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Assessment: Case Study

Aim of assessment
The aim of this assessment is to increase students’ understanding of how microorganisms can cause health breakdown, and the role of relevant pharmacological interventions in the recovery processes. Students will explore various modes of transmission, relevant characteristics of pathogens and the importance of breaking the chain of infection. This assessment facilitates the development of the following skills: critical appraisal of the nurse’s role in infection control, literature searching, and academic writing and referencing.

Details
Students are provided with a hypothetical case study to read. They then must answer the questions provided relating to the study. Students should draw on relevant literature provided to support their answers, and reference using the APA 6th Ed. style.
Please note:
• Students must respond to each of the questions using academic writing. It is anticipated that the work will be presented in a question / answer format using full sentences and paragraphs. Students MUST use the electronic template (provided by University) for this assignment. A soft word copy must be accessed from the Unit vUWS site.
• As a guide, please aim to write around 35 words per allocated mark for each question. Thus, if a question is worth 10 marks, aim to answer it in around 350 words.
• There is a word limit of 1200 words. Use your computer to total the number of words used in your assignment. However, do not include the reference list at the end of your assignment in the word count. In-text citations will be included in the additional 10% word count. If you exceed the word limit by more than 10% the marker will stop marking at 1200 words plus 10%.

Case Study:
Brian (88 years old) is a resident at a high dependency aged care facility (nursing home). He has developed infectious conjunctivitis in his right eye. On examination, his eye was found to be red and swollen with a purulent and sticky discharge. His vision was unaffected; however he did complain that his eye was painful. The doctor prescribed gentamicin eye drops which were to be administered to both eyes.
Using the supplied template (to be accessed from the Assessment tab in the Unit’s vUWS site), answer the following questions:
Q1. Background of the case study (Total: 5 marks)
1.1 What is infectious conjunctivitis? (1 mark)
1.2 Of the four micro-organisms listed below, justify which one is more likely to be the cause of Brian’s eye infection. Indicate why the other micro-organisms from the list are less likely to cause the infection. (4 marks)
• Legionella pneumophila
• Plasmodium ovale
• Adenovirus
• Escherichia coli

Q2. Mechanism of action and adverse reactions (Total: 5 marks)
2.1 Describe the mechanism of action of gentamicin (4 marks)
2.2 Name two possible adverse reactions to this drug (1 mark)
Q3. Mediators of signs and symptoms (Total: 10 marks).
3.1-3.3 Identify and discuss the various chemical and cellular mediators which are responsible for any three signs or symptoms of Brian’s condition (10 marks).
Q4. Infection control issues (Total 5 marks)
4.1-4.2 Identify and discuss two infection control issues associated with high dependency aged care facilities that can contribute to the spread of conjunctivitis (5 marks).
Q5. Transmission of infection (Total: 5 marks)
5.1 Mary who resides in the room next door was diagnosed with the same eye infection 4 days later. Describe how the organism could have been transmitted from Brian’s eye to Mary’s eye (describe the chain of infection that could have occurred form Brian’s eye to Mary’s eye) (5 marks).
Q6. Breaking the chain of infection (Total: 5 marks)
6.1 Describe two procedures nurses will need to undertake to prevent the infection from Brian’s eye being transmitted to another individual. Clearly explain how each procedure will effectively break the chain of infection (5 marks).
Q7. Presentation: 5 marks. See template

The template plus the prescribed ref list have a word count of 269 and 188 words respectively (total=447 words).  The case study allows for 1200 words (+/- 10%), therefore your total maximum word count would be 1200 + 447 = 1647 plus 10% of 1200 words or 120 words, which equals 1767 words.  Subsequently, the template and reference list will account for about 27-30 % similarity that you needn’t worry about.  You can also see which highlighted components of your work are from the references and template so can easily focus on just the parts that show similarity outside of these two entities.
Resources

• Only the following eight resources may be used and cited in this case study. Some of these can be accessed online as indicated.

References:
Boland, M. (Director), Santall, J. (Presenter), & Video Education Australasia. (2011). Infection control in healthcare [Videorecording]. Bendigo, Australia: VEA. Available online
Boustcha, E., & Nicolle, L. E. (1995). Conjunctivitis in a long-term care facility. Infection Control and Hospital Epidemiology. 16 (4) 210-216. Available online
Bullock, S., & Manias, E. (2014). Fundamentals of pharmacology (7th ed.). Frenchs Forest, Australia: Pearson Australia.
Craft, J., Gordon, C., Heuther, S., McCance, K., Brashers, V., & Rote, N. (2015). Understanding pathophysiology 2. Chatswood, Australia: Elsevier. Available online (2011 edition)
Lee, G., & Bishop, P. (2013). Microbiology and infection control for health professionals (5th ed.). Frenchs Forest, Australia: Pearson.
Lehne, R. A., Moore, L., Crosby, L., & Hamilton, D. (2013). Pharmacology for nursing care (8th ed.). St. Louis, Mo: Saunders/Elsevier. Available online
Marieb, E.N., &Hoehn, K. (2014). Human anatomy & physiology. (9th ed.). Boston, MA: Pearson.
Porth, C. M., &Matfin, G. (2014). Pathophysiology: Concepts of altered health states (9th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Sample Answer

Compelling correspondence is essential to the achievement all things considered but since of the changing idea of the present working environments, successful correspondence turns out to be more troublesome, and because of the numerous impediments that will permit beneficiaries to acknowledge the plan of the sender It is restricted. Misguided judgments.In spite of the fact that correspondence inside the association is rarely completely open, numerous straightforward arrangements can be executed to advance the effect of these hindrances.

Concerning specific contextual analysis, two significant correspondence standards, correspondence channel determination and commotion are self-evident. This course presents the standards of correspondence, the act of general correspondence, and different speculations to all the more likely comprehend the correspondence exchanges experienced in regular daily existence. The standards and practices that you learn in this course give the premise to additionally learning and correspondence.

This course starts with an outline of the correspondence cycle, the method of reasoning and hypothesis. In resulting modules of the course, we will look at explicit use of relational connections in close to home and expert life. These incorporate relational correspondence, bunch correspondence and dynamic, authoritative correspondence in the work environment or relational correspondence. Rule of Business Communication In request to make correspondence viable, it is important to follow a few rules and standards. Seven of them are fundamental and applicable, and these are clear, finished, brief, obliging, right, thought to be, concrete. These standards are frequently called 7C for business correspondence. The subtleties of these correspondence standards are examined underneath: Politeness Principle: When conveying, we should build up a cordial relationship with every individual who sends data to us.

To be inviting and polite is indistinguishable, and politeness requires an insightful and amicable activity against others. Axioms are notable that gracious “pay of graciousness is the main thing to win everything”. Correspondence staff ought to consistently remember this. The accompanying standards may assist with improving courtesy:Preliminary considering correspondence with family All glad families have the mystery of progress. This achievement originates from a strong establishment of closeness and closeness. Indeed, through private correspondence these cozy family connections become all the more intently. Correspondence is the foundation of different affiliations, building solid partners of obedient devotion, improving family way of life, and assisting with accomplishing satisfaction (Gosche, p. 1). In any case, so as to keep up an amicable relationship, a few families experienced tumultuous encounters. Correspondence in the family is an intricate and alluring marvel. Correspondence between families isn’t restricted to single messages between families or verbal correspondence.

It is a unique cycle that oversees force, closeness and limits, cohesiveness and flexibility of route frameworks, and makes pictures, topics, stories, ceremonies, rules, jobs, making implications, making a feeling of family life An intelligent cycle that makes a model. This model has passed ages. Notwithstanding the view as a family and family automatic framework, one of the greatest exploration establishments in between family correspondence centers around a family correspondence model. Family correspondence model (FCP) hypothesis clarifies why families impart in their own specific manner dependent on one another ‘s psychological direction. Early FCP research established in media research is keen on how families handle broad communications data. Family correspondence was perceived as an exceptional scholastic exploration field by the National Communications Association in 1989. Family correspondence researchers were at first impacted by family research, social brain science, and relational hypothesis, before long built up the hypothesis and began research in a family framework zeroed in on a significant job. Until 2001, the primary issue of the Family Communication Research Journal, Family Communication Magazine, was given. Family correspondence is more than the field of correspondence analysts in the family. Examination on family correspondence is normally done by individuals in brain science, humanism, and family research, to give some examples models. However, as the popular family correspondence researcher Leslie Baxter stated, it is the focal point of this intelligent semantic creation measure making the grant of family correspondence special. In the field of in-home correspondence, correspondence is normally not founded on autonomous messages from one sender to one beneficiary, yet dependent on the dynamic interdependency of data shared among families It is conceptualized. The focal point of this methodology is on the shared trait of semantic development inside family frameworks. As such, producing doesn’t happen in vacuum, however it happens in a wide scope of ages and social exchange.

Standards are rules end up being followed when performing work to agree to a given objective. Hierarchical achievement relies significantly upon compelling correspondence. So as to successfully impart, it is important to follow a few standards and rules. Coming up next are rules to guarantee powerful correspondence: clearness: lucidity of data is a significant guideline of correspondence. For beneficiaries to know the message plainly, the messages ought to be sorted out in a basic language. To guarantee that beneficiaries can without much of a stretch comprehend the importance of the message, the sender needs to impart unmistakably and unhesitatingly so the beneficiary can plainly and unquestionably comprehend the data.>

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