ASSESSMENT TASK: Case Study Part B
Task
As this unit is not directly assessed in the clinical workplace, both assessment tasks need to reflect a simulated clinical work environment demonstrating critical thinking applied to clinical conditions.
Your research must be appropriately referenced using APA guidelines. The total word limit for your responses is approximately 1,000 words (+/- 10%).
Read the information given in the following case study and complete the following:
PART B: In consultation with your Registered Nurse, formulate a nursing care plan for Mr Smith based on his condition on 06/02/2013
Your care plan should address the steps of the nursing process and what you should be doing in each step when you are formulating a written care plan relevant to the facility
Assessment collect data from medical record (case study), do a physical assessment of the patient, assess ADL's, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology. Determine, in consultation with your hypothetical RN, which patient conditions need to be included in your care plan.
Determination of the patient's problem(s) make a list of the abnormal assessment data that is evident on the case study scenario and why these problems have occurred.
Nursing intervention/planning write measurable goals/outcomes and nursing interventions. Support these with a scientific rationale as to why these interventions have been put in place. This must be supported with referencing in line with the APA format.
Evaluation determine the criteria that would indicate if goals/outcomes have been met
You may wish to revise constructing nursing care plans. The following YouTube videos take nursing students through the development of nursing care plans (it is American but uses Potter and Perry's Fundamentals of Nursing text as a reference)
Constructing a Nursing Care Plan, Introduction: Case Study
Nursing Care Plans | Nursing Student Guide for Nursing Care Plans (NCP)
Constructing a Nursing Care Plan, Part 2: Formatting a Nursing Diagnosis/Problem Statement
Constructing a Nursing Care Plan, Part 3: Developing Patient Goals
Constructing a Nursing Care Plan, Part 4: Formulating Nursing Interventions
An example care plan template has been provided in this student study guide. You can use this template or develop one of your own.
Examples of nursing care plans can also be found in your Potter and Perry textbook:
Crisp, J. and Taylor, C. (2009). Potter and Perry's Fundamentals of Nursing. (3rd ed.). Sydney, Australia: Elsevier. pp. 292 - 294
Attachment:- Part B.rar