Patient name Jayesh
Patient name Jayesh
Gender Male
Age 85 years
Ethnicity Indian (born in Mumbai)
Religion Hindu
Family Jayesh lives with his wife of 60 years, Lata
Jayesh has carers 3x a day to help with personal care and meal preparation.
Jayesh and Lata have 2 children; Umesh and Priya, both who live close by and offer support to their parents
Home Jayesh and Lata live in a large semi-detached house which he owns on the outskirts of a large city
Jayesh and Lata have lived in this house for over 40 years. They have a cleaner once a week to help with housework and the washing/ironing.
Their children Umesh and Priya both do the grocery shopping for their parents
Employment / day activities Jayesh is a retired accountant.
Jayesh has a good pension which supported both him and Lata, but now is using savings to pay for private carers.
Hobbies and interests Jayesh loves watching (and falling asleep to) cricket and used to go weekly to support his local cricket team, spending many afternoons with friends in the cricket pavilion.
He enjoys listening to the 24hr news channel and he likes to watch detective programmes
Health Jayesh had a stroke 5 years ago which has left him with significant left sided weakness
Due to reduced mobility Jayesh is prone to constipation.
Jayesh has been diagnosed with Prostate Cancer, which is conservatively managed with 3 monthly hormone injections.
He has recently had to have a long-term catheter due to chronic retention caused by the prostate cancer.
Due to his stroke Jayesh sits a lot in his recliner chair, he has a recurrent pressure ulcer to his sacrum which is currently healed (skin intact), but the area is red and non-blanching.
Since his stoke he requires thickened fluids and soft diet as his swallowing reflex has been affected this has led to Jayesh losing weight as Jayesh does not like thickened/pureed food
Jayesh was a heavy smoker (40+ a day) and has smoked since being a teenager. He stopped after his stroke 5 years ago
Lata was Jayeshs main carer until recently (See Latas information)
Jayesh is supported in the community by his named GP, and has yearly reviews.
Health Promotion and Healthcare inequalities As Jayesh is losing weight then consideration needs to be given around this, how can he maintain or even gain weight.
Does his weight loss need investigating?
Health promotion is required to maintain the patency of Jayeshs urinary catheter and reduce the risk of Catheter Associated Urinary Tract Infections.
There are health care inequalities as Jayesh is housebound and therefore unable to access some health care services that he may require.
Other relevant information Jayesh has lost weight since his stroke and has little interest in food as he does not like softened food or thickened fluids
Jayesh struggles to meet with friends now, due to his reduced mobility, and often feels lonely.
Jayesh has a pressure relieving cushion which he finds uncomfortable and often removes this from his chair.
He and Lata share the same bedroom, but both have single beds electric beds.
The role of the nurse Jayesh is under the care of the District Nursing team for catheter care, and also when his skin develops pressure ulcers and needs dressings.
The District Nursing team visit every 12 weeks to administer hormone injections which are conservatively managing the prostate cancer.
The District Nursing team supply and monitor the pressure relieving equipment Jayesh requires.
Assessment: Foundations for Field of Practice
Assignment title: Using a holistic nursing approach, for one of the module case studies demonstrate the application of the nursing process to address the individuals health and wellbeing.
This assignment builds on the individual skills you have gained in your assignments to date during your first year:
Transition into Higher Education literature searching
Foundations in Nursing Practice application of nursing beliefs and philosophies and The Code (NMC, 2018) to care via a case study example
Foundations of Anatomy, Physiology and Pharmacology principles of anatomy, physiology, pharmacology, immunology, and microbiology
Influence on Wellbeing influences on wellbeing throughout the lifespan including physical, psychological, and social aspects
This assignment gives you the opportunity to combine all of those skills and apply them to a case study specific to your field of practice.
The assignment is to be submitted via Turnitin and should be 3000-words (+10% maximum).
In addition to reviewing the information below, you will find it useful to look at the slides and/or recording from the Assessment Launch lecture. There is some supplementary information about the ADPIE nursing process in the VLE folder in the Learning Materials section of the module shell that may also be helpful.
Recommended structure
Introduction
Inform the reader of the aims and prepare them for the content of the assignment.
Introduce the chosen case study from the module family.Keep this brief and try to avoid repeating everything that is in the profile. Try to imagine they are a real person and only focus on the issues relevant to the assignment.
It may be useful to briefly note the importance of the nursing process, assessment and care planning within the specific field of nursing practice you are studying and link this to the NMC code (NMC,2018).
Assessment and Diagnosis
Identification of the needs from the case study (assessment).
Detail a holistic assessment of the persons needs (more than just physical can include healthcare inequalities, health promotion elements, needs related to wider determinants of health etc.).
Opportunity to include elements of nursing theory/approaches (e.g. Maslows hierarchy of needs, Activities of Daily living).
Can consider how needs would be assessed with relevant nursing assessment tools.
What do these needs mean for the individual (diagnosis)? What impact are they having?
Choose one need to focus on for the rest of the assignment this can be one particular need or theme of needs (e.g. uncontrolled epilepsy, diabetes, an element of health promotion).
Justify this focus consider wider determinants, prevalence/impact, justify through nursing theory/approaches.
Summary: by the end of this section, you need to be clear on what needs the person has, which one you have chosen to focus on and why.
Planning
How will you address the persons identified need?
Identify potential interventions and plan for them (potential to discuss why these elements are important what is their impact, are they best practice etc.).
Consider any relevant goals/outcomes for the persons need.
Determine your priorities for the chosen person can you offer a justification for these?
Would it be appropriate to involve anyone else in the planning process? Other family members? Other professionals?
Summary: by the end of this section you need to have presented your plan for meeting the needs you have chosen to focus on.
Implementation
How will the plan be implemented? How will this be documented? Who will carry out the interventions?
Discuss the evidence-based nursing interventions that will help to resolve the chosen problem or unmet need.
Can include elements of person-centred care if relevant and/or consideration of wider determinants (e.g. is the individual likely to have a health promotion needs or experience a healthcare inequality, will this impact implementation?)
Consideration of relevant wider determinants for that individual (e.g. involvement of the family)
You may wish to refer to elements of nursing theory and best practice guidelines (e.g. NICE guidelines) to justify your decision making.
Summary: by the end of this section you need to have discussed how your plan will be fulfilled.
Evaluation
How will you know the implementation of the plan has been successful?
Link evaluative elements back to interventions within the plan and implementation
Consider the why, how, when and who of evaluation
Discuss the evaluation process in terms of methods and frequencies. How would the intervention be evaluated?
You may wish to refer to elements of nursing theory in this section too to justify the importance and process of evaluation refer back to the cyclical nature of ADPIE.
Consider how your evaluation will be achieved and what the outcome of it may be.
Summary: by the end of this section you need to have discussed how your plan will be fulfilled.
Conclusion
This is a summary of the main points of your assignment.
Make sure you include the patient in this final section refer back to your intended outcome/goal.
Avoid bringing in any new material.
You should also include a reference list with 30+ references.
For more information and general pointers, please see the Assessment Launch information.
Assessment: Foundations for Field of Practice
Assignment title: Using a holistic nursing approach, for one of the module case studies demonstrate the application of the nursing process to address the individuals health and wellbeing.
This assignment builds on the individual skills you have gained in your assignments to date during your first year:
Transition into Higher Education literature searching
Foundations in Nursing Practice application of nursing beliefs and philosophies and The Code (NMC, 2018) to care via a case study example
Foundations of Anatomy, Physiology and Pharmacology principles of anatomy, physiology, pharmacology, immunology, and microbiology
Influence on Wellbeing influences on wellbeing throughout the lifespan including physical, psychological, and social aspects
This assignment gives you the opportunity to combine all of those skills and apply them to a case study specific to your field of practice.
The assignment is to be submitted via Turnitin and should be 3000-words (+10% maximum).
In addition to reviewing the information below, you will find it useful to look at the slides and/or recording from the Assessment Launch lecture. There is some supplementary information about the ADPIE nursing process in the VLE folder in the Learning Materials section of the module shell that may also be helpful.
Recommended structure
Introduction
Inform the reader of the aims and prepare them for the content of the assignment.
Introduce the chosen case study from the module family.Keep this brief and try to avoid repeating everything that is in the profile. Try to imagine they are a real person and only focus on the issues relevant to the assignment.
It may be useful to briefly note the importance of the nursing process, assessment and care planning within the specific field of nursing practice you are studying and link this to the NMC code (NMC,2018).
Assessment and Diagnosis
Identification of the needs from the case study (assessment).
Detail a holistic assessment of the persons needs (more than just physical can include healthcare inequalities, health promotion elements, needs related to wider determinants of health etc.).
Opportunity to include elements of nursing theory/approaches (e.g. Maslows hierarchy of needs, Activities of Daily living).
Can consider how needs would be assessed with relevant nursing assessment tools.
What do these needs mean for the individual (diagnosis)? What impact are they having?
Choose one need to focus on for the rest of the assignment this can be one particular need or theme of needs (e.g. uncontrolled epilepsy, diabetes, an element of health promotion).
Justify this focus consider wider determinants, prevalence/impact, justify through nursing theory/approaches.
Summary: by the end of this section, you need to be clear on what needs the person has, which one you have chosen to focus on and why.
Planning
How will you address the persons identified need?
Identify potential interventions and plan for them (potential to discuss why these elements are important what is their impact, are they best practice etc.).
Consider any relevant goals/outcomes for the persons need.
Determine your priorities for the chosen person can you offer a justification for these?
Would it be appropriate to involve anyone else in the planning process? Other family members? Other professionals?
Summary: by the end of this section you need to have presented your plan for meeting the needs you have chosen to focus on.
Implementation
How will the plan be implemented? How will this be documented? Who will carry out the interventions?
Discuss the evidence-based nursing interventions that will help to resolve the chosen problem or unmet need.
Can include elements of person-centred care if relevant and/or consideration of wider determinants (e.g. is the individual likely to have a health promotion needs or experience a healthcare inequality, will this impact implementation?)
Consideration of relevant wider determinants for that individual (e.g. involvement of the family)
You may wish to refer to elements of nursing theory and best practice guidelines (e.g. NICE guidelines) to justify your decision making.
Summary: by the end of this section you need to have discussed how your plan will be fulfilled.
Evaluation
How will you know the implementation of the plan has been successful?
Link evaluative elements back to interventions within the plan and implementation
Consider the why, how, when and who of evaluation
Discuss the evaluation process in terms of methods and frequencies. How would the intervention be evaluated?
You may wish to refer to elements of nursing theory in this section too to justify the importance and process of evaluation refer back to the cyclical nature of ADPIE.
Consider how your evaluation will be achieved and what the outcome of it may be.
Summary: by the end of this section you need to have discussed how your plan will be fulfilled.
Conclusion
This is a summary of the main points of your assignment.
Make sure you include the patient in this final section refer back to your intended outcome/goal.
Avoid bringing in any new material.
You should also include a reference list with 30+ references.
For more information and general pointers, please see the Assessment Launch information.
Patient name Jayesh
Gender Male
Age 85 years
Ethnicity Indian (born in Mumbai)
Religion Hindu
Family Jayesh lives with his wife of 60 years, Lata
Jayesh has carers 3x a day to help with personal care and meal preparation.
Jayesh and Lata have 2 children; Umesh and Priya, both who live close by and offer support to their parents
Home Jayesh and Lata live in a large semi-detached house which he owns on the outskirts of a large city
Jayesh and Lata have lived in this house for over 40 years. They have a cleaner once a week to help with housework and the washing/ironing.
Their children Umesh and Priya both do the grocery shopping for their parents
Employment / day activities Jayesh is a retired accountant.
Jayesh has a good pension which supported both him and Lata, but now is using savings to pay for private carers.
Hobbies and interests Jayesh loves watching (and falling asleep to) cricket and used to go weekly to support his local cricket team, spending many afternoons with friends in the cricket pavilion.
He enjoys listening to the 24hr news channel and he likes to watch detective programmes
Health Jayesh had a stroke 5 years ago which has left him with significant left sided weakness
Due to reduced mobility Jayesh is prone to constipation.
Jayesh has been diagnosed with Prostate Cancer, which is conservatively managed with 3 monthly hormone injections.
He has recently had to have a long-term catheter due to chronic retention caused by the prostate cancer.
Due to his stroke Jayesh sits a lot in his recliner chair, he has a recurrent pressure ulcer to his sacrum which is currently healed (skin intact), but the area is red and non-blanching.
Since his stoke he requires thickened fluids and soft diet as his swallowing reflex has been affected this has led to Jayesh losing weight as Jayesh does not like thickened/pureed food
Jayesh was a heavy smoker (40+ a day) and has smoked since being a teenager. He stopped after his stroke 5 years ago
Lata was Jayeshs main carer until recently (See Latas information)
Jayesh is supported in the community by his named GP, and has yearly reviews.
Health Promotion and Healthcare inequalities As Jayesh is losing weight then consideration needs to be given around this, how can he maintain or even gain weight.
Does his weight loss need investigating?
Health promotion is required to maintain the patency of Jayeshs urinary catheter and reduce the risk of Catheter Associated Urinary Tract Infections.
There are health care inequalities as Jayesh is housebound and therefore unable to access some health care services that he may require.
Other relevant information Jayesh has lost weight since his stroke and has little interest in food as he does not like softened food or thickened fluids
Jayesh struggles to meet with friends now, due to his reduced mobility, and often feels lonely.
Jayesh has a pressure relieving cushion which he finds uncomfortable and often removes this from his chair.
He and Lata share the same bedroom, but both have single beds electric beds.
The role of the nurse Jayesh is under the care of the District Nursing team for catheter care, and also when his skin develops pressure ulcers and needs dressings.
The District Nursing team visit every 12 weeks to administer hormone injections which are conservatively managing the prostate cancer.
The District Nursing team supply and monitor the pressure relieving equipment Jayesh requires.
