NURS201 Continuous Assessment 1
- Care Plan for Simulated Medical Patient
- Do not include any patient or organizational identifying data in any part of this assignment.
Learning Outcome
This assessment supports you to achieve the following module learning outcome:
- Classify nursing care needs of patients using nursing diagnosis terminology
- Construct nursing care plans for patients with medical care needs utilising nursing diagnosis and nursing interventions
Instructions to Students
Aim of Assignment
The aim of this assignment is to facilitate the student to prioritise and create care plans based on a fictitious simulated patient. The student will be expected to critically analyse current evidence-based practice that supports the nursing care of actual and potential problems that may be experienced by the medical patient.
Scenario for Care Plan
The following ISBAR3 is used to handover the clinical care of Sarah Byrne who is currently an inpatient on Medical 2 Ward.
| Identify | Sarah Byrne, 62 years of age. |
| Situation | Uncontrolled asthma secondary to influenza A |
| Background | Patient has a 2/12 history of:
Smokes 15 cigarettes a day and enjoys a glass of wine with meals. Recent history of a fall at home. Has a history of hypertension and takes anti-hypertensive medication daily. Previous history of anxiety and depression, not currently on medication. No other past medical or surgical history. Lives with her wife and has 2 adult children. |
| Assessment | Uncontrolled Asthma
INEWS score is 3. RR 21. HR 105 Pain score is 6/10 from coughing MUST score is 3 – at risk of malnutrition Urinalysis completed; dehydration and ketone markers noted Patient anxious about shortness of breath |
| Recommendation | Commenced Iv antibiotics, Iv steroids, nebulisers
Respiratory nurse specialist to review. Dietician to review |
Presentation Guidelines for Assignment
Introduction
The introduction to the patient care plan should include an overall systematic assessment of the patient Sarah Byrne. Identify 2 key actual or potential problems that may be experienced by Sarah Byrne. You must develop 2 care plans to address each of these problems using the nursing process.
Main Body
You must critically discuss the evidence underpinning the nursing care outlined within your care plans. Identify and discuss appropriate nursing assessment tools that you used to support the nursing care of Sarah Byrne. Reflect on the nursing interventions that you provided as part of your care plan and give a rationale for same. Evaluate the nursing interventions that were given to Sarah Byrne to help alleviate the 2 chosen problems and describe the outcomes.
Conclusion and recommendations for future care
Draw the assignment to a conclusion and summarise the main points that you addressed in the main body of your assignment. Include a recommendation for practice for future care of a patient with a similar condition.
Word Count
1500 words, +/- 10% (excluding references and the appendices).
Reference List
Utilise and reference appropriate research in the assignment and compile a reference list using the HC Harvard Referencing system.
Appendices
Include your 2 completed care plans as an appendix. Use the ADPIE care plan template in your module book to help you create your care plans. Appendices must be included after the reference list.
Marking Criteria
This assignment is worth 40% of the modules overall grade. The assignment will be marked using Hibernia Colleges marking scheme. https://study.hiberniacollege.net/nurse/2022/nurse_acask/unit6/readings/nurse_acas k_u6_a3.pdf
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