Posted: October 10th, 2022

Level 7 Assessment Brief

Level 7 Assessment Brief

Assessment 2

• Assessment job: Affected person case examine
• Weighting 100%
• Date/time of submission: ——-
• Methodology of Submission: Turnitin
• Phrase rely or equal: 2500
• Timing and strategies of suggestions (written): ——- three weeks submit submission and topic to exterior examiner overview till examination board.

Submission of your 2500-word Summative Case Research:
The summative written case examine (2500 phrases) relies on one affected person case examine. This may contain a affected person session, historical past taking and the completion of a bodily Assessment, and is reflective in nature (this doesn’t imply it’s a reflection, it means you need to look again on the course of critically and analyse) The medical mannequin might be used and will embrace a historical past taking part and written bodily examination part. Session fashions might be critically appraised, and one might be chosen (e.g., Calgary-Cambridge mannequin) to information the construction of the task. Please see the detailed task transient in module data.

Studying outcomes to be achieved:

• LO1: Critically consider recognised session fashions, choose and use a mannequin to information the well being interview, acquiring subjective well being information; together with affected person’s presenting criticism, historical past of current sickness, previous medical historical past, household medical historical past and social historical past.
• LO3: Doc and synthesise subjective and goal well being information inside every physique system, utilizing applicable medical terminology. Analyse constructive/ damaging findings recognising any purple flags and utilizing scientific reasoning expertise to discover potential differential prognosis.

Format and submission steering

Please use the UWL cowl sheet offered on blackboard below assessments, this have to be crammed in and connect to the essay on submission. Earlier than submitting your summative task, please observe the steering under:

• Your task ought to be typed in Arial font dimension 12-14, justified and be double spaced. This may Help you to view suggestions simply.
• There ought to be a one-inch margin proper and left.
• Guarantee pages are numbered and have your pupil quantity and module code as a footer.
• Make sure you connect the Assessment cowl sheet as the primary web page of your Assessment taking note of the phrase restrict. Please word that is the precise variety of phrases you’ve gotten written. Keep in mind phrases within the tables aren’t counted in your phrase rely. Marks might be deducted if not adhering to the phrase rely.
• Save your file below your pupil quantity e.g., summative task 1002003.
• Please save and submit all features of the Assessment as one doc i.e., don’t attempt to connect appendices and so on. as separate information. The system is ready as much as enable just one submission per pupil.

Turnitin
Summative Case Research
Turnitin generates an Originality Report, and you might be inspired to utilize this facility as a help software that can Help you make sure the supply materials in your task is accurately referenced earlier than closing submission. It is possible for you to to submit revised drafts of your work as soon as each 24 hours till the task due date. Be sure your closing submission is the one submitted within the final 24 hours of the submission time which is 3pm. Solely the ultimate model might be marked by your tutor. Please word, on the due date and time, no additional submissions or adjustments are potential. No matter is within the Turnitin inbox at the moment might be thought to be your closing submission.
For steering on on-line submission of assignments, together with find out how to submit and find out how to entry on-line suggestions, please confer with the UWL Blackboard student-help pages at:
http://www.uwl.ac.uk/blackboardhelp

Assessment 2 might be marked anonymously as per UWL protocol. Written suggestions might be given on Turnitin. A rubric can also be given to offer you extra suggestions. Please see the rubric below assessments on blackboard.

Copying of labor and plagiarism

Please see the under hyperlinks to recommendation and data regards this. Please additionally confer with the college laws.
Please bear in mind that a low Turnitin rating doesn’t imply it’s okay, you need to test the report to make sure that you’ve gotten paraphrased accurately.
Don’t below any circumstances copy one other pupil’s tables – this could all be personal work; this encourages you to discover ways to doc scientific notes.
Turnitin additionally critiques the tables. The tables are marked, though not counted within the phrase rely.
https://www.uwl.ac.uk/current-students/support-current-students/academic-support/advice-students-plagiarism

https://www.uwl.ac.uk/about-us/policies-and-regulations

NB: Phrases in Desk 1 and Desk 2 aren’t counted within the phrase allowance however are marked. They may nonetheless be assessed for similarity by way of Turnitin.

Assessment 2: Tips

Writing the Case examine

• The case examine shouldn’t be written within the conversational method of a mirrored image, it’s reflective. You might be reviewing the talents you used throughout the session and critically dialogue them.

• The case examine ought to be written in third particular person i.e., the writer…not I’m….

• It’s essential again up what you write with proof, this helps your dialogue; at stage 7 your work ought to be proof primarily based. Please guarantee any statements and info you write have proof to help your argument. Good Level 7 writing considers proof for and towards some extent of debate.

• Use essential writing expertise – see tutorial help right here:

https://www.uwl.ac.uk/current-students/support-current-students/academic-support/critical-writing

• There ought to be no appendices and no extra tables.

Observe this structure:

Introduction
Step 1 – Initiating the session
Step 2 – Gathering data – embrace desk one
Step three – Bodily examination – embrace desk 2
Step four – Rationalization and planning
Step 5 – Closing the session
Conclusion

INTRODUCTION:

1. Introduce your position and your space of labor (Keep confidentiality – don’t point out names of labor or hospital/work title) i.e., neighborhood matron working in a fast response staff or pupil superior nurse practitioner working in an emergency division or Physiotherapist working within the acute ambulatory care division, managing G.P referrals.

2. Introduce the case examine, what are you hoping to reveal? (Consult with LO’S) How will you do that? Introduce your affected person noting you might be sustaining confidentiality and anonymity of the affected person all through (NMC, 2018 or HCPC,2018).

three. Critically focus on session fashions and evaluate the Calgary-Cambridge Mannequin (Silverman, Kurtz and Draper, 2013) to not less than two different session fashions. Critically focus on why as novice’s session fashions ought to be/are used- what are the benefits/disadvantages to the outcomes of the session for you and the affected person.

four. Some select to debate Superior roles and the position of nursing fashions – that is okay however bear in mind in endeavor these assessments you might be shifting into superior stage of observe and due to this fact shifting into medical stage of observe. Contemplate each arguments if you’re going to handle this stage of debate.

5. Please make sure you reference all of the fashions by their authors; make sure you reference every time talked about. In case you reference as soon as in a paragraph, you don’t want to reference once more in that paragraph, nevertheless in subsequent paragraphs you do state the reference once more. Fashions have a title after which they’ve the authors of the mannequin. The title of the mannequin doesn’t all the time mirror the writer/s.

6. Please word – use the most recent 2013 reference for the Calgary-Cambridge mannequin. The most recent 2016, is the arduous again reference, that is additionally acceptable. Calgary Cambridge Mannequin (Silverman, Kurtz and Draper, 2013)

7. Don’t overlook you possibly can revisit day one – introduction to historical past taking energy level presentation – This contains among the fashions and references.

Listed here are the 5 steps of the Calgary-Cambridge Mannequin – you should utilize one other mannequin, use the steps of the mannequin to now information your dialogue.

Step 1: Initiating the session:

This part critically discusses how you’ve gotten arrange the session, it additionally addresses the way you construct rapport with the affected person.
Discover critically (don’t describe); justify your strategy utilizing proof to help your dialogue and consider its effectiveness. In doing this you might be critically discussing what advantages these actions have on the session for you the clinician. the affected person and the outcomes (i.e., shared session, concordance and so on)
Critically focus on:
1. How did you put together? – studying notes, your self?

2. Introductions, constructing of rapport, communication skills- open and closed questions, positioning? Listening expertise.

three. Communication expertise together with SOLER mannequin, Egan, G., (1975). The Expert Helper: A Systematic Strategy to Efficient Serving to. Pacific Grove CA, Brooks/Cole and SURETY mannequin, Stickley, T (2011) From SOLER to SURETY for efficient non-verbal communication. Nurse Observe in Schooling vol 11: 6 pp395-398 https://doi.org/10.1016/j.nepr.2011.03.021

four. Setting – right temperature, inviting, calm, clear and tidy.

5. Confidentiality – how did you keep this?

6. An infection management

7. Privateness

eight. Different factors corresponding to capability, consent, chaperones or safeguarding could also be essential in your session.

Step 2: Gathering data
Right here you’re going to give a brief introduction to desk 1. You will focus on what extra instruments throughout the mannequin you’ve gotten used that can Help you collect a very good historical past from the affected person.

• You need to focus on that the historical past taking is subjective. You possibly can focus on the SOAP mannequin Why use a subjective and goal strategy? Lawrence Weed, (1970) Downside oriented medical mannequin. Medical Data, Medical Schooling and Affected person Care. Yearbook Medical Publishers, Chicago

• Focus on which software you’ve gotten utilised to assemble the HPC- i.e., OLDCART/SOCRATES? Record the acronym in full you might be utilizing. Why does it profit novice practitioners? What are the professionals and cons for utilizing these instruments to information a session HPC?

• Guarantee you’ve gotten included a overview of methods (ROS). That is subjective and in lay language.

• Establish Concepts, issues and expectations for the affected person. Becker, MH and Maiman (1975) LA: Sociobehavioural determinants of compliance with medical care suggestions. Med Care (13) 10-24.

• Make sure you label every of the tables accordingly and introduce then throughout the textual content.

• Desk one is subjective, it ought to be succinct. Guarantee you don’t begin describing and utilizing plenty of phrase – for PC- this ought to be the one factor the affected person presents with – not a complete paragraph of description e.g., Sore throat or shortness of breath. If there are a number of issues – use the related elements in HPC to doc these.

• In HPC- bear in mind you possibly can ask the affected person questions – you might be beginning your reasoning right here – ask related questions – i.e., for stomach ache – you possibly can ask about nausea and vomiting, journey, consuming out, bowels urine, intervals, sexual well being and so on. for Respiratory you possibly can ask about fever, cough, sputum, chest ache, sort of ache and so on throughout the HPC. You don’t repeat this in overview of methods – that is for different methods.

• In case your affected person has been referred to you; you have to full a referral SBAR or OLDCART/SOCRATES/PQRST for the referral – this provides the background to the referral.

• For these in clinics – The PC – is the explanation you might be seeing the affected person. In case you work in pre-op, then the PC goes to be preop-assessment for hernia restore. In case you work in an OPA clinic, e.g., Coronary heart failure the PC-Coronary heart failure clinic overview.

• Desk one is under – it’s possible you’ll copy this to place into your work – hover on the nook and proper click on and replica after which paste into work. The historical past taking just isn’t counted within the work rely and have to be in a desk.
Desk 1: Documentation of Historical past Taking
Setting:
Date:
Title:
Intercourse:
Age:
Occupation:
Pseudo title used above to guard id of the affected person and for confidentiality causes (NMC 2018 or HCPC, 2018)
I.e. Referral to Outreach from ward nurse:
SBAR –
scenario – 52-year-old male admitted 48 hours in the past for cellulitis R leg by way of ED. Began on IV abx, blood cultures despatched, deteriorated final four hours, information rating rising to four.
Background –usually match and properly, self-referral to ED, insect chunk to proper decrease leg, rising redness and fever. Seen in ED, monitoring erythema to R thigh, temp 37.9, in any other case regular. Bloods and cultures despatched, began on IV abx, fluids and prn QDS co-codamol. Said to complain of feeling unwell four hours in the past, sweaty and torpid, NEWS…..
Assessment – Very important indicators are ……..NEWS……..And so forth
Response – requested for essential care outreach staff to overview as per MEWS protocol.
MEDICAL MODEL
• Presenting Criticism PC -succinct and affected person’s personal terminology, often a number of phrases. If you’re a pre-op Assessment nurse PC could be : PC preop Assessment for hernia restore.

• Historical past of presenting criticism HPC – discover this through the use of an acronym i.e. – SOCRATES /OLDCART/ PQRST – bear in mind you possibly can ask your affected person questions.

O
L
D – sample of the sickness/symptom.
C – that is alternative –
A
R
T –
S – ache rating

• Previous Medical Historical past PMH (embrace dates) bear in mind surgical, MH and so on.

• Drug Historical past DH (embrace doses, timings, and date commenced) embrace contraception/secondary care drugs/infusions and OTC meds.

• Allergy symptoms – drug and non-drug embrace what the opposed impact is or whether it is anaphylactic.

• Household Historical past FH

• Social Historical past SH – smoking/alcohol/social drug use.
Occupation/dwelling scenario/mobility- something related.

safeguarding

• Evaluate of Methods (every system) – you might be asking your affected person in the event that they issues in every of the methods however not repeating the knowledge you’ve gotten gained from the HPC.

• ICE – concepts issues and expectations out of your affected person’s perspective.
• I – concepts
• C- Issues
• E – expectations

Step three: Bodily Examination

1. That is the Goal portion of the SOAP word. Establish in desk purple flags and constructive findings. You need to focus on why we use a scientific/methodical strategy to bodily examination.

2. Insert desk 2 – Documentation of bodily examination – Make sure you introduce within the textual content and label the desk.

three. You need to doc a head-to-toe examination – this ought to be a full head to toe examination (you might be doing this to reveal the LO for the module)

four. Be certain that your affected person has been stabilised, there isn’t a level in doing a head-to-toe examination on a affected person with a NEWS rating of 6.

5. Please word your tables include descriptive data solely. All interpretation with rationale and literature help is within the dialogue. This additionally means you shouldn’t describe the take a look at – solely the give the outcomes. Give damaging outcomes too, this exhibits you’ve gotten undertaken the take a look at i.e., auscultation – good bilateral air entry all through. Nil creps/wheeze/rhonchi or rub or Cranial nerve 5- Trigeminal – Motor: Full ROM, chunk, mouth opening 5/5, protrusion, retraction, lateral motion. Sensory: sensation intact tender and sharp.

Desk 2: Documentation of Bodily Examination
(Inspection, palpation, percussion, auscultation)
• Very important Indicators – values with scale listed e.g. bp mmHg

• Normal Examination

• Neuro/MH

• HEENT

• Lymph nodes

• Respiratory

• Cardiovascular

• Stomach

• Muscular skeletal
• PVD

Record your constructive and if any, purple flag findings.

Constructive findings
Purple flags – don’t must have these

Step four Rationalization and Planning:
A reminder: LO3: Doc and synthesise subjective and goal well being information inside every physique system, utilizing applicable medical terminology. Analyse constructive/ damaging findings recognising any purple flags and utilizing scientific reasoning expertise to discover potential differential prognosis.

That is the core of the case examine. Historically in step 4 of the Calgary-Cambridge Mannequin (Silverman, Kurtz and Draper, 2013) you’d be explaining your scientific reasoning to your affected person and making a shared plan of motion primarily based on the findings from the historical past taking and the bodily examination.
For this case examine you’re going to:
1. Articulate your scientific reasoning and thought course of: you’ll discover scientific reasoning in a paragraph – what’s it, how do you do it?

2. You might be then going to discover, apply scientific reasoning and critically focus on the constructive, purple flag and damaging findings in your case examine to supply some rationalization and interpretation of the findings. Make sure you use the subjective and goal data and the constructive and damaging findings. All the pieces you state must be supported with proof. Use updated literature to help dialogue. Guarantee any statements you make are proof primarily based and supported. Why is the purple leg a DVT and never a cellulitis- how did you resolve this – use the findings and literature to kind the dialogue. Keep in mind to discover potential differentials prognosis, use your findings (subjective and damaging as properly) to exclude those unlikely and construct your dialogue to help the doubtless prognosis (with out utilizing diagnostic take a look at outcomes).

three. You’ll then focus on the way you shared this data with the affected person and agreed on an motion plan. Chances are you’ll wish to remark if this was in an acute scenario, how you probably did this. Have been the household concerned? How did the affected person reply?

four. As a reminder- please don’t begin to focus on or describe diagnostic assessments – this isn’t included within the LO’s for this module. At this level you make a plan together with your affected person for subsequent steps – you’ve gotten solely undertaken the historical past taking and bodily examination. You’ll be able to focus on in short diagnostic plans within the closing the session.

Step 5: Closing the Session:
Mirror on closure and planning for future scientific exercise. How did you talk findings together with your staff or related well being care professionals? Right here point out additional investigations if required. Focus on security netting – this is likely to be referring onwards however importantly what data have you ever given the affected person.

CONCLUSION
How did utilizing the mannequin progress/develop your scientific expertise? What was your expertise of utilizing the session mannequin, did it offer you construction? What have you ever discovered and the way have you ever developed?

Session mannequin – A reminder
Silverman, J; Kurtz, S and Draper; J. (2013) Abilities for speaking with affected person’s third Version. Radcliffe Publishers. US

In textual content Calgary-Cambridge Mannequin (Silverman, Kurtz and Draper, 2013)

Tips in Respect of Confidentiality
Throughout your research you may be required to attract and mirror in your observe experiences and use these in assessments, group discussions and experiential studying and so on. It’s due to this fact essential that consumer and affected person confidentiality ought to be maintained in all occasions. It’s your accountability to make sure that any data that will determine a affected person or consumer is omitted from all written assessments.

Inside any of the actions related together with your research you have to make sure that you:
• Keep full anonymity of any materials that could be required to finish an task. Don’t write down or share any data by which a affected person/consumer, their kinfolk and well being professionals might be recognized.

• Keep confidentiality within the classroom in any group discussions, enquiry-based studying periods and so on.

• Don’t embrace names or addresses of locations of labor/observe and so on. It’s acknowledged that you could be be required to make use of native data that’s presently within the public or skilled area (e.g. statistical data relating to public well being developments, insurance policies and procedures which can be particular to a Belief or Unit), and additional steering might be offered by module leaders in particular assignments.

• Don’t copy affected person/shoppers’ notes inside your assignments.

• Don’t embrace any copied paperwork naming particular person organisations, which aren’t already within the public area.

• Don’t maintain on laptop or disc private particulars regarding sufferers /shoppers, colleagues.

• Be selective and solely use data which is important.

• Use applicable pseudonyms for affected person/consumer and administrative center (e.g. hospital within the South of England).

The above ought to be adhered to for all phases of your research – i.e. draft notes, reflective diaries, group discussions and closing drafts.

Please word that utilizing data within the public area i.e. from belief web sites, belief publications and so on. shouldn’t be thought of as a breach of confidentiality. Nonetheless, you need to achieve consent from the managers to incorporate inside your assignments/workbooks. The Faculty of Nursing, Midwifery and Healthcare views any breach on affected person, consumer and organisational confidentiality extraordinarily significantly and a penalty might be incurred.

Penalty for breaches of confidentiality

If an task is obtained which breaches confidentiality will probably be returned with out giving a mark to the scholar and the amended model will, when re-submitted by a given date be thought to be a second try resubmission. If the task is profitable it’s going to consequently entice a most mark of 50%. Breaches of confidentiality within the resubmitted work might be awarded zero%

This work have to be submitted on-line to Turnitin. You can see a hyperlink to the Turnitin Task submission from the Assessments space of the Blackboard course menu. There might be separate submission packing containers to your task. You’ll need to make sure that your Assessment is uploaded as a single doc, and within the right format (e.g. a Phrase doc or PDF – the appropriate file codecs are displayed on display screen whenever you come to submit by way of Turnitin).

When submitting, please enter your pupil ID quantity within the “submission title” field. The doc itself ought to include your pupil ID quantity in a header or footer; your title shouldn’t be seen on the work.

Turnitin generates an Originality Report, and you might be inspired to utilize this facility as a help software that can Help you make sure the supply materials in your task is accurately referenced earlier than closing submission. It is possible for you to to submit revised drafts of your work up till the task due date. Solely the ultimate model might be marked by your tutor.

On the due date and time, no additional submissions or adjustments are potential. No matter is within the Turnitin inbox at the moment might be thought to be your closing submission.

A separate submission field might be offered for college students with an agreed extension or submitting below the 5 Day Rule.

For steering on on-line submission of assignments, together with find out how to submit and find out how to entry on-line suggestions, please confer with the UWL Blackboard pupil Help pages at:
http://www.uwl.ac.uk/blackboardhelp

Suggestions Rubric: Level 7 Assessment 2
LO1: Critically consider recognised session fashions, choose and use a mannequin to information the well being interview, acquiring subjective well being information; together with affected person’s presenting criticism, historical past of current sickness, previous medical historical past, household medical historical past and social historical past.
Demonstrates glorious skill to make the most of each a session mannequin and a Medical Mannequin within the heath interview, contemplating affected person profile, chief criticism, historical past of current sickness, previous medical historical past, household medical historical past and social historical past. SOCRATES or PQRST are integrated in a tabulated format. Demonstrates excellent skill to make the most of each a session mannequin and a Medical Mannequin within the heath interview, contemplating affected person profile, chief criticism, historical past of current sickness, previous medical historical past, household medical historical past and social historical past. SOCRATES or PQRST are integrated in a tabulated format Demonstrates good skill to make the most of each a session mannequin and a Medical Mannequin within the heath interview, contemplating affected person profile, chief criticism, historical past of current sickness, previous medical historical past, household medical historical past and social historical past. SOCRATES or PQRST are integrated in a tabulated format Demonstrates skill to make the most of each a session mannequin and a Medical Mannequin within the heath interview, contemplating affected person profile, chief criticism, historical past of current sickness, previous medical historical past, household medical historical past and social historical past. SOCRATES or PQRST are integrated in a tabulated format Studying final result not achieved
LO3: Doc and synthesise subjective and goal well being information inside every physique system, utilizing applicable medical terminology. Analyse constructive/ damaging findings recognising any purple flags and utilizing scientific reasoning expertise to discover potential differential prognosis.
Glorious skill to critically analyse the documented Assessment of bodily social and psychological standing. Clearly articulates and data findings, utilizing applicable medical terminology. Interprets and explains constructive findings, utilizing glorious scientific reasoning expertise. Counsel additional motion to be taken Superb Glorious skill to critically analyse the documented Assessment of bodily social and psychological standing. Articulates and data findings, utilizing applicable medical terminology. Interprets and explains constructive findings, utilizing good scientific reasoning expertise. Counsel additional motion to be taken Has a very good skill to critically analyse the documented Assessment of bodily social and psychological standing. Articulates and data findings, utilizing applicable medical terminology. Interprets and explains constructive findings, utilizing scientific reasoning expertise. Counsel additional motion to be taken
Has the power to analyse the documented Assessment of bodily social and psychological standing, demonstrating some essential appraisal. Data findings, utilizing applicable medical terminology. Interprets and explains constructive findings, utilizing scientific reasoning expertise. Counsel additional motion to be taken Studying final result not achieved
Writing Grammar, spelling and punctuation are all glorious, with good, fluent sentence building demonstrated all through the paper The essay is properly written with excellent spelling, grammar, punctuation and sentence building. Solely minimal errors famous Grammar, spelling, punctuation and sentence building are all good, with solely minor errors obvious. Grammar, spelling, punctuation and sentence building lack accuracy, with a number of errors famous. Grammar, spelling, punctuation and sentence building are all insufficient, with quite a few errors obvious
Model Glorious tutorial model and tone used persistently all through the essay. Writing has aptitude and fluency Superb tutorial model and tone used all through the paper. The writing is articulate. A tutorial model and tone is used to convey which means. A tutorial model and tone to the writing has been used general, however the work is conversational in nature at occasions The work is generally conversational in nature and requires larger use of a tutorial model and tone. You need to search tutorial help
Sources Use of a wonderful vary and breadth of related, present sources is clear within the work. An excellent vary and breadth of related, present sources is clear within the work. A sound vary and breadth of related, present sources is clear within the work. An enough vary and breadth of sources is clear. High quality and/ or foreign money of some chosen literature wants addressing. A restricted vary and breadth of applicable literature has been used to help dialogue.
Analysis There may be glorious software of sources to tell the dialogue and important analysis of ideas all through. There is superb software of sources to tell dialogue, with clear essential analysis evident. There may be good software of sources to tell dialogue, with essential analysis of sources used evident. There may be enough software and important analysis of sources used. There may be restricted software and important analysis of the literature used.
Referencing Glorious use of UWL’s Harvard quotation and referencing system used with out error. Superb use of the UWL quotation and referencing system used all through, with minimal inaccuracies obvious Good use of the UWL quotation and referencing system with solely minor inaccuracies famous. Sufficient use of the UWL quotation and referencing system used with some errors famous. Restricted use of the UWL quotation and referencing system, with many errors and omissions obvious.

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