Magda Petrov Develops Severe Breathlessness Case Study - Nursing Assignment Help

Assignment Task

Case study:
Magda Petrov is a 78-year-old female who develops severe breathlessness at 4 pm. She was admitted to the respiratory ward 3 days ago with Infective Exacerbation of Chronic Obstructive Pulmonary Disease (COPD).She was diagnosed with chronic obstructive pulmonary disease 5 years ago. Mrs. Petrov has had increasing shortness of breath, productive cough, and fever for the last 7 days. She has been commenced on oral antibiotics and prednisone. You do an A-G assessment and her clinical manifestations were:

• Severe dyspnoea at rest
• Respiratory rate of 32 breaths/minute
• Bluish tinge to lips and mucus membranes
• SpO2 86%, on room air
• Productive cough with yellow phlegm
• Pulse rate of 130 beats/minute
• Auscultation of lungs identifies diminished breath sounds
• Her X-ray showed
• Chest x-ray showed hyper-inflated lung fields with patchy consolidation.
• Question:
• Explain the underlying pathophysiology of ONE clinical manifestation of the case study below (Learning outcomes 1, 2, 3, 4).
• Describe ONE high-priority nursing intervention that will improve the patient’s condition.
• Aim of assessment
• The purpose of this assessment is to enable students to establish the link between the pathophysiology of disease and clinical manifestations and determine a high-priority nursing intervention.
• Details
• You are to develop an answer based on the case study provided.
• A note on ACADEMIC references:
• References to support your discussion must be from peer-reviewed and/or published sources that are less than 5 years old. This includes textbooks, journal articles, MIMS, and evidence-based guidelines produced by expert bodies such as the Heart Foundation. Please do not refer to patient information sites to support your discussion (for example WebMD).
• Resources:
• A template for your concept map will be provided
• Resources for this assignment will be available under the readings- additional resources
• There are several textbooks and resources available through the Western Sydney University Library that may assist you. Please refer to the unit’s vUWS site for specific unit resources.
• Mark High Distinction Distinction CrediPass Fail
• Criteria 1 -
• Identifies one (1)
• high priority
• clinical
• manifestation /20 Identifies one (1) high priority
• clinical
• manifestation
• from the A-G assessment.
• Provides an
• accurate and
• comprehensive
• description of why
• the clinical
• manifestation is important that
• includes the
• consequence/s if left unmanaged. Identifies one (1) high priority
• clinical
• manifestation
• from the A-G assessment.
• Provides a
• comprehensive
• justification why
• the clinical
• manifestation is
• important that includes the
• consequence/s if
• left unmanaged. Identifies one (1) high priority
• clinical
• manifestation
• from the A-G assessment.
• Provides a
• justification why
• the clinical
• manifestation is
• important. There
• is a basic discussion ofconsequences if
• left unmanaged. Identifies one (1) high priority
• clinical
• manifestation
• from the A-G assessment.
• Provides a
• superficial
• justification why
• the clinical
• manifestation is
• important. Missing discussion
• on consequence if
• clinical manifestation is left unmanaged. Identifies one (1) clinical
• manifestation
• from the case
• study. This is not considered a high
• priority and does
• not provide a
• justification why
• the clinical
• manifestation is
• of high priority.
• 17-20 15-16.5 13-14.5 10-12.5 ?9.5
• Criteria 2 - Provides an
• explanation of the
• pathogenesis
• causing the
• clinical
• manifestation /20 Provides an accurate and
• comprehensive
• explanation of the
• pathogenesis
• causing the
• clinical manifestation.
• The explanation
• is developed in a logical sequence. Accurately explains the
• pathogenesis
• causing the
• clinical
• manifestation.
• Mostly synthesises the
• information in a
• logical sequence. Provides an accurate
• explanation of the
• pathogenesis
• causing the
• clinical
• manifestation. The explanation is
• mostly developed
• in a logical sequence but there may be one
• or two omissions
• of significant information. Provides a basic description of the
• pathogenesis
• causing the
• clinical
• manifestation.
• There may be minor
• inaccuracies,
• omissions or repetition of information, lack
• of clarity or
• the logical flow of the process. A superficial description of the
• pathogenesis
• causing clinical
• the manifestation
• with a significant
• number of inaccuracies,
• repetition or lack
• of clarity. Has not accurately related the clinical
• manifestation to
• the pathogenesis.
• 17-20 15-16.5 13-14.5 10-12.5 ?9.5
• Criteria 3 -
• Identifies one (1)
• high priority
• nursing
• intervention
• aimed at
• improving the
• clinical
• manifestation /30 Identifies one (1) high priority
• nursing
• intervention
• aimed at
• improving the
• clinical
• manifestation
• discussed. Provides an
• accurate and comprehensive
• description how
• the nursing
• intervention will
• improve the
• patient’s clinical
• manifestation. Description is
• based on science
• and/or physiology. Identifies one (1) high priority
• nursing
• intervention
• aimed at
• improving the
• clinical
• manifestation
• discussed. Provides a
• comprehensive explanation why
• the nursing
• intervention will
• improve the
• patient’s clinical
• manifestation.
• The description is based on science
• and/or
• physiology. Identifies one (1) high priority
• nursing
• intervention
• aimed at
• improving the
• clinical
• manifestation
• discussed. A simple discussion
• which includes how the nursing
• intervention will
• improve the
• patient’s clinical
• manifestation.

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