Patient case – Mr Goodpasture

1. General Instructions for assignment
The assignment is based on a case study contained in section 2 of these instructions.
Presentation:
The assignment is to be presented in Essay Format.
Introduction:
Not required for this assignment. Will not form part of word count.
Body:
The discussion should be about creating new ideas based upon your readings and reasonable inferences from the data. Reproduction of clinical data from the scenario is not discussion and assume that the marker has read the patient case.
The discussion must be presented using academic assignment format with attention to good paragraphing structure, grammar, Australian spelling and formal academic expression.
It is important to link sentences to establish the flow of ideas and there should be no single sentence paragraphs in a paper. Double spacing is required between paragraphs. Dot point format is not acceptable.
Headings and subheadings are acceptable, however there should be No bullet points or tables.
Conclusion:
Conclusion not required for this assignment. Will not form part of word count.
Instructions
The assignment is to be a report answering the general questions as posed in by the marking rubric.
Please see the attached excerpts from the School Of Health and Engineering (SHE) survival guide which describes how you might answer the questions posed by the assignment topic. Take note of the descriptive words used (I.e. ‘compare and contrast’)
Assignments should have a minimum of 8 references in total (text books, professional web sites, journal articles; minimum of 4 peer reviewed journal articles required and reference list must be included with each assignment
Students should refer to the assignment submission and return guidelines
Include Use of APA format used by La Trobe University version 6 style referencing (in-text and end-text reference list). Referencing must conform to the American Psychological Association (APA) guidelines – please refer to La Trobe University Library
General Assignment Format
Assignments must be typed using double spacing and size 11 or 12 font and text left justified
• All pages must be numbered consecutively from the title page
• Ensure your student number and subject code appear on each page either as a footer or header
• The Marking rubric must be submitted with the case study.
A marking rubric is also available on LMS. The markers will be using the rubric to mark your paper. It is the best guide to plan the depth required for your paper.
2. Patient case – Mr Goodpasture
Mr James Goodpasture is a 55 year old man. He has presented to ED with a presenting complaint of nausea and malaise. His Subjective and objective examination are as follows:
History of presenting complaint
1 week history of increasing malaise, pruritus and low mood.
Medical History:
End stage renal disease
Hypertension
Seasonal rhinitis
Depression
Surgical History:
Appendicectomy as a child
Knee arthroscopy 2005
Social History
Sheep farmer at Patersons Plains, a rural community 100 km Northwest of Melbourne. Married with 2 grown children.
Lifestyle
Currently smokes 25 pack year history
Alcohol: 6 stubbies of heavy beer a week
Denies illicit drug use
On examination:
Vital signs: T-37oC; HR -96bpm, Sinus Rhythm; RR 20 rpm, BP 165/110 mmHg, SpO2 95% on 3l via NP
CNS
Somewhat agitated on arrival
Resp
Scattered crackles over bases R=L
CVS
Monitored in Sinus Rhythm with occasional premature ventricular complexes
pitting oedema bilaterally to lower extremities
GIT
Mildly obese, abdomen soft and tender
UGS
Urine output: 30 ml/hr
Urinalysis shows ++ protein finding; SG 1.028
MKS
Mild limb weakness L=R, upper and lower limbs
Diminished patellar reflexes
Mental health Examination
Describes low mood last 2 weeks
Pathology

3. Assignment task
Assignment question:
Using current literature , discuss the pathophysiology and management of Chronic Renal Failure with specific reference to Mr Goodpasture’s clinical presentation ( i.e biochemistry , full blood count and signs and symptoms)
(1000 word)
Suggested structure:
1. Explain the relationship of Mr Goodpasture’s presentation (i.e. his signs and symptoms and pathology results) and the pathophysiology of his kidney disease, including discussion of end stage kidney disease (400 words)
2. Describe the relationship between Mr Goodpasture’s kidney disease and his medical history history (200 words)
3. Describe the management of end-stage kidney disease. Compare and contrast the risks and psychosocial implications associated with two management options. (400 words)