Describe the typical signs and symptoms of PND.

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GMED2000 Integrated Case Study Report – Semester 1, 2018
Patient profile:
Name:Sally Jones
DOB: 3/1/1981
Address: 24 Smith St, Mt Pleasant, WA
Case History:
Sally is a 33 year old woman who you seewhilst working in the Child Health/GPclinic. Sally is a new mother to 3 week old son Benjamin. She also has a 2 year old daughter Lucy and 4 year old son Matthew.
Sally is married and her husband Tim is a fly in fly out (FIFO) worker in the northern part of WA. His roster means he is only home 1 week in 4. He recently returned to work (1 week after baby Benjamin was born), after having some time off to be present for the birth of the baby.
Sally and Tim are from the UK and have been living in Australia for 1 year. They have no extended family living nearby (all family are back in the UK). Sally’s best friend still lives in the UK and speaks to her on Skype regularly. She and Tim have not yet built up a network of friends since moving to Australia. Sally has a neighbour who occasionally helps out with the children when Tim is away.
Her Edinburgh PD Scale (EPDS) during her pregnancy was = 10
Presentation:
You see Sally in the clinic for her 3 week check-up. She appears withdrawn and teary, does not make eye contact with you. Sally has dark circles under her eyes and when questioned states she feels tired and exhausted from looking after the baby and the older children on her own.
She does the Accounting for her husband’s employment as a mining contractor, but mentions she has difficulty concentrating and is forgetful with daily chores and paying the bills.
You ask Sally to complete the Edinburgh PD Scale. Score = 22
Past Medical History
Uncomplicated pregnancies resulting in 3 normal vaginal births
Appendicectomy – aged 19 years
Tonsillectomy as a child
Non-smoker
Usually drinks 1-2 glasses wine per week socially– Sally is currently breastfeeding, so is abstaining from alcohol
Previously treated for stress and anxiety (related to stressful job) when living in the UK, prior to having children. Individual Counselling, group support therapy and medication taken.
Medications
Nil currently
Vital signs
Weight 63kg, Height 164cm.
Temperature 36.5 ◦C
Respiratory Rate 18 breaths/min.
Pulse 82 beats/min, regular, bounding pulse.
Blood Pressure 120/80 mmHg
SaO2 98% on room air
Spiritual, social and cultural needs
Ethnic group = English
Religion = Church of England. Does not attend church regularly.
Participates in local Play Group activities with the 2 older children once a week. Cancelled her gym membership when pregnant with Benjamin. Does not belong to any sporting or social groups.
Support agencies:
Nil – takes new baby to community health clinic once a fortnight for weigh in and check up.
Will see GP for newborn immunisations as scheduled.
You refer Sally to her treating physician and she is diagnosed with PND.
INTEGRATED CASE STUDY REPORT QUESTIONS:
PLEASE ANSWER THE QUESTIONS BELOW, IN RELATION TO THE CASE STUDY PROVIDED
1200 words limit – Remember your answers need to reflect the case study
Focus Area One – Aetiology and pathophysiology
Describe in brief the aetiology of Post- Natal Depression (PND).
Describe in brief the pathophysiology of PND.
Relate this back to the Case study provided.
Focus Area Two – Clinical signs and symptoms and clinical assessment.
Describe the typical signs and symptoms of PND.
Discuss the full clinical assessment of a patient presenting with PND (Include patient history & physical examination).
Relate this back to the case study provided.
Focus Area Three – Identify actual and potential patient risks (complications)
Discuss in brief ONE short or long term potential complication (One Complication) related to PND
Outline recommended management strategies for this complication identified.
Relate this back to the case study provided.
Your case study you must contain:
School of Nursing, Midwifery and Paramedicine Cover page, containing your full name and student ID
APA contents page
Marking guide attached
References no more than 5 years old
Minimum 10 References with NO websites; Journal articles or text books only. Ideally 15+ references to be used for this length of paper
Correct spelling and grammar
Footer (page number)
APA style referencing
Word count within 10%
Introduction (200 words max) and conclusion (100 words max), use your introduction to introduce the reader to the case study
Applied Bioscience GMED 2000 Assessment 1: Integrated Case Study Report Marking Rubric
Criteria Fail
1
Pass
10
Credit
15
Distinction
20
High Distinction
25
1. Content Focus.
How clearly does the assignment reflect the case study health problem? Well-researched, clearly written, accurate content and other. Identifies and discusses focus areas.
The assignment minimally addresses the case study health problem and focus areas.
No relationship back to the case study.
The assignment addresses most of the case study health problem and focus areas, but some content is inaccurate and/or requires clarification.
The content includes critical thinking in relation to the case study at a basic level
The assignment addresses the health problem and focus areas clearly. Content mostly accurate and complete.
The content includes critical thinking in relation to the case study at a developing level
The assignment is clear and accurate. The information is well researched. Content is consistent.
The content includes critical thinking in relation to the case study at a developed level
The entire assignment is well researched, clear, highly accurate and consistent. Paper displays critical thinking in relation to the health problem.
The content includes critical thinking in relation to the case study at an exceptional level with appropriate rationales
Criteria Fail
1
Pass
2
Credit
3
Distinction
4
High Distinction
5
2. Organisation of information.
Information well planned, in logical sequence, flow, clear titles, headings, paragraphs, borders and other.
Minimal poor presentation of pages. Some information presented in logical sequence and adequately planned
Most of the pages are well planned, well presented in a logical manner. Most titles, headings, paragraphs, information is well planned and well presented.
The majority of the pages are well planned, well presented in a logical manner with satisfactory titles, headings, and paragraphs.
Transitions are smooth.
All pages are well planned, well presented in a logical manner. Well-presented titles, headings, paragraphs. Transitions are interesting and enhance the presentation. Excellent to exceptional standard.
Criteria
Fail
1
Pass
2
Credit
3
Distinction
4
High Distinction
5
3. Conventions. Grammar, spelling, text legibility and usage, APA referencing, direct quotes & end text, footer, page numbers
Ensure you have a marking guide attached.
The assignment displays many errors in spelling, grammar, text usage, layout, font choices, APA referencing of in text quotes, and the reference list. This detracts from the content.
There are several errors in grammar, spelling, text usage, page layout, and font and image usage. APA referencing is inconsistent. Requires improvement in this area.
Text is clear and readable. Mostly grammar, spelling, text usage is accurate. Use APA referencing effectively. Nursing, medical, bioscience or allied health references used. 10-12 resources in the reference list.
The majority of grammar, spelling, and text usage are accurate. Correct use of APA referencing standards with direct quotes or paraphrasing, in text and end text referencing. Up to 15 resources in the reference list
Assignment is easy to read and text free of any errors. Paper provides page numbers. All graphics, images, visual tools is correctly labelled and correctly APA referenced. 15 or more current sources (no less than 5 years old) in the reference list. Excellent to exceptional standard.