Case study ( Essay) Based on Chronic disease

Assessment task

Case study Jean.

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Jean is a 55-year-old woman. She has previously been diagnosed with a chronic condition and recently experienced an exacerbation of symptoms. Jean does not like attending the hospital as she has states that everyone is in a rush that no one really listens to her. She is concerned about the lack of privacy when clinical staff discuss her condition and she is worried about the support she will receive once she has been discharged from hospital. Jean is taking regular medication although she confides that it is sometimes difficult to remember her medication particularly when she is feeling unwell.

Jean describes her marriage of 36 years as fairly happy and she enjoys spending time with her children and grandchildren. Jean smokes ten cigarettes a day, she knows this is not good however finds it difficult to quit as her husband also smokes. Jean had noticed some weight gain over the years and she felt embarrassed at her last clinic visit when the nurse suggested a weight management plan. During the week, dinner mainly consists of takeaway with a few fruits and vegetables. She does not drink alcohol, however, has six cans of soft drink a day. On the weekend Jean has the family over as she cooks a traditional meal and they socialise

Weight: 40%

Length: 1500 words

1.Select a chronic illness from the list provided.

2. Select one case study and apply the chronic illness to this case

3. Research the selected chronic illness and optimal patient care. Consider person-centred, holistic care in which all aspects of the patient’s wellbeing are considered.

4. Key factors: Provide a summary of evidence explaining key factors for optimal care delivery for people living with the chosen chronic illness.

5. Empowerment: Critically discuss the ways in which nurses can facilitate empowerment and self management for patients and their families in order to achieve a good quality of life for the chosen chronic illness and case scenario. Consideration of person-centred holistic care, in which all aspects of the patient’s wellbeing are considered. Clear, accurate and relevant definitions of powerlessness, empowerment and patient self-management are included.

6. Local resources: Identify the recommendations for patient care using resources available within one particular local area or health district. Investigate local resources available, specific to a designated local area or health district. Outline recommendations for patient care in both acute and primary healthcare settings.

7. Challenges: Link patient care recommendations to the available resources and discuss potential challenges or barriers. Implementation of the plan of care is outlined and clearly related to available local resources and specific to the chosen case study designated local area or health district. In this section, the student links the patient care recommendations to the available resources and discusses potential challenges or barriers to implementing patient care recommendations.

8. Nursing Actions: Provide three specific nursing actions to take into future nursing practice to optimise patient care in chronic conditions. Discussion demonstrates explanation of how learning will influence future nursing practice. For example, discusses characteristics and skills required for professional engagement and effective lifelong learning.

9. Referencing: discussions must be supported with high quality sources (including journals, textbooks or government policy). Additional references, beside the subject materials are essential to inform optimal care and management for this assignment.

1

UTS Faculty of Health Autumn 2021; Optimising Care in Chronic Conditions 92443

92443 Optimising care in Chronic Conditions (OCCC)
Assessment 2 Rubric: Case study Weight: 40% Due: 14th April 2021 at 11.45pm Length: 1500 words

Identification of
Case study and
chronic illness:
The chronic illness
and the case study
are identified.

The chronic illness and the
case study are clear and
comprehensive.

3 – 4 marks

The chronic illness and the
case study are clearly
identified in detail.

3 marks

The chronic illness
and the case study
are clearly identified.

2.5 marks

The chronic illness
and the case study are
identified, some
details are vague.

1 – 2 marks

The chronic illness
and/or the case study
are not clearly
identified.

0 – 1 mark

Key factors:
Provide a summary
of relevant
scholarly evidence
explaining key
factors for optimal
care delivery for
people living with
the chosen chronic
illness.

Draws on a scholarly
selection of literature to
define, explain and
critically evaluate key
factors for optimal care
delivery for people living
with the chosen chronic
illness in the context of
the case study.

5 – 6 marks

Draws on a scholarly
selection of literature to
define, discuss and
evaluate key factors for
optimal care delivery for
people living with the
chosen chronic illness in
the context of the case
study.

4 – 5 marks

Draws on a selection
of literature to define
and discuss key
factors for optimal
care delivery for
people living with the
chosen chronic
illness.

3 – 4 marks

Some appropriate
scholarly literature
accessed to list key
factors for optimal
care delivery for
people living with the
chosen chronic illness.

3 marks

Analysis does not
adequately support
optimal care delivery
for the chosen chronic
condition.

0 – 2 marks

Empowerment:
Critically discuss
the ways in which
nurses can facilitate
empowerment and
self-management
for patients and
their families.

Critical discussion, analysis
and explanation of the
role of the nurse in
enabling self-management
for patients and their
families for optimal care.

5 – 6 marks

Thorough explanation and
discussion of the role of
the nurse in enabling self-
management for patients
and their families for
optimal care.

4 – 5 marks

Detailed description
of the role of the
nurse in enabling
self-management for
patients and their
families for optimal
care.

3 – 4 marks

Description of the role
of the nurse in
enabling self-
management for
patients and their
families for optimal
care.

Limited consideration
of person-centred,
holistic care

3 marks

The role of the nurse
in enabling self-
management and
optimal care for
patients and their
families is not
described and/or
explained and/or
irrelevant.

0 -2 marks

2

UTS Faculty of Health Autumn 2021; Optimising Care in Chronic Conditions 92443

Local resources:
Identify the
recommendations
for patient care
using resources
available within
one particular local
area or health
district.

Discuss
recommendations
for patient care in
both acute and
primary healthcare
settings.

Clear and comprehensive
recommendations for
patient care using
resources available within
one particular local area or
health district.

Comprehensive discussion
of recommendations for
patient care in both acute
and primary settings

4 – 5 marks

Clear and detailed
recommendations for
patient care using
resources available within
one particular local area
or health district.

Detailed discussion of
recommendations for
patient care in both acute
and primary settings

3 – 4 marks

Clear
recommendations for
patient care using
resources available
within one particular
local area or health
district.

Discussion of
recommendations for
patient care in both
acute and primary
settings

3 marks

Unclear outline of
how to implement the
patient care
recommendations in
the local area or
district.

Limited discussion of
recommendations for
patient care in both
acute and primary
settings

2.5 marks

The patient care
recommendations are
not outlined using
resources in the local
area or district.

Little or no discussion
of recommendations
for patient care in both
acute and primary
settings

0 – 2 marks

Challenges:
Link patient care
recommendations
to available
resources and
discuss potential
challenges or
barriers.

Optimal patient care
recommendations are
clearly linked to available
resources.

Thorough discussion of
challenges and barriers.

Discussion specific to the
chosen case study and
designated local area or
health district.

5 – 6 Marks

Optimal patient care
recommendations are
clearly linked to available
resources.

Detailed discussion of
challenges and barriers.

Discussion specific to the
chosen case study and
designated local area or
health district.

4 – 5 marks

Optimal patient care
recommendations
are clearly linked to
available resources.

Discussion of
challenges and
barriers.

Discussion specific to
the chosen case
study and designated
local area or health
district.

3 – 4 marks

Optimal patient care
recommendations are
linked to available
resources.

Limited discussion of
challenges and
barriers.

Discussion specific to
the chosen case study
and/or designated
local area or health
district.

3 marks

Optimal patient care
recommendations are
not clearly linked to
available resources.

Challenges and/or
barriers not discussed.

Discussion not specific
to the chosen case
study and designated
local area or health
district.

0 – 2 marks

3

UTS Faculty of Health Autumn 2021; Optimising Care in Chronic Conditions 92443

Nursing actions:
Provide three
specific nursing
actions to take into
future practice to
optimise patient
care in chronic
conditions.

Comprehensive discussion
drawing on three specific
nursing actions for future
nursing practice to
optimise patient care.

Clear discussion and
explanation of how
learning will influence
future nursing practice.

6 – 7 marks

Detailed discussion
drawing on three specific
nursing actions for future
nursing practice to
optimise patient care.

Clear discussion and
explanation of how
learning will influence
future nursing practice.

5 – 6 marks

Discussion drawing
on three specific
nursing actions for
future nursing
practice to optimise
patient care.

Brief description of
how learning will
influence future
nursing practice.

4 – 5 marks

Discussion drawing on
three specific nursing
actions for future
nursing practice to
optimise patient care.

Discussion lacks
explanation of how
learning will influence
future nursing
practice.

3.5 marks

Overt lack of
familiarity with how
learning will influence
future nursing practice
to optimise care in
chronic conditions and
a general lack of
familiarity with specific
nursing actions.

0 – 3 marks

Overall quality of
writing and
referencing:

Writing is clear and
coherent.

Discussion is well
supported with
current evidence
and quality
research papers or
scholarly sources.

Correct
paraphrasing and
APA referencing.

No more than 10%
direct quotes.
Complies with word
count.

There are no grammatical
or vocabulary errors.
Expression is clear and
coherent. Use of evidence
is convincing and correct.

Ten high quality and
appropriate research
papers have been
included.

Correct paraphrasing and
referencing are evident.

5 – 6 marks

There are no more than a
few grammatical or
vocabulary errors and
these do not affect clarity.

Use of evidence is
convincing and correct.
Less than ten high quality
and appropriate research
papers have been
included.

Correct paraphrasing and
referencing are evident.
Some minor errors.

4 – 5 marks

Some grammatical or
vocabulary errors,
that rarely affect
clarity.

Evidence limited in
scope and/or there
are some errors in
referencing

More than seven high
quality and
appropriate research
papers or scholarly
sources have been
included.

Use of paraphrasing
and referencing are
mostly correct.

3 – 4 marks

Some grammatical or
vocabulary errors that
affect clarity.

More than five
appropriate quality
research papers have
been included

Evidence is limited in
scope and/or there
are some errors in
referencing and/or
paraphrasing.

2.5 marks

There are numerous
serious errors in
grammar and
vocabulary that affect
clarity.

No or poor-quality
papers have been
included or not
included as evidence.

APA referencing is not
evident or poor. More
than 10% direct
quotes. Does not
comply with word
count.

0 – 2 marks

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