Ms Gladys Liu is a 45 year old woman has a medical history of HT and a 20 year history of T2DM which is no longer controlled by lifestyle changes.

Ms Gladys Liu is a 45 year old woman has a medical history of HT and a 20 year history of T2DM which is no longer controlled by lifestyle changes.

• She has presented to the ED following a possible UTI for last few days.
• Her admission vital signs are T: 38.7°C, HR: 125bpm, RR 25, BP 100/65 mmHg
• On examination: left flank pain with a pain score of 8/10, cracked lips, poor appetite and sunken eyes on examination.
Question 1
• Explain the pathophysiology of the above signs and symptoms as they apply to Gladys.
Question 2
• Discuss the investigations/tests that you think should be ordered for Gladys and explain your rationale and expected results (including the normal ranges).
Question 3
• Discuss how the information and understanding you have collated in question 1 and 2 informs your nursing care of Gladys,
Performance Standard
Assessment Criteria Excellent Good
Satisfactory Unsatisfactory
A detailed explanation of the signs and symptoms presented in the patient scenario with clear links displaying understanding of the pathophysiology /pathogenesis of the illness/ disease. (30%) Accurate, highly relevant information provided with clear, succinct explanation of signs /symptoms related to the specific case.
Accurate, succinct relationship between pathophysiology / pathogenesis and signs/ symptoms presented.
Demonstrates excellent understanding.
(26-30) ? Clear relevant information provided, explaining the signs/ symptoms of the specific case study with minor omissions or errors present.
Good explanation of the relationship between pathophysiology / pathogenesis and signs/ symptoms presented.
Demonstrates good understanding with moderate linkage to the related case study.
(21-25) ? Basic relevant information provided, explaining the signs/ symptoms of the specific case study with some details absent or incorrect.
Basic explanation of the relationship between pathophysiology / pathogenesis and signs/ symptoms presented.
Demonstrates generalised understanding with basic linkage to the related case study.
(15-20) ?
Poor explanation/ irrelevant information provided displaying poor understanding of the signs/ symptoms related to the specific case study.
Poor or very limited explanation of the relationship between pathophysiology / pathogenesis and signs/ symptoms presented.
Demonstrates unsatisfactory understanding / incorrect linkage to the related case study.
(0-14) ?
A detailed explanation of any investigations considered necessary related to the case study, including a discussion with rationales and possible results. (30%)
Accurate, highly relevant linkage provided between investigations / case study and rationales.
Succinct discussion of investigations and expected results.
(26-30) ?
Clear explanation of links between investigations / case study and rationales – although some errors present or information missing.
Clear discussion of investigations and expected results demonstrated
(21-25) ? Basic explanation of investigations.
Generalised discussion with basic rationales and generalised results demonstrated.
Generalised links between investigations/ case study and rationales demonstrated.
(15-20) ? Poor explanation of investigations.
Poor presentation of links between investigations/ case study and rationales.
Minimal discussion with no results provided.
Information missing or irrelevant.
Demonstrates unsatisfactory understanding.
(0–14) ?
Discussion on the application of the identified pathophysiology/ pharmacology and investigational information to nursing practice for the case study patient (30%)
Accurate, succinct, highly relevant explanation of applying pathophysiology/ pharmacology/ investigational information to nursing practice.Discussion comprehensively supported by relevant evidence (26-30) ?
Clearexplanation, some elements omitted- explanation of applying pathophysiology/ pharmacology/ investigational information to nursing practice.Discussion well supported by relevant evidence

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