CMPR121 Traditional Chinese Medicine Assessment And ... · includes in-text citations but excludes text appearing in tables, graphs, figures, footnotes, captions and end-text references

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CMPR121

Traditional Chinese Medicine

Assessment And Differentiation

Assessment Guide

SEMESTER 2, 2019



Assessment Items:

Assessment 1: Online Quiz Assessment 2: Diagnostic Folio Assessment 3: Final Theory Exam



Assessment Details - 1 Subject CMPR121 – TCM Assessment and Differentiation

Type Online Quiz

Due Date Week 5 - Sunday 11:55pm Word Limit N/A

Weight 20% Total Marks 55

Task: Complete an online Quiz focusing on the content from sessions 1-8. The quiz consists of 21 questions and you have one hour to complete it from when you commence. You are only allowed one attempt. Please ensure you have a good internet connection before you begin. If you are unsure of your internet connection, please make use of the computers in the library. The quiz focuses on testing your capacity to apply your knowledge of the 4 diagnostic methods. It also includes the content from sessions 1 and 2. The quiz is a mix of multiple choice and drop down tabs to select the correct answer. It does contain some basic case studies with multiple choice answers. There are also some photos or diagrams for some of the case studies. Your lecture slides will help you answer the questions, make sure you study and understand them befor you undertake the quiz as it is very difficult to think clearly under pressure. It is also worthwhile studying the appropriate chapters in the set text that align with the content from sessions 1-8 and completing all study guide activities. The quiz is a fabulous opportunity for you to assess your own learning. If you find that questions on pulse are difficult to answer, you know this is an area for you to do further study on. Try to use the quiz as a learning opportunity and an opportunity to identify any knowledge gaps. Learning Outcomes Assessed:

Learning Outcomes

1. Define the purpose of the four diagnostic methods and when these approaches are applicable in Chinese medicine practice.

2. Demonstrate knowledge of the application of the four diagnostic methods and how these relate to specific Chinese medicine diagnoses.

3. Identify and explain the key concepts and differentiating factors associated with a range of traditional Chinese medicine diagnostic patterns.

4. Identify and discuss differing views on traditional Chinese medicine aetiologies, disease mechanisms, transmissions and pathogenesis.

5. Construct an accurate Chinese medical diagnostic conclusion.



Assessment Details -2

Subject CMPR121 – Traditional Chinese Medicine Assessment and Diagnosis

Type Diagnostic Folio and Case Study Analysis

Due Date Week 12 - Sunday 11:55pm Word Limit 2000+/- 10%


Task:

There are two aspects to this assessment:

1. Diagnostic Folio - This part of the assessment requires you to photograph a volunteers tongue and provide a detailed diagnostic analysis.

2. Case Study Analysis – Select one of the provided case studies and provide a detailed explanation of how you would use the four diagnostic methods to arrive at an

accurate diagnostic conclusion. Include insight into the aeitiology and pathology of the case.

Learning Outcomes








Academic Writing and Student Integrity

Writing on all assessments is expected to be of an academic standard and presentation, and all non-original work must be properly referenced.

For assistance in ensuring this academic standard, please refer to the Communication Skills Handbook, 4th edition (2014) by Summers & Smith and the Endeavour Referencing Guide.

For assistance with referencing, Mendeley citation software, and plagiarism please refer to links on the Library homepage http://library.endeavour.edu.au.

The Library Research Skills Tutorial (located on the LMS drop down Library tab) covers these areas plus other relevant skills through videos and quizzes.

Additional support can be found at the top of the LMS Main Page. The Study Skills tab contains a section on Academic Writing.

Note that all forms of plagiarism and cheating are taken very seriously at Endeavour. Please ensure that you are familiar with the Academic Integrity Policy - Higher Education and that you are mindful of avoiding the use of any work that is not your own without proper attribution, as well as never allowing your work to be used by another student.

Word Count

Word count must be clearly displayed on the title page or cover sheet. Words in excess of 10% beyond the required word count will not be marked. Required word count

includes in-text citations but excludes text appearing in tables, graphs, figures, footnotes, captions and end-text references.

Tables, graphs, and figures can enhance assignment presentation if used in moderation to convey directly relevant information. However, generally tables, graphs and figures should be included as Appendices at the end of your assignment with an interpretation of these in text. Tables, graphs and figures should not be used as tools to increase the amount of information that you are conveying whilst still remaining within the required word count, nor are they a substitute for your own synthesis or interpretation of the material. Thus, as a guide, tables, graphs or figures presented should not consist of more than 10% of the total assignment word count, whilst keeping in mind that any words so included are not part of the required word count. If you have questions about this, please consult with your lecturer before you complete and submit your assessment.

Late Submission

Assessments must be handed in by the stated time. Students submitting an assessment after the due date and without an approved extension of time will lose 10% of their

mark on the assessment per day it is late.

http://source.endeavourlearninggroup.com.au/Public%20Documents%20Library/DOCID-3-1898.pdf

http://source.endeavourlearninggroup.com.au/Public%20Documents%20Library/DOCID-3-1898.pdf

http://library.endeavour.edu.au/

https://source.endeavourlearninggroup.com.au/Public%20Documents%20Library/DOCID-3-589.pdf



Section 1: Diagnostic Folio – Tongue Analysis Instructions:

Photograph one person’s tongue and undertake a complete diagnostic analysis of the tongue. You are required to use the tongue as the basis of the investigation, and hypothesize based on the tongue presentation rather than undertaking a complete intake using the four diagnostic methods. Please include: A photo of the tongue. What is the TCM diagnosis based on the findings? Consider tongue moisture, body, coat, colour, shape, movement, spirit, cracks and sublingual veins. What signs and symptoms would you expect with this tongue presentation? Make mention of the pulse you would expect to find that would match this tongue? *This assignment needs to be completed independently, using a case from one of your classes is not acceptable.



TONGUE Exemplary (5 marks)

Consolidated (3.5 marks)

Integrating (2.5 marks)

Needs Improvement (1 marks)

Refer (0 marks)

Tongue analysis

/5

Comprehensive observation and analysis of tongue including colour, shape, cracking, moisture, coat, sublingual veins, spirit and movement. Photos of the tongue are included. Diagnostic conclusions are correct and comprehensive and demonstrate an advanced understanding of clinical application.

Observation and analysis of tongue includes colour, shape, cracking, moisture, coat, sublingual veins, spirit and movement. Photos of the tongue are included. Diagnostic conclusions are correct and show a strong understanding of clinical application.

Observation of tongue includes an accurate analysis of most of the following: colour, shape, cracking, moisture, coat, sublingual veins, spirit and movement. Photos of the tongue are included. Diagnostic conclusions are generally basic but correct, and show understanding of clinical application.

Aspects of the tongue have been recorded but significant improvement is required. Diagnostic conclusions are frequently inaccurate or unsubstantiated.

Diagnostic conclusions are inaccurate or absent.

TCM Diagnosis &

Treatment

Principle

/5

Diagnostic conclusion is highly accurate demonstrating an advanced understanding of the case. Treatment principle is accurate, aligned and comprehensive.

Diagnostic conclusion is accurate demonstrating a thorough understanding of the case. Treatment principle is accurate and aligned.

Diagnosis and treatment principle are mostly accurate with an aligning treatment principle.

Diagnostic conclusion is vague or unsubstantiated and the Treatment Principle is missing, inaccurate or not aligned with diagnosis.

Diagnostic conclusion is inaccurate or absent &/OR Treatment Principle is inaccurate or absent.

Pulse

/5

The pulse description is insightful and complete. It clearly and accurately aligns with the tongue presented in the photos, demonstrating an advanced understanding of pulse presentations.

The pulse description clearly and accurately aligns with the tongue presented in the photos.

The pulse description is mostly accurate in its alignment with the tongue presented in the photos.

The pulse description is not an accurate diagnostic presentation in reference to the tongue presented in the photos.

Diagnostic conclusions are inaccurate or absent.

Signs & Symptoms & understanding of pathology

/5

Signs and symptoms are accurate, insightful and well discerned. They are clearly and succinctly articulated and link to the diagnostic pattern presented in the tongue photos. Case discussion shows an advanced understanding of CM pathology.

Signs & symptoms are clearly articulated and accurately linked to the diagnostic pattern presented by the tongue photos. Case discussion shows a strong understanding of CM pathology.

Signs & symptoms are mostly accurate and clearly link to the diagnostic pattern presented by the tongue photos. Case discussion demonstrates understanding of CM pathology.

Accuracy of signs and symptoms in reference to the tongue photos requires improvement. Limited understanding of CM pathology is demonstrated.

Signs and symptoms analysis is missing or inaccurate. AND/OR Understanding of CM pathology is absent or inaccurate.

Spelling, Grammar & Referencing

/5

Spelling, grammar and referencing are completed without error. Quality references are included from more than 6 different sources.

Spelling, grammar and referencing are completed with an occasional minor error. Quality references are included from more than 5 different sources.

Spelling, grammar and/or referencing are completed with minor errors. Quality references are included from more than 4 different sources.

Spelling, grammar and/or referencing are completed with multiple errors.

Spelling and grammar errors are frequent resulting in indistinct communication &/OR Referencing is missing or completed poorly.

Subtotal

/25

Feedback:



Section 2: Case Study Analysis Instructions:

Discuss three possible TCM patterns for one of the case studies below and how you would apply the four diagnostic methods to differentiate the correct diagnosis using specific examples. STEP 1: Select one of the provided case studies. STEP 2: Identify three possible Chinese medical patterns that could be the correct diagnosis. STEP 3: Explain how you would use the four diagnostic to differentiate the correct diagnosis using specific examples of what you would be looking for to differentiate each

pattern. What specific information is missing? How would the four diagnostic methods help you differentiate the pattern?

CASE 1 A 25 year old male patient named Gus presents to your clinic as he feels like he is coming down with a cold or flu. OR CASE 2 Alice is a 40 year old female patient who presents to your clinic with loose stools / diarrhoea. OR CASE 3 Jane is a 55 year old patient who comes to your clinic for treatment of a sore right shoulder.

OR CASE 4 Pete is a 35 year old patient who presents to your clinic with a headache. OR CASE 5 Polly is a 20 year old woman who comes to your clinic suffering from depression.



CASE STUDY

Exemplary (5 marks)

Consolidated (3.5 marks)

Integrating (2.5 marks)

Needs Improvement (1 marks)

Refer (0 marks)

Inquiry

/5

Demonstrates an advanced understanding of uncovering aeitiology and pathology via inquiry. Is able to clearly and completely identify the required questions and approach, to undertaking accurate pattern differentiation for the case study.

Demonstrates a strong understanding of uncovering aeitiology and pathology via inquiry. Is able to clearly identify the required questions needed to undertake accurate pattern differentiation for the case study.

Is able to use inquiry to understand some aspects of aetiology and pathology, and identify most of the key questions required for pattern differentiation.

Demonstrates a limited capacity to use inquiry to understand aetiology and pathology, or to identify the key questions required for pattern differentiation.

Understanding was not demonstrated, application of this diagnostic method was inaccurate or absent.

Palpation

/5

Demonstrates an advanced and insightful understanding of how to use palpation for pattern differentiation, including pulse, abdomen, channel and point.

Demonstrates a clear and detailed understanding of how to use palpation for pattern differentiation, including pulse, abdomen, channel and point.

Demonstrates understanding of how to use palpation for pattern differentiation, including most aspects of pulse, abdomen, channel and/or point.

Displays a limited understanding of how to use palpation for pattern differentiation, which may touch on pulse, abdomen, channel and/or point.


Observation

/5

Demonstrates an advanced capacity to identify the key factors for observational assessment when applying pattern differentiation for this specific case study.

Is able to clearly identify nearly all the key factors that would need to be assessed via observation when applying pattern differentiation for this specific case study.

Is able to identify a sufficient number of key factors needed for assessment via observation, when applying pattern differentiation for this specific case study.

Demonstrates a limited capacity to identify key factors that would need to be assessed via observation.


Listening & Smelling

/5

Demonstrates an advanced and insightful understanding of the role of listening in smelling in reaching an accurate diagnostic conclusion.

Demonstrates a clear and complete understanding of the role of listening in smelling in reaching an accurate diagnostic conclusion.

Demonstrates sufficient understanding of the role of listening in smelling reaching an accurate diagnostic conclusion.

Demonstrates a limited understanding of the role of listening in smelling reaching an accurate diagnostic conclusion.


Diagnostic Patterns

/5

Is able to clearly and purposefully identify the key diagnostic patterns relevant to the case study without exception. Offers an accurate and insightful understanding of those diagnostic patterns.

Is able to clearly and purposefully identify the key diagnostic patterns relevant to the case study with minimal exception. Offers an accurate understanding of those diagnostic patterns.

Is able to clearly identify the key diagnostic patterns relevant to the case study with occasional exception. Offers an understanding of those diagnostic patterns which is mostly correct.

Shows a limited capacity to identify the key relevant diagnostic patterns. &/or shows a limited understanding of those diagnostic patterns.

Is unable to identify the key diagnostic patterns &/OR fails to demonstrate understanding of those diagnostic patterns.

Spelling & Grammar & Referencing

/5

Spelling, grammar and referencing are completed without error. Quality references are included from more than 6 different sources.

Spelling, grammar and referencing are completed with an occasional minor error. Quality references are included from more than 5 different sources.

Spelling, grammar and/or referencing are completed with some errors. Quality references are included from more than 4 different sources.

Spelling, grammar and/or referencing are completed with multiple errors.

Spelling and grammar errors are frequent resulting in indistinct communication &/OR Referencing is missing or completed poorly.

Total

/30

Feedback:



Assessment Details - 3 Subject CMPR121 – TCM Assessment and Differerntiation

Type Final Written Exam

Due Date Final Exam Period Time 2 hours


Task: Answer a selection of multiple choice, short answer, diagram/picture, long answer questions and case studies pertaining to all of the class material presented in weeks 1-13 within the given time frame.

Learning Outcomes








Sample Questions

1. A patient presents to your clinic with recurrent headaches. The headaches are acute, severe and pounding and normally manifest in the temporal area. The headaches

are aggravated by stress or alcohol. The patient has a red face and sore eyes. The tongue is red with a yellow coat. The pulse is strong, wiry and rapid. The diagnosis

is:

a. Liver fire

b. Liver yang rising due to blood deficiency

c. Stomach fire

d. Damp heat in the stomach channel

2. A 40 year old woman named Mei presents to your clinic seeking help with fertility. She has scanty periods which often come early. Mei is prone to

insomnia, feeling restless at night and sometimes suffering from night sweats. She doesn’t like the hot weather. On observation you notice Mei is

slightly jittery with slight tremors, her checks are red and she wears glasses. Mei rubs her eyes and says that her eyes have been dry and sore lately.

(Total 15 marks)

a. What is the diagnosis?

b. What would the pulse feel like?

c. What would the tongue look like?

d. Name 2 lifestyle factors that could lead to this type of presentation?

e. Explain why Mei has dry sore eyes (from a TCM perspective)?



3. Two patients present to your clinic with insomnia. One patient suffers from Heart Blood Xu and the other from Phlegm Fire harassing the Mind.

Complete the table below which identifies two (2) similarities and three (3) differences between the presentations. Include the tongue and the pulse for

each pattern and the Treatment Principle. One (1) mark is given for each correct answer. (Total 14 marks)

HEART BLOOD XU PHLEGM FIRE HARRASSING MIND

Identify 2 more symptoms that are common to both Heart Blood Xu and Phlegm Fire Harrassing the mind:

1. Insomnia

2.

3.

Identify 3 signs or symptoms that ARE seen in Heart Blood Xu and NOT in Phlegm Fire

harassing the Mind:

1.

2.

3.

Identify 3 signs or symptoms that ARE seen in Phlegm Fire harassing the Mind and NOT in

Heart Blood Xu:

1.

2.

3.

TONGUE: TONGUE:

PULSE: PULSE:

TREATMENT PRINCIPLE: TREATMENT PRINCIPLE: