Assessment details Assessment 2:
Case study essay Weighting: 40%
Word count: There is a word limit of 1500 words.
. Aim of assessment
The purpose for this case study is to enable students to produce a nurse-led case management plan, using evidence-based information relevant to nurses and up-to-date Australian statistics, for improving the health and quality of life for an older adult who have suffered a myocardial infarction. Content should include discussion on pathophysiological treatment options, based on national guidelines and implications for nursing practice.
Kath Harris is a 65-year old lady who lives alone. Kath was doing light cleaning around the house, prior to the onset of her pain. Mrs. Harris has a history of unstable angina, hypertension and diabetes mellitus type 2. She is a cigarette smoker, smoking two packets of cigarettes a day, for approximately 40 years. A recent history of indigestion suggests an active peptic ulcer. She is also obese (her body mass index is 32). She has had a history of head trauma due to an incident a few months ago, where she fell down a set of stairs. Mrs Harris’ current medication includes; GTN, carvedilol, and metformin.
Subjective data •
She had taken three glyceryl trinitrate tablets, which had little effect on reducing her chest pain. •
Has an 6/10 chest pain •
Pt is nauseated •
• GCS 15
• BP 92/58mmHg, HR 92 bpm, Temp 37 0Celsius, Resp 28 bpm, SaO2 91% RA,
• Skin was pale • Peripheries were cool Diagnostic studies Lipid Studies
• Total lipid 9.2
• Triglycerides 6.5
• Total cholesterol 7.95 HDL cholesterol 2.1 LDL cholesterol 5.97 2 Electrolytes Sodium 138 Potassium 4.9 Chloride 97 Bicarbonate 21 Glucose 11.2 Iron 5.4 HbA1c 7.9
Your assignment is to produce a written piece of work addressing the following areas; PATHOPHYSIOLOGY
Briefly explain the pathophysiology of myocardial infarction in this patient. In your answer identify the clinical manifestations of an MI demonstrated by Kath Harris and why these are occurring. Identify the risk factors evident within this case study. How would you manage Mrs Harris’ care?
Outline the immediate nursing and medical management Mrs Harris requires in the treatment of an acute MI. In your answer include the pharmacological management required by a patient with an acute coronary syndrome.
Identify three medications that would be used in the treatment of an MI and outline the indication for use, mechanism of action, administration method, side effects, and nursing care required for these medications (No tables). Important details about your assessment This essay requires a standard essay introduction and conclusion.
There is a word limit of 1500 words (+/- 10% as per SNM Presentation and Assignment Guidelines).
Marks will be allocated as per SNM Assessment Rubric & the essay specific criteria below. Submission instructions and the link is accessible under the ‘assessments’ tab.
Students should refer to the SNM Presentation and Assignment Guide, ECU APA Referencing Guide, and the SNM Marking Assessment Rubric.
Graphs, tables and flow charts to support the statistical data will not be accepted.