Assessment 1 Care Action Plan: Student Name Date

DTH107 Determine Health Assessment 1: Case Study – Care Action Plan
Assessment 1 Care Action Plan

STUDENT NAME Add your full name
DATE Enter date here
Course HLT54115 Diploma of Nursing

Subject Title DTH107 Determine Health
Unit of Competency HLTAAP003 Analyse and respond to client health information
Performance Criteria, PC: HLTAAP003: 1.1-1.4, 2.1-2.3
Knowledge and PE: HLTAAP003: 1
Performance Evidence
KE: HLTAAP003: 1, 2a-c, 3a-m, 4a-b, 5, 6, 7, 8, 9, 10, 12, 13a-c, 14a-c
Assessed
Title of Assessment Task Assessment 1: Case Study
Length 1000 words +/- 10%
Submission Due by 11:55pm AEST Sunday end of Module 3.2 (Week 6).
For this assessment, students must view ONE (1) case study and respond to a care action plan . This
action plan requires analysis and care planning and is based on the following diagram.
06.10.19 Version 2 RTO Code 02469. Think: Colleges Pty Ltd. CRICOS Provider No. 00246M Page 1
Remove
surgical interventions
Care Action Plan: Scenario
For this action plan, students must view the following case study and follow this step to determine how
to manage Rob’s issues. His specifications are noted here.
Name: Rob Carrington • Married

Gender: Male • Occupation – Delivery driver
Ethnicity: Caucasian • Earns good money
Australian • Travels a lot
Aged: 53 years • Overweight 135kg
Family Status: Father • Likes TV and beer to cope with stress
Religion: Anglican • Has Type II Diabetes needing close management for job
• Smoker
• Diet preferences are Convenience foods/ fast food
• Unknown social support and external interests
• Has osteoarthritis in L) knee
The steps in the action plan for Rob Carrington are listed on the following pages. At each step, there are a
number of questions you must respond to. Questions 1-14 relate to Rob’s situation.
Read these questions and take note of the information or actions that need to be addressed at each step.
Then, respond in the spaces provided.
Step 1 Definition of Health Disorder
Rob has presented with a number of issues and symptoms; some of which are acute,
Question 1 some of which are chronic. In the table below, list which items are either chronic or
acute.
Acute Issue Chronic Issue
Response... Response...
Of Rob’s issues, which should be dealt with first; acute or chronic? Explain why in 50
Question 2
words.
Response...
List five (5) body systems that are affected by Rob’s situation, and briefly note their
Question 3 purpose or function. Related to Robs chronic/ acute presenting issues.
Referencing required
Response...
Step 2 Normal Anatomy and Physiology
For three (3) of the body systems affected by Rob’s acute issues, list two (2) signs or symptoms
Question 4
that might indicate there might be a variation from normal function. Referencing required
Response...
The body consists of different levels of structural organisation and complexity. In 100
words, describe how each of the following items combine to make up the human body.
In your response, specify what the different types of muscle tissue are and how human
body systems are formed at a cellular level.
Question 5 • Atoms
• Molecules
• Cells
• Organs
• Muscle tissue
• Human Body systems
Response...
Step 3 Physiology
For each body system below, describe:

• One (1) disorder or disease that may affect it
• The pathophysiology of the disease associated with the body system (20 words
each system)
Question 6
• The impact of the disease on the body system and their related structures in
relation to potential impact of specific health procedures provided (30 words
each).
• Referencing required
Body System Potential Disease Pathophysiology of Disease Impact of disease on body system
Response... Response... Response...
Endocrine system
Musculoskeletal
system
Special Senses
Nervous system

Respiratory
system

Cardiovascular
system
ROB has type 2 diabetes. In 50 words discuss the process of carbohydrate metabolism,
including your understanding of anabolism and catabolism.
Question 7 Response...
Step 4 Diagnostic Tests
List three (3) methods you could use as an enrolled nurse/ within your scope of practice
Question 8
to assess Rob’s abnormalities, and briefly describe each one.
Response...
Step 5 Prognosis
In 150 words,
9A: Define the acute event that Rob is presenting with.
Question 9 9B. The effects it has on the various body systems. Include potential signs and symptoms.
9C. The impact this could have on wellbeing and Rob’s health.
Response...
Step 6 Conservative Medical Care
Rob may need both conservative medical and surgical treatment. For each intervention
(medical and surgical) specify:
• What the impact would be to Rob (20 words)
• One (1) relevant pharmacological process and one (1) drug action
Question 10
• One (1) potential indication and one (1) potential contraindication
• The role of one (1) member of the interdisciplinary team that might be required
• One (1) limitation of each member
Medical Treatment
Response...
Impact to Rob
Response...
Discuss one
medication related
to Robs presenting
issue for medical
treatment, its
Pharmacological
process and action.
Refer to your e-MIMs
Response...
Medication
Indication and
contraindication
Response...
Interdisciplinary team
member role
Response...
Limitation of
interdisciplinary team
member
Step 7 Nursing Care Plan
Based on your analysis of Rob’s health information, you must now prepare a nursing
care plan that demonstrates your understanding of appropriate care and consideration
of his needs.
Question 11
Fill in the template below, noting four (4) issues Rob has and how you will manage each
one. Do not complete the final column (Discharge Plan), as it will be clarified in Step 9.
Referencing maybe required
Nursing Care Plan
Nursing Diagnosis Actual Potential Implementation Expected Outcomes Discharge

(Note the issues you (How has that issue (What additional (How should it be treated?) (What do you expect Plan
have diagnosed in manifested?) issues or after treatment?)
Rob) contraindications or
Complications should
be considered?)
Response... Response... Response... Response... Response...
Step 8 Potential Complications
Describe the effects of biological maturation and ageing processes on the body systems related
Question 12
to Robs presentations (acute/ chronic) as discussed in the case study.
Response...
Revised question:
Rob has suffered a cardiac arrest. In 150 words explain:
13A: The major types of cardiac adaptation
Question 13
13B: How does a cardiac event affect the cardiac muscles/ tissues?
13C: Explain the changes a cardiac event has on the heart?
13D: How could physical exercise increase the strength of the cardiac muscles?
Response...
Step 9 Discharge Planning
Discharge planning should form part of a care plan. For the four (4) issues you specified
in Step 7, provide a discharge plan that includes:
• The appointments that should be made for the client upon discharge •
Question 14 The information or documentation that should be provided
• The healthcare professionals who should be involved.
Do not fill in the greyed out boxes.

Nursing Care Plan
Nursing Diagnosis Actual Potential Implementa Expected Discharge Plan

(Note the issues you tion Outcomes (List what should be done to prepare the client for
have diagnosed in discharge)
Rob?)
In 50 words, describe homeostasis and the relationship between homeostatic imbalance

Question 15 and disease.
Response...
Step 2 Physiology
For each body system below, describe:

• One (1) disorder or disease that may affect it
• The pathophysiology of the disease associated with the body system (20 words
each system)
Question 16
• The impact of the disease on the body system and their related structures in
relation to potential impact of specific health procedures provided (30 words
each).
Body System Potential Disease Pathophysiology of Disease Impact of disease on body system
Urinary System
Lymphatic System
Special Senses Response... Response... Response...
Digestive system
Integumentary
system
Reproductive
system
Immune system Response... Response... Response...
In 50 words explain the process of osmosis including osmotic and hydrostatic

forces.
Question 17
Referencing Required

Response...
Step 4 RENAL ACIDOSIS and ALKALOSIS
A UTI presents with ketones, blood, nitrates and leucocytes

In 50 words, explain the process of renal acidosis and alkalosis and what effect this has
on the pH of the blood.
Question 18 Referencing required.
Response...
Additional Health Information Knowledge
Questions 19- 21-29 are not specifically linked to the care action plan you completed above. However, they
relate to a range of healthcare information that you, as a healthcare professional should know in order to
provide appropriate care to you clients.
For each of the issues below:

• Give an example of what the issue could be
Question 19 • Note two (2) body systems that could be affected
• Explain the impact on each body system
Issue Example Two (2) Affected Body Systems Impact on Body System
Diving emergency

Tissue damage

Altitude emergency
Temperature Response... Response... Response...

exhaustion
emergency
Overdose or
poisoning Emergency

Skin penetration
wound

Blunt object wound
In 20 words, for each response, address the below points:

• Explain the difference between molecules and compounds
• Describe metabolism and the two processes it involves
Question 20 • What is pH?
• How does respiratory acidosis occur?
• What is alkalosis and how is it prevented?
Point to Address Response
Molecules and compounds Response...
Metabolism Response...
pH Response...
Respiratory acidosis Response...
Alkalosis Response...
For each of the body processes described below, specify the type of transport it relates
to, using this list.
• Passive-Simple diffusion
Question 21 • Active transport
• Passive- Facilitated diffusion
• Osmosis
• Hydrostatic pressure
Type of Transport Process
Response... The passage of water molecules down the concentration gradient across a semipermeable membrane.
Sodium potassium pump: The movement of sodium ions from a lower concentration inside the cell to a
Response...
higher concentration outside the cell, with the assistance of ATP.
Cellular metabolism requires glucose, a large molecule. The cell provides glucose-specific carrier proteins
Response...
that bind to glucose molecules and allow them to enter the cell from a higher to lower concentration.
Gas exchange at the alveoli: Oxygen is exchanged from the air to the blood and carbon dioxide from blood to
Response...
air.
Response... The force exerted by blood against the walls of the blood vessels by the pumping action of the heart.
Reference List (APA):

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DTH107 Determine Health Assessment 1: Case Study – Care Action Plan

Assessment 1 Care Action Plan

DATE Enter date here

Course HLT54115 Diploma of Nursing

Name: Rob Carrington • Married

Step 1 Definition of Health Disorder

Step 2 Normal Anatomy and Physiology

For each body system below, describe:

Response... Response... Response...

Response... Response... Response...

Response... Response... Response...

Step 4 Diagnostic Tests

Step 6 Conservative Medical Care

Step 7 Nursing Care Plan

Nursing Diagnosis Actual Potential Implementation Expected Outcomes Discharge

Response... Response... Response... Response... Response...

Response... Response... Response... Response... Response...

Response... Response... Response... Response... Response...

Step 8 Potential Complications

Step 9 Discharge Planning

Do not fill in the greyed out boxes.

Nursing Diagnosis Actual Potential Implementa Expected Discharge Plan

In 50 words, describe homeostasis and the relationship between homeostatic imbalance

For each body system below, describe:

Response... Response... Response...

Response... Response... Response...

Special Senses Response... Response... Response...

Response... Response... Response...

Response... Response... Response...

Immune system Response... Response... Response...

In 50 words explain the process of osmosis including osmotic and hydrostatic

Step 4 RENAL ACIDOSIS and ALKALOSIS

A UTI presents with ketones, blood, nitrates and leucocytes

Additional Health Information Knowledge

For each of the issues below:

Response... Response... Response...

Response... Response... Response...

Temperature Response... Response... Response...

Response... Response... Response...

Response... Response... Response...

In 20 words, for each response, address the below points:

Reference List (APA):

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