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Task NRS221 Assessment 1: Writing a report to promote the health, safety and independence of an older person. Choose one of the following case studies to write a report for the CSU Nursing Magazine which is read by nursing students. The theme of this month's magazine is The experience of ageing in community healthcare. The report you will write is to help the readers understand the most important concepts/principles when nursing older people. The aim is to promoting the health, safety and independence of older people who live in the community. You are required to analyse your chosen case study and apply theories and principles of communication and ageing. You will provide coverage of relevant age related changes and the relevant assessments a registered nurse would undertake to keep the older person as independent as possible. To enable ease of reading for your magazine readers, it is suggested that you write the report using the following subheadings: 1) Introduction (including a brief introduction to the case study you have selected however do not include the entire case scenario as the magazine will include this on another page) 2) How the person's experience of ageing relates to social and psychological theories of ageing 3) The communication theories that underpin the way you would interact with the person. 3) The age-related changes that relate to the person (dot points can be used in this section) 4) The assessments a community registered nurse would undertake to keep the person as independent as possible and the rationale for these (a table format can be used for this section) 5) A review of their medication outlining the implications, possible adverse effects and interactions. (a table format can be used for this section) 6) Nursing interventions and rationales (you can use a table format for this section that identifies the issue, the corresponding intervention and its justification) 7) Conclusion where you summarise the main points of the report. 8) Reference list Choose one of the following case studies for your magazine report. Case Study 1: Merindah Merindah is a 79 year old Indigenous woman who lives in Cootamundra in Wiradjuri country. She has been a very active and involved member of the community. After retiring from her Registered Nurse role at the local hospital, she spent many hours doing volunteer work with older Indigenous people and was recognised in a Premier's Award in 2012. Her once beautiful black hair is now dull, thinning and grey. Her skin is dry and wrinkled. Merindah feels the cold more than she used to. Merindah had a hip replacement three months ago due to arthritis and she has not recovered as quickly as she had hoped. This has had an impact on her independence and autonomy, which distresses her. Her family, who live one block away from her home, are happy to continue supporting her with her Activities of Daily Living (ADLs), but she wants to be completely self-caring. The most challenging tasks are attending personal hygiene in her small bathroom where the shower is over the bath. She also struggles with cooking her own meals as she cannot stand for long enough to cook the foods she prefers. Merindah only uses a wheelie walker if she becomes too tired or has too much pain. Her daughter is most concerned about her falling if she is alone at home. Medications are self-administered but Merindah has difficulty getting them from the cupboard which is out of reach of her great-grandchildren. Today, you notice that Merindah has bruises on her legs and arms and appears to be in more pain than usual. Medications: Panadeine Forte 2 BD Digoxin 0.625mg mane Celebrex 100mg BD Mylanta 10ml PRN Coloxyl and Senna 2 BD PRN. Your report for the magazine: Demonstrates an ability to organise logically, synthesise information from current and reliable sources, then draws conclusions that are congruent with cited material and are presented articulately, clearly and fluently. Adheres to guidelines and presentation outlined in the subject outline. Work is legible. Keeps to word limit (+ or – 10%). Spelling, grammar and punctuation are all correct. Uses "third person" Content of the assignment is succinct and logically developed. All material presented is relevant. Nil digression Your report for the magazine: Demonstrates a well-developed ability to organise and articulate ideas. Clear and concise written language. Grammar and spelling are correct and the paper is legible and readable. Adheres to guidelines and presentation in the subject outline. Work is legible Keeps to word limit (+ or – 10%) Uses "third person" All material presented is relevant. Nil digression Your report for the magazine: Demonstrates a sound ability to organise and articulate ideas. Clear written language. Grammar and spelling are mostly correct and the paper is legible and readable. Adheres to correct guidelines and presentation standards outlined in the subject outline. Work is legible Keeps to word limit (+ or – 10% Uses in "third person" Most material is relevant Minimal digressions Your report for the magazine: Demonstrates a basic ability to organise and articulate ideas. Reasonable written language. Grammar and spelling are mostly correct and the paper is legible and readable. Adheres to the graphic organiser format and presentation standards. Work is legible Keeps to word limit (+ or – 10%) Uses “third person" Limited material is relevant and / or some digression Your report for the magazine: Demonstrates insufficient ability to organise, integrate and express ideas. Unsatisfactory written language. Inconsistent grammar and / or spelling, which impedes content flow Does not adhere to graphic organiser format and / or presentation standards. Work is illegible Insufficient length or way beyond word limit Uses in "first person" Lacks clarity and / or tends to digress. /5 Criterion HD 8.5 - 10 marks DI 7.5 - 8.4 marks CR 6.5 - 7.4 marks PS 5 - 6.4 marks US 0 - 4.9 marks Social and psychological theories Strong links identified between social and psychological theories of ageing and the individual's experience of ageing supported by two or more current references Strong links identified between social and psychological theories of ageing and the individual's experience of ageing supported by 2 current references Sound attempt to relate social and psychological theories of ageing and the individual's experience of ageing supported by 1-2 current references Minimal attempt to relate to the social and psychological theories of ageing and the individual's experience of ageing supported by a minimum of 1-2 current references Nil or limited attempt to relate social or psychological theories of ageing to and the individual's experience of ageing. Minimum of 1 current reference or no supporting references provided /10 Criterion HD 8.5 -10 marks DI 7.5 – 8.4 marks CR 6.5 – 7.4 marks PS 5 – 6.4 marks US 0 – 4.9 marks Age related changes Identifies all of the age related changes exhibited by the individual. Clearly prioritises the most significant changes in relation to maintaining independent self care living. Information supported by 2 or more current references Identifies the majority of age related changes exhibited by the individual. Prioritises the most significant changes in relation to maintaining independent self care living. Information supported by 2 references Identifies the obvious age related changes exhibited by the individual. Prioritises and identifies obvious changes in relation to maintaining independent self care living. Information supported by 1-2 current references Lists some of the age related changes exhibited by the individual. Prioritises and identifies some of the significant changes in relation to maintaining independent self care living. Information supported by 1 current reference Lists nil or limited age related changes exhibited by the individual. Lists nil or limited changes in relation to maintaining independent self care living prioritised or identified Information supported by minimum of 1 reference or no supporting references provided. /10 Criterion HD 18.5 -20 marks DI 17.5 –18.4 marks CR 16.5 – 17.4 marks PS 15 – 16.4 marks US 14.5 -0 marks Assessment and rationale Outlines a systematic and comprehensive assessment of the individual Clearly and accurately discusses the rationale for the assessments and accurately links this to the needs of the individual Provides comprehensive, evidence-based rationales for all tools used in this case, with links to critical interpretation of the signs and symptoms evident in this case Strategies supported by more than 2 current references Outlines a systematic and extensive assessment of the individual Clearly discusses the rationale for the assessments suggested and accurately links this to the needs of the the individual. Provides strong, evidence-based rationales for most tools used in this client’s case, with discussion linked to critical interpretation of most of the signs and symptoms evident in this case. Information supported by 2 current references Outlines a systematic assessment of the individual Discusses most of the rationales for the assessments suggested and links most of these to the needs of this individual. Provides evidence-based rationales for some tools used in this particular client’s case, with discussion linked to sound interpretation of the signs and symptoms evident in this case Information supported by 1-2 current references Outlines a general assessment of the individual Provides a basic discussion regarding the assessments suggested and links some of these to the needs of this individual Provide limited evidence-based rationales and / or there is little discussion linked to interpretation of the signs and symptoms evident in this case Information supported by 1 current reference Nil or limited assessment undertaken in this case Nil or limited discussion pertaining to choice of assessments and rationales for using same Limited or no strategies have been derived from the assessment to cover care needs Information supported by minimum of 1 or nil current references /20 Criterion HD 18.5 -20 marks DI 17.5 – 18.4 marks CR 16.5 – 17.4 marks PS 15 – 16.4 marks US 14.5 - 0 marks Communication strategies Identifies 10-12 communication strategies and provides strong rationales for these for this individual. Clearly outlines the potential impact of adequate communication on this individual's case. Identifies 7-9 communication strategies and provides supportive rationales for this individual. Outlines the potential impact of adequate communication skills on this individual's case Identifies 4-6 communication strategies and provides some rationales for this individual. Outlines some potential impacts of adequate communication skills on this individual's case. Identifies less than 4 relevant communication strategies and suggests minimal rationales for this individual. Minimal discussion of impact of adequate communication skills on this individual's case. Nil or limited discussion of relevant communication strategies and / or limited rationales for this individual Limited or no discussion of impact of adequate communication skills this individual's case /20 Criterion HD 10 -15 marks DI 8.5 – 9 marks CR 6.5 – 8 marks PS 4 – 6.4 marks US 0 – 3.9 marks Medications and implications Comprehensive and concise discussion relating to adverse drug reactions, interactions and poly pharmacy issues which provides critical links to this individual Comprehensive discussion of relevant potential adverse drug reactions, interactions and poly pharmacy issues and extensively discusses their implications for this individual Clear discussion of potential adverse drug reactions and covers most interactions and common poly pharmacy issues that may relate to the case study but not specifically Discussion outlines some potential adverse drug reactions and some risk factors for adverse drug reactions, but discussion is not necessarily well linked to the individual's case Nil or limited identification of risks of adverse drug reactions, limited identification of interactions and poly pharmacy issues without logical links individual's case /15 Criterion HD 18.5 -20 marks DI 17.5 – 18.4 marks CR 16.5 – 17.4 marks PS 15 – 16.4 marks US 14.5-0 marks Nursing interventions and rationales Comprehensive and concise nursing interventions provided which address all of the key health problems identified through individual assessment. Recommended nursing interventions assist the individuals to remain and / or regain independence and stay in preferred residence. Discusses the need for multidisciplinary referral and justifies same in this individual’s case. Comprehensive discussion of Specific support for caregivers is provided and justified. Concise nursing interventions provided which address most key health problems identified by individual assessment. Recommended nursing interventions predominately support individuals to remain independent and stay in preferred residence. Discusses need for most multidisciplinary referral and justifies same in this individual’s case. Concise support for caregivers is discussed and justified. Clear nursing interventions provided which address many key health problems identified by individual assessment. Recommended nursing interventions offer some support for individuals to remain independent and stay in preferred residence. Multidisciplinary teams discussed and some justification for referral in this client’s case. Some support for caregivers is discussed. Nursing interventions are provided which address some health problems identified by individual assessment Recommended nursing interventions offer minimal support for individuals to remain independent and stay in preferred residences. Multidisciplinary referrals suggested with minimal justification provided There is a minimal mention for support for care givers. Recommended nursing interventions are unlikely to safely and / or successfully address the health problems identified by individual assessment. Nil or limited rationales provided for maintaining independence discussed. Nil or inappropriate referrals are included. No support strategies for care givers are included. /20 Criterion PS 1-3 marks deducted US 4-5 marks deducted Referencing Evidence of extensive reading (exceeds minimum of 15 peer-reviewed literature sources / credible websites and grey literature). A wide variety of current, quality resources cited or older sources well justified. Consistent, correct and complete APA referencing format rigorously followed both in the reference list and in text with all sources shown. Evidence of substantive reading (15 peer-reviewed literature sources / credible websites and grey literature). A wide variety of current, quality resources cited or older sources justified. Consistent, correct and complete APA referencing format followed both in text and in Reference List with all sources shown. Evidence of satisfactory reading (meets the minimum of 15 peer-reviewed literature sources / credible websites and grey literature).

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