Care Of Persons With A Chronic Condition

The Subject Learning Outcomes demonstrated by successful completion of the task below include:

a) Explore and discuss the impact of chronic health problems on care planning needs of a person, family and community, using an evidence-based approach.

b) Develop a person-centred care plan for the person with a chronic health problem through health promotion, education, disease prevention and self-care.

c) Demonstrate clinical reasoning through nursing assessment, interventions and evaluation, to support the health care of persons with chronic health problems.

d) Discuss legal, professional and ethical considerations in care delivery.

e) Explain and integrate the impact of co-morbidities, quality use of medicines principles, risks to self and others into care plans.

f) Demonstrate interprofessional collaboration in developing holistic person-centred care plans

Context This assessment task provides an opportunity for you to demonstrate the theoretical knowledge you have acquired in CPC105, by the development of a care plan for a patient with a complex chronic health condition. This assessment allows you to demonstrate your skills in the planning of holistic, interprofessional and person-centred care, while focusing on health promotion, education, disease prevention and self-care. Task Instructions To complete this task, utilise the nursing/clinical decision-making process model below: Nursing process (RNpedia, 2019) You are required to:

1. Complete the Torrens University Nursing Care Plan template that you will find in the assessment resources area with the following information:

a) Assessment data – Firstly outline the assessment data (subjective and objective) obtained from the case study provided. Secondly, what other assessment data (subjective and objective) would you need to collect in order to conduct a holistic assessment? Please note how this data would be collected.

b) Nursing diagnosis/Collaborative problems – Based upon this assessment, identify and list two nursing problems the patient is experiencing and two collaborative problems the patient is experiencing. c) Planning/Expected outcomes – This is where goals and outcomes are formulated that directly impact patient care. These expected outcomes/goals should be written as per the SMART system (S – specific; M – measurable; A – achievable; R – realistic; T – timely) and include both short-term and long-term outcomes/goals.