CPC105 Care of Persons with a Chronic Condition - Assignment 4

Task Summary

For this assessment, you are required to prepare a care plan in consultation with the patient and her family members for managing her chronic health condition using an interprofessional and holistic person-centred approach. The aim of this care plan is to enable the patient, her family and her interprofessional health care team to plan and co-ordinate on-going health care for her life-long complex chronic condition. For this individual assessment, you have been given a hypothetical case study of a patient suffering from a chronic condition (see the Appendix 1B). Further information has been added to this case study for this assessment task.

Context

This assessment task provides an opportunity for you to demonstrate the theoretical knowledge you have acquired in CPC105, by the development of a care plan for a patient with a complex chronic health condition. This assessment allows you to demonstrate your skills in the planning of holistic, interprofessional and person-centred care, while focusing on health promotion, education, disease prevention and self-care.

Task Instructions

To complete this task, utilise the nursing/clinical decision-making process model below:

Nursing process (RNpedia, 2019)

You are required to:

1. Complete the Torrens University Nursing Care Plan template that you will find in the assessment resources area with the following information:
   1. Assessment data – Firstly outline the assessment data (subjective and objective) obtained from the case study provided. Secondly, what other assessment data (subjective and objective) would you need to collect in order to conduct a holistic assessment? Please note how this data would be
   2. Nursing diagnosis/Collaborative problems - Based upon this assessment, identify and list two nursing problems the patient is experiencing and two collaborative problems the patient is
   3. Planning/Expected outcomes – This is where goals and outcomes are formulated that directly impact patient care. These expected outcomes/goals should be written as per the SMART system (S – specific; M – measurable; A – achievable; R – realistic; T – timely) and include both short-term and long-term outcomes/goals.
2. Nursing interventions - Expand upon all four of these problems and describe the nursing and interprofessional interventions that should be implemented to provide holistic patient-centred You are to provide rationales for each of these interventions supported by current relevant evidence.
3. Evaluation – This evaluation is to occur to determine if the goals/expected outcomes have been achieved. Please evaluate the interventions, specifying patient data that would indicate patient improvement and deterioration. As you are not providing care to this person in the real world, you need to detail what you would expect to see if the patient was improving due to the implementation of these interventions. Additionally, you need to detail what you would expect to see if these interventions were not successful and the patient was deteriorating.

Please remember that this unit is about caring for persons with a chronic condition. Therefore, the focus of your care plan should be on health promotion, education, disease prevention and self-care and should focus on the patient, her family and the community setting. Please also be aware of the following requirements:

• Present your own original work using multiple academic references from academic books, peer reviewed scientific journal articles and other credible sources (.edu, .gov and .org webpages).
• No introduction and conclusion required for this assessment
• Headings can be used for this assessment
• Dot points can be used in the care plan
• Adhere to the word count (1200 words (+/-10%)) excluding the reference
• Academic references are to be included on a separate page using APA (7^th) guidelines.
• Your assessment must be submitted as a word document and not in protected
• Your assessment should be in 12-point font, Arial or Times New Roman, 5 line spaced and a minimum of 2.5cm margins.

Referencing

10+ references are required for this assessment task. Use recent, relevant and reliable resources to complete this task. These should be peer reviewed literature, related to the subject matter and no older than seven years.

It is essential that you use appropriate APA (7th ed.) referencing style for citing and referencing research. Please see more information on referencing here http://library.laureate.net.au/research_skills/referencing