Essay HNN-217 – Community Nursing Practice – Reflective Writing – Nursing Assignment Help

Assignment Task

Purpose of assessment task
This assessment task will enable you to develop knowledge about the role of the community nurse in planning care and reflecting on your practice.

This task is designed to assess the following Unit Learning Outcomes:
1. Explain the relationship between nursing, the social determinants of health, and primary health care.
2. Identify the roles and responsibilities of the nurse engaged in community health practice, including education of individuals, families, and carers.
3. Evaluate symptoms, functional status, and risk in the management of individuals, significant others and communities.
4. Demonstrate integration of knowledge and skills by providing safe, effective care for individuals from diverse cultural backgrounds in community settings.

Topic background:
Tran has attended the community clinic in South Melbourne for support with managing her HIV. Tran is recently diagnosed with HIV and requires a holistic care plan to be
developed. This is the information from Tran’s referral.

Tran is a 30-year female who lives in transitional housing. She has arrived in Australia from Vietnam two years ago and is currently unemployed. Tran has experienced periods of homelessness since she has become estranged from her family after her HIV diagnosis. Tran speaks limited English and has been difficult to engage in consultations with the treating team at the clinic as she appears dismissive and misses appointments regularly. Tran regularly attends the community drop-in centre for meals and food vouchers and has no other supports in Melbourne. Tran has a history of intravenous substance use and has declined to engage with Drug and Alcohol services. Tran has been prescribed Zidovudine at her last visit to the clinic last week; however, she has not returned for blood tests to monitor her CD4 and viral load levels. The GP at the clinic has expressed concern about Tran’ recent weight loss and medication adherence and has requested follow up from the community nurses.

Assignment Question
Part A:
1. Explain the importance of holistic care in supporting Tran.
2. Using the case scenario and the nursing process, identify two priorities of care you would address in developing a holistic care plan for Tran.

3. Use the table below to develop your priorities into a plan of care. Priorities Goals Interventions Rationales Evaluations

Part B:
Using Rolfe’s reflective framework, reflect on how your key learnings from the unit will inform the culturally safe care you plan to provide for Tran.

Rolfe’s reflective framework is structured around these three questions.

What? – describe a particular situation, then focus on achievements, consequences, responses, feelings, and problems.
So what? – discuss what you have learnt about yourself, relationships, models, attitudes, cultures, actions, thoughts, understanding and any improvements.
Now what? – identify what you need to do in the future to improve future outcomes and develop your learning.