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BACHELOR OF NURSING SCIENCE OR MIDWIFERY DUAL DEGREENUR 231 – Drug Therapy Case Study – SEMESTER 1, 2018Copyright USC @2010LL“”Updated”:”J.Hanson”/Marc”Broadbent”December”2017“”””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””2″|”P a g e ””NUR 231 DRUG THERAPY – ASSESSMENT TASK 2 – CASE STUDYThis case study assignment is designed for nursing students undertaking the Bachelor of Sciencedegree or midwifery students undertaking the dual degree. Dual degree student may complete thiscase study or choose the midwifery pregnancy case study. This case scenario is based on theory,concepts and professional practice principles covered in lectures, tutorials and associated resources. Itis designed to develop knowledge and problem-solving skills that apply to decision-making and safedrug administration in complex health care settings.Assessment requirements:Submission: Submit your assessment to blackboard online via safe assignFormatting: Format using 1.5 line spacing and Times New Roman 12.Word Count: 2,500 words +/- 10% (includes in-text references and excludes reference list)Marking Criteria: All questions must be completed according to the marking criteria to achieve asatisfactory grade.References: In-text references are included in the word count. (The reference list is not included inthe word count). Please use academic sources of information such as the texts used in this course andpeer reviewed journal articles to support all your answers. Other trustworthy sites includeGovernment-operated websites and NPS MedicineWise.Completion GuidelinesThe case study assignment is an Individual Assessment Item.You may work collaboratively with other students to understand concepts in this course butyour answers must be your individual research, interpretation and application of thematerials. All answers must be supported by relevant references to the literature.Answers that show evidence of deliberate copying from other student’s work will beinvestigated as collusion. Answers that show evidence of deliberate copying from authors willbe investigated as plagiarism. Collusion and plagiarism are considered to be academicmisconduct and academic penalties apply. For more information see the Bb+ assessment area,course outline or USC policy at https://www.usc.edu.au/explore/policies-andprocedures/student-academic-integrity-governing-policy*Remember to save a copy of your work on an external drive or USB.“”Updated”:”J.Hanson”/Marc”Broadbent”December”2017“”””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””3″|”P a g e ””INTEGRETED PATHOPHYSIOLOGIC CONCEPTS – GLUCOSE,INSULIN, ENERGY AND THE PANCREAS!Consider the patient SituationTony Barrett is a newly diagnosed insulin-dependent diabetic. Tony is 14 years old, weighs 51 kg(non-obese) and has always been very active. He usually plays football at weekends and enjoysswimming. He regularly goes to the beach to surf with his friends enjoys and is a member of the localsurf lifesaving club. Over the last month, Tony has been constantly thirsty and often hungry. He hasbeen passing urine frequently and having to get up to the toilet in the night. His father becameconcerned when he noticed that Tony lost interest in sports and being with his friends because he wascomplaining of headaches and felt tired all the time.Five days ago, Tony was reviewed by an endocrinologist and diagnosed with Type 1 DiabetesMellitus. The endocrinologist prescribed a ‘basal-bolus’ regime of insulin consisting of Insulin aspart(Novorapid) before each meal and Insulin glargine (Lantus) flexipen before bedtime. Yesterday, Tonyhad a hypoglycaemic episode at school (BGL 3.0 mmol/L) and was transferred to hospital. Hesuffered a further hypoglycaemic episode on waking this morning but 15 minutes after drinking ½ cupof fruit juice his BGL was 4.4 mmol/L. Tony and his family are anxious to learn how to manage hisblood glucose levels (BGLs) before he is discharged home.Section 1 – Pathophysiologic and pharmacologic conceptsCollect information: PathophysiologyQ1. Outline the pathophysiology of type I (Insulin –dependent) diabetes.Process information: Pharmacologic concepts in glycaemic managementQ2. What specific information do Tony and his family need to know about insulin absorption in orderto manage the insulin regime at home? Discuss your answer in relation to:a) The ‘Time-course of formulations’ of insulin and the effect on absorption ofinsulinb) The appearance of different types of insulinsc) The principles underpinning a ‘basal-bolus’ regime of insulind) The practical skills and knowledge Tony needs to self-administer insulin“”Updated”:”J.Hanson”/Marc”Broadbent”December”2017“”””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””4″|”P a g e ””INTEGRATED PATHOPHYSIOLOGIC CONCEPTS – GLUCOSE,INSULIN, ENERGY AND THE PANCREASQ3. From your knowledge of pharmacodynamics, explain how insulin works to reduce blood glucoselevel.Q4. Identify 3 objective tests that may be used to assess Tony’s current glycaemic status ie. howwould you know if Tony was stable or unstable?Section 2 – Decision-makingSynthesise the informationQ5. Examine the information that you have about Tony’s presentation to hospital and identify twopossible nursing diagnoses from the following options. Tony has:a) hypoglycaemia possibly related to excessive carbohydrate intakeb) hyperglycaemia possibly related to inadequate carbohydrate intakec) hyperglycaemia possibly related to excessive carbohydrate intaked) hypoglycaemia possibly related to inadequate carbohydrate intakee) hypoglycaemia possibly related to inadequate insulin administrationf) hypoglycaemia possibly related to inappropriate insulin administration”Establish goalsQ6. Before initiating any actions, it is important to be clear about your goals for Tony.(i) What goal would you set regarding Tony’s Blood Glucose Levels (BGLs)?(ii) What goals would you set regarding Tony’s knowledge deficit?”Take actionQ7. What are your nursing actions in the event that Tony is found to be:(a) hypoglycaemic (BGL <3.5mmol/L) and conscious?(b) hypoglycaemic (BGL <3.5mmol/L) and unconscious/altered consciousness?Give a rationale for your clinical decisions and actions in Q7a and Q7b.“”Updated”:”J.Hanson”/Marc”Broadbent”December”2017“”””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””””5″|”P a g e ””INTEGRATED PATHOPHYSIOLOGIC CONCEPTS – GLUCOSE,INSULIN, ENERGY AND THE PANCREASSection 3 – Professional standardsQ8. Choose 2 ethical value statements and 2 standards for practice that will guide your nursing care ofTony and his family whilst in hospital and/or in discharge planning activities. Give examples of howthe 2 value statements and the 2 standards apply to this case.Q9. The central principles of social justice in the health care context are self-determination, equity,access and rights and, participation. Health professionals have an ethical obligation to ensure thatpatients are treated fairly. Discuss how psycho-social factors in Tony’s life might impact on how heparticipates in his own health care (including medication adherence), and interacts with healthprofessionals?Q10. Write down what actions will you take in your future practice because of what have learnedfrom this scenario?Section 4 – Conveys scientific informationCheck your answers and ensure that you have used professional language throughout yourassignment. Proof read for logical structure, accuracy and clarity.Section 5 – Sources of evidenceThere are 2 parts to section 5 of the marking criteria: (i) ensure that you have examined academicsources of information and used them in support of all your answers. Avoid websites designed forpatient information and check that any websites you do use are directed towards health professionals,and are current and peer reviewed (ii) ensure that you have a minimum of 8 references.SUBMIT TO BLACKBOARD ONLINE VIA SAFE ASSIGN. THANK YOU