nursing management of chronic conditions

2018 NSG2NCI Writing Assessment
Weight: 35% of marks for NSG2NCI
Word count: 1500 words
Due before: September 17, 2018 – 1600hrs.
Relevant SILOs:
1. Evaluate public health concepts applied to chronic conditions.
2. Critically analyse evidence-based health care models designed for the
management of chronic conditions.
3. Develop an understanding of the impact of chronic disease on the
4. Adapt already acquired skills to enable flexible use of collaborative health
care systems and self-management practice.
To be a registered nurse, you need the ability to use your knowledge about the
impact of chronic illnesses on individuals to select appropriate public health
strategies and models of care. This writing task will assess your ability to research
and discuss interdisciplinary health care systems that will help support a person
living with a chronic illness to live well and engage in self-management strategies.
Discuss the guide questions that follow the scenario using three (3) short essays.
Each essay must be supported by at least two (2) relevant journal articles. That
means that you will be using at least six (6) relevant journal articles in total.
Full name: Elizabeth Permadi
Preferred name: Liz
Liz is a 49 year old woman from the East Java province of Indonesia. She weighs 87
kg and is 165 cm in height. She was diagnosed with chronic bronchitis five years
ago and has been trying to cut down on the number of cigarettes she smokes
since then. At present, she smokes an average of 3 sticks of cigarette per day,
usually after meals. She drinks occasionally (average of 2 standard drinks per week)
and denies use of illicit drugs. She exercises by walking their dog around the
neighbourhood for 15 minutes each day. Liz has ongoing hypertension and high
blood cholesterol, for which she takes Metoprolol 50mg every morning and
Pravastatin 10mg every night. Liz reports that elevated cholesterol levels are very
common among the members of her father’s family.
Liz has migrated to Australia with her 22 year old son, Bernard, to get away from
her partner from whom she has experienced domestic violence. Bernard works as
a cook in a popular local café but Liz is struggling to find a job. As such, she has
started driving their car for Uber to generate income for their household. They live
in a rented apartment near the café where Bernard works.
At present, Liz is admitted in the acute care adult medical ward where you are
working as a registered nurse. According to the admission documents, she was
rushed to the emergency room 3 days ago due to sudden onset of dizziness and
weakness of the right side of her body that lasted for 6 hours. She underwent a CT
scan, ECG and blood tests and was told that she had a transient ischaemic attack
(TIA) and atrial fibrillation. Warfarin has been added to her medications and is
being prepared for discharge.
Liz has been free from symptoms in since the TIA episode. She appears quiet and
withdrawn. When asked how she is, she provides short responses such as “I’m good”
and “I honestly feel normal.” In private, Bernard tells you that Liz started acting this
way since she was instructed by her doctor that she cannot drive until her next
appointment with the neurologist 2 weeks from now. Liz has told Bernard that she
regrets going to the emergency room because she thinks that the symptoms would
have just gone away on its own like it did in the emergency room.
Guide questions:
Part 1: What chronic illness is Liz at risk of developing? Explain by using details from
the scenario.
Part 2: Identify the health services available in Australia that could help Liz selfmanage
her risk of developing the chronic illness you’ve identified in part 1. Clearly
describe what the services involve and who are the health professionals that can
help? Discuss why you think Liz would benefit from having access to these.
Part 3: Reflect on the services you’ve identified in Part 2. Discuss what challenges
there could be for Liz to access the services you’ve discussed. What are the gaps in
our healthcare services for people like Liz that could be addressed?
General information:
• Begin with a title page that includes:
o Subject Code and Subject Title
o Your name and ID number
o Submission date
o Word count
• Each of the three parts must:
o Begin with a heading (ie. Part 1, Part 2 and Part 3) to aide with
o End with a bibliography that properly cites the two research articles
o Total word limit for each part is 500 (+/- 10%)
o Please note: the title page and bibliography does not form part of
the expected word count.
• All submissions are done via the Turnitin drop box in the LMS.
o Your work will be marked using a rubric attached to Turnitin.
o Feedback on your work will be available 3 weeks after the due date.
• In this assignment, you are required to use the APA-6 referencing style.
o You can find information on this
o For more information about referencing, please go
• Please refer to the university website for further information relating to
assignment writing, referencing and
Finding relevant journal articles:
As you would have read in the task description above, you will be using at least six
(6) journal articles in this assessment. If you need to learn more about finding
relevant journal articles, please use this training from the library:
• Marking will be done by your local teaching school site. Your teachers will
aim to provide those who submitted before the September 17 due date
with results and feedback by October 8.
• Your work will be marked using a rubric made up of:
o Content (50%)
o Selection and use of literature (30%)
o Academic writing skill (20%)
• The rubric is embedded in the Turnitin and a PDF copy of this could be found
at the end of this section. Please use the rubric to plan your approach to
writing this assessment.
Students seeking extension for an assessment deadline may submit a formal
request to the subject coordinator up to September 11, 2018 using this
Please note: university study load and/or clinical placement reasons are not valid
to request an extension. Students with personal issues or illness must go through the
formal process of requesting an extension using the said link.
Any request for extension after September 11, 2018 needs to go through the
special considerations process using this
Late submissions:
Assignments submitted after the due date without an approved extension will incur
a penalty of 5% of the total assignment marks per working day. Assignments will not
be accepted after the earlier of the following occurrences:
• The fifth (5th) working day after the due date.
• Feedback on the assessment has been returned to any student by a
teaching team member.
Please refer to for information about:
• Extension to Submission Dates
• Late Submission of Assessment Tasks
• Special Consideration
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