This assignment focuses on an adult patient you have looked after in practice and is in two parts. The first part of the essay will be looking at communication and the second part focuses on nursing care. (Try not to focus on the patient’s diagnosis it is more important to think about the nursing problems that they may have such as pyrexia, sleeping problems, pain etc.
Choose a patient from one of your clinical placements- Discuss how you have used or seen communication theories used with this patient. Did the patient have any barriers to communication like anxiety, hearing loss, confusion etc.? Did you see communication techniques that worked and those that did not. How did you demonstrate respect, empathy and dignity with this patient and what are these concepts. (800 words)
(This is not a reflective piece and although clinical example should be used, descriptive text should be kept to a minimum)
In the second part of this assignment, you will focus on two problems that you have identified that will affect your patient (not communication as this has already been covered). This can be the same patient as part one or another patient you have helped to look after under the supervision of your mentor. (If you are struggling to find a suitable patient please email the module leader Sheila Sobrany to discuss)
Your problems will be identified from Roper, Logan and Tierney’s Activities of Living model. (briefly explain this model and how we use models)
You should then document your plan care for these problems following the nursing process (which you should briefly define). Each section below should be covered.
Your writing should be supported using relevant literature, including key local and national policies, Trust guidelines as well as national Service frameworks and other relevant pieces of literature. (This is also a not a reflective piece) (1800 words total)
You may find it easier to actually create a care plan in order to write about it (this can be included in the Appendix but is not essential)
Finally, in your conclusion you will reflect on your personal and professional development from being involved in planning patient care on the ward. (200 words) (this is reflection)
Set the scene for your essay: briefly identify the patient and the context of care. (Remember confidentiality issues and NMC requirements). For example:
“The essay will focus on the care of Margaret (pseudonym), who was admitted with breathing difficulties to a medical ward . The first part of the essay focuses on communication and the second part will discuss nursing care. I will conclude by reflecting on my development as a result of participating in patients care while on placement” (max 200words)
Identify what the communication issues were in relation to the care of this patient. For example, you might focus in our example above on the difficulties communicating with a hypoxic/confused patient and how this was handled. Ensure that you relate this to theoretical perspectives, e.g. showing empathy, active listening skills etc. How did the Interprofessional team communicate (verbal and written) in relation to the care of this patient, could anything have been improved. How were the relatives involved in terms of communication?
If you choose a surgical patient you might focus on pre-operative communication or for a medical patient being discharged home, communication with the community team might be the area to look at.
In this section we want to see that you are able to apply the theories you have learnt related to communication to your patient scenario. (max 800 words)
Identify the nursing care problems you will focus on and why: What is Roper, Logan and Tierney’s Activities of Living model, what problems did you choose and why?
What is the Nursing process?
Assessment- What general assessment did you undertake, what objective and subjective assessment did you do? Did you use any assessment tools? What did you find?
Goal- What short and or long term goals for your patient did you identify? Use SMART goals
Care and implementation- What care did you initiate? Why? How was this implemented?
E.g. To aid the patients breathing the patient was sat upright Briggs (2015) suggests that sitting a patient up aids their breathing by …….. In order to aid this the pillows were positioned …… as per Bloggs (2015)
Or Oxygen was administered via nasal specs as suggested by Briggs (2015) to aid comfort for the patient and allow them to continue drinking fluid. Oxygen was administered at 24 percent which was prescribed by the doctors in order to maintain the patients oxygen saturations to 95 percent as per British Oxygen guidelines (2012)
For your conclusions draw together the parts of your essay and highlight in a reflective manner how you have developed as a nurse because of being involved in the care of adult patients while on placement. What have you learnt about communication strategies, communication within the Interprofessional team, planning care using the nursing process etc.? Remember you are a first year student and you might identify areas that you will improve on as you progress in your nursing course. (max 200 words)
Module leader top tips
Do not write an essay on how to plan care, we need to know that you can actually do this.
Make sure that your care plan is nursing focused, its fine to mention medical teams and therapists but this is a NURSING care plan.
Make your care plan interesting and creative its fine to choose an interesting patient but this is an adult branch assignment (not mental health or child).
Its fine to choose ADL’s such as expressing sexuality and death and dying to write about.
Remember to reference fact and do this correctly.
Check your work against our detailed marking criteria at the end of this book. This is exactly what we use to mark.
Any student who fails to submit via Turnitin by 16.00hrs on the deadline date will be an automatic referral.
Referencing- Cite them Right is a referencing guide on Unihub and the library Nursing subject guide but http://ezproxy.mdx.ac.uk/login?url=http://www.citethemrightonline.com
Useful points to note
The essay is assessed against the marking criteria which are provided and in this handbook and in more detail on Unihub. It is important to read them carefully so that you are clear as to what is expected of you in the essay.
The guidelines and the marking criteria will be discussed fully during the seminar sessions.
Presentation, structure, grammar and spelling should be given attention when planning and writing the essay as they are part of the criteria, proof read the final essay before submission to minimize errors.
Ensure that there is an introduction, main body and conclusion. Adhere to the word limit as this forms part of the marking criteria.
Demonstrate depth and breadth in reading with 12-15 primary sources i.e. books and peer reviewed articles. Use only 3-4 are websites
Browse Use MyUnihub for guides and help sheets on:
Cite them Right is a referencing guide on Unihub and the library Nursing subject guide but http://ezproxy.mdx.ac.uk/login?url=http://www.citethemrightonline.com
The essay is marked at Level 4. Learning accredited at this level should reflect the ability to:
Knowledge: Develop a rigorous approach to the acquisition of a broad knowledge base.
Skills: Employ a range of reflective and critical writing skills.
Problem solving: Determine solutions to a variety of unpredictable problems, generate a range of responses, a limited number of which are innovative, to well defined but often unfamiliar problems.
Information management: Evaluate information reflectively.