NUR2102 : Clinical Skills for Practice Assessment Item Task Sheet

Rationale

Case study analysis is a valuable exercise for:

1. Enhancing critical thinking: encourages nurses to analyse their patients, identify problems and develop nursing management plans based on best practice and evidence.

2. Improving clinical skills: by examining real-life scenarios, nurses can refine their clinical skills and apply theoretical knowledge to practical simulations, for this assessment the simulated case studies that you will manage in the clinical nursing laboratories.

3. Promotes reflective practice: writing case studies allows nurses to reflect on their experiences, learn from actions and improve nursing practice

4. Facilitates knowledge sharing: case studies can contribute to collective learning and improve patient care standards

5. Support professional development: assist the nursing student’s advancement in their field, fostering professional growth

Task Instructions

1. Select one case studies: choose one of case studies from the five case studies found below

Assessment Task

• Briefly introduce the patient including a brief background
• Explain the development and progression of the case study medical conditions, detail how the conditions affect the body systems
• List and describe a minimum of two signs and symptoms that the patient is exhibiting and explain how these signs and symptoms help differentiate the condition from other similar diseases
• Describe the assessment techniques used to identify the condition
• List a minimum of two relevant nursing diagnosis or nursing problems
• Detail a minimum of two specific nursing interventions for managing the conditions
• Identify two other health care professionals that a nurse can collaborate with to care for the patient
• Provided evidence-based rationales for each of these two nursing interventions

3. Gather the information using peer review resources including journal articles, textbooks, organisational websites such as Australian Heart Foundation, Lung Foundation and Diabetes Foundation Recommended Databases are CINAHL, ScienceDirect, Medline

4. Ensure referencing using APA 7^th edition citations in sentences that used sources other than your own and a full reference list has been added to end of the document.

5. Bullet points, images, or tables will not be accepted.

Case study 1

Mr Brett Howard (date of birth 29/9/84) ALLERGY: Penicillin - Anaphylaxis Brett Howard, a 35-year-old, 63 kg single young adult accountant, was admitted to the hospital with possible Norovirus. He has been experiencing high temperatures, vomiting, diarrhoea and abdominal cramps for 36 hours.

Assessment: pain throughout all abdominal quadrants with “cramping” reported in all four abdominal quadrants. He is lethargic and appears dehydrated. He complained of severe thirst. His skin was extremely dry. He has a fruity odour to his breath. Brett has a history of Type I diabetes which was diagnosed at 19 years of age. Vital signs as follows: BP 100/58mmHg, HR 106bpm, Respiratory Rate is 22 bpm, Temp 37.6°C and SpO2 97% on room air (RA). He appears states he has a dry mouth, is very thirsty and feels lethargic. BGL is 13.2mmol/L. He is complaining of headache and dizziness. He skin appears very dry and his urine if dark coloured.

Case study 2

Mr. Aaqib Abbas (date of birth 14/05/1935), has been admitted for bilateral knee replacements due to osteoporosis. He is originally from Pakistan but has lived in Australia for 15 years. His first language is Urdu, he understands Arabic and speaks poor English. Mr Abbas was found by his neighbour lying in the back yard, he was conscious. He has been admitted to hospital previously for a diagnosis of Addison’s disease.

The telephone interpreter and Mr Abbas’s daughter have assisted with talking with Mr Abbas his GP has been contacted and he is noted to have a history of hypertension, hypercholesterolemia, hypokalaemia, rheumatoid arthritis, and depression as well as non-compliance with medication regimes. Vital signs: BP 100/90; Pulse 98bpm; Respiratory Rate 22 bpm; O2sats 96% on room air; Temp 36°C; Alert and orientated (as per interpreter and daughter). He has been complaining of right sided abdominal pain, dry mouth persistent vomiting, has significant weight loss, and low blood pressure.

Case study 3

Ms Grace Perkins (date of birth 04/05/1941), Grace is a 84 year old Aboriginal Elder from the Giabal people at Cecil Plains. Grace has been admitted for observation, assessment of decreased mobility and medication management. She was reporting chest pain on admission and was short of breath. An ECG demonstrates she has a degree of heart failure. She has been placed on a 1500mL fluid restriction.

Grace lives in an extended family situation and has multiple health issues, including obesity, cardiovascular disease (CVD), asthma, hearing impairment, fungal skin infections, a chronic urinary tract infection and deteriorating mobility. Vital signs: BP140/90; Pulse 80bpm; Resp 15rpm; Temp 37.40C; O2 Sats 90% on Room Air, Weight 100kg Grace is currently requesting her Salbutamol puffer as she is feeling a bit short of breath and wheezy. Has peripheral oedema in both legs, chest crackles, sudden weight gain, nausea and has difficulty concentrating.

Case study 4

Master Ryan Tuqiri (date of birth 24/12/2012), Ryan has a history of mild asthma which is triggered when he has cat hair. Ryan has a history of Duchenne Muscular Dystrophy (DMD) and has frequent hospitalisations. He has lived in a wheelchair and needs full activities of living and cares. He is cared for by community nurses during their home visit today the nurse reviewed him and called an ambulance to send him to hospital.

Current vital signs: HR: 120 bpm and irregular; BP: 130/68; T°: 38.2°C; RR: 28 with shortness of breath, bilateral audible wheeze SpO2: 96% on room air, weight: 20kg, height: 115cm. Ryan is wheezing when you go to administer his medications. He has a visible rash on his skin, generalised oedema and on ECG is in atrial fibrillation. He is complaining of a headache, nausea, fatigue and dizziness.

Case study 5

Mr Varesh Singh (date of birth 17/06/1980), has a history of Chronic Obstructive Pulmonary disease and was a pack a day smoker for 20 years. He is originally from Diskit Town in Ladakh in India but has been in Australia for 10 years. He has had a chest Xray that shows a right sided pneumothorax. Vital signs: BP 100/90; Pulse 106bpm; Respiratory Rate 32 bpm; O2sats 96% on room air; Temp 38.5°C; Alert and orientated (as per interpreter and daughter). He has decreased lung sounds, moist cough, excessive sputum, chest pain on the right side, cyanosis and complaints of fatigue.

 

Level 2: AI Enhanced Research and Drafting

Description: Students may use Artificial intelligence (AI) to assist in the initial stage of their Assessment Items. This may include generating ideas, conducting preliminary research, and creating draft outlines.

Additional Information Required: Provide a brief description (approximately 100 words) at the beginning of the assessment outlining how AI was used in the research and drafting process, including specific tools and the prompts you have used. Save copies of your drafts and content before/after AI was used, along with downloads of AI generated content, to produce upon request.

Summary of Assessment Requirements

The Population Challenges in Australia Case Study Assessment focuses on the application of nursing knowledge to real-life scenarios through structured case study analysis. The assessment requires students to:

1. Select a Case Study: Choose one patient scenario from five provided case studies.

2. Patient Introduction: Provide a brief background on the selected patient.

3. Condition Analysis: Explain the development and progression of the patient’s medical conditions, including their effects on body systems.

4. Signs and Symptoms: Identify at least two clinical signs or symptoms and explain how these differentiate the condition from similar diseases.

5. Assessment Techniques: Describe methods used to identify and confirm the patient’s condition.

6. Nursing Diagnoses: List a minimum of two nursing diagnoses or problems.

7. Nursing Interventions: Detail at least two specific interventions and provide evidence-based rationales for each.

8. Interprofessional Collaboration: Identify two other healthcare professionals for patient care collaboration.

9. Evidence-based Research: Use peer-reviewed resources, journals, textbooks, and reputable organizational websites (e.g., Heart Foundation, Lung Foundation, Diabetes Foundation).

10. Referencing: Apply APA 7th edition for all in-text citations and the reference list.

11. AI Usage Statement: Include a 100-word description of how AI tools assisted in research and drafting (prompts, tools, and outputs used).

Additional Requirements:

• The report must be submitted in paragraph form (no bullet points, tables, or images).

• The assessment demonstrates skills in critical thinking, clinical reasoning, reflective practice, and professional development.

Approach Guided by Academic Mentor

The Academic mentor guided the student through a step-by-step approach to ensure all assessment requirements were met while fostering learning and professional skill development.

Step 1: Case Study Selection

• The mentor helped the student review the five case studies.

• Criteria for selection included clinical complexity, relevance to learning objectives, and interest areas of the student.

Step 2: Research and Background

• The mentor instructed the student to gather information from peer-reviewed journals, textbooks, and official health organization websites.

• AI tools were introduced to assist in preliminary research and drafting. The student documented AI usage, including prompts used to generate initial outlines and summarize evidence-based data.

Step 3: Patient Introduction

• The student drafted a brief, professional background for the patient, including age, medical history, and presenting complaints.

• The mentor provided feedback to ensure clarity and relevance.

Step 4: Condition Analysis

• Using clinical guidelines, the mentor guided the student to explain the pathophysiology of the patient’s condition and its effect on body systems.

• Emphasis was placed on differentiating the condition from other similar diseases.

Step 5: Signs, Symptoms, and Assessment Techniques

• The student identified key clinical indicators and explained their relevance.

• The mentor reinforced the importance of linking symptoms to disease progression and nursing assessments.

Step 6: Nursing Diagnoses and Interventions

• Mentor guided the student to formulate two nursing diagnoses using NANDA-I standards.

• Interventions were planned based on evidence-based practices, and rationales were supported with peer-reviewed research.

Step 7: Interprofessional Collaboration

• The student identified two relevant healthcare professionals (e.g., dietitian, physiotherapist) for collaborative care.

• Mentor emphasized the role of teamwork in holistic patient care.

Step 8: Drafting and AI Integration

• AI tools were used for initial drafting and summarizing clinical evidence.

• The student refined the AI-generated draft, integrating clinical knowledge and references appropriately.

Step 9: Referencing and APA Compliance

• Mentor reviewed all citations for compliance with APA 7th edition standards.

Step 10: Final Review and Submission

• The student compiled all sections into a cohesive, narrative-style report.

• The mentor provided feedback on clarity, clinical reasoning, and reflective insights.

Outcome Achieved

The student successfully produced a comprehensive case study report that:

• Demonstrated critical thinking by analyzing patient conditions and differentiating symptoms.

• Applied clinical skills by identifying appropriate assessments, nursing diagnoses, and interventions.

• Fostered reflective practice by evaluating potential outcomes and learning points.

• Incorporated interprofessional collaboration for holistic care planning.

• Followed academic standards including APA 7th referencing and evidence-based support.

• Used AI tools effectively to support research and drafting while maintaining academic integrity.

Learning Objectives Covered

1. Enhance critical thinking through patient analysis and evidence-based reasoning.

2. Improve clinical assessment skills using real-life case study simulations.

3. Promote reflective practice for continuous improvement in nursing care.

4. Facilitate knowledge sharing via structured case study reporting.

5. Support professional development by applying theoretical knowledge to practical scenarios.

6. Develop research and academic writing skills using APA 7th edition referencing.

7. Integrate AI-enhanced tools responsibly for drafting and research support.

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