: BEFORE YOU START TO WRITE, PLEASE IT IS VERY IMPORTANT YOU UNDERSTAND WHAT IS REQUIRED OF YOU IN THIS ASSIGNMENT BEFORE YOU START. OTHERWISE IT WILL NOT BE ACCEPTED AND TIME IS VERY IMPORTANT.
ALSO NOTE THAT IT MUST BE UK ORIENTED AND ALL REFERENCES IF POSSIBLE SHOULD BE RELATED TO THE UK.
IT MUST BE 3000 WORDS EXACTLY EXCLUDING REFERECES AND APPENDIXES.
Title: Client care analysis of assessment
The following leaning outcomes must be covered and indicate where each is covered.
1. Discuss the contribution of nursing knowledge to patient care
2. Demonstrate an understanding of the evidence base for the care identified on a patient s care plan
3. Identify how physiological, psychological, and sociological needs , may alter on admission to hospital
4. Asses, plan and deliver care for the hospitalised patient
5. Reflect on own inter-professional communication skills, working in partnership with patients and carers and other agencies.
The focus of this assignment is on the assessment and care planning of an elderly client (patient) you have nursed and cared for who has chronic obstructive pulmonary disease (COPD) in an hospital where you worked as a student nurse
Selection of the patient: A case study
You should select a patient in whose care you will have made a significant and direct contribution over an identified period of time. For instance in an hospital where you have worked as a student nurse ( during placement) ; and you are strongly advised to discuss why you chose that particular patient.
The assignment requires you to:
” Make an holistic assessment of your patient s needs/problem and analyse the assessment process
” From the assessment process identify two of the patients needs and discuss these in relation to the care given, with reference to psychological (e.g anxiety due to hospitalisation, loneliness, separation, isolation), social (Socio-political NHS Plan, making a difference, modernisation agency, waiting lists, choice, day surgery. Health promotion), biological and very importantly related the patho-physiology.
” Reflect on own inter professional skills in relation to the care planning and delivery process (that is, demonstrate inter-professional awareness within your exploration of this scenario, identify at least 4 non nursing professions/agencies that may be involved and discuss the role of these professions/agencies and the channels of communication between all who are involved. There should also be some appraisal of the way in which team work and collaboration may affect the outcome of the events described and the issues raised in the scenario.
” Throughout the discussion review and evaluate the literature and the evidence base that contributes to care planning and delivery
This patient has been admitted on to an acute ward. What issues would you need to consider to ensure a comprehensive assessment can be obtained from the patient in the scenario?
It may be helpful when considering the above, to keep in mind the learning outcomes..
SUGGESTED TEXTBOOKS
Alexander, M., Fawcett, J Runciman, P. 2006. Nursing Practice Hospital and Home: The Adult. 3rd ed. Edinburgh: Churchill Livingstone
Barker, H., 2002. Nutrition and Dietaries for Health Care. 10th ed. Edinburgh:Churchill Livingstone,
Barrett,D.,Wilson, B. Wooland, A 2009 Care Planning; a guide for nurses. Harlow: Pearson Education
Basford, L., 2004. Caring for the Older Adult. Cheltenham: Nelson Thornes
Blows, W 2002 The Biological Basis of Nursing: Clinical Observations. London: Routledge
Brooker, C., Nicol, M. 2004. Nursing Adults: the Practice of Caring, Edinburgh: Mosby
Corley, G., 2000. Older People and their Needs: A Multidisciplinary Perspective. London: Whurr,
Craig, J. V., and Smyth, R. L., eds., 2002. The evidence-based practice manual for nurses. Edinburgh: Churchill Livingstone.
Crouch, A., Meurier C., 2005 Vital Notes for Nurses Health Assessment. London: Blackwell.
Ellis, J., 2005. Managing and Co-ordinating Nursing Care. 4th ed. Philadelphia: Lippincott Williams and Wilkins,
Jamieson, E, Whyte, L, McCall, J (eds) 2007 Clinical Nursing Practices 5th ed. London: Churchill Livingstone.
Hornby, S., 2000. Collaborative care: Interprofessional, interagency and interpersonal. 2nd ed. Oxford: Blackwell Science.
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Holland, K, Jenkins, J, Solomon, J, Whittani, S (eds) 2008. Applying the Roper, Logan, Tierney Model in Practice 2nd ed. London: Churchill Livingstone.
Kai, J., ed, 2003. Ethnicity, Health and Primary Care. Oxford: Oxford University Press.
Katz, J., 2000. Promoting Health: Knowledge and Practice. 2nd ed. Buckingham: Palgrave.
Rushforth, H (ed) 2009 Assessment made incredibly easy. London: Wolters Kluwer/ Lippincott Williams and Wilkins
Workman, B., 2003. Key Nursing Skills. London: Whurr
NB: Confidentiality
Above all, at the start you are expected to maintain confidentiality in writing this assessment. This means using anonymous names of individuals, wards and Trusts such that it would not be possible to identify individuals or areas. And state the reason why you are using anonymous name being the NMC (Nursing & Midwifery Council) code of professional conduct
Finally, as a guide the assignment should take the following form and must cover all the above instructions.
” Introduction
E.g. this paper will focus on the holistic assessment and care plan for a copd patient cared for during placement at the hospital
” Main body
” Patient profile
This where you introduce confidentiality and NMC code etc
” Medical history of patient
Etc.
” Social history of patient.
” Theories of assessment
– Define what assessment means in relation to nursing
– Explain the importance of assessment ( support this with literatures)
” Now do your patient assessment
– State what assessment tools you use ( e.g. Rauper assessment)
– How
– When
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