Identify a patient’s health problem symptom and assess it holistically from the biological, psychological and social aspects

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Identify a patient’s health problem symptom and assess it holistically from the biological, psychological and social aspects

Assessment Briefing: Case Study Students will select a case study patient from practice. In the case study students will discuss and critique the decision making processes required in the assessment and delivery of care for their selected patient (1,500 words +/- 10% excluding references). This critique will be on the care, intervention and treatment plan of the chosen patient with appropriate explanation. Summative Assessment Guidelines For this assessment you will need to select a patient/ service user from a recent placement. Identify one health problem symptom experienced by the patient/service user and explore the impact this will have using the Biopsychosocial Model. You will need to include a critique of the care given related to this need using evidence to support your views. This needs to focus on the decisions made by the care team, including any reasoning for interventions and treatment. From the evidence used, you need to offer recommendations for how this care could be enhanced or improved to ensure patient centred care. The nurse’s role will be an important focus but students will need to demonstrate that they understand the importance of shared decision making in the assessment, planning, implementation and evaluation of care. Although symptom management is an important area additional dimensions are to be considered which can influence how well individuals cope. This will involve addressing psychosocial factors as well as reflecting on how policy in terms of service delivery can promote client centred care. Module Learning Outcomes: Learning Outcome 5. Critique the care, intervention and treatment plan of a given patient across the lifespan with appropriate explanation. Assignment Guidelines: Case study structure 1. Introduction (150 words). Start with a brief introduction of your chosen patient using approximately 30 – 50 words. You will need to provide more information of the patient in the appendix. Present your introduction and ensure it answers these 3 questions: a. What? The introduction needs to clearly explain what this case study is about. This section needs to explain in your own words what is required in the assignment brief given above. b. How? The second part of the introduction need to outline how this case study is structured. You need to summarise the details given in the body. c. Why? An introduction needs to articulate why critiquing and evaluation of care is of significance to care delivery. 2. Body (1200 words) a. Briefly explain the Engel (1977) Biopsychosocial Model which you will use for your assessment. b. Identify a patient’s health problem symptom and assess it holistically from the biological, psychological and social aspects. Critique the care for that patient’s health problem symptom based on whether it meets all the biopsychosocial needs which arise from that patient’s health problem symptom, whether it is supported by evidence or not and then, recommend a better care plan. (For example, how would pain and stiffness in the joints affect the patient’s physical/psychological status/quality of life) You will need to support your critique and reasoning with evidence-based practice. c. From your critique, identify the recommendations that would be appropriate to introduce to the patient’s care plan, based on the latest evidence-based research / practice. 3. Conclusion (150 words) Summary: Put a short concluding statement of approximately 50 words then summarise the key learning points that have emerged from your critique. 4. References 20 Harvard references Use references such as NICE, NHS, Public health England, WHO 5. Appendices In a table, you will give more information on your patient/service user with the following information: • Presenting complaint /symptoms • Past medical history • Medication • Intervention/Treatment • The implemented care plan for the patient for the identified problem. Do ensure that all information identifying the patient and the Trust/ Service provider are anonymised. This is my Case study: Please use this A 45 year old male with severe rheumatoid arthritis admitted with fall due to impaired physical mobility. He has a history of type 2 diabetes, anxiety, depression, was admitted in hospital two years ago due to UTI. He is obese, smoker, lives with his wife, has two young son and works in an office part time. Identified patient’s symptom: pain and stiffness in the joints. How has pain and stiffness in the joints affected the patient physically, psychologically and socially? Physically: restriction on movement, swollen joints, chronic pain. Psychologically: frustration, anxiety, depression, sleep disturbance. Socially: Unable to work, isolated, dependent on others, deterioration of relationships with family and friends. Policies and laws to support the plan NICE guidelines The Musculoskeletal Services Framework NHS Equality Act 2010 Care Act 2014 Health and Social Act 2012 Current care plan for the patient: Regular observation and monitor pain Administer anti-inflammatory medications as prescribed. Position with pillows. Provide joint support with splints, braces. Provide safety needs such as raised chairs and toilet seat, use of handrails in shower and toilet. Provide pressure relieving mattress Assist patient with walking using mobility aids such as walking frame Shared decision making in essay Offering the pt all information we have so pt can make the decision. Such as offering steroids Recommended care plan for the patient based on the aspects identified: Educate the patient about his medical condition link this evidence with guidelines Refer to psychiatrist link this evidence with guidelines Offer psychological treatments for pain such as cognitive behavioural therapy link this evidence with guidelines Encourage patient to follow a healthy diet link this evidence with guidelines. Offer steroid injections to reduce pain, stiffness and inflammation of the joints link this evidence with guidelines Offer biologic disease modifying anti rheumatic drug link this evidence with guidelines Refer to physiotherapist, occupational therapist, rheumatologist link this evidence with guidelines