Reference no: EM132342660 , Length: word count:2000

Assessment - Case Study Report

PRINCIPAL DIAGNOSIS: Acute pneumonia

Summary of Events - Jenny is a 52-year-old woman who has had a cough and has felt generally unwell for 2 weeks. She has been feeling feverish and exhausted the last few days. Jenny smokes, reporting she smokes approximately one pack per day and has done so for the past 30 years. She states she normally has an intermittent cough, sometimes productive of clear sputum.

She saw her general practitioner (GP) as she stated she felt much worse and was feeling quite breathless. Her cough had become productive of a green-coloured sputum.

The GP found that Jenny was lethargic but oriented, and auscultated coarse crackles in the right lower lobe (RLL) of her lung. She was coughing up green sputum and her doctor took a specimen for culturing.

Case study report -

This assessment will require you to apply the Framework of Practice Thinking, to clinical data related to this specific health condition - pneumonia. You will be particularly exploring the questions of "what's going on here?" and "What does this mean?" Details of the case study for this assessment will be provided during the tutorial session in week 5. In preparation for completing this assignment, it would be advisable to become familiar with the framework of practice thinking and the physiology of pneumonia. Leading on from your tutorials and labs you will be introduced to a pneumonia case study. This will be used as a guide for your case study report. You are required to write a 2000-word report. In the report, you will be required to examine the clinical data for the case and interpret the data in relation to the physiological changes occurring in the patient. You are also required to support your responses with evidence from the nursing literature.

In addition to your case study report, you are required to submit a 250-word reflection on your understanding of the University's policy on Academic Honesty and how you have met the policy requirements in this assignment. This is a compulsory component is a requirement of the assessment. That is, you must complete this component in order to meet the requirements of the assessment, but it will not contribute to the academic value (grade) for the assessment.

Format: Written report. Length: 2000 words maximum.

Guidelines for the Case study report - This report requires you to apply theory and concepts to the case study provided. You will need to combine the theoretical approach of an essay with the practical nature of a report. This report should contain factual, current, well referenced information from the texts and literature.

The structure of report writing means headings are allowed. This report is divided into four parts. Make sure each part of the report is clearly identified and meets the specific requirements of the assessment.

Use the following subheadings to structure your case study report:

Part 1. Introduction to the patient and the use of the framework of practice thinking (approx. 250 words)

Under this heading you should introduce the patient and provide holistic overview of the patient. This will include the patient's situation and history drawing links to the patient's social and past history. You should also introduce the framework of practice thinking and discuss how you will apply the first two parts of framework of practice thinking (what is going on here and what does this mean?) in this report.

Part 2. Altered physiology and associated symptoms related to principal diagnosis (approx. 750 words)

Under this heading you provide a definition and description of the principal diagnosis of the case study. Discuss the altered physiology and associated symptoms as a result of the disease process. That is, how the disease impacts on normal physiology and the symptoms it causes, for example, how does the disease impact on the patient's respiratory status and lifestyle.

Part 3. Health Assessment (approx. 750 words)

Under this heading you discuss your interpretations of the data presented in the case study. Use the SOA of the SOAPIE format (see below) and the A-G assessment tool to document your findings. In your interpretation you are required to analyse the data and link the patient's assessment findings to the altered physiology related to the diagnosis. To support your findings, always use relevant nursing literature and evidence.

S Subjective data

O Objective data

A Assessment data

Students may use tables to summarise their assessments and data interpretation such as the table below. Use relevant literature to support your findings and ensure it is referenced.

Remember: In this case study report, you are NOT required to describe your nursing care response (for eg for dyspnoea position the patient, provide oxygen and medication) based upon your assessment of this clinical situation.

Part 4. Conclusion (approx. 250 words)

A short conclusion to summarise the key points covered in the case study.

Part 5. Academic Honesty Policy (approx. 250 words but not counted in the overall word count)

Under this heading you are to write how you have met the University's Academic Honesty in Coursework Policy 2015 requirements for this assignment. You are required to submit a 250 word reflection on your understanding of the University's policy on Academic Honesty and how you have met the policy requirements in this assignment. This component is a compulsory requirement of the assessment, that is, you must complete this component in order to meet the requirements of the assessment, but it will not contribute to the academic value (grade) for the assessment.

Attachment:- Case Study.rar