This assessment consists of 1 case study of 1250 words (excluding diagrams and list of references). The assessment is worth 30% of your total mark for this unit.

 

Assessments should be submitted via Turnitin, using the format outlined on the following pages. The assessment is an individual

piece of work and sharing answers, working in a group or colluding will be deemed academic misconduct.

All necessary and relevant information in the case study is provided. If information is not present it is not relevant to the case study provided.

The case study and marking rubric are available on blackboard.

Case Study

 

It is 9am on a cold winter’s day. You are dispatched to attend a 3 month old male with tachypnoea, noisy breathing, lethargy and irritability.

 

Upon arrival, the baby is being held by his mother. He has had a mild cough and blocked nose for the last two days. She also states that she is concerned by a couple of brief periods of apnoea and he hasn’t been feeding well. On visual observations, you notice intercostal recession and nasal flaring. Your primary assessment finds the following:

 

AVPU	Responsive to parents, Responsive to stimuli
RR	48/min
Auscultation	Widespread crackles
Effort	Increased
SpO2	87%
Pulse	176/min
Skin	Warm, clammy
BP	85mmHg systolic
Central capillary refill	2 seconds
BGL	5.5mmol/L
Pupils	Equal and reacting to light
Temperature	38.5°C
Pain	0/10

 

 

Other Information:

• You need to estimate the child’s weight based on age as the Mother does not know
• PMHx: Nil
• Medication: Nil
• Allergies: Mother states none known
• You are 20 minutes from the Children’s

 

 

Task:

1. Complete the case study using the template
2. Outline your management, preliminary diagnosis and differential diagnoses for this patient and provide rationales (backed by current evidence) for your

 

 

Case Study Presentation Standards and Template

 

General Standards for Case Study Presentation

 

.

1.       Title Page

A title page should be inserted between the cover page and table of contents or commencement of the assignment.

2.       Table of Contents

For long assignments with multiple parts, it is advisable (but not compulsory) to insert a table of contents.

3.       Font size and type

Assignments should be typed consistently in either size 12 Times New Roman or size 11 Arial fonts.

4.       Line spacing

Use 1.5-line spacing for assignments.

One extra line space is required between paragraphs

*Excludes headings and diagrams

5.       Margins

Leave a 2.54cm margin on the left, right, top and bottom of the page. This is normal the default setting for Microsoft Word.

6.       Word Limits

Word limits on assignments exclude your list of references and tables, figures.

7.       Page numbers

Insert a page number on the bottom right hand corner of the page, commencing with the title page.

8.       Paragraphs

Do not indent the first line of each new paragraph. The text should be left justified (not fully justified).

9.       Headings

If only one level of heading is needed, use Level 1 headings (left, bold typeface, upper and lower case and one font size higher than text).

If a second level heading is needed, use Level 2 headings (left aligned, bold typeface, upper and lower case and font size same size as text).

If a third level heading is needed, used Level 3 headings (left aligned, bold typeface, upper and lower case, italics and font size same size as text).

10.   Abbreviations/acronyms

The full name must be used on the first occasion followed by the commonly used abbreviation or acronym in brackets; thereafter, the acronym only is used.

11.   Tables, charts and diagrams

All must be labelled and numbered (i.e. Figure 1 or Table 1). Figures include charts, graphs, pictures and diagrams.

Place the title above tables, and below figures.

 

12.   Headers, footers and footnotes

Ensure your name and student number is in the header in the top right corner. Page numbers are required on the bottom right footer.

Footnotes and endnotes are not used.

13.   Referencing

Your assignments must be referenced using the APA style of referencing. Start your list of end- text references on a new page. The list of references should be left aligned. Use a hanging indent for each reference and follow APA style format for all references. There are comprehensive guides available from the Library on APA referencing.

 

 

Adapted from: American Psychological Association. (2010). Publication manual of the American psychological association. Washington (6th ed.) Washington DC.

Paediatrics Case study rubric

 

Levels of Achievement
Criteria	Weighting	Below Pass <49%	Pass 50-59%	Credit 60-69%	Distinction 70-79%	High Distinction 80%+
Pathophysiology of Clinical Condition (Problem)	20%	Your answer inadequately links the pathophysiology of the clinical problem with the patients presenting signs and symptoms.	Your answer links the pathophysiology of the clinical problem with most of the patients presenting signs and symptoms with some factual inaccuracy. Your answer is supported by the use of academic sources that are not current sources.	Your answer logically links the pathophysiology of the clinical problem with the patients presenting signs and symptoms with accuracy and effective progression of ideas. Your answer is supported by a mix of academic sources, but weighted more towards not current academic sources.	Your answer concisely links the pathophysiology of the clinical problem with the patients presenting signs and symptoms with factual accuracy and a logical progression of ideas. Your answer is supported by relevant and credible academic sources.	Your answer consistently articulates the pathophysiology of the clinical problem in line with the patients presenting signs and symptoms with factual accuracy and a highly logical progression of ideas. Your answer is supported by strong evidence from highly relevant, credible and current academic sources.
Preliminary Diagnosis & Epidemiology	10%	There are inaccuracies in your preliminary diagnosis of the clinical problem with limited consideration of differential diagnosis or epidemiology.	Accurate preliminary diagnosis of the clinical problem.	Accurate preliminary diagnosis of the clinical problem and epidemiology, with some consideration of relevant differential diagnosis.	Accurate preliminary diagnosis of the clinical problem and epidemiology in different regions, with consideration of relevant differential diagnosis.	Accurate preliminary diagnosis of the clinical problem and epidemiology on a national and international scale, with extensive consideration of all appropriate differential diagnosis.
Investigations and Clinical Treatment (Management)	30%	Your answer demonstrates inadequate clinical treatment for this patient with a little to no connection between the diagnosis, investigations and treatment. Limited to no rationale has been provided.	Your answer demonstrates some understanding of appropriate clinical treatment for this patient with some connection between the diagnosis, investigations and treatment. Justification behind treatment is supported by some academic sources.	Your answer demonstrates an effective standard of clinical treatment for this patient with a clear connection between the diagnosis, appropriate investigations and relevant treatment. Clear rationale has been provided supported by some academic sources.	Your answer demonstrates an effective standard of clinical treatment for this patient with a clear connection between the diagnosis, appropriate investigations and relevant treatment. Clear rationale has been provided consistently supported by relevant, credible and current primary academic sources.	Your answer demonstrates an effective standard of clinical treatment for this patient with a direct and clear connection between the diagnosis, appropriate investigations and relevant treatment. Convincing rationale has been provided supported by strong evidence from highly relevant, credible and contemporary primary academic
Transport Considerations	5%	Insufficient discussion of the mode and priority of transport with limited consideration of ongoing patient management priorities.	Your answer discusses the mode and priority of transport with minimal consideration of ongoing patient management.	Your answer summarises the mode and priority of transport with consideration of ongoing patient management priorities.	Your answer correctly states the mode and priority of transport with suitable consideration of priorities in ongoing patient management.	Your answer clearly justifies the correct mode and priority of transport with consideration of all ongoing patient management priorities.
Critical Thinking	20%	Your answer demonstrates inadequate understanding of the contemporary literature and paramedic practice. Limited to no logical rationale has been provided with few or no credible and/or relevant sources to support your analysis.	Your answer demonstrates some understanding of the aspects of the contemporary literature to support your ideas. Limited rationale has been provided supported by the use of sources that are primarily secondary sources.	Your answer demonstrates an appropriate level of understanding of the aspects of the contemporary literature in line with paramedic practice. Clear rationale has been provided supported by a mix of academic sources, but weighted towards non-contemporary primary sources and secondary sources.	Your answer effectively demonstrates an excellent level of understanding of all aspects of the contemporary literature in line with paramedic practice. Clear rationale has been provided, consistently supported by highly relevant, credible and current primary academic sources	Your answer articulates a comprehensive understanding of all aspects of the contemporary literature and paramedic practice. Convincing rationale has been provided and is supported by strong evidence from highly relevant, credible and contemporary primary academic sources.
Spelling, Grammar & Language	5%	There is no or very limited attempt at academic writing, or the assignment is unreadable	Language contains many errors in grammar, vocabulary and spelling which frequently impede meaning. It is recommended contact an Learning Consultant for assistance with your	Language occasionally impedes meaning due to errors in grammar, vocabulary and spelling. It is recommended contact an Learning Consultant for assistance with your writing.	Language generally conveys meaning with clarity, although writing includes some errors in grammar, vocabulary and spelling. Information is mostly presented in the third person.	Language conveys meaning to readers with clarity, with very few errors in grammar, vocabulary and spelling. Information is presented in the third person
Referencing	5%	In-text and end-text APA referencing is not included on multiple occasions, or references are consistently incorrectly cited	In-text and end-text APA referencing attempted but very poorly handled with errors.	References are cited using APA in-text and end-text with some errors. APA formatting(including tables and figures) may have been used with some errors.	References are cited using APA in-text and end-text with some errors. APA formatting (including tables and figures) has been used with some minor errors.	References are cited using APA in-text and end-text and is mainly consistent with few errors. APA formatting (including tables and figures) has been used with some no errors.

 

Presentation & Structure

5%

Significant deviation from word limit. Does not follow the required assignment structure and presentation.

Submission adheres to the word limit +/- 10%. Submission includes completed cover page with small errors in assignment guidelines.

Submission includes cover page, complies with the required assignment guidelines. Adheres to the word limit +/- 10%