HLTAAP002 & HLTAAP003 Case Study Assessment 1: Nursing Diploma

This document presents a case study assessment from a Diploma of Nursing program, focusing on three distinct patient scenarios. The first case involves Daisy Brown, a 67-year-old with musculoskeletal, integumentary, and digestive disorders (osteoarthritis, psoriasis, and GORD), requiring analysis of symptoms, potential drug interactions, and the involvement of various healthcare professionals. The second case study centers on John Allen, a 62-year-old with cardiovascular and respiratory disorders (hypertension and angina), presenting with chest pain and shortness of breath. The analysis includes the pathophysiology of angina, relevant symptoms, and the roles of healthcare professionals in his care. The final case involves Sita Shrestha, a 37-year-old nurse diagnosed with acute leukaemia, examining the relationship between her vegetarian diet, low haemoglobin, and nursing interventions for oral care, alongside the involvement of healthcare professionals. The assessment requires students to answer questions related to each case, demonstrating their understanding of the conditions, symptoms, and appropriate nursing care.

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Assessment Task 2: Case Study Assessment 1
Student Version: Report, Project, Portfolio
Student information
Student name:
Click here to enter text. Please use the
student’s full name (no abbreviations or
nicknames).
Student ID:
Section A – Program/Course details
Qualification code: HLT54115 Qualification title: Diploma of Nursing
Unit code: HLTAAP002 & HLTAAP003 Unit title: Confirm physical health
status
Analyse and respond to client
health information
Section B – Assessment task details
Assessment number: 1 of 6 Semester/Year: Enter Semester/Year.
Due date: To be provided by your
Assessor.
Duration of assessment: .
Assessment task
results:
This assessment task will be marked as:
☐ Ungraded result: Satisfactory or Not Satisfactory
☒ Other (eg points): Graded
Section C – Instructions to students
Task Instructions:
Knowledge Evidence required for this assessment:
 Students will be assessed according to the marking guide provided
 This assessment is to be completed in the student’s own time
 There are three (3) case studies in this assessments
 Students are to answer all questions
Answer the questions listed in relation to the following case studies
Case Study 1 – Musculoskeletal, integumentary, digestive disorders
Daisy Brown is a 67-year-old female who presents to her GP (General Practitioner) with a long standing history of
joint pain in her knees, psoriasis and GORD.
She does not smoke, maintains a healthy diet and has no other relevant past medical history apart from psoriasis
which flare up when Daisy is feeling stressed and physically tired.
Question 1 - Provide an overview of the function of the musculoskeletal system. You answer should include
at least three (3) functions of the musculoskeletal system.
The three different kinds of muscles in the human body (smooth, skeletal and cardiac muscles)
along with the skeleton made of rigid bones constitute as the skeletomuscular system. This
organization is responsible for movement and locomotion of an organism. Besides that, this
system also helps in maintaining of body balance and correct posture.
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Section C – Instructions to students
Question 2 - List three (3) specific signs and/or symptoms of osteoarthritis. Identify which signs or
symptoms you think Daisy may present with
The classical symptoms of osteoarthritis are exemplified by:
1. Pain along with stiffness in the joints
2. Formation of bone spurs
3. Swelling of the soft tissues around the joints.
It is evident that the joint pain in case of Daisy shows effects of osteoarthritis.
Questions 3 - List three (3) signs and or symptoms of GORD. Your answer must also include what GORD
acronym stands for
GORD (Gastro-oesophageal reflux disease) is typically characterized by an irritable burning
sensation in the thoracic region, tooth decay along with bad breath and difficulty in
swallowing.
Question 4 - Daisy is taking Ibuprofen (this is a NSID) for her knee pain. Describe what effect this may have
on her GORD.
Effects of non-steroidal anti-inflammatory drugs (NSAIDs) have been directly associated as a
factor for gastrointestinal disorders like acid reflux or GORD. Studies involving more than
900 patients have shown that drugs like ibuprofen are involved in GI tract bleeding as well.
However, in healthy patients with no history of GI tract-related disorders but evidence shows
that patients already affected from GORD have chances of worsening after the
administration of NSIDs (Bjarnason et al., 2018) (Cryer & Spechler, 2000).
Question 5 - Describe three (3) health professionals who will be involved in Daisy’s care. At least one (1) of
these health professionals should be medical and one (1) should be an allied health professional.
1. A gastroenterologist should be consulted for the treatment of disorders of the digestive
system.
2. A rheumatologist should be consulted for the knee pain caused due to osteoarthritis.
3. Physiotherapist should be appointed for the knee pain and restoration of muscle strength
via exercises.
Case Study Two – Cardiovascular and respiratory disorders
Mr John Allen is a 62-year-old male with a history of hypertension and angina. Both conditions are managed with
medication and regular consultations with his GP (General Practitioner).
John has presented to the emergency department with chest pain radiating to his left arm. He mentions that he first
felt the chest pain whilst walking this morning. It subsided for an hour when he rested. John is a smoker, moderately
obese and sits for long periods of time. His diet is poor and his father died, aged 55 of a heart attack. He often
experiences shortness of breath due to smoking.
A full set of vital signs is performed by the nurse and the following readings are documented:
 HR 98bpm
 RR 22 breaths per minute
 BP 110/60
 Temp 37.2
 Sp02 94% on room air
At the hospital the Emergency Room doctor reviews Mr Allen and orders an electrocardiogram (ECG)
Question 6 - Describe the two (2) main structures of the cardiovascular system, providing their function
The cardiovascular system is responsible for the circulation of the oxygen and nutrients
throughout the body along with the removal of toxic waste products. The two main
components of the cardiovascular system include heart and blood vessels.
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Section C – Instructions to students
Heart: The blood pumping organ with two auricles and two ventricles, heart is made up of
the cardiac muscles. It ensures that the oxygenated blood and the deoxygenated blood
never get mixed at any point of the circulation.
Blood Vessels: The blood vessels act as the routes for the transport of blood throughout
the body. There are two major types of blood vessels, the arteries and the veins carrying
respectively oxygenated and deoxygenated blood except for pulmonary veins and
pulmonary artery.
Questions 7 - Describe the pathophysiology of angina
Angina, often called angina pectoris is the medical term for chest pain. It is almost typically caused
by a coronary heart disorder. The heart is responsible for pumping blood throughout the
body and angina results when the heart demands more oxygenated blood that it is receiving.
Under the normal circumstances, the blood vessels carry the adequate amount of blood to
the heart but in a patient suffering from heart conditions, the plaques formed in the arteries
hinder the blood flow, thus raising a need of blood reaching the heart and causing chest
pain.
Question 8 - List three (3) signs and/or symptoms of angina. Link at least one (1) of these symptoms to
John’s presentation
1. Pain in the thoracic region
2. Shortness of breath
3. Nausea, fatigue and dizziness
John first experienced the chest pain when he was walking. Our body’s need for oxygen
increases when we are exercising or walking. Evidently, due to arterial blockages John’s heart
did not receive this increased oxygen requirement because of which the pain started in his
chest, later spreading to his left arm. He also experiences shortness of breath due to smoking
which is another obvious sign for angina (Mutin et al., 1999).
Question 9 - Describe the three (3) main structures and one (1) substructure of the respiratory system,
providing their function
Three main structure of the respiratory systems include:
1. Lungs: The primary respiratory organ of the human is present in pairs. It is protected by the
covering of the double membrane (pleura) and consists of alveoli which is the place for
gaseous exchange in the body.
2. Nasal Cavity: The nose is a cartilaginous organ of the human body with two orifices
separated by a septum. The nasal cavity is the path of introduction of the air into the lungs
though the trachea.
3. Trachea: The hollow, tube like structure that connects the nasal cavity to the lungs is called
the trachea. This cartilaginous part of the respiratory system is also commonly termed as
the windpipe. It extends from the larynx and branches into two primary bronchi just before it
enters the lungs.
Larynx: This substructure of the respiratory system that connects the pharynx to the trachea.
Three of the cartilages that majorly constitute the larynx include the thyroid cartilage (anterior),
cricoid cartilage (inferior) and epiglottis (superior) of which the former is the largest.
Question 10 - Describe three (3) health professionals who will be involved in John’s care. At least one (1) of
these health professionals should be medical and one (1) should be an allied health professional.
1. Cardiologist for consultation about his heart conditions since angina is associated with
heart diseases in almost all cases.
2. A dietician is required to fix a proper healthy diet plan. Under these circumstances, low
cholesterol diet can prove to be beneficial since he is already moderately obese.
3. Cardiac surgeon, if his condition requires a surgery for the removal of arterial blockages
(Posma et al., 2018), (Piel-Julian et al., 2018).
Case Study Three – Immune system
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Section C – Instructions to students
Sita Shrestha is a 37-year-old nurse. Her GP (general practitioner) referred her to hospital following a blood
test that showed her haemoglobin was 8mmol/L. Sita is a strict vegetarian. She tells you that her gums bleed
when she brushes her teeth and last week one of her teeth just fell out. She has been admitted to your ward
with a diagnosis of acute leukaemia.
Question 11 - List the four (4) main components of blood
The four primary components of blood are: plasma, white blood corpuscles (WBCs), red blood
corpuscles (RBCs) and platelets.
Question 12 - Define acute leukaemia
Acute leukaemia is described as the malignancy of the blood and bone marrow cells that causes
rapid and uncontrolled immature blood cells; instead of mature ones (Lee et al., 2018).
Question 13 - Describe the relationship between a vegetarian diet and a low haemoglobin. How does this
related to Sita? Your answer should include two (2) aspects of the relationship
Many people turn to vegetarian or vegan diets for a variety of reasons. However, diets such as
that may impose a risk of anaemia due to the lack of iron-rich food items in daily diet, which
is symptomized by low haemoglobin count. But in this case the subject shows optimum
levels of haemoglobin.
On the other hand, it is not uncommon for leukaemia patients to develop anaemia resulting in the
drop of blood haemoglobin. This is due to the fact that in the malignancy of WBCs, the
formation of normal, healthy RBCs is outweighed due to the malfunctioning of the bone
marrow. Also, leukemic patients can become anaemic due to the loss of appetite as a result
of radiation and chemo therapies. Hence, proper care should be taken to ensure that Sita’s
blood haemoglobin level does not drop below the normal level by imposing a healthy, iron-
rich, wholesome diet (Mauro et al., 2000).
Question 14 - Describe three (3) nursing interventions you would use to manage Sita’s oral care
Three measures that can be taken to ensure proper oral care and prevention of dental infections
include:
1. Regular brushing and flossing
2. Use of mild antibacterial mouthwash
3. Regular oral check-up for any lesions or bacterial infections (Zimmermann et al., 2015)
Question 15 - Describe three (3) health professionals who will be involved in Sita’s care. At least one (1) of
these health professionals should be medical and one (1) should be an allied health professional.
1. Oncologist for the treatment of cancer.
2. Haematologist for the diagnosis and treatment of blood-related disorders.
3. Primary Care Provider for providing assisted medical care on a regular basis.
References:
Bjarnason I., Scarpignato C., Holmgren E., Olszewski M., Rainsford K. D., Lanas A. (2018),
Mechanisms of Damage to the Gastrointestinal Tract From Non-steroidal Anti-inflammatory
Drugs, Gastroenterology, Accessed July 03, 2019, doi: 10.1053/j.gastro.2017.10.049.
Cryer, B., & Spechler, S. J. (2000). Effects of non-steroidal anti-inflammatory drugs (NSAIDs) on
acid reflux in patients with gastroesophageal reflux disease (GERD). Gastroenterology,
118(4), A862. Accessed July 03, 2019 doi:10.1016/s0016-5085(00)85589-4
Lee, L., Bruyere, H., Barnett, M. J., Broady, R., Forrest, D. L., Gerrie, A. S., Hogge, D. E., Nantel,
S. H., Narayanan, S., Power, M., Sanford, D., Song, K., Sutherland, H. J., Toze, C. L., White,
J., & Abou Mourad, Y. (2018). Unsuccessful Cytogenetics and Outcomes in Acute Leukemia.
Blood, 132(Suppl 1), 2673. Accessed July 02, 2019. https://doi.org/10.1182/blood-2018-99-
110470.
Mauro, F. R., Foa, R., Cerretti, R., Giannarelli, D., Coluzzi, S., Mandelli, F., & Girelli, G. (2000).
Autoimmune hemolytic anemia in chronic lymphocytic leukemia: clinical, therapeutic, and
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Section C – Instructions to students
prognostic features. Blood, 95(9), 2786-2792. Accessed July 02, 2019. Retrieved from
http://www.bloodjournal.org/content/95/9/2786.
Mutin, M., Canavy, I., Blann, A., Bory, M., Sampol, J., & Dignat-George, F. (1999). Direct
Evidence of Endothelial Injury in Acute Myocardial Infarction and Unstable Angina by
Demonstration of Circulating Endothelial Cells. Blood, 93(9), 2951-2958. Accessed July 03,
2019. Retrieved from http://www.bloodjournal.org/content/93/9/2951.
Piel-Julian, M., Thiercelin-Legrand, M., Moulis, G., Voisin, S., Claeyssens, S., & Sailler, L. (2018).
Antithrombotic Therapy Management in Patients with Inherited Bleeding Disorders and
Ischaemic Heart Disease: A Single-Center Experience. Blood, 132(Suppl 1), 1213. Accessed
July 03, 2019. https://doi.org/10.1182/blood-2018-99-117101.
Posma, J., van Oerle, R., Fens, D., govers Riemslag, J., Mueller, J., Heitmeier, S., ten Cate, H., &
Spronk, H. M. (2018). Interrogation of the Coagulation Cascade Acute Coronary Syndrome
Using Novel Elisa-Based Assays for Single Protease Quantification. Blood, 132(Suppl 1),
5013. Accessed July 03, 2019. https://doi.org/10.1182/blood-2018-99-118353.
Zimmermann C., Meurer M. I., Grando L. J., Moral J. A. G. D., Rath I. B., & Tavares S. S. (2015),
“Dental Treatment in Patients with Leukemia,” Journal of Oncology, vol. 2015, Article ID
571739, Accessed July 03, 201914 pages. https://doi.org/10.1155/2015/571739.
Knowledge Questions
Submission Guidelines:
 Students to complete and attach Assessment Cover Sheet to completed Assessment Task.
 This is an individual assessment.
 Clearly number each question
 Do not include an introduction or conclusion
 Use Word format
 Use Arial font size 12 with single line spacing
 Use the standard file format i.e. Your family name_student number_assessment task identifier e.g.
Powell_100123123_Case Study 1.
 Keep a copy of all work that is submitted.
 Reference any source that you use to support your work using APA format. Plagiarism is not
acceptable. The laws of copyright mean that you cannot copy or cut and paste text from resource
material. The assignment must be in your own words and must be referenced appropriately.
 One or more references are required for this assessment
 Include a footer or header which includes subject code, subject name and assessment title.
 Refer to the Student Information Handbook for information regarding late submission.
 The maximum word limit is 2,200 words. There is no minimum word limit but submissions
must sufficiently cover the assessment material.
 Check your grammar and spelling before submission.
 Submit your assignment to Brightspace by
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Section D – Conditions for assessment
Conditions:
 This is an individual assessment
 Discuss with your assessor if you feel you require special consideration or adjustment for this task.
 Student must meet all the conditions in the marking guide to be deemed satisfactory in this task.
 You must pass all the questions in order to pass the assessment.
 Students may resubmit this task if deemed not successful within the enrolment period as per Holmesglen
assessment procedure if they meet the requirement to be eligible to a resubmission.
 Only one resubmission will be allowed.
 Students may appeal an assessment decision according to the Holmesglen procedure.
 You must submit your assignment via Turnitin.
Equipment/resources students must supply: Equipment/resources to be provided by the RTO:
 Completed Assessment Paper  Written Assignment on Brightspace
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Section E – Marking Guide
Assessment number: 1of 6 Assessment title: Assessment 1/Case study
Student ID: Student name:
Unit code: HLTAAP002
HLTAAP003
Unit title: Confirm physical health status / Analyse and
respond to client health information
Date: 21/09/2018
Criteria for assessment Satisfactory Comment
Yes No
The following has been submitted for assessment:
The assignment must be submitted via Brightspace ☐ ☐ L
Marking criteria for each product document/s supplied.
Case Study One – Daisy Brown -
1. Provide an overview of the function of the
musculoskeletal system. You answer should include at
least five (5) functions of the musculoskeletal system. ☐ ☐
Two (2) functions of the musculoskeletal system accurately
described
1.5 marks
☐ ☐
Three (3) functions of the musculoskeletal system accurately
described.
3 marks
☐ ☐
2 List three (3) specific signs and/or symptoms of
osteoarthritis. Identify which signs or symptoms you
think Daisy may present with.
☐ ☐
One (1) specific sign/symptom of osteoarthritis listed.
Identification of sign/symptom that Daisy may present with
appropriate
1.5 marks
☐ ☐
Two (2) specific signs/symptoms of osteoarthritis listed.
Identification of signs/symptoms that Daisy may present with
appropriate
2 marks
☐ ☐
Three (3) specific signs/symptoms of osteoarthritis listed.
Identification of signs/symptoms that Daisy may present with
appropriate
3 marks
☐ ☐
3. List three (3) signs and or symptoms of GORD. Your
answer must also include what GORD acronym stands
for
☐ ☐
One (1) sign/symptoms of GORD accurately described.
Accurate explanation of GORD acronym
2 marks
☐ ☐
Two (2) sign/symptoms of GORD accurately described.
Accurate explanation of GORD acronym
3 marks
☐ ☐
Three (3) sign/symptoms of GORD accurately described.
Accurate explanation of GORD acronym
4 marks
☐ ☐
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Criteria for assessment Satisfactory Comment
Yes No
4. Daisy is self-medicating for her knee pain. She is taking
Ibuprofen (a NSAID). Describe what effect this may have
on her GORD. ☐ ☐
Possible effect of NSAID on GORD described, with one – two
(1-2) errors in description.
One (1) possible effect provided.
No link provided back to Daisy.
1 mark
☐ ☐
Possible effect of NSAID on GORD accurately described.
One (1) possible effect provided.
Linked back to Daisy.
2 marks
☐ ☐
5. Describe three (3) health professionals who will be
involved in Daisy’s care. At least one (1) of these health
professionals should be medical and one (1) should be
an allied health professional.
☐ ☐
Two (2) health professional accurately described.
One (1) is relevant to Daisy’s care.
One (1) is a medical professional
One (1) is an allied health professional
2 marks
☐ ☐
Two (2) health professional accurately described.
Two (2) are relevant to Daisy’s care.
One (1) is a medical professional
One (1) is an allied health professional
3 marks
☐ ☐
Three (3) health professional accurately described.
All three (3) are relevant to Daisy’s care.
One (1) is a medical professional
One (1) is an allied health professional
4 marks
☐ ☐
Total marks for Daisy’s case study
Case Study Two – John Allen –
6 Describe the two (2) main structures of the
cardiovascular system, providing their function ☐ ☐ .
One (1) structure of the cardiovascular system accurately
described.
One (1) function of one (1) system is accurately described.
2 mark
☐ ☐
Two (2) structures of the cardiovascular system accurately
described.
The function of both provided systems is accurately
described.
4 marks
☐ ☐
7 Describe the pathophysiology of angina ☐ ☐
Pathophysiology of angina described with no more than one
(1) error
1 mark
☐ ☐
Pathophysiology of angina accurately described
2 marks ☐ ☐
8 List three (3) signs and/or symptoms of angina. Link at
least one (1) of these symptoms to John’s presentation ☐ ☐
Two (2) signs/symptoms of angina accurately listed.
One (1) linked back to John’s presentation ☐ ☐
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Criteria for assessment Satisfactory Comment
Yes No
2 marks
Three (3) signs/symptoms of angina accurately listed.
One (1) linked back to John’s presentation
3 marks
☐ ☐
Three (3) signs/symptoms of angina accurately listed.
Two (2) linked back to John’s presentation
4 marks
9 Describe the three (3) main structures and one (1)
substructure of the respiratory system, providing their
function
☐ ☐
Two (2) structures of the respiratory system accurately
described
The function of two (2) structure is accurately described
2 marks
☐ ☐
Two (2) structures of the respiratory system accurately
described
The function of two (2) structure is accurately described
The structure of one (1) substructure is accurately described
The function of one (1) substructure is accurately described
4 marks
☐ ☐
Three (3) structures of the respiratory system accurately
described
The function of all three (3) structure is accurately described
The structure of one (1) substructure is accurately described
The function of one (1) substructure is accurately described
6 marks
10 Describe three (3) health professionals who will be
involved in John’s care. At least one (1) of these health
professionals should be medical and one (1) should be
an allied health professional.
☐ ☐
Two (2) health professional accurately described.
One (1) is relevant to John’s care.
One (1) is a medical professional
One (1) is an allied health professional
2 marks
☐ ☐
Two (2) health professional accurately described.
Two (2) are relevant to John’s care.
One (1) is a medical professional
One (1) is an allied health professional
3 marks
☐ ☐
Three (3) health professional accurately described.
All three (3) are relevant to John’s care.
One (1) is a medical professional
One (1) is an allied health professional
4 marks
☐ ☐
Total marks for John’s case study
Case study Three – Sita Shrestha –
11 List the four (4) main components of blood ☐ ☐ .
Two (2) components of blood accurately listed
1 marks ☐ ☐
Three (3) components of blood accurately listed
1.5 marks ☐ ☐
Four (4) components of blood accurately listed
2 marks ☐ ☐
12 Define acute leukaemia ☐ ☐
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Criteria for assessment Satisfactory Comment
Yes No
Accurate description of leukaemia provided 2 mark ☐ ☐
13 Describe the relationship between a vegetarian diet and a
low haemoglobin. How does this related to Sita? Your
answer should include two (2) aspects of the relationship ☐ ☐
Relationship between a vegetarian diet and low haemoglobin
accurately described, not linked back to Sita
2 marks
☐ ☐
One (1) aspect of the relationship between a vegetarian diet
and low haemoglobin accurately described
Answer related back to Sita
3 marks
☐ ☐
Two (2) aspects of the relationship between a vegetarian diet
and low haemoglobin accurately described
Answer related back to Sita
4 marks
☐ ☐
14 Describe three (3) nursing interventions you would use
to manage Sita’s oral care ☐ ☐
Two (2) nursing interventions accurately described
Two (2) nursing interventions manage Sita’s oral hygiene
1 marks
☐ ☐
Three (3) nursing interventions accurately described
All three manage Sita’s oral hygiene
2 marks
☐ ☐
15 Describe three (3) health professionals who will be
involved in Sita’s care. At least one (1) of these health
professionals should be medical and one (1) should be
an allied health professional.
☐ ☐
Two (2) health professional accurately described.
One (1) is relevant to Sita’s care.
One (1) is a medical professional
One (1) is an allied health professional
2 marks
☐ ☐
Two (2) health professional accurately described.
Two (2) are relevant to Sita’s care.
One (1) is a medical professional
One (1) is an allied health professional
3 marks
☐ ☐
Three (3) health professional accurately described.
All three (3) are relevant to Sita’s care.
One (1) is a medical professional
One (1) is an allied health professional
4 marks
☐ ☐
Total marks for Sita’s case study
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Section F – Feedback to Student
Has the student successfully completed this assessment task? Yes No
☐ ☐
Additional Assessor comments (as appropriate):
Resubmission allowed: Yes ☐ No ☐ Resubmission due date: .
Assessor name: .
Assessor signature:
Date: .
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