NUR10006: Concepts of Aged Care Assessment

Assignment Overview

In this section you need to introduce your essay. In this section you explain to the reader what you are writing about, why you are writing about it and how you will discuss the topic. You might like to briefly introduce strength-based (only briefly as you will discuss this in more depth later on in the essay. The purpose of an introduction is to provide scope of what will and won’t be discussed. It also helps to keep you on track. You can and should cite your references in your introduction.

Introduction to the patient (Mr. Smythe)

This is where you introduce your patient: this includes who they are, what brought them into hospital, and their clinical course while in hospital if known. Make sure to include their past medical and social history. Make sure to include information regarding support services they may have in place. You should also address any Advanced Care Directives as well as their resuscitation status here if known. In essence, you want to summarise the case study in your own words and highlight the key concepts as they relate to the case study. These should then link directly to your nursing diagnosis.

In a new paragraph, you may like to include a short summary of what vascular dementia is and make links to the data (objective and/or subjective) within the case study. This shows the reader that you are able to link theory with what is happening for Mr. Smythe.

Strength-based nursing

This is where you introduce the concept of strength-based nursing and how it relates to planning care for Mr. Smythe. Consider key concepts and focus of strength-based nursing, and what this means in relation to caring for Mr. Smythe and his loved ones. How does strength-based nursing encourage collaboration and why might it be important to Mr. Smythe.

Chosen Nursing Diagnosis

This is where you present your actual and potential nursing diagnosis’s. Remember these are based on the data that you have gathered from the case study above. In this section you need to structure all nursing diagnosis using the North American Nursing Diagnosis Association’s Taxonomy of Nursing Diagnosis (NANDA). Given the size of this assessment, you should be aiming to present two (2) nursing diagnosis; one (1) actual and one (1) potential nursing diagnosis. There are a number of resources available on the LMS to help you in identifying these. Ensure that you present this in academic writing style. Remember an actual diagnosis reflects immediate and currently present signs and symptoms, while the potential diagnosis is based on risk factors that might develop into an actual problem for the patient.

Nursing Care Plan

Assessment/Observations:
This is where you describe what you see, touch, smell or hear. In this instance you would summarise the key concepts in Mr. Smythe’s presentation information as it relates to your first nursing diagnosis. This can be presented as bullet points.

Nursing Diagnosis:
This is your actual nursing diagnosis. Consider how you identified this. Link it back to the data presented in the case study above.

Plan or SMART Goal:
This is where you need to present your SMART goals you have identified to address the actual and potential nursing diagnosis. Remember that your SMART goals should be specific, measurable, achievable/attainable, realistic and time bound (SMART). Again, link this back to the data within the case study information above. You should have one SMART goal for each nursing diagnosis (actual and potential).

Independent Nursing Intervention/Action

• Rationale and Supportive Evidence

• Expected Outcome (RUMBA format)

(Independent nursing interventions are nursing actions that a nurse can perform autonomously without a doctor’s order or direct supervision of another allied health clinician.)

This is where you document information about the intervention/s that will be implemented to address the actual or potential problem. You must include one (1) independent and one (1) collaborative nursing intervention to help resolve the patient’s actual problem. You can present these with subheading and address each individually.

In this section you are encouraged to link back to the literature. Consider best practice guidelines. Evidenced-based rationales with reference to the current literature are to be provided for each nursing intervention. For this to be successful please write your RUMBA statement (what you predict will occur as a consequence of your intervention or how will you measure success. This should be no more than 1 sentence).

RUMBA is useful to use here

• Realistic

• Unambiguous

• Measurable Behavioural

• Achievable

Collaborative Nursing Intervention

• Rationale and Supportive Evidence

• Expected Outcome (RUMBA format)

(Collaborative nursing interventions are nursing actions that a nurse can perform in partnership with other clinicians such as doctors and other allied health clinicians.)

Please follow guidelines above for your collaborative intervention. For this to be successful please write your RUMBA statement (what you predict will occur as a consequence of your intervention or how will you measure success. This should be no more than 1 sentence).

Assessment/Observations:
This is where you describe what you see, touch, smell or hear. In this instance you would summarise the key concepts in Mr. Smythe’s presentation information as it relates to your first nursing diagnosis. This can be presented as bullet points.

Nursing Diagnosis Two:
This is your potential nursing diagnosis. Consider how you identified this and why is it a potential rather than an actual? Again, link it back to your data collection.

SMART Goal:

Collaborative Nursing Intervention

• Rationale and Supportive Evidence

• Expected Outcome (RUMBA format)

This is where you document information about the one intervention that you have implemented to address the potential problem. You must include one (1) collaborative intervention to help resolve the patient’s potential problem. In this section you are encouraged to link back to the literature. Consider best practice guidelines. Do not include interventions requiring a medical order. Evidenced-based rationales with reference to the current literature are to be provided for each nursing intervention. For this to be successful please write your RUMBA statement (what you predict will occur as a consequence of your intervention, no more than one sentence).

Conclusion

Your conclusion provides you with an opportunity to summarise your assessment. Review your introduction and consider what it was that you indicated you would discuss. Did you fulfill this? It is important to remember that there should NOT be any new information within your conclusion, only summaries of what you have already discussed. As such, you do not need to provide references in your conclusion.

Brief Summary of Assessment Requirements

The assessment for NUR10006: Concepts of Aged Care is a comprehensive case study and nursing care plan focused on a patient, Mr. Smythe. Key requirements include:

1. Introduction: Present the essay topic, its purpose, scope, and briefly introduce strength-based nursing.

2. Patient Introduction: Summarise Mr. Smythe’s background, reason for hospitalisation, clinical course, past medical and social history, support services, and Advanced Care Directives or resuscitation status. Include a brief link to vascular dementia.

3. Strength-Based Nursing: Discuss its principles and relevance in planning care for Mr. Smythe, emphasizing collaboration and holistic care.

4. Chosen Nursing Diagnoses: Identify one actual and one potential nursing diagnosis using NANDA taxonomy, based on collected patient data.

5. Nursing Care Plan:

   • Assessment/Observations: Document observable patient data.

   • SMART Goals: Specific, Measurable, Achievable, Realistic, Time-bound goals for each diagnosis.

   • Independent and Collaborative Interventions: Include rationale and evidence-based support. Expected outcomes should be stated in RUMBA format (Realistic, Unambiguous, Measurable, Behavioural, Achievable).

6. Conclusion: Summarize key findings without introducing new information.

The assessment tests skills in clinical reasoning, evidence-based practice, critical thinking, and nursing care planning, aligned with learning objectives such as understanding aged care concepts, strength-based care, and clinical decision-making.

Approach by Academic Mentor

The Academic Mentor guided the student through the assessment in a step-by-step process:

1. Understanding the Assessment Brief:

   • Explained the overall aim of the assessment and its structure.

   • Highlighted the importance of linking theory to practice through Mr. Smythe’s case study.

2. Introduction Section:

   • Advised the student to clearly state the essay’s topic, purpose, and scope.

   • Emphasized brief mention of strength-based nursing as a precursor to deeper discussion later.

3. Patient Introduction:

   • Guided the student to summarise patient details: hospital admission reason, medical and social history, support systems, and directives.

   • Suggested inclusion of vascular dementia overview to connect theory to case data.

4. Strength-Based Nursing:

   • Explained how to describe core principles and relevance to Mr. Smythe.

   • Encouraged discussion on collaboration and family involvement in care planning.

5. Nursing Diagnoses:

   • Mentored the student in identifying one actual and one potential nursing diagnosis using NANDA taxonomy.

   • Clarified distinction between immediate issues (actual) and risks (potential).

6. Nursing Care Plan Development:

   • Assessment/Observations: Advised documenting data using bullet points for clarity.

   • SMART Goals: Guided creation of specific, measurable goals linked to each diagnosis.

   • Independent Interventions: Explained how to select nurse-led actions, provide evidence-based rationales, and formulate expected outcomes in RUMBA format.

   • Collaborative Interventions: Assisted in identifying actions requiring interdisciplinary support with appropriate rationale and outcomes.

7. Conclusion:

   • Advised summarizing the assessment findings and reflecting on learning outcomes without introducing new information.

8. References:

   • Provided guidance on selecting at least 10 recent sources, analyzing relevance to the case, and formatting in APA 7th edition.

Outcome Achieved

By following this structured mentorship approach:

• The student successfully developed a comprehensive nursing care plan for Mr. Smythe.

• Key learning objectives were covered:

  • Understanding aged care concepts and patient-centered care.

  • Applying strength-based nursing in clinical reasoning.

  • Differentiating actual and potential nursing diagnoses.

  • Creating SMART goals and evidence-based interventions.

  • Linking theory with practice through documentation and rationale.

• The final submission demonstrated critical thinking, clinical reasoning, and professional academic writing, fulfilling all assessment requirements.

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