Case Study Situation Helena is a 42-year old woman diagnosed with breast cancer who lives in rural Queensland with her husband Stefan and three children [Jane 15, Tom 12, Lucy 10]. Stefan works away and they struggle with her treatment and her need to be closer to hospital. They share family concerns with yo

2810NRS Child and Family Nursing Practice

A2, Trimester 2, 2021

Written assignment: “Nursing Process applied to a Family”

Word Count: 1500 words. Weighting: 40 % Marks 40

Due Date: Week 9 Monday 20th September 2021 by 5.00 pm

Aim:

The aim of this written assessment item is to apply the nursing process in providing family centred care. When individuals experience a health or social issue, the issue can impact upon all members of the family. Nurses working in acute care and community settings need to understand the functioning of the family unit so they can care for and assist the whole family.

This written assignment addresses course learning outcomes 2 and 3:

Demonstrate an understanding of the functioning of the family unit using family assessment models that enable families to make health decisions;
Plan and evaluate evidence-based nursing for families across the lifespan.

Task Description:

Read the attached case study and watch the linked video
From the ‘identified issues’ section of the case study select ONE issue for the family or a member of the family.
Write a 1500 word structured essay in which you apply the nursing process to provide care for a family in a case study.

Your essay must be structured using the following headings, noting suggested word counts:

Introduction (125 words)

Introduce the topic and explain the purpose and structure of the essay. Describe the issue (200 words)

▪ Describe the issue and discuss what is known about the issue/challenge, using evidence from scholarly literature

Plan nursing care (200 words)

▪ Propose a relevant nursing goal and justify with reference to a family assessment model (explain why it is relevant to the issue) and appropriate evidence.

Implement nursing care (500 words)

▪ Discuss two evidence-based nursing strategies for assisting the family to identify family strengths that will help them to achieve this goal.

▪ Outline a recommendation for an existing online resource or appropriate referral for the family for EACH nursing strategy.

Evaluate nursing care (350 words)

▪ Propose an evidence-based evaluation of the strategy to meet the nursing care goals. Specifically explain how the strategy can be evaluated by the nurse.

Conclusion (125 words)

Conclude the assignment with a clear and well-articulated summation of the main points

Other Elements:

Do not include a Griffith University cover page at the start of your assignment. The School of Nursing uses an Electronic Cover Sheet quiz, on your course site.
Refer to the Griffith Health Writing and Referencing Guide for guidance on writing, and referencing according to APA 7th style, as well as formatting and presentation including an appropriate Title page
Ensure that you use at least 10 different sources of relevant scholarly literature1(digitised readings, research articles, relevant Government reports and textbooks) that has been published within the last seven (7) years. If you use literature older than 7 years, you will need to justify why you are not using recent literature. Please note it is preferable to locate and use Australian sources if you are describing the extent or magnitude of the issue. • Use academic language2throughout and write in the third person.
Refer to the marking criteria when writing your assignment. This will assist you in calculating the weightings of the sections for your assignment.
State your word count (excluding title page and reference list) on your assignment title page. Word limits for assessment items need to be strictly adhered to. The word limit for an assessment includes in-text citations, tables, and quotations. The word limit DOES NOT include the reference list. Please note the marker will cease marking your submitted work once they have reached the allocated Total word limit.
Maintain academic integrity.
Submit a draft assignment via Turnitin and check your Turnitin report (allow up to 24 hours for report generation). If you need more information about Turnitin, make use of the online resources
Submit your assignment as a Word document (not a PDF) via Turnitin as per the instructions on the 2810NRS Learning@Griffith course site
Keep your Turnitin receipt as a record of successful submission (an on-screen receipt will be displayed after submission which you should take a screen shot of) • Information on Turnitin for students: https://intranet.secure.griffith.edu.au/computing/using learning-at-griffith/students/assessment/turnitin

1Some papers are of central importance to a research topic, often because they report a major breakthrough, insight, or a new and generative synthesis of ideas. This kind of paper may describe a study that changes our understanding of a topic or describes and illustrates a new and highly useful research method. These kinds of articles are often referred to as seminal or classic papers.

2 Everyday language is predominantly subjective. It is mainly used to express opinions based on personal preference or belief rather than evidence. Written academic English is formal. It avoids colloquialisms and slang, which may be subject to local and social variations. Formal language is more precise and stable, and therefore more suitable for the expression of complex ideas and the development of reasoned arguments.

Case Study

Situation

Helena is a 42-year old woman diagnosed with breast cancer who lives in rural Queensland with her husband Stefan and three children [Jane 15, Tom 12, Lucy 10]. Stefan works away and they struggle with her treatment and her need to be closer to hospital. They share family concerns with you about coping and maintaining support for the children.

Please watch the video and read the transcript (in the assessment folder) for full details in preparation for your assessment. Oncology Family assessment https://youtu.be/LDl0FRbiAzc

Background

Helena had a total mastectomy and removal of axillary nodes 10 weeks ago and is now receiving chemotherapy. Her treatment involves six cycles of chemotherapy, which comprises two days of treatment followed by two weeks for recovery. During the treatment weeks, Helena stays for the two days at the Cancer Council hostel close to the treating hospital. After her third cycle of chemotherapy, Helena returns home and notices a marked increase in her level of fatigue and is finding it very hard to cope with family demands.

Helena subsequently contracts a common cold from one of her children and she becomes quite unwell. She goes to the emergency department of her local hospital, febrile and generally unwell. In view of her complex underlying medical condition, the doctor recommends Helena be transferred to the treating hospital’s oncology unit for further assessment and treatment. Helena is transferred to Brisbane via an air evacuation with Stefan. The children are left in the care of a close friend. Helena’s Mother and Father live in Brisbane.

Assessment

Helena is admitted to the oncology unit for treatment and assessment of her neutropenia. The nurse completes a family assessment to identify how the family is functioning with this immediate illness and Helena’s breast cancer diagnosis and treatment regime, and to see if any additional support or assistance is needed.

Identified issues

Poor communication between family members
Limited understanding of the treatment
Challenges with changes in family roles
Challenges related to accepting help
Lack of acknowledgement of the role of spirituality
Different coping strategies across family members
Challenges with support and inclusion of the children
Lack of acceptance of support within the extended family

2810 NRS Child and Family Nursing Practice

Trimester 2, 2021: A2 Written Essay: Marking Rubric

Assessable Elements

EXEMPLARY

Exceptionally high quality of performance or standard of learning achievement.

ACCOMPLISHED

High quality

performance or standard of learning achievement.

SOUND

Consistent quality of

performance or standard of learning achievement.

DEVELOPING

Satisfactory quality of

performance or standard of learning achievement.

BEGINNING

Unsatisfactory quality of performance or standard of learning achievement.

Criterion

One

Introduction and

Conclusion

Exceptionally high standard as evidenced by clear and well-articulated

introduction of topic and explanation of the purpose and structure of the essay. Conclusion provides clear and well-articulated

summation of the main points of the assignment

High standard as

evidenced by an accurate introduction of topic and clear explanation of the purpose and structure of the essay.

Conclusion provides well presented summation of the main points of the assignment. Minor errors evident.

Sound standard as evidenced by a clear introduction of the topic and adequate

explanation of the purpose and structure of the essay. Conclusion provides adequate summation of the main points of the assignment.

Several errors evident.

Satisfactory standard as evidenced by an adequate introduction of the topic and satisfactory explanation of the purpose and structure of the essay

Sufficient summation of the main points of the

assignment

Numerous errors evident

Unsatisfactory standard as evidenced by a flawed or limited introduction of the topic with nil or limited explanation of the purpose and structure of the essay.

Inadequate summation of the main points of the assignment. Many errors or omissions evident.

Mark

allocation

2.5

Criterion

Two

Describe the issue

Exceptionally high standard as evidenced by clear and comprehensive description of a range of factors related

to the issue Succinct and logical discussion about what is known about

identified issue and how this might be applicable to this case.

High standard as

evidenced by clear

description of some

factors related to the

identified issue and a logical discussion of what is known about the identified issue, with

some reference to the case.

Sound standard as

evidenced by an

appropriate description of identified issue and related factors.

Mostly logical discussion of what is known about the identified issue but may not link adequately to the case.

Satisfactory standard as evidenced by an adequate description of identified issue but not all related factors are identified.

Brief but sufficient

discussion of what is known about identified issue but not sufficient reference to how it

applies to the case. Some errors related to

information accuracy are evident.

Unsatisfactory standard as evidenced by a flawed or limited description of the identified issue and no

inclusion of related factors. Underdeveloped or

inaccurate discussion of what is known about the identified issue with no

reference to the case.

Many errors or omissions evident.

Mark

allocation

2.5

2-1

Criterion

Three

Plan nursing Care

Exceptionally high standard as evidenced by very well

constructed and highly

relevant nursing goal.

Comprehensive

justification for the goal using components of a

Family Assessment model.

High standard as evidenced by well constructed and relevant nursing goal.

Clear and concise

justification for the goal, clearly linked to

components of a Family Assessment model.

Sound standard as evidenced by a clearly constructed and relevant nursing goal.

Justification for the goal with some links to a Family Assessment model.

Satisfactory standard as

evidenced by an adequate nursing goal.

Some justification for the goal but lacks detail

Attempt at linking to a Family Assessment model.

Unsatisfactory standard as

evidenced by flawed or poorly constructed nursing goal with minimal relevance to issue or Linkage to a Family

Assessment model

No/Minimal justification of the goal.

Mark

allocation

2.5

2-1

Assessable Elements

EXEMPLARY

Exceptionally high quality of performance or standard of learning achievement.

ACCOMPLISHED

High quality

performance or standard of learning achievement.

SOUND

Consistent quality of

performance or standard of learning achievement.

DEVELOPING

Satisfactory quality of

performance or standard of learning achievement.

BEGINNING

Unsatisfactory quality of performance or standard of learning achievement.

Criterion Four Implement

nursing care

Exceptionally high standard as evidenced by a succinct and accurate discussion of two evidence based

strategies that align with family strengths.

Recommends highly

relevant and accessible online resource/s and/or referral for each strategy.

High standard as

evidenced by a well

constructed discussion of two evidence based strategies that align with family strengths

Recommends relevant online resource/s and/or referral for each strategy. Minor errors evident.

Sound standard as evidenced by an accurate discussion of two strategies that align somewhat with family

strengths, but may emphasise some things inappropriately. Recommends some

relevant online resource/s and/or referral for each

strategy.

Several errors evident.

Satisfactory standard as evidenced by basic

discussion of two strategies, but they may not be well supported by literature.

Sound attempt at

recommending appropriate online resource/s and/or referral for each strategy; Numerous errors evident.

Unsatisfactory standard as evidenced by a limited or inadequate discussion of strategies.

Chosen strategies not

appropriate for previously discussed goal and could not be implemented in practice. Inappropriate

recommendations for online resource or referral.

Many errors evident.

Mark

allocation

9-8

7-6

4-1

Criterion

Five

Evaluate

nursing care

Exceptionally high standard as evidenced by clear, and comprehensive discussion of proposed method/s to

evaluate both strategies

used to meet the goal.

High standard as

evidenced by concise discussion of a proposed method to evaluate both strategies used to meet the goal. Minor errors or omissions evident.

Sound standard as

evidenced by a discussion of of a proposed method to evaluate Both strategies used to meet the goal.

Several errors or

omissions evident.

Satisfactory standard as evidenced by proposal of a suitable method to evaluate the strategies used to meet the goal but lacks detail. Numerous errors or

omissions evident.

Unsatisfactory standard as evidenced by proposal of an inappropriate or

insufficient method to

evaluate the strategies used to meet the goal; Many errors or omissions evident

2-1

Criterion

Six

Presentation grammar,

and

academic

writing

Exemplary demonstration of academic writing

standards and adherence to assignment presentation formatting guidelines.

Exemplary sentence and paragraph structure, with very few errors. Exemplary overall logical flow,

indicating a sophisticated ability to communicate ideas effectively. Accurate use of recommended section

headings and adherence to word limit.

High standard

demonstration of

academic writing

standards and

adherence to

assignment presentation formatting guidelines. Appropriate sentence and paragraph structure, and overall logical flow, indicating effective ability to communicate ideas effectively. Accurate use of recommended section headings and adherence to word limit.

Consistent attempt to comply with academic writing

standards and conform to assignment presentation formatting guidelines.

Mostly correct sentence and paragraph structure, with some errors that disrupt the logical flow or

communication of ideas. Section headings not used as suggested or under/over word limit.

Some attempt to comply with academic writing

standards and conform to the assignment presentation formatting guidelines.

Developing sentence and paragraph structure, and/or there are some errors that

disrupt the logical flow or communication of ideas; Section headings absent or under/over word limit;

Numerous errors evident

Does not comply with

academic writing

standards.

Poor sentence and

paragraph structure, and poor logical flow

demonstrates an inability to communicate ideas

effectively.

Section headings absent or under/over word limit.

Many errors evident.

Mark

allocation

2.5

2-1

Assessable Elements	EXEMPLARY Exceptionally high quality of performance or standard of learning achievement.	ACCOMPLISHED High quality performance or standard of learning achievement.	SOUND Consistent quality of performance or standard of learning achievement.	DEVELOPING Satisfactory quality of performance or standard of learning achievement.	BEGINNING Unsatisfactory quality of performance or standard of learning achievement.	D D E E T T V P R O E M I N O E H T C T A A	L K A R T A O T M
Criterion Seven Referencing	Exceptionally high standard as evidenced by exemplary use of APA 7 format in-text and reference list with no errors. Inclusion of a reference list on a separate page. Minimum of 10 high quality sources to appropriately support the assignment.	High standard as evidenced by consistent use of APA 7 format in text and reference list Inclusion of a reference list on a separate page. Minimum of 10 high quality sources to appropriately support the assignment. Minor errors or omissions evident.	Sound standard as evidenced by mostly consistent use of APA 7 format in-text and reference list. Inclusion of a reference list on a separate page. Minimum of 10 different sources to appropriately support the assignment. Several errors or omissions evident.	Satisfactory standard as evidenced by developing use of APA 7 format in-text and reference list. Inclusion of a reference list on a separate page Minimum of 10 different sources that mostly used to appropriately support the assignment. Numerous errors evident.	Unsatisfactory standard as evidenced by beginning or absent use of APA 7 format in-text and reference list. Issues with reference list and/or not on a separate page. Inadequate number/types of sources to appropriately support the assignment. Many errors or omissions evident.
Mark allocation	5	4	3	2.5	2-1	0
					TOTAL		40

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