Highlights
Brief task description
Apply the Clinical Reasoning Cycle to identify and describe how you would assess, intervene and evaluate care for the case study “Mr Noel Smith”.
Rationale for assessment task.
This assessment will develop clinical reasoning skills and demonstrate the application of models of evidence-based care to work collaboratively with individuals with chronic conditions. It will develop theoretical concepts to assess, plan and intervene and evaluate care for people with a chronic condition. The assessment will develop graduates who are; well informed individuals with discipline-specific and industry knowledge relevant to their profession or area of study; critical, creative, thinkers who can integrate and apply knowledge and relevant skills, including research and digital literacy skills, to analyse and evaluate ideas, concepts, theories and problems, and offer insights, innovative approaches and solutions; ethical, engaged professionals and citizens who engage in non-discriminatory and sage practices and consider the local, global, social, economic legal and environmental influences on, and impact of, their attitudes and actions; and employable, enterprising professionals who are confident, self-directed, know how they learn, and are resourceful, resilient, and adaptable tochange.
Task detail
Task detail
Step 1: Review the elements of the Clinical Reasoning Cycle (The Clinical Reasoning Cycle Lecture is located in Module 1 on the StudyDesk and the chapter from the textbook is located in the Assessment tab - Written Assignment Two). No submission of the Clinical reasoning Cycle is required.
Step 2: Using the information provided in the patient situation and the current patient information and supported by the best available scholarly evidence apply the Clinical Reasoning Cycle in short answer format responding to the following questions:
Casestudy
Consider the patient situation
Short answer responses:
Note: You may use headings to differentiate the three parts of your response to the assignment questions
Patient situation:
Mr Noel Smith a 55-year-old retired mining manager presents to the local Emergency Department with marked dyspnoea and audible wheeze increasing over the past 24 hours. He was diagnosed with asthma 20 years ago.
Mr Smith recently divorced from his wife of 15 years. While he used to be very active socially, he has withdrawn from family and friends since the divorce. He smokes 30 cigarettes a day, consumes 3-4 standard drinks daily and his diet is high in saturated fat and sodium. Mr Smith is independent with daily care and mobility however, he does not exercise routinely.
Mr Smith does not routinely visit his General Practitioner (GP). Over the past 5 years, his episodes of coughing and wheezing have increased. Mr Smith only takes his prescribed medications sporadically or when his symptoms worsen. He acknowledges that he once had an asthma action plan but admits that he does not understand it or has never had it reviewed by his GP. He does not feel that his diet or weight contributes to his asthma and states that exercise only makes him feel “puffed”.
Part A. Collect cues and recall knowledge
1. From the provided patient situation and current patient information, identify the relevant patient cues/information and using best available scholarly evidence explain how these relate to asthmapathophysiology.
2. Analyse the subjective and objective data in the current patient information table and compare normal vs abnormal signs and symptoms. From this comparison provide an interpretation of his overall health status with support from the best available scholarly evidence.
Part B. Identify problems, establish goals, take action and evaluate outcomes
1. Identify and discuss the acute and chronic problems/issues for Mr Noel Smith. Provide a rational for the identified problems based on the cues/information collected from Part A.
2. From the chronic problems/ issues identified, outline ONE (1)SMART goal developed in collaboration with Mr NoelSmith.
Ensure all the elements: S (specific) M (measurable) A (achievable), R (realistic) T (timely) elements are incorporated. (Refer to Appendix A)
3. Identify relevant nursing interventions that will assist Mr Noel Smith in achieving the identified SMART goal. Using the best available scholarly evidence provide a rationale as to why these interventions are appropriate for MrSmith.
4. Using best available scholarly evidence, describe the strategies you would use to evaluate the effectiveness of the nursing interventions you identified in Question3.
Part C. Contemplate/reflect on new learning
Critically discuss the role of the nurse in facilitating self-efficacy and self-management for patients (and their families) living with a chronic condition in order to achieve improved health outcomes and quality of life. Use the best available scholarly evidence to support your discussion.
This assessment piece will be written in the form of academic short answers supported by scholarly evidence from peer reviewed resources.
• An introduction and conclusion are NOTrequired
• Write in full grammaticalsentences
• Use correct spelling andpunctuation
• Paragraph format is required. Dot/bullet points or numbered lists are notpermitted
• Keep your writing formal and in thirdperson.
• Express your ideas clearly andconcisely
• Appropriately reference any information sourcesused.
Referencing/ citations
• For this assessment you will use either APA 6th or APA 7th referencingstyle.
• Sources: the majority of the references contained within your reference list must be no older than 6 yearsold.
• In text citations: You must include in text citations in the body of your work. Each new point or piece of evidence must be attributed (via in-text citation) to thesource.
Assignment must be presented as follows;
• Microsoft word documentformat
• Double Line Spacing with page numbers to beprovided
• Times New Roman, 12-pointfont
• Use APA formatting style. The first line of each paragraph is indented. The reference list starts on a new page with the heading“References”
Resources available to complete task
• Clinical Reasoning Cycle (Clinical Reasoning Cycle Module 1 on the StudyDesk and the Clinical Reasoning Cycle chapter located in the assessment tab-Written AssignmentTwo
• SMART Goals information (see information and examples in AppendixA)
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