NUM2409 - Adult Health - Colorectal Cancer (CRC) and Anaemia - Amanda Johnson Case Study - Nursing Assignment Help

Assignment Task

Case Study 2 – Colorectal cancer (CRC) and anaemia
Presenting complaint.

Amanda Johnson, aged 56 has presented to her general practitioner (GP) complaining of lethargy and reduced exercise tolerance and altered bowel habits. Amanda states she has a diet that is high in red meat and processed foods and drinks approx. 8 standard drinks per week. Amanda used to smoke but gave up prior to the birth of her first child 28 years ago. Amanda had blood taken for full blood picture where it was found she was anaemic. Amanda has been booked into the day procedure unit (DPU) for a colonoscopy due to her anaemia and family history of colorectal cancer.

Objective data
Vital on admission to DPU
BP 164/86 mmhg
HR 92 BPM
T 37o c
RR 21 breaths per minute
Weight 96kg
Height 167cm
Father died of bowel cancer 16 years ago aged 71years.
Hypertension diagnosed 3 years ago
Rheumatoid arthritis (confined to hands) diagnosed 6 years ago. Recently commenced on
methotrexate. 

Medications
Methotrexate 7.5mg orally once per week
Paracetamol and Ibuprofen PRN
Ramipril 5mg daily

The following is to be addressed in your presentation.
Pathophysiology

Discuss the pathophysiology and diagnosis Colorectal cancer. Include in your answer the pathophysiological changes that may have contributed to Amanda’s anaemia
Discuss Amanda’s blood results. What other probable causes of anaemia specific to Amanda’s comorbidities need to be considered. Support your answer with rationale.
Pharmacology
Discuss the medications Amanda is currently prescribed and takes to help manage her Rheumatoid Arthritis symptoms. Include in your answer mechanisms of action, normal dosage, ADR’s and any specific nursing and poly pharmacy considerations. (DO NOT USE TABLES)

Specific Nursing Care
Discuss and provide Evidence Based Research (EBR) and rationale for any pre procedure preparation Amanda may require.
Discuss what discharge education would be appropriate post colonoscopy taking into account Amanda’s co morbidities and associated risk factors.
The following is to be addressed in your presentation.
Specific Assignment instructions 

The aim of this case study presentation is to provide an opportunity for you to apply your new knowledge of specific disease pathophysiology, diagnosis and treatment (pharmacological, non-pharmacological, nursing and allied health professional interventions) to a “real life” clinical scenario.

There is a word limit of 2000 words

Submission is via Turnitin link in BB – Assessment 2 folder When you submit your file, please ensure your “Submission Title” on the Submit Turnitin Assignment page contains the Case study number and description, e.g. “Case Study 2 CRC and anaemia”. Nothing else is required for the title. Please also ensure you get a receipt; no receipt means it is not submitted.

Students should refer to the SNM A - Z Guide & SNM Presentation and Assessment guide 2020 and ECU referencing guide
A detailed SNM rubric is attached to the end of this document outlining criterions and mark allocation. 

Introduction: should include
• An introduction to your topic
• Highlight the main issues (do not copy the case study, summarise only)
• Include a statement that outlines the structure and purpose of the paper.
• Include research parameters
Content: In this area it is necessary to present the topics relevant to the paper.
• Address the pathophysiology questions
• Address the pharmacology questions
• Address the care questions
Discussion Is supported by your learning, your research and knowledge of your professional responsibilities.

Critical Thinking: Exploration and application of the case study information and relevant evidence-based information to support your discussion

• Research: Journal articles, texts, theoretical knowledge.
• Presentation of resources. (evidence based)
• Appraise, analyse, compare and discuss the case study applying your theoretical and research knowledge.
• Application to practice e.g. client centre care (based on analysis of case study)
• Professional responsibilities.
Structure and presentation:
• As per the assignment requirements as well as SNM guidelines.
• Clear introduction to the topic.
• Well defined sentence structure and paragraph formation leading to a cohesive development and comprehensive discussion of ideas.
• Conclusion that restates the main ideas and summarises the discussion.
Conclusion:
• Wind up of your paper by restating your introductory statement.
• Restate your main ideas
• DO NOT introduce new ideas.

References:

Work must be both In and End text referenced using APA 7th edition format. The essay requires a minimum of ten (10) quality citations (peer reviewed) journals, (not more than 7 years old), academic texts and quality web sites i.e. Government (NOT Wikipedia).

In addition, these can be supplemented with general websites i.e. Lifeline, Cancer Council, Parkinson’s Australia

English Language Proficiency:
• As per ECU requirements (see SNM marking rubric

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