NUR2102 Nursing Assignment
Task overview
Brief task description:
Apply
• Strategic Priority Area 1.1 (Promote health and reduce risk),
• Strategic Priority Area 2.1 (Active Engagement) and
• Objective 3 – Target priority populations of the National Strategic Framework for Chronic Conditions
and identify and describe how you would assess, intervene, and evaluate care for the case study Mrs Anya Strico.
Length: 1500 words (+/-10%). Word count includes in-text referencing and excludes the reference list
Weighting:Weighting 25% of overall course
Course Objectives measured: Course Learning Objective 1.
NUR2102 Nursing Assignment

NUR2102 Nursing Assignment
Rationale for assessment task:
This assessment will develop clinical reasoning skills and demonstrate the application of models of evidence-based care to work collaboratively with individuals with chronic conditions.

It will develop theoretical concepts to assess, plan and intervene and evaluate care for people with a chronic condition. The assessment will develop graduates who are; well informed individuals who can integrate and apply knowledge and relevant nursing skills Employable nursing professionals who are confident, resourceful and adaptable to the changing health care environment.

Task detail:
Step 1: Read the case study of Mrs Anya Strico as provided on page six of this task sheet.
Step 2: Read the National Strategic Framework for Chronic Conditions via the link provided in the Resources available to complete the task section below.

Focus your reading on Strategic Priority Area 1.1 (Promote health and reduce risk),Strategic Priority Area 2.1 (Active Engagement) and Objective 3 – Target priority populations of the National Strategic Framework for Chronic Conditions.

Step 3: Using the information provided in the case study and supported by the best available evidence, apply the National Strategic Framework for Chronic Conditions Strategic Priority Areas (1.1, 2.1 and Objective 3 – Target priority populations) in essay format responding to the following criteria:

Assignment criteria:
Criteria One.
Identify the risk factors for Mrs Anya Strico and clearly explain why these are risk factors for her.
The discussion must be linked to the National Strategic Framework for Chronic Conditions Strategic Priority Area 1.1 (Promote health and reduce risk).

Criteria Two.
Using the best available evidence identify the nursing assessments that are required to be conducted for Mrs Anya Strico and the rationale for each of these.

Criteria Three
Using the best available evidence and demonstrating links to the National Strategic Framework for Chronic Conditions Objective 3 – Target priority populations discuss why Mrs Anya Strico may be identified as being a priority population and the impact this may have on her chronic condition self-management.

Criteria Four
Using the best available evidence, discuss the self-management priorities that would be developed in collaboration with Mrs Anya Strico. These should consider health promotion and reducing the risk of complications (Strategic Priority Area 1.1) and demonstrate links to the risk factors identified in Criteria One.

Criteria Five.
With support from the best available evidence, explain how goal setting may impact on Mrs Anya Strico actively engaging in her care (Strategic Priority Area 2.1).

Writing Style:
1.This assessment piece will be written in the form of an academic essay with references of relevant peer reviewed articles.
2.An introduction and conclusion are required
3.Write in full grammatical sentences
4.Use correct spelling and punctuation
5.Paragraph format is required. Dot/bullet points or numbered lists are not
permitted
6.Keep your writing formal and in third person.
7.Express your ideas clearly and concisely
8.Express your ideas clearly and concisely

Moderation:

This task will be moderated against the Written Assignment Criteria Marking Rubric available on the Study Desk.
All staff who are assessing your work meet to discuss and compare their marking before marks or grades are finalised. A rigorous moderation process is undertaken for this course; hence no remarking of assessment pieces will be considered.
Final release of grades will normally be within three weeks o submission. This time frame applies for any approvals for an extension of time commencing at the time of submission
NUR2102 Nursing Assignment

NUR2102 Nursing Assignment
Case Study; Mrs Anya Strico:
Mrs Anya Strico is a retired 75-year-old widower who is originally from Croatia. She has an eight (8)-year history of Chronic Obstructive Pulmonary Disease (COPD). Her past medical history includes increasing breathlessness, frequent respiratory infections, chest tightness, a chronic productive cough, persistent wheezing, pitting oedema in the lower extremities, exercise intolerance, fatigue, and a lack of energy. At the time of diagnosis, she was advised to lose weight (at least 5kg) as her BMI was 30 and to attend Pulmonary Rehabilitation, but no further action was taken. Mrs Strico lives in a rural and remote area that is 150 kms from the nearest tertiary hospital, medical centre, and Pulmonary Rehabilitation Clinic. English is her second language.

Mrs Strico presented to her nearest General Practitioner (GP) with another “chest infection”. Mrs Strico presents with a productive cough with green sputum, breathlessness, fatigue, pitting oedema in the lower extremities, confusion, chest tightness and wheezing. She has visited her GP three or four times a year with similar symptoms for the past three years. Her last COPD plan was reviewed was nine months ago, where she was advised to cease smoking, given a prescription for Varenicline tartrate but relapsed after a week, and did not return for a follow-up appointment. Mrs Strico has been wanting to lose weight and increase her exercise tolerance over the past 12 months, but states that she lacks motivation.

NUR2102 Nursing Assignment

Mrs Strico is prescribed an a short acting Beta2-agonist (reliever) inhaler and a long acting Beta2-agonist inhaler (maintenance). She tolerates these medications but admits that she regularly forgets to take these medications and can never remember which medication to take during a COPD flare-up. She routinely runs out of these medications as the nearest pharmacy is 150 kms away.

Mrs Stricos husband died 8 years ago, and she has been receiving an aged care pension since that time. Mrs Strico manages at home by herself, she refuses social help and is adamant that she does not want to leave the home that she has lived in for 30 years. She reluctantly relies on her nearest neighbour to travel with, as it is 150 kms to the closest metropolitan centre for food, health care services and other essentials. Mrs Strico used to be very active as a volunteer in the small community she resides in however, she now finds that she is too exhausted to keep this up. Mrs Strico states that she now has “nothing to do” and feels “isolated and lonely”. She has no children or living relatives in Australia. Although she is aware that her father had COPD, Mrs Strico has limited knowledge regarding the management of this condition and states that she thought little could be done to slow the progression COPD.

NUR2102 Nursing Assignment

During the last year Mrs Strico has gained 6kg and has become less physically active. She has never seen a dietician and her diet consists mostly of snacks and packaged meals that are high in salt and saturated fat. Since her husband’s death, Mrs Strico has been consuming more alcohol (approximately 14 standard drinks per week).

As Mrs Strico is unable to regularly travel the distance to her closest medical centre or tertiary hospital, she only has occasional medical check-ups and her medical records indicate that that her exacerbations of COPD have increased over the last three years.