Assessment Item 2 Case Study: Mrs Amari

Clinical Reasoning Report
Assessment Item 2 Case Study: Mrs Amari
Background
Mrs Amari
Mrs. Amari is a 59-year-old woman brought to the emergency department by her Son, Niko. Niko noticed that all of a sudden his mother “was slurring her speech and her face was drooping on one side.” Mrs. Amari told her son that she felt some numbness on the right side of her face and in her right arm. Niko was afraid his mother was having a stroke so he brought her to the hospital.
Clinical Reasoning Report
For this assessment item you will be required to write a clinical reasoning report, demonstrating your understanding of the clinical reasoning cycle by applying the first three components of the cycle to the case of Mrs Amari (case study document below).
In this report you will be required to:
a) Consider the patient situation:
Discuss what is significant about the patient’s age, culture, health specific issues, medical history and social history, making links to the reason she was seeking care in the emergency department.
b) Collect cues and information:
Review the patient’s notes from both the emergency department and the current situation. Discuss what has changed and differentiate normal from abnormal. Also, indicate the potential significance of any changes that you identify. Propose new assessment data/cues to collect and describe the nursing assessments that you will use to collect those cues, as well as the frequency with which those assessments need to be performed. Link the nursing assessments to a clear understanding of what is occurring from a functional and structural perspective within the brain. Making these links requires you to recall knowledge of the bioscientific principles underlying the case.
[SPACER]
c) Process the information:
• Interpret: Describe the normal parameters of the neurological assessments you have discussed in this case and briefly explain what results would indicate a change/deterioration.
• Discriminate: Narrow down on the most important and relevant cues from the assessments that you would undertake for Mrs Amari (the current situation). What cues from these assessments would you be most concerned about and why?
• Relate and Infer: From what you know about Mrs Amari’s background, the cues that you have clustered, and the signs and symptoms she is experiencing, explain your interpretation of the change in her condition. In other words, what do you think is going on?
Key Documents
Access the Case Study and Marking Rubric below:
1. Case Study – Mrs Amari Case Study
2. Marking Rubric Marking Rubric
Resources and prompt questions
How common are strokes?
Access the National Stroke Foundation Australia for further information on the epidemiology of stroke.
https://strokefoundation.com.au/
What causes a stroke, and what happens to the brain?
https://strokefoundation.com.au/About-Stroke/Types-of-stroke
These questions are not allocated marks towards the clinical reasoning report. They are guiding questions to assist with knowledge recall in preparation to write the clinical reasoning report.
1. What causes a TIA and what is the natural progression of a TIA?
2. Explain how a TIA differs from a cerebrovascular accident (stroke, brain attack, CVA)
3. Discuss the defining signs and symptoms of a transient ischemic attack (TIA).
4. Mrs. Amari has hypertension and hypercholesterolemia. Think about why this is a concern. Identify Mrs Amari’s predisposing risk factors for a TIA and possible stroke.
6. What neurological assessments can be carried out on a patient with a changed neurological health status?
How to approach this assessment item
Ensure that you answer the questions and avoid simply providing generic information. You must continually link back to the patient and their condition. Do not expect the marking staff to make the connections between the information that you provide. You must make them explicitly yourself so that it is clear that you understand every element of what you have written. Also, don’t lose the patient in your answer – their condition and the positive health outcomes that you intend for them need to be the clear focus throughout.
We are providing you with a version of the marking rubric that will be applied to this assessment item. It provides a break-down of the weighting of marks for each criterion and indicates the requirements for each grade. You may wish to use this to assist you in understanding, more fully, the expectations that we have in terms of content and quality.
You may like to watch this short presentation to assist with your writing and answering of the first requirement of the CR Report. Consider the patient situation. This presentation runs for approx. 15 minutes.
Consider the Patient – CR Report
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Important
We use anti-plagiarism software to evaluate all submissions. If there is any overlap between your words and those of any other document on the internet, any website, any text or any submission by another student at the University of Tasmania or any other University internationally, either currently or in past years, it will be evident. Ensure that you express your writing in your own words and reference all ideas appropriately.
Submission
You will submit a 1200 word paper (+/- 10%) which demonstrates evidence of clinical reasoning and commitment to the promotion of positive health outcomes for your patient.
Due date: Monday 28th August 2017, 5pm
Your assignment should be submitted as a word document or PDF into the Assignments folder.
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