Clinical Case Conference Report

MARKING RUBRIC
TOPIC: NURS3005/ 3005A: Transition to Professional Practice 2
ASSESSMENT: Assignment 2 — Clinical Case Conference Report
Weighting: 40%

Details: This academic paper requires students to write – up the patient presented at their Clinical Case Conference (CCC) to their Nurs3005 PEP facilitator and present it as a detailed report. There must be analysis of the patient’s medical condition(s) demonstrating the ability to apply theoretical concepts including (but not limited too) pharmacology; patho-physiology; anatomy and physiology. There must be presentation and evaluation of nursing and medical management of the patient. Sound clinical rationales must be provided that support the care afforded the patient. Appropriate evidence sources must be used and Harvard referencing used throughout. Students are encouraged to write up this report prior to undertaking their CCC presentations. For specific details please refer to the marking rubric below. The CCC Report must be submitted via FLO within 7 days of the CCC presentation and uploaded with the Declaration cover sheet.

Performance standard
Assessment criteria Excellent Good Satisfactory Unsatisfactory
Introduction:
• Introduces patient presenting for Case Conference
• Presents biographical data
• Presents current medical history of patient
• Presents relevant past medical history of patient 15%

Excellent presentation and introduction of the patient
Confidentiality maintained. Introduction to the case clearly described. Introduction to the case described but not clear. No introduction to the case. Confidentiality not maintained
Discussion:
• Demonstrates understanding of patient’s medical condition(s), including relevant anatomy and physiology and in – depth patho-physiology discussion.
• Nursing management Included – clinical assessment using (IS)BAR, or a systems – based approach, explanation of how nursing management relates to medical management with clear clinical rationales provided, role of interdisciplinary team involvement explained and primary health care strategies described.
• Medical management and Treatments described including all relevant pharmacological, non – pharmacological treatments, pain management explained and clear clinical rationales provided
• Relevant Laboratory results / Diagnostic tests included and discussed.
• Evidence of ability to make clinical inferences based upon the data available.
• Psychosocial / Environmental / Economic aspects discussed
• Ethical and legal aspects included
• Education needs of patient / family addressed
• Discharge Planning addressed 50% Nursing management very well explained with good evaluation. Succinct, correct clinical rationales provided. Care provided by the interdisciplinary team clearly and thoroughly described. Clinical assessment findings are clearly described, using ISBAR / other. Logical and orderly progression of ideas, with good use of headings. Relevant laboratory results / diagnostic tests provided and explained succinctly. Relevant psychosocial aspects of the case reported empathically and management described. Ethical and legal aspects described clearly and objectively. A depth of understanding is reflected in discussion. All relevant and contentious areas thoroughly addressed. Considerable additional reading evident and incorporated in presentation. Meaningful synthesis of the evidence presented soundly. Education needs very well covered. Discharge planning shows comprehensive awareness of the patient’s needs as identified and clearly discussed in presentation. Nursing management well explained with some evaluation. Well written and mostly correct clinical rationales provided. Care provided by the interdisciplinary team described, but not very well evaluated. Clinical assessment findings are described using ISBAR. Good progression of ideas, with appropriate headings. Relevant laboratory results / diagnostic tests provided and explained. Relevant psychosocial aspects of the case reported and some comments made. Ethical and legal aspects described.
Sound understanding of the condition/ situation reflected with appropriate evidence sources used. More than adequate additional reading evident. Effective synthesis of themes evident. Education needs covered quite well. Discharge planning shows awareness of all the patient’s needs as identified and discussed during the presentation. Nursing management explained with limited evaluation and deserves more attention. Clinical rationales provide some justification for care but are not always well written. Adequate history of the patient described. Care provided by the interdisciplinary team described, but not explored adequately. Clinical assessment findings using ISBAR are limited and do not present clear case. Organized with some confusing sequencing or structure or poor use of headings. Laboratory results / diagnostic tests provided with limited linking to theoretical concepts. Relevant psychosocial aspects of the case reported but described at superficial level. Ethical and legal aspects described superficially.
Adequate understanding of the condition/ situation reflected and appropriate evidence sources used. Adequate additional reading evident. Synthesis of themes of the evidence attempted. Most education needs of patient covered. Discharge planning shows some awareness of the patient’s needs and discussed. Nursing management poorly explained with little evaluation. Clinical rationales are poor and in the main either too brief or too lengthy. History of the patient is described too briefly. Care provided by the interdisciplinary team inadequately or very poorly described, with little emphasis on the role of the nurse. Clinical assessment findings using ISBAR are absent, superficially or poorly described. Poorly structured discussion. Writing is disjointed, clumsy and/or repetitive. Poor use of headings. Relevant laboratory results / diagnostic tests not provided or are explained poorly. Relevant psycho-social aspects of the case not reported. Ethical and legal aspects not described adequately. Inadequate understanding of the condition/ situation reflected and appropriate evidence sources used
Limited additional reading evident. Synthesis of themes of the evidence not attempted. Education needs not addressed at all or superficially at best. Discharge planning discussion poor. Apparent lack of ability to apply knowledge as evidenced by poor comprehension of A&P, pharmacology, pathophysiology etc.
Article Discussion:
• Description of how your nursing research article findings/recent evidence is related to the patient / venue
• Comparison and critique of the management / nursing care of the case against best practice literature included.
• Suggestions of alternative management / nursing care 20%
The link between the literature findings and the presented case is consistently and persuasively made. The management and nursing care of the patient is compared and critiqued in detail with the best and most recent available evidence.
Feasible / thoughtful suggestions of alternative management and nursing care are made, based on the best available evidence. The link between the literature findings and the case is well made. The management and nursing care of the case is largely compared and critiqued in detail with the best and most recent available evidence. Some evidence is missing. Suggestions of alternative management and nursing care are made, based on the best available evidence. Education needs are addressed to a reasonable standard. The link between the literature findings and the case is made evident. An attempt is made to compare and critique the management and nursing care of the case is compared and critiqued with the available evidence, but the result is superficial at times.
Suggestions of alternative management and nursing care are sketchy, or based on anecdotal or weak evidence. Education needs covered superficially. The link between the literature findings and the case is not made, or is weak. The management and nursing care of the case is superficially compared and critiqued with the available evidence, and the result is inconsequential.
Suggestions of alternative management and nursing care are not made, or are trivial and not based on any evidence. Poor choice of article.
Summary and conclusion:
• Summary of the case
• Short and long term outcomes
• Other relevant comments 10% A succinct yet complete summary of the crucial aspects of the case is presented. The short and long term outcomes are described in depth. Insightful comments are made about whether the case and its management was representative. Learnings from the exercise are described clearly, and other relevant insightful comments are made. A good summary of the crucial aspects of the case is presented. The short and long term outcomes are well described. Worthy comments are made about whether the case and its management was representative. Learnings from the exercise are well described, and some other relevant astute comments are made. A summary of the important aspects of the case is presented. The short and long term outcomes are described. Comments are made about whether the case and its management was representative. Learnings from the exercise are limited but described, and some other relevant comments are made. A summary of the important aspects of the case is not presented, or is too brief, omits crucial points. The short and long term outcomes are not described, or are superficial. No comments, or trivial comments, are made about whether the case and its management was representative. Learnings from the exercise are not described or are insignificant, and no other relevant comments are made.
References / Reflection:
• Recent (ie in the last 5-6 years)
• Relevant
• Wide scrutiny
• Ability to demonstrate sound links between theory and practice
5% References are recent, relevant and gathered from a wide yet relevant range of multiple sources, yet focus on the nursing perspective.
Sound linkage and in-depth understanding of theory and practice demonstrated through reflection. Information is gathered from multiple sources. References chosen reflect the status of the area under study. Good linkage and understanding of theory and practice demonstrated through reflection.
Information is gathered from a limited number of sources. Linkage and understanding of theory and practice attempted but reflection lacks any in depth analysis.
Lack of relevant and accurate supporting evidence. Linkage and understanding of theory and practice not demonstrated. Reflection is superficial or not undertaken at all.
Deductions for lateness (if applicable)
Total Mark / 100 Fail 20
Additional comment: Firstly some comments about academic writing;
• Do not include pictures and diagrams in assignments unless expressly requested.
• Do not include colonoscopy photographs
• Referencing must be correct, all statements must be referenced, all in text references must also appear in reference list
• Reference list must be in alphabetical order
• There should be no bulleted lists in your assignment.
The errors and irrelevant entries in your reference list amount to a breach of academic integrity.
This paper is lacks organisation, you do not understand ISBAR, you do not seem to understand ileus, there is almost no relevant nursing and absolutely no reflection.

Name of Assessor Acute PEP venue MT Gambier Hospital Theatre suite/Surgical ward
Signature Date of CCC presentation 10/9/2015
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