Case Scenario – Part 2

We have established the client in the case scenario from the Week 2 discussion suffers from alcoholism. Respond to the following: Based on the Inaba and Cohen textbook readings, and the Integrated Treatment for Co-Occurring Disorders video from the Learn section of Module 6: Week 6, what co-occurring disorder(s) are present with our client from the Case Scenario? Support your choice(s) with the Diagnostic and Statistical Manual–V (DSM-V) diagnostic criteria.What does the scholarly research tell us about the role of spirituality in treating addictions, particularly co-occurring disorders? In the chart titled, Types of Groups in Addiction Treatment, we see one example of a group is a Christian Focused group. According to the scholarly research, what are two or more considerations in treatment groups for clients who are not of a Christian faith, or do not know where they stand regarding faith and spirituality?[supanova_question]

1 1 1 Primary Health 3: The Health and Cultural Diversity of




Primary Health 3:

The Health and Cultural Diversity of Aboriginal and Torres Strait Islander People.

Assessment task :Individual Report

Learning Outcomes Assessed.


K1. Analyse the impact of different cultural perspectives and suggest how an individual’s understandings can influence engagement with Aboriginal and Torres Strait Islander individuals, families, and communities

K2. Investigate factors that influence cultural vulnerability and resilience and their relationship to health choices

K3. Examine the basis of Aboriginal & Torres Strait Islander People’s identities including cultural diversity

Application of knowledge and skills:

A1. Develop an understanding of Aboriginal & Torres Strait Islander identity, including their diversity and place in contemporary Australia

Title of the assessment:

Examine and discuss what is culture and identity and reflect on how your own identity, along with social and cultural factors, have influenced your own beliefs about and interactions with Aboriginal People and/or Torres Strait Islander People.


The purpose of this task is for students to demonstrate understanding of what culture and identity is and how identity, along with social and cultural factors can influence beliefs and values.

Students need to also look inward and recognise their own culture and how their own values and beliefs influence the way they view the world and see other people.

To enable us to understand other cultures, we must first recognise that we all have our own culture.

A minimum of 6 academic references are required using APA 7th edition.

Word Count:

1200 words +/- 10% (excluding references)


Research and evidence:

Your essay-style report should include analysis and synthesis of research.

You are required to reference a minimum of six (6) academic sources (e.g., textbooks,

Peer reviewed journal articles).

References are to be formatted in the American Psychological Association [APA] style 7th Edition.

Students are encouraged to resource articles and other literature and sources that are authored by Aboriginal and/or Torres Strait Islander People, and present these research findings, views, and perspectives from their lived experiences, where possible.

Research is constantly evolving; it can be updated or challenged. Therefore, it is important to keep our knowledge up to date.

**Resources should be no older than 7 years (unless Government Legislations/Acts or of historical significance).

We encourage students to read widely and use the most current research you can find. If you have a journal article that falls outside the 7-year limit, ask the following:

Have I searched for a more recent article? (Try searching the databases using key words from the title of the reference you have.)

Is there nothing more recent that could replace it?

Does it contain important information that is relevant and have historical significance to my essay? Can I justify using an older source within my essay?

An example of older resources that are acceptable:

o Hampton, R., Toombs, Maree, & ProQuest. (2013). Indigenous Australians and health: the wombat in the room. Oxford University Press.

Direct quotes should be avoided where possible in academic writing, however, if required, they must be limited to no more than twenty-five (25) words.

Assessment Details:

Reflect on the following questions to assist with your planning: These questions are here to assist you with planning – DO NOT use them as headings within your essay (The structure of the essay DOES NOT include the use of headings).

What is culture?

What is Identity?

How does identity, along with social and cultural factors influence beliefs and values?

What do you consider to be your culture?

What do you consider to be the characteristics of your identity?

What has influenced your cultural lens (beliefs and values)?

What do you think has influenced your beliefs and interaction with Aboriginal People/s and/or Torres Strait Islander People/s?

Evaluate your personal views towards Aboriginal and Torres Strait Islander Peoples.

On reflection did Paul Keating’s speech, as then Prime Minister of Australia, (Year for the World’s Indigenous People) delivered in Redfern Park on 10 December 1992, give insight, change or confirm your own personal views in relation to Aboriginal and Torres Strait Islander Peoples?

What considerations will you need to make when collaborating with the members of your group for Assessment Task 1b: Group Presentation?

*Please ensure that you have read the following document carefully: Appropriate Terminology, Indigenous Australian Peoples. —for this Pl read attached PDF file

Structure and Format:

Your essay should include the following components:

Introduction (up to 10% of word count): provide a concise and brief overview of the essay.

In this section:

you should briefly introduce the topic

outline what will be discussed in the essay.

The introduction provides the reader with a map of what is to come.

Main Body:

Conclusion (up to 10% of word count): provide a clear and succinct summary of your essay

Reference list:

provide correct in-text citation and referencing using APA 7th edition referencing style.

**Please proofread your assessment carefully on this part and pay attention to all the minor details.

**Marks will be deducted for any mistake made.

Format: As per APA 7th edition formatting of a student paper.

Font – Calibri, Times New Roman, Arial ? Font size 10-12 (12 preferred for this paper) ? Double spaced.

Paragraph indentation – Indent the first line of every paragraph.

Page numbers – As per APA 7th edition, are in the header flush to the right margin.

Reference List commences on a new page, in the correct location.

NURBN 2025 – Assessment task 1 a – Reflection essay – 22/07/2021

NURBN 2025 – Assessment task 1 a – Reflection essay – 22/07/2021[supanova_question]

Assessment Tool Matrix Assessment Tool Grade Level Literacy Skill How to Use

Assessment Tool Matrix

Assessment Tool

Grade Level

Literacy Skill

How to Use Assessment Tool

How to Review Data Provided by Assessment Tool

How to Make Accommodations






Identify the following in your matrix:

Grade level

Assessment tool

How to use the assessment tool

How to review data provided by the assessment tool

How to make accommodations based on assessment data 

In a 250- word reflection, discuss the role formative assessments have in informing instruction. In addition, discuss appropriate assessment accommodations for learners with disabilities and language barriers. What is your ethical responsibility in maintaining the integrity of assessment data? Discuss how you will use this information in your future professional practice.[supanova_question]

Any topic (writer’s choice)

Writing Assignment Help – Choose a problem or problems that you think may pester different business organizations. – Provide examples of each problem, analyze its causes and various manifestations while applying different theories studied in this course. Topics (theories) included from the book are: Chapter 5: Organizational technologyChapter 7: The physical structure of built space in organizationsChapter 8: Power in and around organizations  Each chapter should not merely contain analyses of the company’s structure (social and physical), technology, culture and power relations but also apply various relevant theories to shed light on the topic. In essence, you will be trying to understand how scholars endorsing different perspectives (i.e., modernist vs. symbolist vs. postmodernist) would approach the subject. – Furthermore, offer solutions of the identified problems based on specific theories of organization. – In so doing, compare and contrast different organizational theories and identify their strengths and weaknesses, from a theoretical and practical perspective as well as its applicability in particular organizational contexts.- Make sure that your analyses are related to real-life organizational problems and developments in Saudi Arabia and assess the efficacy of current approaches applied by Saudi Arabian business organizations and possible ways of their improvement. [supanova_question]

Assessment Task : Case Scenario Word Count: 2000 words +/- 10% Format:

Assessment Task : Case Scenario

Word Count: 2000 words +/- 10%

Format: Report style, with introduction and conclusion. A cover sheet is not required. You will be required to submit this assignment through Turnitin.


For this assessment task, you are required to write a 2000 word report answering the questions from the scenario. Heading, subheading, in-text references and reference list will not be the part of the total word count. You will need to explore the pathophysiology, pharmacology and psychosocial aspects of the scenario and demonstrate your understanding in the answers you provide. Your answers should be informed by your reading of current research and literature.

A report format includes an introduction and conclusion, but headings and subheadings are used in the body of the text. Use the question you are answering as your heading. Do not use dot points (except medication table and difference between T1DM and T2 DM) for your answers. Do not write in the first person. Appropriately referenced and labelled tables, diagrams or images may be used in the body of the paper but will not be counted towards word count. You may produce a table (question 2.1 – medications) for your answers.

Use APA 7th referencing throughout your assignment. References must be current, preferably from the past five years. You are required to cite no less than 22 references, and the majority of these should be current peer reviewed journal articles. We are looking at information informing current clinical practice, and your choice of references must reflect this.

Consider the quality of the references you use. Wikipedia, Web MD, the Better Health Channel and blogging websites are not acceptable references. Any non-reliable sources in your reference list will not count toward the number of required references, and this will result in a loss of marks. At this point in your BN you are expected to engage with best practice literature. References that are not written in English are not acceptable to be used as references for this task.

Criteria for grading

Marks will be allocated for each section according to the rubric. Use the rubric as a guide when writing your assignment to identify the depth of the answer expected.

Case scenario:

Sandra Bullock, 39 years of age is seeing a GP, where you work as practice nurse. Over the past 3 weeks, Sandra has noticed significant tiredness, palpitations, and tremor. She has also noted that she is always feeling hot, ‘even when others are feeling cold’. She has lost 5 kg in weight over the past 2 weeks without any effort or exercise. She has also noticed a swelling over the front of her neck. On direct questioning, Sandra has noticed her eyelids are ‘a bit puffy’ and friends have commented that she often looks like she is ‘staring’.

Sandra is a mother of 5 children and lives in suburban Melbourne. Sandra works as a Real-Estate Manager. She has been married to Frank, who is an electrician, for 28 years.

Sandra has been suffering from type 2 Diabetes and rheumatoid arthritis for the past two years. She takes metformin (APO-Metformin XR 1000 mg half a tablet daily) and glipizide (Minidiab 5 mg half a tablet daily) to control her diabetes and Ibuprofen (APO-Ibuprofen 400 mg one table daily) for joint pain. She does not get enough opportunity to exercise and depends on “takeaway” for her lunch and eating snacks and ice cream. She states that she often forgets and does not take her medication regularly. Sandra also smokes 5-6 cigarettes daily.

Her mother and older sister were both diagnosed with T2DM in their early 50’s. Her mother also has Hashimoto thyroiditis.

Sandra is quite “stressed” about her ongoing conditions and the recent development of other symptoms.

The examination findings of Sandra are as following –

BMI: 29 m2/kg

Blood Pressure: 140/90 mmHg

Pulse rate: 105 beats/min, irregular

Respiratory Rate: 22 breaths/minute

Temperature: 37.7ºC tympanic

SpO2: 97% on RA (Room Air)

A smooth, mildly enlarged thyroid gland with a bruit (increased blood flow in the thyroid gland), mild proptosis

eyelid retraction bilaterally

brisk reflexes, and a fine tremor.

Sandra’s blood tests reveal –

Full blood examination (FBE): haemoglobin: 125 g/L (reference range: 120–150 g/L)

White cell count: 11.5 X10^9/L (reference range: 4.0–10.0 X 10^9/L)

neutrophil: 8.0 X 10^9/L (reference range: 2.0–7.0 X 10^9/L)

lymphocytes: 0.8 X 10^9/L (reference range: 1.0–3.0 X 10^9/L)

Platelet: 250 X 10^9/L (reference range: 150–400 X 10^9/L)

Free T3 = 15 pmol/L (reference range 3.5 – 6.0 pmol/L)

Free T4 = 75 pmol/L (reference range 10 – 20 pmol/L

TSH = 0.02 (reference range 0.500 – 4.2 IU/L

TSH-Receptor antibody (TSH-RAB AB) = positive and significantly elevated.

Antithyroid peroxidase (anti-TPO) and antithyroglobulin = negative or low titre

Part 1 Questions

1.What underlying endocrine condition is indicated by Sandra’s blood test, as well as the signs and symptoms (clinical features) she is experiencing? Describe the pathophysiology of the condition. You need to explain the following aspects in this section and link them to Sandra:

1.1 Identify the underlying condition

1.2 Interpret Sandra’s blood test results and clinical features, and link back to Sandra

1.3 Include at least 4 risk factors relevant to Sandra

1.4 Explain the pathophysiology of the specific condition Sandra is suffering from, making links to Sandra throughout

1.5 Explain at least 5 complications of this condition that are relevant to Sandra

Part 2 Questions

Further blood test results reveal that Sandra’s blood glucose level (BGL) is 12.9 mmol/L [3.9-6.1 mmol/L]; HbA1c: 9% [normal <6.5%].

Sandra’s GP referred her to an Endocrinologist. Her conditions, blood test results and medications were reviewed by the specialist. Sandra was advised to stop metformin and prescribed Tab

Sitagliptin (Januvia) 50 mg daily in addition to glipizide 5 mg (Minidiab) half a tablet daily. The Endocrinologist also added Tab Carbimazole 5 mg daily for managing her recently developed signs and symptoms, and the related Endocrinological condition.

2.1. Identify 4 risk factors potentially causing Sandra’s high BGL and HbA1c. Discuss how each risk factor affects BGLs and HbA1c.

2.2 Discuss the three medications Sandra is prescribed by the Endocrinologist. Include in your answer the action, complications, relevant side effects and relevant nursing considerations linked to Sandra’s situation.

2.3 Explain five complications that Sandra could experience if her blood glucose level (BGL) and HbA1c remain high.

2.4 Identify and briefly discuss four preventive measures Sandra could use to reduce her risk of developing complications related to T2DM.

Add a conclusion in your own words (no new reference should be added in the conclusion)[supanova_question]

Assessment task : Written analysis of case-based scenario essay Length: 1600 words

Assessment task : Written analysis of case-based scenario essay

Length: 1600 words (+/-10%). Work outside of this range will be marked down accordingly.

You are required to submit a fully referenced academic essay demonstrating your knowledge and application of best evidence-based nursing practice in relation to the following case scenario.

In accordance to academic writing, students are required to write in the third person.

All aspects outlined in the marking guide must be addressed.

· Introduction

· Pre-operative care

· Assessment, prevention, and management of post-operative hypoglycaemia

· Education for sick day management

· Education for exercise

· Conclusion

Students are welcome to but not mandated to use the individual aspects as headings throughout the paper.

Case Study Scenario:

It is 0800 hours and you are working in a Paediatric Unit in a large metropolitan hospital. You are caring for Shaun Cross, a 15 -year-old male, who has Type I Diabetes. Shaun has been admitted for an exploratory arthroscope on his right knee, from an injury incurred whilst playing soccer. Shaun has fasted from 0600 hours and continues to fast (Nil by Mouth) in preparation for the surgery which is booked for 1000hours. Shaun last administered insulin to himself at 2000 hours the previous evening.

Medical history: Nil known allergies. Shaun was diagnosed with Type I Diabetes six (6) months ago. Shaun’s diabetes has been well controlled with Lantus 50 units BD (mane and nocte). His last HbA1c three (3) weeks ago was 6.4% / 48mmmol.

Social History: Shaun lives with his family of four, Mother Leanne, Father Paul, and sister Kelsey. Shaun is currently completing year 10 at secondary school and enjoys playing Basketball and Soccer.

The following data was assessed when Shaun was admitted to the ward:

Subjective data:

Verbal pain rating 0/10

Alert and talkative

Objective data:

Blood pressure: 115/60 mm Hg

Heart rate: 62 beats per minute

Respiratory rate: 16/minute

Temperature 36.2 tympanic

SaO2: 100% Room air

Random BGL 5.2mmol

Weight: 61Kg

Shaun returns to the ward following his procedure at 1130 hours. He complains of severe nausea and is unable to tolerate any diet or oral fluids.

Your academic paper should directly relate to the scenario of Shaun Cross and cover all aspects outlined in the marking criteria.



It is essential that you relate all aspects of the essay to the specific case study of Shaun Cross provided.



This section requires you to introduce the subject and situation to demonstrate your understanding of the key issues pertinent to Shaun Cross. Only include a summary of the case study in this introductory section.


Pre-operative care:

Describe the nursing and medical interventions for Shaun in the pre-operative phase. Consider the following:

· The maintenance of normal blood glucose levels (administration of insulin and carbohydrates (CHO) or equivalent Intravenous therapy (12 Marks)

· Frequency of blood glucose monitoring (2 marks)

· Reference to normal blood glucose levels (2 Marks)

· The recognition (signs and symptoms) of altered blood glucose levels should be considered (4 Marks)

All written work must be supported by relevant and appropriate references.


Assessment, prevention, and management of post-operative hypoglycaemia:

Describe the nursing interventions required to assess, prevent, and manage hypoglycaemia during Shaun’s post-operative phase of care. Consider the following:

· Management of nausea and vomiting and re-introduction of diet and fluids (4 Marks)

· The frequency of blood glucose monitoring, prevention strategies such as appropriate CHO administration or intravenous fluid therapy), and insulin administration (including administration route) (9 Marks)

· Recognition of signs and symptoms associated with hypoglycaemia, and management of hypoglycaemia (5 Marks)

All written work must be supported by relevant and appropriate references.


Education for sick day management:

Provide the essential education needed to be given to assist Shaun and his family regarding his diabetes management for future experiences of ‘sick days’. Consider the following aspects:

· Frequency of blood glucose monitoring during sick days (0.5 Marks)

· Modification of Insulin administration dosage (2 Marks)

· Appropriate examples of CHO dietary intake (1.5 Marks)

· When to seek medical attention (4 Marks)

· Educational resources (2 Marks)

All written work must be supported by relevant and appropriate references.


Education for exercise:

Provide the essential education needed to be given to Shaun and his family regarding his diabetes management before and after exercising. You need to consider:

· The frequency of blood glucose monitoring before and after exercise (3 Marks)

· CHO dietary intake before and after exercise (3 Marks)

· Recognition of hypoglycaemia (1 mark)

· Emergency CHO supply, first aid management of hypoglycaemia and education of significant others should be considered (3 Marks)

All written work must be supported by relevant and appropriate references.



Provide a brief summation of the case study. No new material is to be introduced.



All in-text citations, quotes and references are in APA 7th edition style.

All references are reputable, current (5 years or less), and relevant.


Presentation/Grammar/ sentence structure:

The academic paper is presented with a title page and is formatted with double spacing. Appropriate use of specific academic language, nursing terminology, accurate spelling, grammar, and punctuation. The information is presented in an articulate logical manner to aid the reader’s understanding. Work is written in the third person. Word count (not including reference list) is 10% within of required word limit.


Total 80[supanova_question]