401209 Health Variations 2 Case study
Word count: 1000 words (+/- 10%)
The assessment guide of 388 words is not included
Reference list is not included
Due Date: (Week 7) Monday 10th September, 12 midnight
Aim of assessment
The purpose of this assessment is to enable students to demonstrate:
• An understanding of safe, appropriate and responsive quality nursing practice when administering pharmacological interventions to people with type 1 diabetes
• An understanding of the relationship between pharmacological interventions and the cause, pathophysiology and clinical manifestations of type 1 diabetes
• An understanding of the impact of type 1 diabetes on the individual
• An evaluation of relevant literature to support an understanding of the pharmacological and nursing management of a person with type 1 diabetes and express this in a clear and succinct writing style
Case study
You are a Registered Nurse working in the emergency department caring for Ben Summer who is 19 years of age.
Medical history
Ben visited his local doctor after experiencing increased appetite and excessive thirst. He has been unusually tired when playing football and hasn’t been able to perform at his best. He has lost 10 kilograms of weight over a two week period and has been frequently urinating at night. The doctor suspected type 1 diabetes and tested his urine, which was positive for glucose and ketones. A random capillary blood glucose level was 25.0mmol/L and blood ketone level was 1.5mmol/L. Ben was advised to attend the hospital emergency department immediately.
Social history
Ben lives with his mother (Susan), father (John) and 12 year old brother (Jacob). He attends university full time, studying engineering and works at McDonalds on a casual basis. Ben plays football on the weekends and trains two days during the week. He has a girlfriend Rachel and they both enjoy surfing at the beach.
Emergency department review
Two hours after review by the local doctor, Ben’s capillary blood glucose level (BGL) was 26.0mmol/L and blood ketone level was 1.6mmol/L. Other vital signs were within normal limits. After review by the endocrinologist, Ben was given a provisional diagnosis of type 1 diabetes based on his symptoms and family history of autoimmune disease (His mother has hyperthyroidism, Graves’ disease). His blood test confirmed that he did not have ketoacidosis.
Treatment plan
Ben was prescribed subcutaneous insulin; Aspart (NovoRapid) Flexpen 10 units TDS and Glargine (Lantus) Solostar 30 units nocte. He was referred to the diabetes service for ongoing care.
The assessment must comply with the following:
• Students must respond to each of the questions provided using academic writing - question/ answer format using full sentences and paragraphs.
• An introduction and conclusion are NOT required.
• Please type your responses on the template provided in the assessment tab on vUWS.
• The assessment has double-spaced lines. Arial 12 size font.
• Referencing must be presented in APA 6, according to Citing Resources and References in this learning guide. https://library.westernsydney.edu.au/main/sites/default/files/cite_APA.pdf;
• Every answer should have in-text references. In-text references should be throughout the answer and not only at the end of a whole paragraph.
• No initials of authors’ first name are used in the in-text references.
• Reference list is on a new page.
• References are listed in alphabetical order based on the first author's surname.
• Hanging indent has been used in the reference list.
• Title of text book and name of journal and volume is in italics.
• Every in-text reference matches with a reference in the reference list.
• Only references used in the in-text references should appear in the reference list.
• There is a word limit of 1000 words. Use your computer to total the number of words used in your assignment.
• The questions provided in the guide and reference list are not included in the word limit.
• 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 1100 words.
• Academic references include journal articles, textbooks, Australian clinical guidelines and creditable organisational websites/reports such as The Australian Diabetes Educators Association.
• High quality references are current (within 5 years) and specifically relevant to type 1 diabetes or insulin administration.