Subject Code and Title :- ACC114 Acute care
Unit(s) of Competency :- HLTENN011 Implement and monitor care for a person with acute health problems
Title of Assessment Task :- Assessment task 1 A – Case study
Type of Assessment Task :- Case study with short answer questions
Performance criteria Knowledge evidence and Performance assessed :-
PC: 1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 3.1, 3.3, 3.4, 3.5.
KE: 1.1, 1.2, 1.3, 1.4, 1.7, 1.8, 1.9, 1.15, 1.16, 3, 10.1, 11.13.
ACC114 Acute Care Assignment
Assessment 1A: Short answer questions
For this assessment, you must review the scenario provided and respond to the questions below. Some of the information you need will be in this over view while the majority of the knowledge you will need to answer these questions will come from what you have learnt in all of the modules of this subject.
Scenario – Mr George McFarlane
I: Mr George McFarlane is a 53 year old male.
S: George has presented to the accident and emergency department with a history of chest pain which started yesterday as he was driving back from an interstate trip.
B: George’s past Medical History (PMHx) include:
Type ll Diabetes needing close management. Records BGL daily
Osteoarthritis in L) Knee
Allergy to Penicillin
Social History (SHx):
Married for 5 years to Yu Yan, who is of Chinese heritage, she speaks English well
Occupation: Long Haul truck driver often isolated from family and friends as on the road and away from home due to work. Speaks to wife daily when away.
ETOH (Alcohol) usage on a regular basis
Smoker averages 15 cigarettes per day
Often consumes take away/ fast food diet as away from home regularly
Sedentary lifestyle, often watches TV to cope with stress. Little to no exercise
A: Mr McFarlane is 118kg and 180cm in height Current vital signs Resp 26 O 2 Sats 97% on room air (RA) BP 170/90 HR 110, Temp 37.
List six sets of observations commonly completed during a health assessment.
List five (5) considerations when conducting a health assessment in the acute care setting.
Question 3 (word count no more than 200 words)
Describe three (3) impacts an acute illness can have on an individual and their family/significant others?
Outline two (2) acute conditions associated with the following body systems:
Write a brief definition of the following acute conditions.
George has presented with a history of acute chest pain
a) How would you assess this situation?
b) Describe the signs and symptoms of unstable angina?
c) What is the role of Enrolled Nurse when an individual complains of chest pain including who you would notify.
ACC114 Acute Care Assignment
Coronary heart disease (CHD) risk factors can be divided into non-modifiable and modifiable.
a. Outline your understanding of modifiable and non-modifiable risk factors
b. Provide at least two (2) examples, each, of modifiable and non-modifiable risk factors for George.
Question 8 (word count no more than 200 words)
Outline the pathophysiology of Acute myocardial infarction and describe the common causes.
Georges condition continues to deteriorate, his RR has increase and his O 2 sats have decreased over the past 2 hours.
A clinical review finds that George is in cardiogenic shock and he is transferred to HDU for management. He has a PICC line inserted for IV fluids and medication. He requires continuous positive airway pressure (CPAP) mask to maintain his O2 levels.
a. Outline your understanding of the difference between a CPAP and Bi-level positive Airway pressure (BiPAP)
b. What is your role as an EN in caring for and monitoring a client on CPAP or BiPAP?
George and his relatives express concern because he is now on oxygen
a) How do you ease George’s concerns and promote patient comfort while on oxygen therapy?
b) How would you ease his relatives’ concerns and explain the purpose of the oxygen therapy to them?
Considering Georges current cardiovascular and respiratory compromise and previous medical history of diabetes obesity and hyper tension describe three 3 members of the MDT other than doctors and nurses who could assist you to provide care information and preventative strategies to George and his family in an attempt to prevent another episode of an acute illness.