This assessment requires you to choose one (1) priority problem.
Then use the two (2) case studies to apply your knowledge of evidence-based nursing practice and the clinical reasoning cycle to demonstrate your understanding of how to plan and evaluate person centered care for each person.
Step One
Select one (1) priority problem from this list:
1. Potential for impaired safety: increased falls risk
2. Potential for impaired skin integrity
3. Impaired hydration
Step Two
Thoroughly read and compare the two (2) case studies (see the end of the task description).
Step Three
Use the following headings (tasks i-iv) and address points in relation to your chosen problem and the two (2) case studies. Support your responses using peer reviewed, current and relevant literature
i. Interpretation of Assessment Data
Explain what pathophysiological changes have occurred for the two cases to experience the chosen problem.
Identify and discuss the similarities and differences between the presenting assessment data related to the chosen problem for each case. In you discussion you must demonstrate your understanding of age and developmental based differences between the cases and the presentation of assessment data relevant to the chosen problem.
ii. Development of Goal for Care using SMART Framework
From the position of your chosen problem, use the SMART framework to write a goal for care for each case (i.e. there will be two goals). The goal for care should consider the uniqueness of each case.
The SMART framework headings MUST be used to present your goal. Supporting evidence is NOT required for task (ii).
iii. Evidence-Based and Person-Centred Interventions to
Address the Goal for Care:
Choose two (2) evidence-based interventions (at least one must be nurse initiated) to address the goal of care.
Justify your choice of intervention and discuss how the two (2) interventions need to be modified to meet the unique needs of the cases based on their age and developmental differences.
Note: The same two interventions will be recommended for both cases, but you need to discuss how these would be modified to suit the needs of the individual.
iv. Evaluation of the Efficacy of Interventions:
Discuss how a nurse would evaluate the efficacy of the two interventions and the similarities and differences in the approach to evaluating the cases based on their age and developmental differences.
For each case identify the expected positive changes in assessment data indicating the intervention was effective.
