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Access to HE Diploma Title
Access to HE Diploma (Nursing)
Unit Code(s)
Unit Title
Level
Credit Value
QU025400
Management of Ill Health
3
Assignment Title
Case Study Response to Chronic Illness
Tasks: QU025400 Management of Ill Health
This assignment requires completion of one task.
Task: A response to a set case study. 1,500 words (+/- 10%)
Daisy is 42 years old and lives with her husband, Tony, in a large 4-bedroomed house. Daisy has multiple sclerosis, is housebound and moves no further than her bed and chair. This means that she spends most of her time in a converted downstairs bedroom. Tony occupies one of the bedrooms upstairs. Daisy was diagnosed 10 years ago, but the disease has progressed quite quickly. The couple has no children or no pets.
Daisy is a qualified physiotherapist and her husband is a primary school teacher. Tony is finding it hard coming to terms with Daisy’s disabling condition and as a result they spend very little time together. He also worries about now having only one salary and meeting the financial demands of managing a large house. Tony will often not allow the heating to be put on, even though Daisy complains of being cold.
Daisy’s mood is often quite low when the carers visit. She also sometimes gets angry with the carers as she feels they don’t always understand her needs.
Guidance:
For the response to this case study you need to analyse the following:
(AC 1.1, AC 1.2, AC 1.3, AC 2.1, AC 3.1, AC 3.2)
Grade Descriptor profile awarded for this assignment
GD1
GD2
GD3
GD4
GD5
GD6
GD7
x
Date Handed Out:
Submission Deadline:
Actual Date Submitted:
Extension Request
Formal Extension Request:
Yes ☐ No ☐
Tutor/Assessor Signature to Agree Extension:
Resubmission Deadline
Resubmission Deadline:
Date Resubmission Submitted:
Date Returned to Student:
Referral Request?
Case Study Response to Chronic Illness (whole unit assessment)
Assessment Criteria
1.1
Analyse the physiological changes associated with a specified illness.
1.2
Summarise the signs and symptoms of the illness.
1.3
Analyse the treatment options and prognosis for the illness.
2.1
Summarise the psychological and social impact of a specified illness on: * the individual * others. Others may include the individual`s family, friends or carers.
3.1
Analyse the support needs of the individual with the chronic illness.
3.2
Propose ways to meet the individual`s support needs.
Grade Descriptors – QU025400 Management of Ill Health This assignment is graded using elements from the grade descriptors below
If you achieve all assessment criteria listed above at Level 3, you will be awarded a Pass. To gain a Merit or Distinction, your work must match the performance described in the following grade descriptors.
To achieve a Merit:
To achieve a Distinction:
GD 1 Understanding the subject
Student`s work:
a) demonstrates a very good grasp of the relevant knowledge base
b) is generally informed by the major conventions and practices of the area of study
c) demonstrates very good understanding of the different perspectives or approaches associated with the area of study.
GD 2 Application of Knowledge
Student’s work:
a) makes use of relevant • facts • theories • perspectives • models • concepts with either
b) breadth or depth
very good levels of • accuracy • insight • analysis • synthesis • creativity
a) makes use of relevant • facts • theories • perspectives with both
b) breadth and depth and/or
excellent levels of • accuracy • insight • analysis • synthesis • creativity
Quality
The student’s work:
a) is structured in a way that is generally logical and fluent
b) puts forward arguments or ideas which are generally unambiguous, but which are in a minor way limited or incomplete
taken as a whole, demonstrates a very good response to the demands of the brief/assignment.
a) is structured in a way that is consistently logical and fluent
b) puts forward arguments or ideas which are consistently unambiguous and cogent
taken as a whole, demonstrates an excellent response to the demands of the brief/assignment.
Additional Guidance
The essay will demonstrate a very good understanding and knowledge of the illness and accompanying physical, psychological and social perspectives, including the impact on family or carers. The essay will demonstrate very good attention to all identified in a) and b) of GD7.
The essay will demonstrate an outstanding understanding and knowledge of the illness and accompanying physical, psychological and social perspectives, including the impact on family or carers. The essay will demonstrate excellent attention to all identified in a) and b) of GD7.
QU025400 Management of Ill Health
1.1 Analyse the physiological changes associated with a specified illness.
Multiple sclerosis is an autoimmune condition where the immune system attacks the myelin sheath, a protective covering around nerve fibers in the central nervous system. This damage disrupts the normal transmission of electrical impulses along the nerves, leading to a wide range of symptoms. The disease can manifest in various forms, but Daisy`s situation suggests she may have a more aggressive type, such as secondary progressive MS, where the condition worsens steadily over time.
The physical symptoms of MS are varied and can affect any part of the body, depending on the location of the lesions in the central nervous system. Common symptoms include:
Mobility Issues: Daisy is housebound and spends most of her time in bed or a chair. This indicates significant muscle weakness, spasticity, and possible loss of coordination. Many patients with MS experience difficulties with walking, balance, and general mobility.
Fatigue: A hallmark symptom of MS, fatigue is often profound and disproportionate to the level of physical activity. Daisy’s low energy levels could be contributing to her reduced activity and engagement.
Sensory Disturbances: Daisy`s complaints of being cold, despite the heating being off, could be related to dysesthesia, a common MS symptom where patients experience abnormal sensations, including temperature sensitivity.
Cognitive Impairment: While not explicitly mentioned, cognitive issues such as memory loss, difficulties with concentration, and slowed thinking are common in MS patients and could be affecting Daisy’s mood and interactions.
Bladder and Bowel Dysfunction: Many MS patients experience incontinence or difficulty with bladder and bowel control, which may further restrict Daisy’s mobility and independence.
MS is a complex disease with no cure, but treatment focuses on managing symptoms, slowing disease progression, and maintaining the quality of life.
Disease-Modifying Therapies (DMTs): These include medications like interferon beta, glatiramer acetate, and newer oral therapies such as fingolimod. These treatments aim to reduce the frequency and severity of relapses and slow the progression of the disease. Given the advanced stage of Daisy’s MS, she may already be on one or more of these therapies, although their effectiveness varies between individuals.
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