This individual written assignment aims to consolidate the students learning by linking theory to clinical practice in the community. The home visits provide students with real life physical and cognitive experiences, allowing them to assess their patients needs and identify key health issues.
The following are the objectives:
2. To integrate knowledge to practice in community setting through home visit case study management.
Using their knowledge on disease management, students are required to assess and evaluate the bio-psycho-social health of patient in relation to his/her living environment. This includes pain, stress and coping mechanisms towards individuals management of health in the community.
3. To demonstrate problem-solving and critical thinking skills in the individual case study management in relation to health optimisation, health promotion and illness prevention of patient.
4. To critically reflect exhibit awareness and knowledge on the roles of community care nurse, scope of professional practice and/or self-development as a nurse professional.This written assignment takes up 40% of the final grade module and it comprises of two components: (A) case study management and (B) brief reflection on overall/ specific home visit experience.(A) Case study management (1500-1700 words)
Through the individual home assessment, students are required to present their own case study. The description of patients case should be limited to ONE page. The case study description can include the following:
Patient demographic data (E.g age, gender, marital status, employment status, living arrangement, type of residence)
Mobility and functional status (E.g. Physical mobility, basic and/or instrumental activities of daily living, ability to travel from place to place)
Lifestyle (E.g. physical activity engagement, healthy diet, medication adherence, smoking habits, drinking behaviour, use of preventive services, engagement of social activities) Medical History (E.g. past medical and surgical history, type of medication/treatment, consultations/follow-ups with healthcare professional e.g. physical therapy, dietician)
Social/family History (relationship with family/friends, social circle/support/network, social roles and responsibilities e.g. grandmother taking care of grandchildren)
Psychosocial status, self-care activities, coping mechanism (E.g. psychological state, ability to manage own health)
Availability of support system and knowledge of available community resources (e.g. Accessibility to financial sources, social support services, healthcare services and community services)
Using the assessment findings, students are expected to identify and critically discuss key health and psychosocial issues affecting the patient and/or caregivers (e.g. assessment, management, self- care and support), and make recommendations including existing community resources for an effective and sustainable home care management. Some guidelines to adhere to:
It should be written in prose format and not in point form. Could be written in narrative first person, third person or both.
Do not use tables for case management care plan. Do not need to follow the APIE or NANDA style.
(B) Reflection on overall/ specific home visit experience (300 – 500 words)
Students are expected to reflect critically on your home visit learning experience and the scope of professional practice as a community nurse. It does not need to follow the Gibbs reflective cycle.
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