NSG626 Systems Thinking For Quality Care


Case study that articulates scientific knowledge that underpins your area of specialty practice


This assessment task provides students with the opportunity to demonstrate critical thinking, synthesis and evaluation of evidence-based literature in relation to the key anatomical, physiological and pathophysiological concepts; treatment goals and interventions associated with a patient’s health condition; and the impact these factors have on patient outcomes.

1-Introduction-  intro of patient and health issue i.e acinar adenocarcinoma of prostate leading to radical retropubic prostatectomy importance of choosing this topic to my specialized area i.e urology surgical nursing(need to explain why I choose this patient). Around 250 words or less for intro

2-Patient history- How patient found about acinar adenocarcinoma, any symptoms patient had, diagnostic test done, any relevant past history.

Please see example case study from past student, which I attached with this request. Please be mindful example case study is for reference only, its orthopedic case study while mine should be surgical case study. History diagnostic test and symptoms should be all different from example case study as its for reference only.

3.Acinar adenocarcinoma

a- Anatomy and physiology of prostate gland
b- pathological changes in acinar  adenocarcinoma in selected patient.


Goal of treatment. i.e radical retropubib prostatectomy Explain procedure and why prostatectomy was required. -post op recovery and one complication in post op period


I work in urology surgical ward and radical prostatectomy is major surgical procedure on my ward. This case study describes one of post prostatectomy patient Bobby Bob (pseudonym), who was admitted to urology surgical ward for surgical management of acinar adenocarcinoma of prostate gland. Bob underwent radical open retro pubic prostatectomy. His postoperative recovery was successful as expected with minimal complications.
Bobby is a 64-year-old male who was diagnosed with acinar adenocarcinoma of prostate base on his Gleason grade 4+5 on his latest transperineal prostate biopsy in July 2019.  He experienced urinary frequency and painful urination at times in 2016. He saw his general practitioner who referred Bobby to urologist. Bobby was under active surveillance since 2016 and underwent regular transperineal prostate biopsies. The last two biopsies in 2016 and 2017 has Gleason  grade 3+3 and 3+4 respectively. Bobby went overseas in 2018 and missed routine biopsy in 2018. He experienced painful micturition early this year and returned to urology clinic for follow up. He has past history of gastro oesophageal reflux, GOUT and hypertension. Bobby doesnot take any regular medications.

Please write case study based on above mentioned patient results and details.

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