NUR571 Evaluation 2: Interdisciplinary Nursing Case File and Care Diagram
- Evaluation Kind: Case Explore
- Notice Rely: 2,500 phrases (±10%)
- Weight: 50% finally grade
- Due Date: Week 8, Sunday 3 Can also 2026, 23:59 (local time)
- Submission: Turnitin (PDF/Notice)
- Referencing: APA 7th, minimal 10 perceive-reviewed sources (2015–2026)
Reason
This evaluate challenges you to coach foundational records of anatomy, physiology, and pathophysiology to a elaborate scientific explain of affairs. You might perchance well perchance exercise proof and interdisciplinary insights to idea culturally safe, person‑centred admire an older adult in trouble of degradation. Your file must explicitly combine the views and contributions of Nursing, Social Work, and Speech Pathology to indicate a collaborative care mannequin.
Main: You are anticipated to attend (or glimpse recordings of) the interdisciplinary lectures in Nursing, Social Work, and Speech Pathology that explore Mr. Niko Costa’s case. Depth of interdisciplinary integration is classed.
Studying Outcomes Assessed
- LO1: Title and listing the structures of cells and the structures (macroscopic and limited) and functions of the circulatory, integumentary, musculoskeletal, and apprehensive systems.
- LO2: Resolve the pathophysiological mechanisms and scientific manifestations of ailments related to these systems.
- LO3: Show the idea that of homeostasis and its feature in affirming stable inner conditions.
- LO4: Note foundational A&P records to augment scientific reasoning and proof-essentially based, culturally safe, person-centred care.
- LO5: Diagram safe and effective nursing admire folks in outmoded care, extended care, or sub-acute settings.
- LO6: Severely replicate on solutions for countering ageism and selling wholesome rising outdated.
Case Summary (for this Evaluation)
Patient: Mr. Niko Costa, 82, widower; lives at home with every day toughen from his daughter.
Key historical past: Ischaemic stroke (8 months in the past) with gentle factual-sided weak point; atrial fibrillation (on apixaban), hypertension, model 2 diabetes, CKD3a, GERD, hearing impairment (frequently without aids), gentle cognitive impairment with gradual-day fluctuation.
Presenting points: Coughing/choking with thin fluids, moist/gurgly hiss, 10% accidental weight reduction (3 months), two relaxation room falls in two weeks, fatigue, orthostatic hypotension. RLL crackles; bedside swallow veil obvious on thin fluids; purposeful decline (TUG 19s).
Drugs (selected dangers): Polypharmacy; anticholinergic burden (oxybutynin, quetiapine PRN); tumble/bleed risk on apixaban; possible hypotension with metoprolol/perindopril; variable consumption impacts diabetes meds.
House & psychosocial: Cluttered relaxation room, no rob rails, low relaxation room high, unhappy night lighting; carer fatigue; social isolation (ceased community backyard/church); danger and loneliness; verbal replace impairment (note‑discovering, auditory processing).
Evaluation Building
Part A – Scientific Reasoning & Interdisciplinary Synthesis (500 phrases) = 20%
Employ a structured mannequin (e.g., Scientific Reasoning Cycle or ISBAR) to clarify Mr. Costa’s presenting jam and risk of degradation (e.g., aspiration-related respiratory decline, falls/damage—particularly on anticoagulation, hypoglycaemia with unhappy consumption, delirium/cognitive fluctuation, dehydration/malnutrition).
- Title & prioritise considerations (indicators, symptoms, dangers; join to A&P).
- Pathophysiology tale for one most essential prognosis you prioritise (e.g., post‑stroke oropharyngeal dysphagia with aspiration risk; vascular cognitive impairment/delirium risk; orthostatic hypotension with falls; frailty/sarcopenia trajectory). Show mechanisms → manifestations, interactions between comorbidities/polypharmacy, and impacts on homeostasis.
- Interdisciplinary synthesis: Clearly explain how Speech Pathology (dysphagia severity, IDDSI, safe‑swallow, verbal replace helps) and Social Work (psychosocial stressors, carer burden, elder abuse screening, discharge obstacles, carrier navigation) replace your nursing priorities and subsequent steps.
LO alignment: LO1, LO2, LO3 with integration of LO4/LO5 by strategy of interdisciplinary insights.
Part B – Evidence-Primarily based entirely Nursing Care Diagram (1,700 phrases) = 45%
Title four (4) precedence nursing considerations for Mr. Costa. For every jam, provide:
- Grief assertion: Concise, linked to A&P/pathophysiology and case info. (LO1, LO2)
- SMART Purpose: One sure, patient-centred aim (Particular, Measurable, Achievable, Relevant, Time-sure).
- 2–3 interventions: Evidence‑essentially based nursing actions that explicitly incorporate Speech Pathology and Social Work contributions where relevant (e.g., SP: IDDSI/solutions/verbal replace helps; SW: home changes, respite, meals/transport, ACP, carer coaching). (LO4, LO5)
- Justification: Short rationale with newest scholarly sources (2015–2026). (Minimal 5 sources correct thru the total idea.)
- Review criteria: Account for the come you are going to measure effectiveness and the come you are going to regulate the idea.
Usual precedence areas (settle in accordance to your reasoning):
- Aspiration risk because of post-stroke dysphagia (moist hiss, cough on thin fluids, oral hygiene, IDDSI adherence, FEES/VFSS triggers).
- Falls risk whereas on apixaban (orthostatic hypotension, newest falls, relaxation room hazards).
- Treatment safety/polypharmacy with CKD3a and anticholinergic burden (oxybutynin, quetiapine), properly being literacy/verbal replace considerations.
- Nutrition & accidental weight reduction (risk of sarcopenia/frailty progression).
- Cognitive fluctuations/delirium risk affecting self-administration/safety.
- Diabetes optimisation with reduced consumption (steer sure of hypoglycaemia; life like older‑adult targets).
SMART Purpose Instance (illustrative most effective):
- Grief: Aspiration risk related to oropharyngeal dysphagia, evidenced by coughing/moist hiss after thin fluids, RLL crackles, and 10% weight reduction in 3 months.
- Purpose: Inner 72 hours, Mr. Costa will tolerate IDDSI Stage 6 solids and Stage 2 fluids with ≤1 cough per meal, the utilization of SP solutions (factual 90°, dinky sips, slack rate, double swallow) and oral care 2–3×/day.
- Interventions: Put in force SP idea and bedside signage; oral hygiene protocol; coordinate SW for mealtime setup, meals carrier, and carer coaching.
- Review: Nursing meal commentary machine; aspiration indicators log; consumption/weight evaluate; escalation for FEES/VFSS if chronic symptoms.
Part C – Reflection on Interdisciplinary Collaboration & Healthy Getting outdated (300 phrases) = 15%
- Ponder on how Speech Pathology and Social Work input formed your nursing come (precedence environment, feasibility of interventions, verbal replace helps/hearing aids, cultural safety). (LO4, LO5)
- Title one barrier to collaboration (e.g., siloed documentation, time constraints, delayed SP evaluate, interpreter/hearing help availability) and imply a functional solution (e.g., shared swallow idea template in chart; twice‑every day huddles; ISBAR that entails IDDSI and SW actions; pre-booked carer coaching). (LO5)
- Talk about how nurses counter ageism and promote wholesome rising outdated in this case (power-essentially based language, autonomy, risk‑enablement with safeguards, meaningful objectives admire returning to the community backyard/church). (LO6)
AI Employ Assertion – Evaluation 2: Interdisciplinary Nursing Case File and Care Diagram
Generative AI instruments will be outdated for this evaluate with the following restrictions and stipulations:
College students might well perchance exercise AI instruments (e.g., ChatGPT, Claude, Microsoft Copilot) most effective for:
- Clarifying job instructions.
- Brainstorming doable subject issues or scientific reasoning steps relevant to Ron’s case.
- Exploring total ideas in nursing, pathophysiology, or interdisciplinary say as a studying help.
College students must no longer exercise AI instruments to:
- Generate, rewrite, or toughen any part of the written task (including grammar, structure, or tone).
- Draft or help in writing SMART objectives, care idea rationales, or reflective narrate material.
- Generate or imply references or citation narrate material.
- Summarise educational articles or proof.
- Post any narrate material that has no longer been seriously reviewed and written independently by the student.
All educational writing must signify a right demonstration of your particular person working out, scientific reasoning, and proof-essentially based decision-making. Employ of AI must be acknowledged in a brief AI assertion included at the stay of the submission (e.g., under the heading “AI Employ Declaration”).
Any dreadful exercise of AI or failure to deliver AI exercise will be conception to be a breach of educational integrity and managed in accordance with CDU protection.
Rubric and Marking Breakdown
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