UK student nurse based in England. The case study needs to be based on an episode of care that me as a student have been involved in. My plan was my involvement in the care provided to a mental health patient on section 3 of the MHA, dual diagnosed with paranoid schizophrenia, mental and behavioural disorder due to the use of stimulants, (His name can be chosen).

He is very intelligent and articulate. He enjoys playing music and writing music and poems. People describe him as a “free spirit”. With his chaotic life style and ongoing mental health symptoms he is not able to take on any employment or voluntary work.”
partner, for over 20 years (Same sex) died following a heroin overdose. The following years in life were very chaotic. Between 2007 and 2011 he had 12 admissions to hospital. Some admissions were short and others lasted for several months.
Has a long history of illicit drug use and between 2007 and 2011 his illicit drug use increased.
He also has the following medical history:
Hepatitis C positive
Multiple DVT’s
Current abscess left calf (multiple historic abscess also reported). I was involved in the care and treatment of his leg ulcer, while working with him in hospital as a student nurse, with the involvement of the MDT team under the supervision of the registered general nurse and mental health nurse. Attending appointment with him in the community to the local GP with district nurse. Supported and gained him the independence to manage the treatment of his ulcer, with regular wound treatment, cleaning and the use of a compression sock, allowing the ulcer to eventually heal.

Assignment Guide Overview
• The assessment is a 3000-word written assignment based on a case study from your clinical practice.
• To assist you with completing this assignment, a ‘patchwork’ approach is used which comprises of a series of connected patches. This allows you to prepare/write relevant content towards your assignment on a weekly basis
• Weeks 1-4 of the module will address a ‘patch’ which is aligned to the learning outcomes 1-4. A patch will comprise of 500 words (4 patches = 2000 words). Each patch will be developed throughout the delivery of the module and will reflect the themes highlighted in the module content and the learning outcomes.
• Week 5 is a stitching together (connecting) of the patches (1000 words ) which makes the 3000 words total.
• You are then required to submit your assignment of 3000 (+/- 10%) words on the specified date as one complete assignment i.e. not individual patches.
• Your assignment will be marked by any member of the 5NH027 module team and not the person facilitating your group/academic assessor
Assignment requirements

1. You should choose an appropriate patient from your nursing field who required the support of various professionals/agencies to provide their care.
2. The chosen patient’s health needs must impact on the patient’s overall lifestyle to be appropriate. Please note that your patient does not have to have more than one chronic condition/medical diagnoses to be appropriate, but if they do, this is acceptable.
3. You are required to critically analyse elements of the patient’s care that you were involved in during your current clinical placement. If you cannot find a suitable patient that you provided direct care to you, you can choose a suitable patient from a previous placement.
4. You could consider a specific task that you were involved with, and this could include an MDT meeting that took place where various professionals were involved as this will help with finding examples within the various learning outcomes.
5. You should aim to write approximately 500 words each week for Patches 1-4, and bring this to the weekly facilitated sessions to support your discussions, get feedback from your facilitator and develop your assignment.
Area Learning outcome Things to consider
PATCH ONE
LO1 Using evidence based professional frameworks critically assess and respond to the complex health needs of people, their families and carers across the lifespan continuum. Introduction to Hub speciality and case study
• Here you should include a description of your patient, such as their age, gender, relevant medical history, home and family circumstances.
• The case study should give an indication of the current health status of the chosen patient.

Discuss the complex health needs of your patient (see notes above). Consider how their medical diagnosis impacts the patient, their families and carers across the lifespan continuum.

PATCH TWO LO1 Using evidence based professional frameworks critically assess and respond to the complex health needs of people, their families and carers across the lifespan continuum. • Choose ONE evidence-based (EB) framework that is linked to your patient’s diagnosis/needs.

• Evidenced based frameworks are ones available on a national level from reputable sources such as NICE, WHO, DOH, RCN, CQC, Mental Health professional guidelines for your Evidence Based framework. Please note that Trust polices are not acceptable, so you should access the original source that the Trust policy is based on, as this is the evidence base.

Critically examine the evidence-based frameworks that underpin your practice. Points to consider in your discussion
• Introduce the frameworks
• Do they meet the needs of the patient? Be sure to discuss how/why it was relevant (or not) for your patient. You must relate the chosen framework to your actual patient i.e. what did the framework state specifically should be done for the patient? Was this done? Was it appropriate for your patient’s care?
PATCH THREE LO2 Critically discuss the principles of effective leadership, management and group dynamics and their relationship to care organisation Critically discuss the Principles of Care organisation, leadership and management of your patient.
• Identify and critically discuss the leadership style used – how did you recognise the style used? How did this style impact the patients care? Was it effective or not? Would another leadership style have been more effective? Why/why not?
• Outline the approach to care (identify nursing models utilised, care pathway or philosophy of care)
• Critically analyse this approach i.e. how does nursing models/Care pathways (if applicable], philosophy of care contribute to your patient’s care being organised.
• Consider risk assessment tools used for your patient and discuss how they contribute to your patient’s care being organised.
PATCH FOUR LO3 Apply the principles of teamwork, decision-making, delegation and conflict resolution as part of a wider inter-professional team in managing person-centred care. Critically discuss the principles of teamwork, decision-making, delegation and conflict resolution. Demonstrate person centred and family centred care in your discussion.

Each one of these must be included in your assignment and related to your patient’s care. Some starting points that you can consider:
• Teamwork – define and discuss the importance of MDT working
• Decision making – define and discuss the role of the patient/family, other members of the healthcare team in decision making
• Delegation – consider what tasks were delegated during your patient’s care and discuss delegation issues around this, as an example
• Conflict resolution – define and discuss issues related to this e.g. how conflict is recognised, dealt with, de-escalated. Pease be aware, even if there was no obvious occurrence of conflict within your case study, your assignment must still discuss the principles of this in order to meet the learning outcome. You might want to consider what could potentially cause conflict and discuss this.

STITCHING OF THE PATCHES (remaining 1000 words)
LO4 Critically reflect and discuss how working in partnership with other professionals might enhance the impact of care across a range of diverse settings. This section of your work ties the assignment together
• In this section you need to continue with critically analysing the care given to your patient
• Analysing the planned assessment, monitoring, on-going management or intervention for the patient should be included here if it has not already been discussed
• Define and discuss terms such as inter-professional, multi-professional working, multi-disciplinary working and collaborative working
• Identify and critically discuss members of your patient’s MDT, with emphasis on HOW this approach impacted on your patient’s care, why this approach is effective/not effective i.e., who was/should have been involved and why.
• The role of the specialist health professional should be explored with reference to the local structures/Trust
Ensure you provide a conclusion to your work summarising the main points raised in your assignment (not a conclusion to your patient’s care)
Reference list
• Locate and cite credible and reliable evidence using the university search engines and databases.
• Avoid using generic google sources or laymen sources such as WebMD, NHS choices, Healthline, Mayo clinic etc.

Tips for writing your assignment
I. In your introduction, ensure you include a statement about confidentiality of the patient/healthcare providers with supporting evidence. Signpost the reader to the sections in your assignment.
II. Following the introduction, provide details about your patient.
III. Your assignment should be written in the third person, but al in the past tense as you are telling us what you actually did for your patient, rather than what could/might happen. The only exception to this is if there was no conflict resolution example, so then you would write about what you ‘would do’ rather than what you actually did.
IV. Do not use your assignment to escalate concerns. Any practice concerns should be dealt with by following the escalation procedure in your placement area.
V. Ensure you draw on all module content from weeks 1-5 as all content is relevant to your assignment.
VI. Wide reading must be evident, using references and evidence to support your critical discussion is crucial.
VII. Please ensure that you are familiar with the level 5 descriptors for your academic writing and refer to the rubric in CANVAS.
VIII. You are very strongly advised to access the following academic support sites, and book onto an academic writing/cite them right referencing workshop for support in this area.

IX. You should not use a case study that has previously been used and submitted as part of another module assessment. This may result in Academic Misconduct.
X. Your assignment will be put through anti-plagiarism software Turnitin. A high score may result in your work being referred to conducts and appeals for academic misconduct. You are strongly encouraged to complete the online “Referencing and Understanding Plagiarism” course available at: https://www.skillsforstudy.com/login to ensure that you are clear about plagiarism.