Due Date Passed You can no longer submit coursework because the due date (Monday 7th September 2015) has passed. Structure and writing style



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You are required to submit a written assignment which is divided in to 4 sections. In total the assignment consists of 2,000 words. You are required to answer 4 guided questions which are based on key clinical areas that are important in asthma management. These are:

  • Pathophysiology

  • History taking and diagnosis

  • Inhaler technique

  • assessment and management of acute asthma

The questions are scenario based to enable you to demonstrate your knowledge and understanding of asthma management in a variety of patient groups.

You can find the questions for your cohort by clicking on this link Problem Solving Assessment.



You must answer all 4 questions

Due Date Passed

You can no longer submit coursework because the due date (Monday 7th September 2015) has passed.

Structure and writing style

This is not an essay and you are therefore not required to write an introduction or conclusion. You should read each question carefully and ensure that you answer each section. Remember to stay focussed so that you only answer the question that is asked. You should answer all parts of each question. Start each question on a separate page. You should write objectively in the third person (not using I or my). Lists, tables and bullet points are acceptable where appropriate but you must ensure you provide enough information to demonstrate your knowledge and understanding of the correct answer to the question.

References

References are not required for this assessment however your answers must be based on current evidence based asthma management guidelines. Please specify which guideline your work is based on e.g British based students should be following the British Asthma Management Guidelines whereas International students may be following another guideline.

Word Count

The word count for this assessment is 2000 in total. You are permitted a 10% margin ( or -) to this total. It is recommended that approximately 500 words are used to answer each question, however this is for your guidance only and you may choose to use more of your words on one question and less on another. The number of marks allocated to each section is a useful guide to the amount of content that is required in your answer.

Confidentiality

It is important that confidentiality and anonymity are maintained and so, neither your name or workplace location should be identified from your work.

Criteria for a pass

40% in each assessment element and 40% overall.

Reassessment is as per the regulations in the Student Guide.

Style

Use objective impersonal language and avoid personal expressions such as I think... or I would advise... or in my opinion...

If you are writing about, for example, taking a history from a patient, do remember to provide sufficient detail. If you mention symptoms, say what the specific symptoms are. The same goes for monitoring: what is the relevance, why are you doing it, what are you looking for?

If you make a statement, always try to justify it and ask yourself questions such as Why? What? How? When? Providing the supporting information can make all the difference between a pass and an excellent piece of work.

Please refer to the student support section of e-learning under the ‘help’ tab for further information on how to submit your work

You are required to submit a case study of approximately 2,000 words.

Write a case study discussing the management of a patient from your area of practice with a confirmed diagnosis of asthma. You must discuss your patients care in detail, providing a rationale for your interventions, using relevant literature, research and evidence based guidelines.

The aim of the assignment is to demonstrate evidence of your knowledge and understanding of the issues involved in the assessment, monitoring and ongoing management of patients with a diagnosis of asthma.

The focus of this assignment is to provide evidence of your understanding of the management of asthma and the rationale for various interventions.

Introduction

When writing your assignment you should start with a short introduction (approximately 1 paragraph) which states what your assignment will cover

Main body

This should include:

Conclusion

Your conclusion should be a summary of key issues and reflection on what was good and what could be done differently or better as well as what was done well. Do not introduce new topics for discussion into your conclusion. Your work should be written in the third person eg initial assessment of his symptoms should include…..

Note: Your patient should already have a confirmed diagnosis of asthma and therefore you will not need to discuss diagnosis in detail.

Style

Use objective impersonal language and avoid personal expressions such as I think... or I would advise... or in my opinion...

If you are writing about, for example, taking a history from a patient, do remember to provide sufficient detail. If you mention symptoms, say what the specific symptoms are. The same goes for monitoring: what is the relevance, why are you doing it, what are you looking for?

If you make a statement, always try to justify it and ask yourself questions such as Why? What? How? When? Providing the supporting information can make all the difference between a pass and an excellent piece of work.

Confidentiality

It is important that patient confidentiality in maintained. Therefore you must ensure that you, your patient and your workplace/location can not be identified.

References

Approximately fifteen references are required which must be quoted both in your essay and in a reference list at the end of your work.

Please make sure that you follow the referencing guidelines, using the Harvard style as described in the Education for Health Student Guide.

Word Count

Please observe the word count specified for the work. You are permitted a margin of plus or minus 10% only.

Reference lists and Appendices are not included in the word count.

Failure to follow these guidelines will result in loss of marks.

Please refer to the student support section of e-learning under the ‘help’ tab for further information on how to structure, present and reference your work.

Criteria for a pass

40% in each assessment element and 40% overall.

Reassessment is as per the regulations in the Student Guide.

It is important that your own name does not appear anywhere. To identify your work use your student reference number and initials only.
Asthma Diploma Level (5) Problem Solving Assessment Paper 1

Q1. Oscar is 8 years old and he attends with his Mum for an asthma review following a moderate acute exacerbation of his asthma 2 weeks ago. He is much better now but he still has a night time cough and is using his salbutamol most days. His current treatment plan is standard dose Inhaled Corticosteroid (ICS) twice daily and Short Acting Beta Agonist (SABA) as required via Metered Dose Inhaler (MDI) and spacer. Oscar’s Mum expresses concern about the long term use of corticosteroids and you suspect that Oscar had not been taking his ICS prior to his exacerbation.

a) Describe the pathophysiology underlying asthma (8 marks)

b) What are the key points you would need to cover to explain to Oscar and his Mum how ICS work, their side effects and when they should be taken (9 marks)

c) What are the key points you would need to cover to explain to Oscar and his Mum how SABA’s work, their side effects and when they should be taken (8 marks)
Q2. David is a 25 year old office worker who attends the practice concerned about a cough that is disturbing his sleep and a tight chest on exertion which have persisted since he had a heavy cold 2 months ago. He has been a patient at the surgery for a few months now and is not known to have asthma.

a) What would you need to consider when taking David’s history and why (10 marks)

b) What objective measures of lung function assessment might be appropriate for David and why
(5 marks)

c) Describe in detail one of these objective measures of assessment. You must discuss how the method is carried out and consider how reliable it is compared to other methods
(10 marks)

Q3. Aisha, who is 13 years old, attends the asthma clinic for her annual review. She is accompanied by her mother and she has brought her inhalers with her to the appointment. Aisha is prescribed MDI’s but says that she does not think they are very effective. Aisha demonstrates her inhaler technique which you observe to be poor.

a) What are the common errors associated with using MDI’s (7 marks)

b) What other types of inhaler device may be suitable for Aisha and what should be considered when selecting an alternative device (6 marks)

c) Discuss the differences in correct inhaler technique between MDI’s and DPI’s in relation to inspiratory flow rate and patient effort. (6 marks)

d) Select one device that would be suitable for Aisha and discuss how you would explain its correct use to her (6 marks) Page 2
Q4. Colin is a 44 year old with a confirmed diagnosis of asthma. He consults with you complaining of a tight chest and difficulty in breathing. Colin has had a number of asthma attacks over the last 2 years.

a) What are the categories of severity in acute asthma and how can severity be assessed
(6 marks)

b) What parameters within the assessment would inform you that Colin has Acute Severe Asthma and what treatment/management does he need
(8 marks)

c) What would you need to consider when determining whether or not Colin requires admission to hospital (5 marks)
Colin was successfully managed in primary care without the need for a hospital admission on this occasion. He was able to go home with a Personal Asthma Action Plan to follow and an appointment for a review.

d) When should Colin be followed up and what should be included in this consultation
(6 marks


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