure on its left. Caption starts right at the top edge of the picture
(graph or photo).
Captions to be set in Times or Times New Roman or equivalent, italic, between 18 and 24 points. Right aligned if it refers to a figure on its right. Caption starts right at the top edge of the picture (graph or photo).
Amthan Zip/Helpful Hints for the Poster Presentation.docx
Helpful Hints for the Poster Presentation
Overview
· This assessment builds of the foundation you established in your poster abstract, but you now need to extend and incorporate the pathophysiology and pharmacology of your chosen topic. You may source some of this information from textbooks.
· You are required to provide your poster via MyLO assignment folder prior to or on the due date (please see your unit outline for details).
· You must be available during week 7, 8 or 9 to present your poster.
· The target audience for your poster presentation is experienced Registered Nurse.
· You are encouraged to refer to the poster rubric when you are planning your poster content, design, and prior to final submission.
· At the presentation, you are expected to be organised, well-informed about your topic and provide articulate responses.
· Your grade and feedback will be available on MyLO when all presentations have been marked and moderated.
· You must appropriately acknowledge all sources of information, including images.
· To produce an effective poster you require nothing more complex than Microsoft Office programs or similar (Word or Power Point). If you do not have either of these available on computer then there are very good ‘freeware’ programs available, such as Open Office.
· Please read the FAQ sheet for further information
· This is an example of layout (Thank you to Sonya for sharing her work). Please be mindful that the criteria for this assessment has changed since this poster was undertaken.
Useful Readings
· Lawson, G 2005, The poster presentation: An exercise in effective communication, Journal of Vascular Nursing, vol. 23, no. 4, pp. 157-158
· Take care to choose illustrations well – to enhance rather than distract from your poster. Some useful guidelines to ‘ Design and present posters for maximum impact ’ are available on the PHCRIS website
· Planning and Evaluation Wizard has some examples of posters and some suggestions for you to consider
· http://som.flinders.edu.au/FUSA/SACHRU/PEW/rep_posters.htm.
Amthan Zip/Poster Example (1).pdf
Nursing care considerations for the post-operative
mastectomy patient
Sonya J. Moore
Launceston Campus
Figure 1. Front view of
breast. Locating the
axillary lymph node
dissection is often done
concurrently with
mastectomy to evaluate
the local spread of the
cancer
.
Surgical Procedure Description
Breast-conserving
procedures: Lumpectomy
Wide excision
Partial mastectomy
Segmental mastectomy
Quadrantectomy
Removal of varying
amounts of breast tissue,
including the malignant
tissue and some
surrounding tissue to
ensure clear margins;
axillary lymph nodes are
also removed with these
procedures, if the cancer
was of the invasive type
Axillary lymph node
dissection (ALND)
Removal of some or all
axillary lymph nodes for
determination of extent of
disease spread; the single
most important determinant
for prognosis and treatment
Sentinel node biopsy Minimally invasive surgical technique used to assess
the axilla in clinically
negative node patients that
may result in less arm
morbidity than ALND
Total mastectomy Removal of the breast tissue only; this procedure
is generally done for the
treatment of carcinoma in
situ, typically ductal
Modified radical
mastectomy
Removal of breast tissue
and an axillary lymph node
dissection; the pectoralis
major and minor muscles
remain intact
Radical mastectomy Removal of the breast tissue along with pectoralis
major and minor muscles in
conjunction with an axillary
lymph node dissection
Surgical Treatment of Breast Cancer
Post-Operative Nursing Care
Anatomy of the Breast
Background
Post-operative nursing care for the mastectomy patient
refers to the care required in the immediate period
following surgery and up until the patient is discharged.
During the recovery period, it is crucial for nurses to
observe the patient closely to identify potential problems,
enable a safe and timely recovery and prevent possible
complications from occurring. This guide is not designed
to replace routine post-operative nursing care policy and
procedures but should rather be read in conjunction with.
Surgical Complications
Observation Explanation
Lymphoedema • Can occur at any time after an axillary dissection and results if
functioning lymphatic channels are
inadequate to ensure a return flow
of lymph fluid to the general
circulation
• Signs and symptoms may include;
swelling of the affected limb,
reddening of the skin, pitting or pain
Haematoma
formation
• May occur after either mastectomy
or breast conservation and usually
develops within the first 12 hours
post surgery
• Signs and symptoms may include;
gross swelling, tightness, pain or
bruising at the surgical site or
increased bloody output from the
surgical drain
Seroma
formation
• May accumulate under the breast
incision after mastectomy or breast
conservation or in the axilla
• Signs and symptoms may include;
swelling, heaviness, discomfort or
‘sloshing’ of fluid
Wound infection • Can occur after breast surgery if the patient has a concurrent condition
or is exposed to pathogens
• Signs and symptoms may include;
redness, foul-smelling drainage,
temperature greater than 38°C
Special Considerations
• Risk factors for lymphoedema are increasing age,
obesity, presence of extensive axillary disease,
radiation treatment and injury or infection to the
extremity
• Transient odema usually occurs in the post-operative
period after removal of axillary nodes until collateral or
axillary circulation has fully assumed functioning
• Fluid found in surgical drain/s will initially appear bloody
and then gradually change to a serous fluid within a
few days
• Seromas may develop temporarily after surgical drain/s
have been removed or if the drain becomes obstructed
and could lead to infection
• Some patients may experience phantom sensations in
the breast months after their operation
• Because of altered post-operative sensation in the
surgical area, avoid extreme hot or cold temperatures
on the affected arm
• Not all patients will be candidates for breast
reconstruction after a mastectomy
Clinical
Manifestations
Nursing Interventions
Tests and
treatments: Vital signs, O2
saturations,
prolonged
immobilisation,
circulation and
wound care
• Ensure blood pressure tests,
injections and venipuncture are
performed on the patient’s unaffected
arm to avoid causing pain, injury or
infection
• Encourage deep breathing and
frequent coughing to improve lung
function after general anesthesia.
Consider providing the patient with an
incentive spirometer to use
• Ensure compression stockings are
worn after surgery to decrease the
possibility of blood clots forming in
legs due to prolonged immobilisation
• Encourage patient to elevate the arm
above the level of the heart on a pillow
for 45 minutes three times daily to
promote circulation and reduce
transient odema
• Ensure correct management of drains
and measure output every 4 hours for
24 hours post-operation and
encourage self care of wound and
dressing
Activity: Ambulation and
post mastectomy
exercises
• Encourage ambulation when patient is
free of post-anaesthesia nausea
supporting non-operative side
• Hand, shoulder and arm exercises are
initiated on the second postoperative
day to increase circulation and muscle
strength, prevent joint stiffness and
contractures and restore full range of
motion
Medications: Opioid use
• If the patient is taking an opioid
analgesic, assess bowel function daily
and initiate a bowel protocol to
prevent opioid-induced constipation
Referrals/discharge
plans: Drain care and
management,
emotional
support and
referrals
• Provide patient with written discharge
instructions for correct management of
the drainage system at home as
drains are usually left in place for 7 to
10 days
• Provide opportunity for patient to meet
with Social Worker or Breast Cancer
Nurse for emotional support
• A referral to a physiotherapist may be
necessary for a custom-made elastic
sleeve or exercises
• A referral to community-based care
may be necessary to assist the
patient, family or carer with post-
operative care at home
References
Berman, A, Snyder, SJ, Levett-Jones, T, Dwyer, T, Hales, M, Harvey, N, Luxford, Y,
Moxham, L, Park, T, Parker, B, Reid-Searl, K & Stanley, D 2012, Kozier and erb’s
fundamentals of nursing, 2nd edn, Pearson, Frenchs Forest, NSW
Chaudhary, D, Rai, A, Gupta, RS, Jain, S, Chaudhary, A & Namdev, R 2015, ‘Need for
rehabilitation among the patients of breast cancer after mastectomy: a retrospective
study’, Journal of Evidence Based Medicine and Healthcare, vol. 2, no. 10, pp. 1495-
1502
Farrell, M & Dempsey, J 2014, Smeltzer & bare’s textbook of medical-surgical nursing,
3rd edn, Lippincott Williams & Wilkins, Sydney, NSW
Lewis, SL, Dirksen, SR, McLean-Heitkemper, M & Bucher, L 2015, Lewis’s medical-
surgical nursing: assessment and management of clinical problems, Australian and
New Zealand Edition, Elsevier, Chatswood, NSW
Mahmood, U, Hanlon, AL, Koshy, M, Buras, R, Chumsri, S, Tkaczuk, KH, Cheston, SB,
Regine, WF & Feigenberg, SJ 2013, ‘Increasing national mastectomy rates for
treatment of early stage breast cancer’, Annals of Surgical Oncology, vol. 20, no 5, pp.
1436-1443
Sachdeva, A, Dalton, M, Amaragiri, SV & Lees, T 2014, ‘Graduated compression
stockings for prevention of deep vein thrombosis (Review)’, Cochrane Database of
Systematic Reviews, no. 12, viewed 28 September 2015, The Cochrane Library,
<http://onlinelibrary.wiley.comdoi10.1002/14651858.CD001484.pub3/epdf/standard>
Soran, A, Ozmen, T, McGuire, KP, Diego, EJ, McAuliffe, PF, Bonaventure, M, Ahrendt,
GM, DeGore, L & Johnson, R 2014, ‘The importance of detection of subclinical
lymphedema for the prevention of breast cancer-related clinical lymphedema after
axillary lymph node dissection; a prospective observational study’, Journal of
Lymphatic Research and Biology, vol. 12, no. 4, pp. 289-294
Acknowledgments
I would like to express my gratitude and acknowledge
the following people for their contributions made in the
implementation of this poster. Tracey Beattie, North
West Regional Hospital Breast Care Nurse, Michael
Hayes, Surgical Unit Preceptor, Mersey Community
Hospital and Anne Jong, Surgical Unit Clinical Nurse
Educator, Mersey Community Hospital
Amthan Zip/Poster FAQ.pdf
Poster Presentation – Frequently asked questions
Do I have to use the template provided on MyLO?
No, you can use a different format, but remember your assessment is a poster. It is not an essay or a
handout. You are only allowed one page.
How will my poster be displayed?
Your poster will be taken from the MyLO drop box and displayed electronically on the wall by your
assessors.
Can I use pictures/images from the web?
Yes, however you must acknowledge the source.
When I present my poster, how many people will be in my group?
There will be approximately 5 students per group.
Do I need to wear my PEP uniform to my presentation?
No, neat casual is fine. Remember to bring along your student card.
Can I present my poster and then leave?
No, you are expected to stay for the presentation to support your peers.
Do I need to bring a copy of my poster to the presentation?
Yes, you should print at least three copies (A4) of your poster and bring with you. Colour is great, but
black and white is fine. The assessors will keep one of these copies.
Can I bring cue/prompt cards?
Yes, you can. Please remember that you are presenting, not simply reading.
Can my presentation be creative?
Absolutely, in the past students have used diagrams, equipment, asked to group to participate in an
activity and even dressed up! As long as it adds to your presentation, you can be creative – just
remember that you only have 2-3 minutes!
Do my references need to be on my poster?
Yes, they must be included on your poster.
When I present, I just need to read from my poster?
No, you have two (maximum of three) minutes to demonstrate an understanding of your topic and its
importance.
Amthan Zip/Poster_Abstract__Rhabdomyolysis.docx
Title - Rhabdomyolysis: Taking aggressive action to avoid complications
Background
Rhabdomyolysis can be a potentially life-threatening condition because it can cause significant consequences such as kidney injury; this condition can occur from a variety of different causes. Essentially this condition occurs from skeletal tissue breaking down into the circulatory system and releasing enzymes that can be toxic to the organs such as kidneys (Khan 2009). It is a topic of importance particularly because many young people in Australia are engaging in extreme fitness behaviours that can cause this condition and thus hospitals are seeing a rise in its presentation; therefore nurses need to be aware of how to treat the condition appropriately to avoid complications (Khan 2009).
Target Audience
This presentation has been prepared for the target audience of Registered Nurses and thus some prior knowledge has been assumed.
Main Findings
Implications for Practice
This information described is very important for nurses to be aware of because it is vital that rapid and aggressive treatment occurs. Nurses must be able to quickly identify cases of rhabdomyolysis and immediately remove the cause of the condition and begin aggressive fluid therapy in order to prevent complications such as kidney injury; without following such treatment guidelines, the condition can be fatal.
Sources of Evidence
Desjardins, M & Strange, B 2013, "Pre-hospital treatment of traumatic rhabdomyolysis", Emergency Nurse, vol. 21, no. 8, pp. 28-33.
Kellum, J & Lameire, N 2013, "Diagnosis, evaluation, and management of acute kidney injury: a KDIGO summary (Part 1)", Critical Care, vol. 17, no. 1, p. 204.
Khan, F 2009, "Rhabdomyolysis: a review of the literature", The Netherlands Journal of Medicine, vol. 67, no. 9, pp. 272-280.
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