Assessment: Case Study (Topic areas - acute inflammatory response, immunisation, infection control)
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.
Students are provided with a hypothetical case study to read (see below). 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.
Case Study:
Mary, aged 50 years, was digging manure into her rose garden when she sustained a deep 4 cm cut to her right calf.
She was brought into the medical centre, her wound cleaned and sutured. She was also given a tetanus booster injection and sent home.
48 hours later she returned to the medical centre complaining of pain and feeling febrile.
She had a Temperature of 38.2°C with a Blood Pressure of 120/80 mmHg.
On inspection of her wound, the following observations were made:
1. Wound edges red and hot to touch
2. Surrounding tissues swollen
3. Purulent and odorous discharge
A wound swab was taken for culture and sensitivity. The report of the culture found the colonizing organism to be Staphylococcus aureus which was sensitive to Amoxicillin. Mary was prescribed Augmentin, 250mg every eight hours for five days.
Using the supplied template (to be accessed from the Assessment tab in the Unit's vUWS site), answer the following questions:
1. Explain why a booster tetanus injection was given to Mary.
2. Describe the physiological basis of the three wound observations. Relate your response to the case study.
3. Explain how Mary's fever developed and state two benefits of fever.
4. Name one endogenous and one exogenous possible source of contamination of the wound by S. aureus and explain how the organism was transmitted to the wound from each source.
5. Explain why Augmentin was one of the appropriate drugs given to Mary.
Required References:
Bullock, S., & Manias, E. (2017). Fundamentals of pharmacology (8th ed.). Frenchs Forest, Australia: Pearson Australia.
Craft, J., & Gordon, C. (Eds.). (2015). Understanding pathophysiology (2nd Australian and New Zealand ed.). Chatswood, Australia: Elsevier. Available Online Department of Health. (2017). 4.19 Tetanus.
Lee, G., & Bishop, P. (Eds.). (2016). Microbiology and infection control for health professionals (6th ed.). Melbourne, Victoria: Pearson Australia.
Marieb, E.N., & Hoehn, K. (2016). Human anatomy & physiology (10th global ed.). Harlow, United Kingdom: Pearson Education.
Attachment:- Assignment Files.rar