This assessment is designed to measure your ability to identify and prioritise the most important nursing care issues for a client. Two theoretical frameworks underpin your assignment: Miller’s Functional Consequences Theory to identify the influences impacting on the older person and their level of function and Levett-Jones’ Clinical Reasoning Cycle as the tool to drive the process of identifying and assessing, implementing and evaluating care. Students need to demonstrate how the dignity of the older person is maintained and how the cultural background of the older person is considered, throughout the process of assessment and care provision. Students are required to review a provided scenario. From this scenario, use the first four steps of the Levett-Jones Clinical Reasoning Cycle (i.e., considering the patient; collecting cues and information, processing information and identifying problems/issues) to identify three nursing care priorities. A rationale needs to be provided for each nursing care priority identified. From these three priorities, and using the Miller’s Functional Consequences Theory, identify the most important care priority to discuss. The discussion needs to focus on the steps of establishing nursing care goals, taking action, evaluating outcomes and reflecting on the care process identified..
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Get Help Now!A suggested structure of Assessment One CLINICAL SCENARIO – We use NRSG259 Tutorial scenario Giuseppe’s situation as an example to help you understand and structure of Assessment One. INTRODUCTION: (175 words approx.) ? Introduce the topic and any important and relevant concepts to the reader. ? Indicate the purpose of the paper ? Describe the overall plan or structure of the paper BODY: (1400 words approx.) Please note that the table below is to guide you to structure the body of the essay. You will need to use paragraphs to present the discussion in your assignment. The body of the essay includes Part A and Part B: Part A – identifying three nursing care priorities Consideree Functional Identify the three nursing care priorities Consequences Theory – using the first four steps of the Clinical (embedded in discussion): Reasoning Cycle 1. Consider the patient – describe facts ? Age-related changes (not and contents. This is the first stage of modifiable) such as the decreased the clinical reasoning cycle, the nurse respiratory muscle tone and begins to gain an initial impression of efficiency; decreased number of the client’ situation. cilia cells; diminished chemoreceptor sensitivity to For example: hypoxaemia; increased chest-wall This is an 89 old client – Giuseppe compliance (Hunter, 2012, p. Guinta. He feels breathless on 434). exertion, with wheezing and chest tightness. A 5 x 6x 0.2 cm ulcer is ? Risk factors (modifiable) such as found at his right ankle, with a fair smoking, occupational exposure amount of exudate and an offensive to respiratory toxins, living in a 2- smell. Giuseppe lives with his wife, storey house, with COPD, etc. Regina who experiences an (Hunter, 2012, p. 434). intermittent memory loss, in a two- storey house… ? Negative Functional Consequences – difficultyperforming ADLs; a risk of being 2. Collect cues/information – review the socially isolated and depression. information, gather new information…
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