Assessment - Case Study Additional Information

Upon completion of this assessment, students should be able to demonstrate:

• Knowledge of common and medical anatomical terminology and ability to use medical terminology appropriately in context of providing specific health care services:

• Knowledge of normal structure and physiology of body systems, and the ability to explain relevant aspects of the structure and function of body systems in reference to specific health care services to be provided

• Knowledge of causes of disease, and ability to explain common problems associates with various body systems.

• Knowledge of various body processes, including metabolism, body temperature regulation, biological maturation and aging

• Ability to explain the potential impacts of a range of factors (internal - eg. mental or emotional; and external - eg. specific interventions) in relation to identified body systems

This case study is to be completed in three parts - due dates are clearly indicated in your student study guide - you will receive your marked paper back with very clear feedback on how you went. You should use the feedback from the first stage to guide you in completing the second and third stages.

It is expected that by the time you submit Part 1B, you will understand how to (a) use the sources of information to help you write your answers; (b) correctly reference your answers, both in-text and in the Reference List at the end and (c) put your answers into your own words, not cut and paste them from the Internet.

Required References:

Ischaemic Heart Disease

American Heart Association. (2012). Silent ischemia and ischemic heart disease. Retrieved May 10, 2015 from: http://www.heart.org/HEARTORG/Conditions/HeartAttack/PreventionTreatmentofHeartAttack/Silent-Ischemia-and-Ischemic-Heart-Disease_UCM_434092_Article.jsp

American Heart Association. (2015) Coronary artery disease - coronary heart disease. Retrieved May 10, 2015 from: http://www.heart.org/HEARTORG/Conditions/More/MyHeartandStrokeNews/Coronary-Artery-Disease---Coronary-Heart-Disease_UCM_436416_Article.jsp

Arena, R., Williams, M., Forman, D. E., Cahalin, L. P., Coke, L., Myers, J., et al. (2012). Increasing Referral and Participation Rates to OutpatientCardiac Rehabilitation: The Valuable Role of HealthcareProfessionals in the Inpatient and Home Health Settings. Circulation, 125, 1321-1329 http://circ.ahajournals.org/content/125/10/1321.full

Brown, D., & Edwards, H. (Eds.). (2014). Lewis's medical-surgical nursing: Assessment and management of clinical problems (4th ed.). Sydney, Australia: Elsevier Mosby.

Crozer Keyston Health System. (n.d). PQRST Pain Assessment Method. Retrieved July 19th, 2015, from Crozer Keyston Health System: http://www.crozerkeystone.org/healthcare-professionals/nursing/pqrst-pain-assessment-method/

Heart Research Centre. (1999). Best Practice Guidelines for Cardiac Rehabilitation and Secondary Prevention, Department of Human Services Victoria, retrieved 06 August 2015 from http://www.health.vic.gov.au/nhpa/downloads/bestpracticecardiacrehab.pdf ** see note below

Fallón, N. (2009). Cardiac Rehab and Obesity. World of Irish Nursing and Midwifery, 17(7), 33-34.

Marieb, E.N. (2015). Essentials of Human Anatomy and Physiology. (11th ed.). Harlow, UK: Pearson Education Limited

Mayo Clinic. (2015). Myocardial Ischemia, Mayo Foundation for Medical Education and Research, Retrieved May 9, 2015 from: http://www.mayoclinic.org/diseases-conditions/myocardial-ischemia/basics/definition/con-20035096

Statewide and Rural Health Services and Capital Planning . (2012). Rural Adult Emergency Clinical Guidelines 3rd Edition Version 3.1 2012. Retrieved July 19th, 2015, from NSW Health: http://www0.health.nsw.gov.au/policies/gl/2012/pdf/GL2012_003.pdf

Reproductive System

Marieb, E.N. (2015). Essentials of Human Anatomy and Physiology. (11th ed.). Harlow, UK: Pearson Education Limited.

Miller, S. (2013). Enlarged prostate. In A.D.A.M. Medical Encyclopaedia. Retrieved June 20, 2014 from http://www.nlm.nih.gov/medlineplus/ency/article/000381.htm.

Case Study - Task Questions

Question 1 - Cardiovascular System (100 -150 words)

When a patient has ischaemic heart disease, explain the pathophysiological changes that occur in the coronary artery walls as a result of this condition. Include the role of macrophages in your answer.

Question 2 - Cardiovascular System (100-150 words)

List four modifiable risk factors of coronary artery disease and explain how each of these factors contribute to the development of plaque.

Question 3 - Cardiovascular System (50-75 words)

Describe six signs and symptoms that may occur due to acute myocardial ischaemia or infarction. Describe the physiological reasons why these signs or symptoms occur.

Question 4 - Cardiovascular System

Mr Jones is admitted to medical ward with a 4 day history of intermittent chest pain. He has a past history of type two diabetes and hypertension. He is waiting for a stress test that has been booked for 1600. At 1300 he pushes the buzzer and states that he has chest pain; you note that he is diaphoretic and short of breath (respiratory rate 24).

Review the NSW rural emergency clinical guidelines for adults acute coronary syndrome guideline and appendix 4 chest pain pathway (link is in Assessment Details handout) to answer the following questions in relation to the pain:

A. Who should be informed about Mr Jones' change of condition? (25 words)

B. List the questions you would ask to evaluate his pain. (50 words)

C. Explain the assessments that would be completed in the first 15 minutes of his care (150-200 words)

D. Which of the tasks listed in part C would be completed by radiology and pathology staff? (25 words)

Question 4 - Cardiovascular System (continued)

Mr Jones is diagnosed with angina and treated with medication. During his hospital assessment, he is found to have a high cholesterol and triglyceride level. His body mass index is 32.4. He is referred to the cardiac rehab team in preparation for discharge.

E. List the health professionals that are involved in a cardiac rehabilitation team. Select three health professionals and provide specific examples of the service they would provide to Mr Jones during his rehabilitation. (150 - 200 words)

Question 5 - Reproductive System (150-200 words)

Briefly describe the events of fertilization and implantation, starting at fertilization and finishing at the implantation of the blastocyst in the uterus.

Question 6 - Reproductive System (100-150 words)

Understanding that the prostate gland encircles part of the urethra, discuss two clinical signs and symptoms that occur as a result of an enlarged prostate.

1000 words.

7 references.