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Understand and apply the process of nursing assessment and healthcare provision that contributes to individualised care across the lifespan, including an explanation of the need to use reliable and valid observations of vital signs

BLN105 Assignment Guidance

The purpose of this assignment is to reflect upon the application of essential care skills within the context of clinical practice. This written piece of work, should be structured around the knowledge and skills you have developed when caring for a patient within practice, in either Placement 1 or 2.

A reflective account with a word count range from 1500 – 3500, you can write your work between this range without penalty BUT must achieve all of the module learning outcomes to pass. You must have an introduction, main body and conclusion.

It will assess the following learning outcomes; all of these must be incorporated into your assignment to pass the assessment:

1. Understand and apply the process of nursing assessment and healthcare provision that contributes to individualised care across the lifespan, including an explanation of the need to use reliable and valid observations of vital signs and behavioural changes.

2. Fundamental understanding for the need of self-awareness, reflecting on previous experience applying reflexivity in nursing practice applying commensurate levels of evaluation of the process of critical reflection

3. Appreciate the changes in physiological and emotional changes via accurate observation, measurement and recording of vital signs, escalating concern regarding the individual’s deterioration in wellbeing to ensure safe and effective professional practice.

4. Application of essential care skills with effective and appropriate communication within contexts of clinical practice and workplace environments with patients’ families and interprofessional colleagues to include the significance of holistic care and the evaluation of terminology in the context of life, end of life and death.

A reflective account of your performance and experience must be written, linking theory to practice, and be related to The NMC platforms of nursing. As this is a reflection, it should be written in the first person. Your work should be supported with contemporary research, theory, and literature. In addition to this, please be mindful to maintain confidentiality aligned with the requirements of the Nursing Midwifery Council (NMC).

A reflective model must be used to structure your reflective work such as Gibbs Model (Gibbs, 1988). The subheadings of the reflective model you have chosen can also be applied and this should include the rationale for your choice of reflective model.

The reflective account can be separated into sections following each subheading, and it can be good practice to introduce which reflective model you are using at the start of the reflective account. For example: ‘This reflective account will use Gibb’s Model of Reflection (Gibbs, 1988)’ provide a rationale for using this model....and add the source to your reference list.

Please see examples below for Gibb’s Model of Reflection for further guidance on how to structure your work.

Description

This should include your introduction, be succinct to ‘set the scene’ and inform the reader what your reflection is focused on. For example: This reflection will focus on my performance and experience during a clinical placement exploring the importance of effective communication when escalating concerns for a deteriorating patient etc.....

Feelings

Consider how you felt before, during and after the scenario and what you can learn from this. Support any learning with evidence and research.

Evaluation

Evaluate the situation. Were there any challenges and if so, what were these related to? How would you evaluate your performance? What could have been done differently and what does the research / literature state to support this? How would this have impacted or influenced the situation for you and the patient?

Analysis

To critically analyse the situation, it is important to review the research and explore the literature and academic journal articles. What were the positive or negatives of the event? What does the literature state? Are there any themes you can identify or conflicting information? Examine National Guidance and policy and the evidence base which underpins practice.

Conclusion

What are your conclusions? Would you do anything differently next time? If so, why, and what actions would you take? Could anything improve the situation for the patient and what does the research state to support this?

Action Plan

The final section is to consider what you would do next? What does the research suggest for improving your practice and overall patient care? You are required to provide a front cover sheet and reference list, referenced to Harvard standard.

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Example Answer of BLN105 Assignment

Understand and apply the process of nursing assessment and healthcare provision that contributes to individualised care across the lifespan, including an explanation of the need to use reliable and valid observations of vital signs and behavioural changes.

During my placement, I cared for an adult patient who needed close monitoring because their condition could worsen. At the beginning of my care, I learned that nursing assessment wasn’t just about gathering information; it was also about using that information to plan safe and personalized care. The NMC standards require nurses to assess physical, mental, cognitive, and behavioral needs, then plan care that focuses on the person. This taught me that assessment should be holistic, considering more than just the patient’s medical diagnosis.

When I started caring for the patient, I completed and observed a structured assessment. I focused on their condition, comfort, breathing, circulation, pain, mobility, hydration, and communication needs. I also considered the patient’s age, usual functioning level, emotional state, and any changes from their normal baseline. This was crucial because personalized care relies on understanding the whole person, not just their illness. Practically, this meant I had to think about what the patient needed at that moment, how unwell they seemed, whether they were anxious or confused, and if they could express their needs clearly.

A key part of my assessment involved measuring and recording vital signs accurately. These included temperature, pulse, respiratory rate, blood pressure, oxygen saturation, and level of consciousness. NICE recommends that these observations be recorded during the initial assessment and monitored according to a clear plan that reflects the patient’s diagnosis, additional health issues, and treatment plan. I learned that these observations are not just routine tasks to check off. They provide essential clinical information that helps identify whether a patient is stable, improving, or getting worse.

I became more aware that respiratory rate and changes in consciousness could be especially important, as they might show deterioration before more obvious symptoms arise. NEWS2 supports this by using six physiological measurements and including new-onset confusion or altered consciousness in the score. This made me realize that changes in behavior should be taken seriously, just like abnormal vital signs. For instance, if a patient becomes unusually restless, withdrawn, confused, or drowsy, it may indicate hypoxia, infection, pain, delirium, or another clinical issue that requires urgent attention.

In this case, accurate assessment directly supported individualized care because the patient’s monitoring needs were based on their specific condition, not a standard routine. NICE states that all adult patients should have a clear written monitoring plan, and the frequency of observations should increase if any abnormal signs are found. This helped me understand that care planning needs to be adaptable. If a patient starts to deteriorate, nurses must reassess, increase monitoring, communicate concerns, and take appropriate action.

The experience also showed me that good nursing assessment involves both behavioral observation and physical measurements. A patient might say very little, but their facial expressions, agitation, reduced engagement, confusion, or sudden quietness can indicate that something is wrong. Recognizing these subtle changes in practice can lead to earlier intervention and safer care. This highlights the nurse`s broader role in identifying both physical and emotional needs and acting quickly to protect the patient.