Essay Complex Nursing Care – Medical or Surgical – Nursing Assignment Help

Assignment Task:

Assessment Guidlines:
Please Read the Descrption of the Assessmenr Items in the Subject outline in Conjunction with these Additional Notes

Assessment 1 – Complex Patient: Plan of Care

Your Patient Plan of Care is to be completed on the template provided on UTSOnline. This is to be submitted with your individual written report as an appendix. An appendix goes at the end of the assignment, after the reference list.

COMPLEX PATIENT: PLAN OF CARE

Focus on patient assessment data, problem identification and optimal patient outcomes
Patient problem identification

There are two case studies provided – choose one of these case studies. That is, either Alice McCallum or Christopher Collins.

Use the principles of the nursing process or clinical reasoning cycle and the assessment data from one of two case studies provided to identify actual or potential physiological patient problems which can be dealt with using nursing interventions. Nursing interventions can be:

• Independent interventions – nurse led, nurse initiated
• Collaborative interventions – with other members of the multidisciplinary team
• Dependant interventions – for example dependant on a doctors order

The process to do this will involve:

Gathering the patient data and processing of the assessment data, which may comprise:

• Objective data: data which is empirical or which can be verified by an external source. Examples include: patient vital signs or lab tests.
• Subjective data: this is information which comes from the patient, family, or other sources and cannot be verified independently. An example is the quality of pain described by patients (it is the patient’s perception of pain and cannot be verified by tests), patient descriptions about how they are feeling or a patient’s history told by the patient or family.

Organising the data:

• Group the assessment data, for example using an A-G style format may assist or use an organising system such as Gordons Functional Health Patterns.
• After collecting both the subjective and objective data start to make connections between various assessment items and consider actual or potential health problems.
• Identify as many problems as you can for the patient then prioritise up to 6 patient or nursing orientated problems that are the most immediate for this patient.This will form your plan of care which will be the basis of your individual written report.

Problems may be:

• Actual health problems:a health problem that is currently present or occurring and needs intervention to either end or reverse its effects. There will be patient signs and/or symptoms that support the manifestation of the problem.

Examples: Dehydration due to.

Wound infection related to.

Acute pain related to.

Impaired skin integrity due to.

Inadequate tissue perfusion related to.