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NURS1443 Patient Pathways of Care in Adult Nursing 2 Assessment Answer

                                                                                 PATIENT PATHWAYS OF CARE IN ADULT NURSING 2

MODULE CODE: NURS1443

Introduction

Welcome to the Patient Pathways of Care in Adult Nursing 2. This module is a follow up to the Patient Pathways of Care in Adult Nursing 1 which you had in your previous semester.

The aim of this module is to provide you a seamless experience of the patients’ journey while going through the care trajectory of primary care, community, acute and discharge back to the community in cases involving long term conditions. Of particular interests will be Diabetes, Respiratory diseases, Stroke and other Neurological conditions, Cancer, Arthritis, HIV and Aids, Coronary Heart Disease 

Aims

This module will provide the student with the opportunity to:

  • To develop an understanding of the patient’s journey between primary and secondary care. 
  • To understand the various pathways of surgical and medical care in adult nursing.
  • To develop the knowledge and understanding of managing patients with long term conditions.

Learning Outcomes 

On completing this module successfully you will be able to:

  1. Demonstrate explicit knowledge of the patient’s pathway in adult nursing care between community and hospital settings.
  2. Demonstrate explicit knowledge and understanding of how to manage patients with long term conditions within the multi-agency team
  3. Apply the nursing models/frameworks to assess and develop care plans for patients who present with a range of medical and surgical conditions, and interventions.
  4. Use recognized tools to support patient assessment 
  5. Use contemporary evidence to support clinical practice.

Learning and Teaching Activities:

  • Lecture
  • Group Activity
  • Practice based learning
  • Skills
  • Moodle

Type of Assessment:

  • Case Study
  • Practice Assessment

Description of Task

Task – 3,000 word Case Study

The Student must:

  • Select a patient with long term condition from recent clinical placement experience.
  • Justify the selection with reference to epidemiological data.
  • Identify and explain the nursing assessment framework / model used to assess the patient’s holistic needs.
  • Select 2 elements of the care plan that was devised for this patient and analyse the plan of care. This discussion should be underpinned by reference to contemporary evidence.
  • Discuss the outcomes of the nursing interventions considering the risks and benefits to the patient of the care that was delivered.
  • Care should be taken not to breach confidentiality in the case study.

Case Study In Patient With Long Term Condition

PLEASE READ THIS ALONGSIDE THE DESCRIPTION OF ASSESSMENT IN THE MODULE HANDBOOK. 

The student is required to submit a 3,000-word case study at level 5, based on the nursing assessment and care of a patient/client with a Long Term Condition.

Students are advised that they will need sufficient direct contact with the patient in order to discuss a full assessment and care.

The following Essay plan could be used:

  • Introduction
  • Following introduction to the assignment, a brief scenario of the patient with long term condition from recent clinical placement experience should be highlighted.
  • A brief discussion of the pathophysiology of the long term condition could follow.
  • Justify the selection with reference to epidemiological data. Justification could also be due to personal and professional interests. Significance of the epidemiological data should be examined in sufficient depth. The cost to the NHS should be outlined.
  • Identify and explain the nursing assessment framework / model used to assess the patient’s holistic needs. e.g. Roper et al (2008).
  • In discussing the nursing assessment, the nursing model/framework and application of its concepts (i.e. physical, psychological and social) should be discussed.
  • What this section requires the student to do is ‘identify and explain the assessment framework/model used to assess the patient’s holistic needs’. For example, if the student used Roper et al as the assessment framework, then this should be discussed. In the course of the discussion, the candidate should relate it to whether it assesses the physical, psychological and social aspects of the patient. The advantages and disadvantages of using this framework/model in relation to other models such as Orem should be discussed.
  • When the student assesses a patient based on the Roper et al model, the student should outline the 12 activities of daily living such as mobility, elimination, eating and drinking, dying etc without discussing these in depth. 
  • Select 2 elements of the care plan/activities of daily living that was devised for this patient and analyses the plan of care. This discussion should be underpinned by reference to contemporary evidence.
  • In other words, of the 12 activities of daily living or care plan, the student should choose two elements such as mobility and elimination and discuss them. 
  • How were these elements assessed? What were the goals set following assessment? Outline these goals. If any framework or tool was used e.g. MUST tool, this is an opportunity to discuss these tools. If the candidate wants to discuss the MUST tool for example, it can be discussed under eating and drinking. Problems with increased frequency of urination in diabetes can be discussed under elimination.
  • In discussing care, a rationale for the interventions should be included.
  • What were the interventions? The interventions should be outlined and the discussion supported with contemporary evidence. 
  • Any relevant guidelines such as National Service Frameworks, Chronic Care Models, Integrated Care Pathways, Protocols, and professional guidelines should be included in the discussion.
  • Discuss the outcomes of the nursing interventions considering the risks and benefits to the patient of the care that was delivered.
  • Finally, state the expected outcomes and the risks and benefits of the interventions to the patient
  • Care should be taken not to breach confidentiality in the case study.

Students are reminded to ensure that confidentiality is maintained in terms of the client, any staff involved and the organisation, throughout the assignment

Description of Assessment:


Methods of Assessment
Case Study
Practice Assessment
Grading Mode
Numeric
Pass/Fail
Weighting %
100%
N/A
Pass Mark
40
Pass
Word Length
3,000
N/A
Outline Details
Case study drawn from recent clinical placement in which the student will draw on a critical appraisal and synthesis of the evidence base for best practice, critically analyse the assessment and interventions and critically evaluate outcomes for a patient with a long term condition.  
Practice Assessment Document (PAD)


Module mapping to demonstrate assessment of Learning Outcomes:

Learning Outcome
Explicit Evidence of how tested
Type of formative assessment identified in T&L strategies
Comments
Demonstrate knowledge of patient pathways, determining the risk and benefits of hospital and community care
Case Study

PAD
Case Scenarios – Group work

Demonstrate knowledge and evidence from life, behavioural and social sciences, to support clinical decision making in the assessment, care planning process and management of patients with long term conditions.

Case Study

PAD
Case Scenarios – Group work

Select and apply models/frameworks to guide the assessment and development of care plans for patients who present with a range of medical and surgical conditions.

Case Study

PAD
Case Scenarios – Group work

Provide care to patients with long term conditions which is based on a review of the current evidence base for best practice.

PAD
Case Scenarios – Group work

Indicative Module Materials and Reading:


ISBN Number
Author
Date
Title
Publisher
1408251396
Smith, Barbara; Field, Linda
2011
Nursing care: an essential guide for nurses and healthcare workers in primary and secondary care

Pearson 
1405183381
Wright, Kerri; Meerabeau, Liz
2011
Long term conditions: nursing care and management

Wiley-Blackwell
1444319876
Snoddon, Janet 

2010
Case management of long-term conditions [electronic resource]: principles and practice for nurses

Wiley-Blackwell 
6612016116
Carrier, Judith
2009
Managing long term conditions and chronic illness in primary care [electronic resource]: a guide to good practice

Routledge 
0415460816
Trenoweth, Steven; Margereson Carl 

2009
Developing holistic care for long-term conditions

Routledge 
0080449832
Levene, L. Steven; Donnelly, Richard,

2007
Management of type 2 diabetes mellitus in primary care: a practical guide

Butterworth-Heinemann 
1856423735
Saxon, Ann; Lillyman, Sue 

2008
Community matrons: caring for people with long-term conditions

Quay 
0443074577
Alexander, Margaret F; Fawcett, Josephine N; Runciman, Phyllis J
2006
Nursing practice: hospital and home : the adult

Churchill Livingstone 
0131722166
Tucker, SD;
Dauffenbach, 
V
2011
Nutrition and diet therapy for nurses
Pearson
0333488229
Aggleton, P;
Chalmers, H
2000
Nursing models and Nursing practice. Second edition.
Palgrave
0335237320
Lloyds, M
2011
A practical guide to care planning in health and social care
McGrawHill
0335245331
Downs, M; Bowers B
2014
Excellence in dementia care. Research into practice. Second edition.
McGrawHill
978-0470659199
Dunning T
2014
Care of people with diabetes A manual of nursing practice. Fourth edition. 

Wiley Blackwell

HAND IN INFORMATION:

Electronic Submission – Assignment 

Electronic Submission of Modules work - Information for Students

You will be required to submit most of your module work electronically. Module Handbooks will identify cut-off dates and times.

Work will be submitted electronically via your Moodle course. This is a straightforward procedure and clear instructions are provided in each Moodle course.

All work submitted electronically will be submitted automatically to ‘Turnitin’. ‘Turnitin’ is an online service that compares your work with a database of journal articles, books and websites and previously submitted work and will identify the similarities between the database and your work. ‘Turnitin’ is often referred to as a plagiarism detection service.

‘Turnitin’ produces an ‘Originality Report’, which is a summary of the match between your work and other work within the ‘Turnitin’ database. A high level of match within the ‘Originality Report’ is not necessarily an indication that your work has been plagiarised. This judgement will be made, following full scrutiny of your work. As part of your feedback on your coursework, you will be able to access a copy of the ‘Originality Report’ for your work. You will also have the opportunity to submit a draft copy of your work through ‘Turnitin’ which will provide you with feedback from the ‘Originality Report’.

It is important that you avoid plagiarism in the first instance and you may find it helpful to refer to the ‘Academic Conduct’ Channel, which can be accessed via the Student Portal.

Practice Assessment Document

Header Sheet: Use the Header Sheet on Module

PTG: 

Answer

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