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Focus on the implementation of nursing care, the rationale for care and its evaluation.

Select 2 of the problems identified on the care plan in Assessment task 1 – it is suggested that at least one should be an actual problem

The individual written report expands on the information presented in the care plan for 2 of the identified problems. The written report will need to hold more detail and explanation than in the care plan. In particular you will need to give the rationale for the nursing intervention, why is thisappropriate care to provide. In addition you will need to demonstrate an understanding of the underlying pathophysiology –again as applies to the chosen interventions/nursing care. This is not a biology essay.

As this is a report format headings/sub headings can be used. It is your choice to use headings; they are not required but can make it easier to organise your work.  These are two possibilities:

1. Address each section individually (i.e. discuss both health problems, then both outcomes, then all interventions and evaluations). This can work well if there is a relationship between the two patient problems ,
2. or address all sections of each individual health problem together (i.e. health problem one- rationale, outcome, interventions, evaluation; health problem two…)

Items to include in the report:

• Background on your patient (please keep it very brief, only include enough for your reader to understand your content).
• Assessment data- this will only be needed in order to explain how you arrived at your chosen health problems.
• Identified health problems- you will only need to choose two from the original list in your care plan. At least one should be an actual problem.
• The identified health outcomes for your problems- these will be key to linking your health problem and intervention through to evaluation of care (s).

What you will need to accomplish within the report

• Using assessment data from the case study and scholarly evidence provide a pathophysiological rationale for arriving at the two health problems from the collected data.
• Using scholarly evidence and reasoning provide a rationale for the chosen health outcomes.
• Using scholarly evidence prioritise the main nursing interventions which can be undertaken by a new graduate registered nurses to assist the patient to achieve the desired health outcome. What evidence, policy or guidelines supports these interventions. For some patient problems there may potentially be a wide range of possible interventions, so focus on the exploring the key interventions to generate some depth.
• How would you measure the effectiveness of your chosen interventions, what evidence would be required to demonstrate if the goals of care had been achieved.

Support your work with in textcitation to references and associated reference list. Please take care with websites/online materials. These must be of a scholarly nature and is focused at health professionals. Acceptable online content includes journal articles accessed online, policies or guidelines e.g. NSW Health policies, identifiable documents from government sources or organisation like WHO.

Interventions

Many interventions are undertaken in conjunction with other members of the healthcare team for example many direct interventions require doctor’s orders prior. This table gives examples of some different types of interventions and what evidence would be expected for each type. It is not exhaustive:

92330 Autumn 2017