Title: Report outlining the assessment and care planning required for the physical and mental health of Adult patients

Title:
Report outlining the assessment and care planning required for the physical and
mental health of Adult patients

Students
must:

        (Introduction – approx. 100 -150 words)

1)     Choose
a patient from practice (the patient can be from a ward, community, theatre,
prisons etc..) and briefly explain this most
recent healthcare journey up to the point you became involved in their care;
include the care pathway the patient is being cared under e.g., Acute
appendicitis.

(Approx 300 words)

2)     A)
Critically discuss the nursing assessment used to plan your chosen patients
care needs.  Consider the patients
physical and mental health. From this nursing assessment of your selected
patient choose one care plan/element of care. For example, eating and drinking.

B) Critically discuss the person-centred care
delivered for this one element including reference to the appropriate risk
assessments used e.g., MUST. You must refer to the relevant evidence base that
supports the nursing care delivered.

C) Critically discuss which member/s of the
MDT the patient was referred to, or were involved in their care, for the chosen care plan/element of care only e.g.,
dietician.

(Approx 1000 words)

3)     Interpret
and evaluate the overall effectiveness of the nursing care given to the patient
for the chosen element only. Critically discuss the discharge planning process
in relation to the chosen element of care (this can also include transfer to
another ward or care setting).

(Approx 500 words)

     (Conclusion -approx. 100 -150
words)

The
student should remember:

·       These are guidance notes and should be read in conjunction with the
assessment specification from the assignment preparation lecture slides.

·       For this module you will need to ensure you clearly cover all learning
outcomes. Remember to be critical in your writing at level 5. Seek support from
the academic skills / Studiosity as necessary.

·       Do not breach confidentiality. Do not give the
name of the Trust or the patient.

·       Make sure your arguments are underpinned by relevant and contemporary
evidence (references). You will need to read widely around your patient’s care
demonstrating best practice and an understanding of the care delivered.

·       Do not copy the example text in this guidance, all work will be assessed
for plagiarism.

SUGGESTED
LAYOUT 

Introduction:
Be
clear and concise, briefly state what you are going to cover in your essay
(Approx 100-150 words).

·      
This should include what the patient
was admitted with.

·      
Make sure you refer to both learning
outcomes. Also make sure you state that the patient’s name and personal details
have been changed in line with NMC confidentiality guidelines.

Case
Study: Introduce your chosen patient, including the description of
patient’s biographic data, explain how and why they presented to the
hospital/community (remember your chosen patient must have a medical or
surgical condition and a reason for admission to hospital/unit/prison/community
nursing team).

Specify the following information (you should be able to derive
this information from the patient’s medical and nursing admission notes):

·      
What was the patient journey?  Were they referred by their GP, via A+E, via
outpatients or another route? Did they come by ambulance or public transport?

·      
What was the patient’s presenting
complaint and associated symptoms? Briefly explain the pathophysiology of the
patient’s presenting complaint/disease and how this relates to the symptoms
your patient is experiencing.

·      
Briefly state the facts and figures
relating to the prevalence of the patient’s condition (i.e., how many people in
the UK and World experience this condition).

·      
Why do they need admission, what is
the definitive diagnosis and medical plan of care?

·      
What is the patient’s admission care
pathway? E.g., Acute appendicitis Pathway. Provide a brief critical discussion
(1 or 2 paragraphs) on the use of care pathways.

·      
Who was involved in their admission
process? Who were they admitted under? E.g., surgeon. What type of ward were
they admitted to? Was this the correct clinical area?

(Approx 300 words)

Main
Discussion: State which nursing assessment tool was used to assess the patient
on admission, the most likely one you will see is Roper, Logan, and Tierney
(2000)

·      
Provide a brief critical discussion (2
or 3 paragraphs) about the nursing assessment tool used. What are it’s
strengths? Does it have any weaknesses?

·      
From the nursing assessment pick one
element of care (activity of daily living)/care plan that represented an
identified care need for the patient and required a care plan on admission. For
example, eating and drinking. Provide a rationale for this choice. e.g. as the
patient was admitted and kept nil by mouth, you could determine that eating and
drinking was an important element of care that needed to be managed as a
priority.

·      
Demonstrate knowledge and critical
understanding of some of the care provided for the chosen element of care,
discussing how it was delivered in accordance with local policy/frameworks/procedures
and guidelines.  Make
sure that you focus on nursing care rather than medical management as this must
be relevant to your sphere of practice.

·      
Consider the key evidence that
supports the person-centred care you have provided in line with research
evidence/literature, as well as national and international guidance. Also
consider aspects of the NHS Constitution, Compassion in Practice (i.e., the
6Cs) and the NMC Code.

·      
Your critical discussion should also
consider the role of other members of the Multidisciplinary Team involved in
the patients care in regard to your chosen element. Discuss the implementation
of national and local policy/guidance/risk assessment tools with reference to
contemporary literature. For example, if you chose eating and drinking you may wish to discuss the importance of
determining a MUST score and referring the patient to the dietician to ensure
their nutritional needs were managed appropriately. Make sure you use
contemporary references to support your arguments and discussion.

·      
Apply insight into the transfer/discharge
planning process in relation to the element of care you have identified whilst
minimising harm and promoting health at all times (e.g., NHS constitution, the
6Cs, etc.).

(Approx.1500
words)

Conclusion: This
needs to be a summary of your findings in relation to the nursing care given to
your chosen patient for the one element of care
you have identified. There should be nothing new here and no new references. (Approx
100-150 words).

Feedback from marker moving forward you need to state what the chosen element of care is (i suggest you focus on nutrition ) then you need to provide a critical discuss of nursing care delivered for this (that is , administrion of enteral or parental nutrition, assesement of blood glocuse levels, monitoring of nutrition status). The dicuss of the contribution of MDT needs to focused on supportting the chosen element of care. (ie, diatician’s role) your writting will need to be supported with supporting literacture. you need to demonstrate a more patient centre approach by evaluating the actual effectivness of the care provided to the patinet in this essay. It would useful to support your dicussion of the care pathway by refereing to Uk guidance (NICE clinical guildlines)