Analyse the management plans (medical and nursing) for a patient with an acute exacerbation of COPD.
Analyse the management plans (medical and nursing) for a patient with an acute exacerbation of COPD.
CaseBill McDonald is 65 years of age and is a male patient who is diagnosed with Chronic Obstructive PulmonaryDisease (COPD). He has smoked one pack per day of cigarettes for 35 years. He has a long history ofrecurrent bronchial infections. He has a chronic productive cough with copious amounts of purulent sputum.On admission, the patient complains that he is short of breath even at rest and wheezing, productivecoughing and lethargy more than usual.After a few days of treatment in the hospital, Bill is going to be discharged with home oxygen at 2 litres perminute per nasal cannula. The patient’s O2 saturation on room air was less than 88% and his PaO2 was lessthan 55, which was obtained from an arterial blood gas (ABG) at room air.The nurse needs to make arrangements with the community nurse to obtain an agency to supply the oxygenequipment needed and to provide follow-up home care on a regular basis. The supplier makes arrangementsto deliver an oxygen concentrator and portable tanks or concentrated oxygen and oxygen regulators andneeded supplies, including 20 meters of tubing and nasal cannulas.Analyse the case and respond to all below questions in the essay Discuss the pathophysiology of COPD as it relates to the acute and chronic symptoms thepatient is experiencing. Analyse the management plans (medical and nursing) for a patient with an acuteexacerbation of COPD. Explore home care considerations that need to be assessed before Bill is discharged. Identify support resources available in the community and develop an education plan for Bill,particularly his learning needs associated with his disease process and discharge plans.Assignment Submission guidelines:Due date: 21st April 1159 pm , 2017 (Friday) via turnitin submission link on course blackboardLength: 2000 words ± 10%Weighting: 30%1. Submission requirement: 1” margins on all sides of page with double spaced in 12 point Times NewRoman in WORD format. You are required to comply with set work limits, deviations beyond 10%either way maybe penalized (do not count the words in your reference list but do count the wordsused in in-text citations).2. Submitting assignment in accordance with APA 6th referencing style.3. Search for and identify the key literature related to best practice in the topic area. You will beexpected to use evidence-based journal articles (a minimum of ten), textbooks (a minimum of five)and appropriate authoritative web sites (not Better Health Channel, Virtual Hospital, etc.), and allreferences used are to be no older than ten years.4. Headings are encouraged to help you outline and structure your assignment. Do not use bullet pointsto organize your paragraphs; writing must be organized in logical and sequential paragraphs.5. An electronic copy of your assignment must be retained by you until after your final course gradehas been processed by the University, and this copy must be available on request if resubmission isrequired.6. Extension of time for submission: an application for extension form needs to be completed (check thedetails on the blackboard).NURS2100 2017 Assignment Page 2 of 3ASSIGNMENT CRITERIA GRID-2017 NURS2100 ACUTE CARE NURSINGCriteria forMarkingWeighting MarkAwardedFail Pass Credit Distinction High DistinctionStyle &PresentationAdheres to stylerequirements;including use ofassignmentguidelines; such asword limit, doublespacing,use ofheader & footer,page numbers, andsize-12 font1 You have not adhered to thestyle requirements inaccordance with theassignment guidelines. Nodouble spacing. Font sizeincorrect, making it difficult toread. Word limit not adheredto. No cover sheet. No titlepage. No page numbers. Nouse of headings to guide thereader.You have adhered to the stylerequirements at a basic levelalthough you have not followedthe guidelines fully. Word limitnot adhered to. Some basicformatting requirements notincluded; such as pagenumbers, headings, doublespacing, font size readable.You have met theassignment guidelinessatisfactorily, although youhave not followed two ormore of the required criteria.The majority of stylerequirements have beenadhered to, although thereare still some minorformatting errors.All style requirementsand assignmentguidelines adhered to.Spelling, grammarand paragraphstructure meetsacademic standards3 Many spelling and punctuationerrors. Sentence structure isoften unclear. No use ofmeaningful paragraphs toallow logical flow of content.Poor use of professionallanguage. No definition ofterms. You need to consultwith the Study and LearningCentre for assistance withwriting skills; beforecompleting any furtheracademic writingassessments.There are a number of spellingand grammatical errorsthroughout, which detract fromyour content and flow of ideas.Terms are inadequatelydefined throughout, with youruse of professional languagelimited. Paragraphs are notstructured correctly, with toomuch use of point form in yourresponses. You need to reviewcorrect paragraph structureand its use in academic writing.Your submission reads well,though some sentences area bit confusing and/orrambling.You use professionallanguage well, but still needto define some terms.Your paragraphs need toeach have a key idea orfocus, which then links to thenext logically, enabling a flowof information.You have generally metthe academic standardsfor writing, with fewspelling and punctuationerrors evident.Your paragraph structureis good, with good use ofprofessional language.You still need toconsistently define termsExcellent paragraphstructure.Professional languageused throughout, withwell-defined terms.Topic is introducedclearly andsuccinctly1.5 Your introduction is eitherabsent or too brief, and doesn’tstate what you intend to coverin your submission.Your introduction is only arestatement of what the casestudy is about, and doesn’tadequately state how you aregoing to set out your responseto the question.You introduce the case studywell, making clear links to thetopic question. You have notstated clearly enough howyou intend to set out yourresponse.Your general introductionis good, with a clearsummary of the key pointsto be covered.You provide anexcellent introduction toyour submission, andclearly explain how youintend to answer thecase study question.Conclusionprovides a concisesummary of mainpoints covered1.5 No conclusion is evident.You have not summarised themain components of yourpaper.Concluding comments are toobrief, and do not summarisethe main components of yourpaper adequately.You sum up the major focusof the case studysatisfactorily, but need toalso contextualise the keypoints of your responses tothe case study.You summarise the maincomponents of yourresponses, but need to linkthem more consistently tothe case study.Your conclusionprovides a high qualitysummary of the majorpoints covered in yourresponses, all linkedwell to the case study.ContentProvides acomprehensiveresponse to thecriteria and analysis10 The question is inadequatelyanswered. Poor understandingof the question. You have notprovided rationales for theYour response to the questionis answered to a adequatelevel only, and require moredetail and also to be appliedYour answer is satisfactorilyresearched, and addressesthe key criteria. When youfocus on only one or two keyYou have answered thequestion well, and inappropriate detail. Youcould have provided moreYou havecomprehensivelyanswered the questionto a high standard ofNURS2100 2017 Assignment Page 3 of 3Criteria forMarkingWeighting MarkAwardedFail Pass Credit Distinction High Distinctionofpathophysiology/nursing care of thecasepoints that you identify. Yourresponse is too general andnot focused on the case study.more specifically to the casestudy.points, you need to justifythis and also briefly list theother points not covered indetail.detail in some areas. detail.Effectively linksevidence-basedinformation to thecase study data8 Poor use of evidence tosupport your response.Your lack of supportingevidence indicates inadequateresearch into the topicquestion.Your use of evidence-basedinformation is limited to thecourse textbooks, and reflectsinadequate research.The references used provideadequate evidence for yourresponse, but you have notsearched widely enough insome areas.You provide goodevidence for most of yourrationales; although youneed to be moreconsistent with your levelof research.You effectively linkedquality research basedevidence to justify eachof your rationales.ReferencesUtilises relevantand contemporaryreferences inresponse2 No or inadequate referencescited throughout your paper.References used are notcontemporary or reflective ofcurrent practice. Many of yourreferences are older than 5years. Many of your referencesare web-based and are notpeer reviewed.You have met the referencerequirements at a basic levelonly. Some references usedare older than 5 years. Youhave overused non peerreviewedand web-basedinformation, which does notlend credibility to yourresponses.References used reflectadequate research into thetopic, although your use ofweb-based information doesnot adhere to the case studyguidelines. You need to usemore evidence-based peerreviewed journals.You have provided arelevant list of references;though you still need toensure that the majority ofreferences used arecontemporary and peerreviewed.You have provided anexcellent list ofreferences; with themajority of referencescontemporary and peerreviewed.Intext referencingused throughout.Referencingformatted inaccordance withAPA requirements3 Formatting of intext referencesincorrect and not according toAPA requirements. Referencelist is incomplete and is notformatted according to APArequirements. Your referencelist does not meet thereferencing requirements ofthe Discipline of Nursing &Midwifery, as outlined in theStyle Guide.You have not been consistentin your citation of referencesthroughout this paper. Youhave not formatted your intextreferencing according to APA.Your reference list is notformatted correctly.Your reference list is missingsome information, and doesnot adhere completely to APArequirements.Intext referencing is usedthroughout, but isinconsistent. You need toreview the use of quotes andparaphrasing intext. Your useof et al. is incorrect.Your reference list is not inalphabetical order.You must review the APAguidelines.Your use of intextreferencing is good, andgenerally consistent.Reference list indicatesgood use of APAguidelines for mostreference citations.Please read commentsmade throughout whichindicate whereimprovements can bemade.Your intext referencingand final reference listdemonstrate a highlevel of consistency andare formatted correctlyand according to APAguidelines.Total Marksawarded30Additional comments
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