Integrated Nursing Practice

TRIMESTER 2 2021 HSNS273 Integrated Nursing Practice 6 Assignment 1 (Endocrine/Musculoskeletal Case Study) 30%


Weight: 30%

Must Complete: Yes

Word Length: 1000 words

Notes: Written Assessment

Due Date:Is displayed at the bottom of this page

This assessment relates to:
Learning Outcomes 1, 2


Read the case study below and discuss the pathophysiology of the condition. You must use academic writing and reference your work using APA referencing. Please do not use bullet points, use well-structured paragraphs, ensure you have edited the text and read it again to avoid spell and grammar mistakes before your final submission.

Case Study

Mr Adar Khalil anEzidi male (UR number 342181) who was brought in by paramedics after a motor vehicle accident (MVA). He does not speak any English and has recently settled with his family in the town. He suffered an compound fracture of the right radius and laceration left temporal area. He has left upper quadrant pain, and a seat belt mark along his left shoulder, neck and chest. Through an interpreter, it is determined that he is confused to time and place, but remembers his name. He has no known allergies and he has significant pain 9 out of 10 despite intravenous morphine given by the paramedic on site. His observations are as follows:

Heart rate
Respiration rate
Blood pressure
37.0°C 108bpm 28/per minute 154/86mmHg 93% (6 L/min via HM*)

*HM-Hudson Mask

A chest x-ray suggests some stable rib fractures and leg x-rays reveal crush injuries and comminuted fractures of his right tibia and fibula. An abdominal CT demonstrated a splanchnic haematoma. Mr Khalil is going to theatre shortly for an open reduction and internal fixation (ORIF) of his leg fractures and, depending on his haemodynamic stability, he may also have a laparotomy for the splanchnic haemorrhage.


Discuss the following in relation to the selected case:

  • Diagnostic assessments used to diagnose the condition
  • Pharmacological management of the condition
  • Quality use of medicines and complementary therapies
  • Anatomy and physiology, pathophysiology

NB: Students may focus on one injury post MVA rather than all the injuries stated.

In text referencing please

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