HLTAAP002 Confirm Physical health status - Practical Case Study

STUDENT
Practical– Case Study
HLTAAP002 Confirm Physical health status
Student Name: Student ID:
Group: Date:
Type of Assessment
This summative assessment will enable your Assessor to make a judgement of competency based on the submission of
your completed assignments against the requirements of this unit of competency.
Assessor Instructions
The Assessment Benchmark developed for each unit of competency is the evidence criteria used to judge the quality of
performance (i.e. the assessment decision-making rules). Assessors must use these benchmarks to make a judgement on
whether competency has been achieved and to determine if the participant has performed to the standard expected to
meet the unit requirement and learning outcomes. Competency results for each unit are recorded in the Record of
Assessment Form.
Reasonable Adjustment
Careers Australia will allow flexibility in relation to the way in which each unit is delivered and assessed based on the
student’s requirement. The following are the reasonable adjustments for this unit:
Trainer/Assessor must select which of the following is suitable for this unit and DELETE rows that are not
applicable
Reasonable Adjustment for this unit College Based On-Line Delivery
The assistance of a Learning Support Teacher for LLN issues 1 1
Modifications to physical environment, e.g. Wheelchair access 1 1
Changes to course design, e.g. Instead of written assessment task – change to verbal
questioning & assessor to write the answers 1 1
Changes in lecture schedules and arrangements, e.g. Relocating classes to an accessible
venue 1 1
Modifications to computer equipment in the computer lab 1 1
Provision of information or course materials in accessible format, e.g. A textbook in
braille 1 1
Supply of specialised equipment or services, e.g. A note taker for a student who cannot
write 1 1
Assessment Coding
Assessment of this program of study is based on competency-based principles.
S = Satisfactory
NS = Not Satisfactory
Students who fail to perform satisfactorily for the assessment in the prescribed date may be assessed as ‘not
satisfactory’. You are required to be assessed as ‘Satisfactory’ on completion of Assessments assigned by your
assessor for this unit of competency.
Re-assessment
Any re-assessment is conducted as soon as practicable after you have been informed of the requirement to be re-
assessed and have been given the opportunity to be re-trained and assimilate the training. You are re-assessed in only
the areas assessed NS. It is at the assessor/s discretion to re-assess the entire assessment should it be demonstrated an
overall understanding of this unit has not been achieved. Students that are assessed ‘satisfactory’ after re-assessment of
areas deemed NS will achieve competency for this assignment.
I acknowledge the assessment process has been explained and agree to undertake the assessment. I am aware of Careers Australia’s appeals
process, should the need arise. I also understand that I must be assessed as ‘satisfactory’ in all parts of the assessment to gain a competent
result for this unit of competency. I declare that the work contained in this assessment is my own, except where acknowledgment of sources is
made. I understand that a person found responsible for academic misconduct will be subject to disciplinary action (refer to student handbook).
Student Signature: __________________________ Date: ______
Assessor use only
Assessor Comment/Feedback:
Assessor Name: _________________________ Assessor Signature: _____________________________
Date: _________________ Result: Satisfactory/Not Satisfactory
Office use only:
Results entered by: Date: Skills Centre:
19th January 2017 Page 1

STUDENT
Practical– Case Study
HLTAAP002 Confirm Physical health status
ASSESSMENT: Practical – Case Study
S/NS result given. A satisfactory result must be attained.
STUDENT INSTRUCTION:
This case study has three (3) scenarios and twenty five (25) associated questions. Please read the three (3)
scenarios carefully and answer ALL of the questions. Use the correct medical terminology when answering
questions.
All of the assessment is to be completed on this word document, saved and submitted via the online portal
within the unit on blackboard.
MARKING CRITERIA:
Sections Questions
Case study 1 Q 1-9
All must be answered correctly to attain a satisfactory
result
Case study 2 Q 10-17
All must be answered correctly to attain a satisfactory
result
Case study 3 Q 18-25
All must be answered correctly to attain a satisfactory
result
Reference text:
Waugh, A & Grant, A 2014, Ross and Wilson, Anatomy and Physiology in Health and Illness, 12th edn, Churchill
Livingstone Elsevier Australia, NSW.
Clarke, L, Gray, S, White, L, Duncan, G & Baumle, W 2016, Foundations of Nursing – Enrolled/Division 2 Nurses,
Cengage Learning, Australia.
19th January 2017 Page 2

STUDENT
Practical– Case Study
HLTAAP002 Confirm Physical health status
Case Study 1
Scenario 1 – Mr. Frank Hardy (Questions 1-9 refer to this scenario)
Mr. Frank Hardy has been in hospital for three (3) days. He was admitted because of high blood pressure
(hypertension) and a possible stroke (cerebrovascular accident). After further investigations during his
admission, it has been identified that Mr. Hardy has had a cerebrovascular accident affecting his left side.
After reviewing Mr Hardy’s chart you find that he has a significant medical and social history:
Medical History:
 Age: 68 years old
 Current smoker, with a fifty year history of smoking 30 cigarettes daily
 Weight: 135kg
 Height: 180cm
 Hypertension
Social History:
 Mr Hardy is a widow (1 year ago) and lives alone
 There are no children or current support systems
 Mr Hardy has no current services in his home (such as home help, meals on wheels)
Mr. Hardy is currently reluctant to mobilise due to a mild weakness in his left side. Mr Hardy has been
seen by the physiotherapist and given a walking stick to aid with his mobility. He appears to be very
quiet and not willing to engage with staff. He has declined hygiene cares since admission three (3) days
ago. When you review Mr Hardy’s care plan you note that the following cares need to be completed:
 Hygiene cares
 Assist with mobility
 Observations
In relation to the above scenario, please answer the following nine (9) questions regarding Mr. Hardy’s
care both in and out of the hospital and your role as the Enrolled Nurse (EN) providing care for Mr.
Hardy.
1. Mr Hardy has ‘hypertension’ which means high blood pressure.List the parameters for a ‘normal’blood
pressure range and the ranges for hypertension.
2. You have performed vital signs on Mr. Hardy, they are;
 BP135/ 90mmHg, RR 26bpm, P 95bpm, T 40oC.
If the observations listed below are considered the normal for adults, identify which of these observations
are variations from normal levels that have the potential to cause problems with Frank’s health.
T: 36.2 – 37.3oC
P: 60 – 100bpm
RR: 16 – 24bpm
BP: 120/80mmHg
19th January 2017 Page 3

STUDENT
Practical– Case Study
HLTAAP002 Confirm Physical health status
3. The term pathophysiology explains the processes and functioning within the body which result in the
signs and symptoms of a disease/s. The ‘relationship’ between body systems is the contributing factor/s
that work together in our bodies to try and maintain homeostasis. Explain the relationship between Mr
Hardy’s respiratory rate and temperature.
As observed from the above reports, it can be observed that Mr. Hardy’s respiratory rate as well as his
body temperatures are found to be high. The relationship between these two parameters is essential for
the maintenance of equilibrium or homeostasis within the body. During the onset of any disease, as
observed in his CVA, which will lead to inflammatory responses, Mr. Hardy’s body temperature will rise.
To cope up this change in an attempt to maintain equilibrium, his respiratory rate will also increase
simultaneously, as observed, which will hasten the regulatory organ functioning in his body to achieve
homeostasis. Hence, the relation between Mr. Hardy’s respiratory rate and temperature is essential for
the maintenance of equilibrium, since body temperature has been documented to be an independent
determinant of the rate of respiration. 1
4. Identify your scope of practice in this situation. List your role responsibility in comparison to a
Registered Nurse (RN) role.
As an enrolled nurse the major role would be to assist the Registered Nurse in helping Mr. Hardy carry out his
activities of daily living an hygiene. The additional role of enrolled nurse would be monitor Mr. Hardy for the
presence of any changes to his health, and report the same to the Registered Nurse immediately. The
Registered Nurse possesses enough competency to administer medications to Mr. Hardy. Hence, the enrolled
nurse must engage in the same, by first learning from the registered nurse and assisting her thereafter. In the
absence of the registered nurse, the enrolled nurse’s scope is to carefully assist Mr. Hardy in his mobility and
hygiene, and report the associated progress reports to the registered nurse. 2
5. As an Enrolled Nurse, identify the reporting hierarchy that you would follow in order to ensure that this
information is relayed appropriately.
1 Kotas, Maya E., and Ruslan Medzhitov. "Homeostasis, inflammation, and disease susceptibility." Cell 160, no. 5 (2015):
816-827.
2 Arrowsmith, Victoria, Margaret Lau‐Walker, Ian Norman, and Jill Maben. "Nurses' perceptions and experiences of work
role transitions: A mixed methods systematic review of the literature." Journal of advanced nursing 72, no. 8 (2016): 1735-
1750.
19th January 2017 Page 4