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An analysis of the nursing assessment undertaken to identify your service user’s problems/needs

Evidence-based nursing care assignment

The care study will be based on a chosen service user selected from clinical placement

Your assignment should include:

• An analysis of the nursing assessment undertaken to identify your service user’s problems/needs
• A discussion of the decision-making processes involved in planning person-centred nursing care, to include consideration of related pathophysiology and pharmacology
• A critical discussion of the implementation of this plan of care, to include aspects of interprofessional working
• An evaluation of the evidence base for the care delivered

Structure of the Essay

• Introduction (200 words approx.)
• Analysis of the nursing assessment undertaken to identify your patient’s or service user’s problems/needs (900 words approx.)
• Discussion of the decision-making processes involved in planning person-centred nursing care, to include consideration of any related pathophysiology and pharmacology (900 words approx.)
• Critical discussion of the implementation of this plan of care, to include aspects of interprofessional working (900 words approx.)
• Evaluation of the evidence base for the care delivered (900 words approx.)
• Conclusions (200 words approx.)
1. Analysis of the nursing assessment undertaken to identify your service user’s problems/needs

Things to consider:-

• What nursing frameworks tools, guides or protocols did the nursing team use to provide an holistic assessment of the service user?
• What key problems/needs, actual or potential, were identified as a result of this assessment?
• How did the findings from this assessment inform the plan of care?

2. Discussion of the decision-making processes involved in planning person-centred nursing care, to include consideration of related pathophysiology and pharmacology

Things to consider:-

• Discuss the decision-making in relation to planning their care i.e. any identified priorities / key considerations?
• What considerations need to be made in terms of pathophysiology (consider only one condition) when planning their care? e.g. signs / symptoms which may indicate improvement / deterioration etc.
• What considerations need to be made in terms of pharmacology (select only one drug) when planning their care? i.e. in monitoring its effectiveness or noting for adverse side effects?

3. Critical discussion of the implementation of this plan of care, to include aspects of interprofessional working

Things to consider:-

• What knowledge or evidence informed the decision-making process? i.e. why you did x instead of y etc.?
• What contribution did (or could) other members of the interprofessional team make (or have made) in relation to the service user’s care?

4. Evaluation of the evidence base for the care delivered

Things to consider:-

• Was the evidence that informed the decision-making appropriate / relevant / applicable to your service user? If not, why not, and how might it be improved?
• How did the healthcare professionals accommodate the service user’s preferences when they were planning their care? Could this have been improved?
• What recommendations would you make as a result of your learning from undertaking this care study?

and Finally:

• Consider service user’s informal permission / consent
• Confidentiality – NMC code and data protection
• Anonymise assessment tools using Trust logos
• Higher marks are awarded for analysing and critiquing the care, rather than just describing it.  Do check the marking grid in the module handbook
• References and appendices are not included in the word count

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