Fluent Essays

care plan help check details in attachment. only does who have nursing background This assessment task focuses on a complex case about a gentleman (John Smith) who is living with a life-limiting illness. You can view the full details about in the section below - see John Smith Case Study Notes. For this assessment task, you will be required to develop a plan of care for John Smith following his transfer from acute care to home in the community. You are to select two key areas on which to focus and develop your plan of care decisions and/or actions using the highest level of evidence available. These 2 key areas do not necessarily need to be related to each other, For your two key areas please choose:  1. a physical symptom in which a medication is commonly used to help decrease symptomsn(ie pharmacological intervention)  and  2. a psychosocial aspect of care (non-pharmacological intervention) You will need to incorporate selected research articles into your plan, while incorporating applicable pathophysiology and pharmacology into your discussion Background: · Patient name: John Smith · Age: 58 · Next of Kin: Susan Smith (wife). John has a daughter (Jane, 31) who lives in Los Angeles.  · Consultant: Dr Parry. · Diagnosis: Stage IV Non-Small Cell Lung Cancer with bone and liver metastases. Diagnosed March 2017. Previously treated with chemotherapy and palliative radiotherapy.   Patient Notes: John is a 58-year old male with advanced lung cancer. He has been an inpatient on Medical Ward 2 for five days. You are the nurse responsible for his care. John was admitted initially for treatment of a chest infection and symptom management of severe back pain and right-sided abdominal pain.  On admission he was commenced on IV antibiotics for his chest infection and was reviewed by the palliative care nurse specialist who increased the dose of his analgesics for pain control. Since admission, Johns condition has progressively worsened and he is now in the deteriorating palliative care phase of his illness. John and Susan have spoken at length with medical and nursing staff about his wishes for end-of-life care. John has expressed his wish to go home with a package of care designed to enable John to die at home and to support Susan and Jane. Their daughter Jane is on her way home from Los Angeles and is hoping to arrive by the end of the week. An initial clinical assessment was conducted by the consulting palliative care nurse who visited John on the medical ward. This information is to be used in the referral to the community palliative care nursing team.  His wife is anxious about Johns breathing and if it will worsen. She also wants to know how long John might have left to live as she is anxious their daughter Jane could miss saying goodbye to her father. John was commenced on a syringe driver of hydromorphone 20mg and midazolam 10mg to help manage his symptoms.  Vital Sign: His last vital signs were taken at 0800 today: · BP: 114/58 mmHg · HR: 90 bpm · RR: 20 bpm · Temp: 35.8 · SpO2: 94\% Regular Medications: · Hydromorphone 20mg + midazolam 10mg mixed in a syringe driver for pain/symptom management 24-hours.  · Movical 2 sachet PO daily PRN Medicastions: · Hydromorphone 20mg + midazolam 10mg mixed in a syringe driver for pain/symptom management 24-hours.  · Movical 2 sachet PO daily TASK Format: Task length: 1500 words (40\% of the final grade for this unit).  This is to be written in essay format. You may use headings if you wish (which are not included in the overall word count). Refer to the unit outline for the task assessment due date.  Referencing: Follow the guidelines for UTAS Harvard Referencing to attribute images and any other source material accurately and completely.  RUBRIC: Please follow rubric in next file. Criterion High Distinction (HD) 80-100 Distinction (DN) 70-80 Credit (CR) 60-70 Pass (PP) 50-60 Fail (NN) <50 Identify the highest level of evidence to support care plan actions 15\% The work clearly identifies the highest level of evidence to support care plan actions All relevant available information is included in initial examination and appropriate assessments are well chosen and justified to obtain new information. 12-15 The work ddentifies high level of evidence to support care plan actions, although there are some minor areas requiring further clarity Information is relevant and appropriate assessments have been chosen to obtain new information 10.5-11.5 The work provides some quality evidence to support care plan actions. Some areas would benefit from more rigorous evidence Information is mostly relevant to the scenario, but some important data is lacking. Correct assessments have been chosen to gather new information but further clarification required in some areas 9-10 Identifies low level evidence to support the care plan actions Some of the available information has been listed with. Some areas require more discussion 7.5-8.5 Incorrectly identtifies some elements of evidence to support the care plan actions or displays a base level or incorrect evidence to support the care plan Available information is not provided. Incorrect assessments chosen to obtain relevant information. Limited or no new information discussed <7.5 Discuss the inter- relationship between research and quality care and identify the issues impacting translation of research into practice 30\% The work succintly and clearly discusses the inter-relationship between research and quality care and identifies the issues impacting translation of research into practice. All information is relevant and has been correctly interpreted and analysed. Ideas and concepts are well justified. 24-30 The work discusses the inter- relationship between research and quality care and identiies most issues impacting translation of research into practice The information is relevant but some concepts lack clarity Most ideas and concepts are appropriately supported. 21-23.5 The work discusses the inter- relationship between research and quality care and identifies issues impacting the translation of research into practice. A good attempt has been made to link to the case study however some areas could be explored further. 18-20.5 The work provides a basic discussion on the inter-relationship between research and quality care and raises some issues which may impact on the translation of research into practice. However some areas are unclear or lack relevance to the case study. 15-17.5 There is little meaningful discussion of the inter-relationship between research and quality care and/or does not accurately identify issues impacting translation of research into practice Or /the interpretation or analysis of the information is incorrect <15 Relate the pathophysiology and pharmacology to your selected actions. 25\% The work clearly links the pathophysiology and pharmacology to your selected actions. The explanation expertly applies this knowledge of the pathophysiology and pharmacology to the case study 20-25 The work links the pathophysiology and pharmacology to actions, but there were some minor details lacking. The explanation incorporated pathophysiology and pharmacology to the case study some areas could have been explored in a little more depth. 17.5-19.5 The work demonstrates a sound understanding of the pathophysiology and pharmacology and makes a good attempt to link this knowledge to the case study. 15-17 The work provides a basic explanation of pathophysiology and pharmacology however it links poorly to the case study. 12.5-14.5 There is little or innaccurate linking of the pathophysiology and pharmacology to your selected action and/or there is a lack of relevance to the case study. <12.5 Communicate plan of care in a cohesive and clear manner. 15\% The work clearly and concisely communicates a plan of care The plan succinctlyy addressesthe two key areas and justifies relevance to the case study. The plan draws on the most apropriate methods for evaluating actions and outcomes. 12-15 The plan of care is discussed in detail and clearly indentifes two key areas. Some sections could be explored a little furthe The plan discusses appropriate methods of evaluating actions and outcomes. Some aspect could be explored in a little more depth. 10.5-11.5 Communicates a plan of care with developing cohesion and detail. Plan identifies significant areas of focus, with at least one being key to the case study. 9-10 Communicates a basic plan of care but it lacks cohesion and/or some detail. The plan has identified some issues but they were not key areas on which to focus. 7.5-8.5 Has not communicated a plan of care in a cohesive or clear manner The plan has not clearly identify two viable key areas from the case study. The goals of care are unclear,and as such the actions and evaluation do not align well to the chosen case study. <7.5 Adhere to presentation conventions: legibility, spelling, punctuation, grammar and referencing 15\% The work is concise, clearly written, using correct terminology, twith no spelling or grammatical errors. . The work is correctly formatted and information is presented in a logical, easy to follow fashion. Difficult concepts have been well explained and easy to understand. The work is well researched using high qualitycontemporary sources and adheres to UTAS SoN Harvard’s referencing guidelines. 12-15 Writing is clear and concise. Information is logically laid out and clearly expressed. There are minor grammatical errors. Resources used are current and relevant to the topic Adherence to Harvard’s referencing guidelines with minor errors 10.5-11.5 Work is clear and well written, however would benefit from further refinement. Minor instances where the work may contain grammatical errors or is unclear. Sections of the work may lack a logical format The majority of the evidence cited comes from relevant and scholarly s sources although some may show only minor relevance to the topic. Harvard’s referencing has been attempted but there are errors in in- text citations or in the reference list 9-10 Ability to communicate findings and knowledge at an acceptable standard. The work may contain instances of poor sentence structure, grammatical errors, lack of clarity or incorrect word usage The resources used have limited evidence-based research or are not scholarly Harvard’s referencing has been attempted but there are major errors. e.g. mismatch between in-text citations and reference list; incorrect citations used; incorrect formatting used 7.5-8.5 The work has not adhered to presentation conventions and/or there are many errors in legibility, spelling, punctuation, grammar and referencing Ability to communicate findings and knowledge below an acceptable level. Sentence structure is poor, the work shows little organisation or logical layout; there are major grammatical errors. The resources that have been chosen are inappropriate and failed to demonstrate an understanding of evidence-based research. Some literature is non-scholarly material. Harvard’s referencing guidelines have not been followed well <7.5