Title: – Analyse the assessment and nursing care required by an adult patient with long term health care needs
Case study guidelines
Relating to your chosen patient, the care study should include:
- An introduction to the patient and care setting; Identify the relevance of your choice in relation to contemporary nursing practice. This should include a brief social and medical overview of the patient and identify any family/significant others.
(300 approx. words)
• Introduce assignment to sign post reader
• Introduce patient so reader has a picture NB maintain confidentiality do not use the patients real name ( give a pseudonym as more patient centred)
• Where did you care for the patient NB maintain confidentiality do not state where cared for
• Why did you choose the patient
• A brief social and medical overview of the patient and identify any family/significant others
A patient with a Diabetes. Care setting –hospital.
- Critically discuss the nursing assessment undertaken. This should include a critical discussion of the assessment documentation and riskassessment tool(s) used to guide the person centred assessment of this patient. You should also discuss the key nursing skills used during the assessment with rationale of why they were used.
(600 approx. words)
•Why as nurses do we assess
• Nursing Skills of assessment
• Critical discussion of the assessment documentation used to assess patient i.e. PACE/ NISTAT
• Risk assessment tools, why use what did they show in relation to your patient
• Apply to your patient, not just the theory
• Link the theory and practice this demonstrates your knowledge and understanding
- Identify from your assessment 1 key long termhealth care need and why you decided this was a key need for your patient.
(200 approx. words)
• This should be based on nursing not medical
• I.e. Not COPD but ——>i.e. Joan Short of breath ……
• Not nutrition but ——>e.g. Joan has poor appetite and reduced weight
• ——>E.g. Joan has uncontrolled blood sugars due to lack of understanding of her diabetes
• Not mobility but ——>e.g. Joan has reduced mobility and is also at risk of immobility complications
• Not breathing but ——> Joan is short of breath and has respiratory rate of 25 at rest and saturations of 87% (due to her COPD)
- Identify and discuss with rationalethe nursing interventions provided for thechosen long term health care need.
(800 approx. words)
• Nursing care you gave in relation to your one chosen patient problem / need
• Explain with rationale why and evidence base referencing to support
• What did you do
• Stay focused on the chosen problem
• Use of nursing journals & books related to the patient problem NOT pt orientated i.e. NHS, mayo clinic, etc
• Aim is we want to see your knowledge and understanding
- Discuss the objectiveevaluation of care provided for the chosen long term health care need, including identification of the skills/tools used for this evaluation.
(300approx. words)
• This section is related to evaluating the nursing care you have just discussed ( & gave)
So was it successful or not ! How do you know this so
• Objective evidence i.e. risk assessment charts i.e. pain scores, wound
assessment charts, food chart, fluid charts, NEWS scores
- Critically discussthe importance of self-managementand the self-management strategies required for your patient’s mainlong term health care need to enable the patient to manage their health care need. Included in this should be an overview of the role of specialist nurses and members of the multidisciplinary teamin supporting the patient
(700 approx. words)
• What are the strategies to enable your patient to self-manage
• Where were they referred to
• Importance of self-management in relation to their long term health needs
• What MDT(multidisciplinary team) involvement i.e. the specialist nurses
• I.e. diabetes type 2 maybe DESMOND, heart failure , cardiac support/ rehab
programs groups, COPD pulmonary rehab program
- Conclusion Closing the assignment and very briefly drawing on key points.
• Brief overview of the assignment
• Drawing assignment to conclusion
- Harvard Referencing
Points to consider when presenting your assignment
Avoid using terms such as – the Author or writing in first person – I, We, Our.
Always maintain confidentiality; please do not identify the placement/Trust/patient or
any member of staff.