NG4102 Summative Assessment

This assessment will comprise of a 2,000 word essay.  Students will continue to focus their discussion on the one chosen member of the scenario identified in Assessment 1 (A1). They will discuss therapeutic communication, psychosocial and socio-political influences, health determinants and service provision linking the discussion to the individual.

Assessment 2 (A2) Brief

1.Introduce your work and introduce your chosen individual from the given scenario.

·This should ideally be the same patient that you used for A1. Your introduction should be approximately 200 words and should outline the main ideas you are going to discuss in subsequent paragraphs (for instance, ‘this essay will discuss Edna and the barriers that might impact / complicate / impede the delivery of communication between her and the nurse’).

·This will be specific to each patient / service user and for instance, in the case of Jasmine, you may want to consider some teenage traits that might impede communication. In Adam’s case, you may want to consider Bipolar disorder and how that impacts communication. Follow a similar process for each of the main areas that you are going to focus on (See point 3).

The purpose of this assignment is to further delve deeper into Edna’ medical background in a focused discussion. This will especially include therapeutic communication, psychic social communication and socio-political influences in her life. Similarly, Edna’s medical and services available to her according to these issues will be discussed.

It is fundamental to remember that Edna has been through drastic lifestyle changes in alliance to her health, due to her venous leg ulcers, independence has vanished that will have an impact on her both physically and psychologically, from research this has been proven and will be discussed with evidence of statistics below. It is evident to state that Edna also to state that Edna’s home life is different due to additional support from both the community nurse and social care services most efficient to facilitate Edna’s needs.

Edna’s a very religious person who attends mass from home which will be a difficult task into something that has to be recognised and reflected on. This essay will display her choices, duties and influences in Edna’s life to make sure each day is a day to make her feel comfortable in her own home.

2.Demonstrate your knowledge and understanding of effective therapeutic communication between the nurse and the individual in the scenario; supported by relevant evidence.

·This section is about communication and would be approximately 750 words comprising approximately 3 paragraphs of 200 – 250 words. Identify any barriers to communication within the scenario, e.g. visual, hearing, body language, touch, stress, anger.

·The barriers identified should be from the patient / service user’s perspective (empathy). This would account for probably 2 paragraphs. Following this, use the third paragraph to define therapeutic communication and the principles of effective communication to overcome or address the barriers that you have established in the preceding two paragraphs. For instance, if the patient or service user is suffering from stress, you would need to consider how that might manifest in terms of communication and then how the nurse would address this. Similarly, if the patient / service user is visually impaired you would want to think how this would impact their ability to communicate with the nurse and then how the nurse might address this. You can refer to communication models covered in the module.

3.Identify the psychosocial and socio-political influences that impact on their daily lives within the context of their family and community; supported by relevant evidence.

·This section would also ideally consist of approximately 750 words and again divided into 3 paragraphs of 200 – 250 words. Discuss the psychosocial and socio-economic issues that would be relevant to your chosen patient / service user. You may want to consider themes or issues here such as stress and anxiety (this then would link well to the communication you might have discussed in communication) and other issues such as depression.

·Other themes that could be discussed include stigma as relates to smoking or bipolar disorder or aging in contemporary society. You may also want to bring in economic issues such as socioeconomic class, poor housing, employment status / social status. Think about how these factors may affect your patient’s / service user’s health and to what effect their lives may be determined. You may also want to consider here the impact of austerity measures introduced by the government following the 2008 financial crash and the Marmot Report.

4.Demonstrate knowledge of health and other social care services that could support the client.

·Identify what services the nurse may refer the person in order to support their health, with supporting rationale / justification. For instance, what type of health or social care professionals across the multidisciplinary team, might be relevant and also what voluntary organisations might be able to provide support (for instance, in Edna’s situation you might want to consider how the church could come to her (in the form of a vicar).

5.Provide a conclusion to your essay summarising the key points and what you have learnt through undertaking the assignment.

·Your summary is likely to be in the region of 150 words. Avoid bringing in any new ideas or opinions at this point. This section does literally just summarise your main points (for instance, ‘this essay highlighted how Edna’s communication could have been impacted by a deterioration in vision and hearing but the nurse could adapt to this through active listening and adjusting her tone of voice.

6.Academic skills:

·Students must ensure the work reflects level four expectations as described in Kingston University grade criteria (Rubric). A range of contemporary and/or seminal references with accurate use of faculty system of referencing. Clear logical structure, academic presentation, accurate grammar and spelling, adheres to Faculty policy on word count plagiarism and confidentiality.