CASE STUDY

PART 1 (1000 words)

  • Choose an assessment tool or framework that suits the needs of your patient and/or speciality area of clinical practice (see ‘some points to consider’ for framework examples).
  • Provide a justification for your choice of health assessment framework. This justification needs to be supported by literature.
  • Select a patient (either upon admission or an in-patient for whom you care over a single shift). Identify at what stage of the patient’s admission your health assessment was undertaken in the introduction of your assessment item.
  • gain consent and then perform a thorough health assessment.
  • Present the patient’s assessment data, include all findings, subjective and objective data logically and clearly. You may present this section under key areas/headings of your framework and then in bullet point form.
  • Your assessment data should identify normal ranges for this health area and highlight pertinent findings/observations (use italics to highlight).
  • It is expected that you use appropriate literature to support your claims.

PART 2 (1000 words)

  • Identify all the patient’s actual and potential problems, within reason.
  • Select the most important four problems based on the assessment data gathered in Part 1.
  • Justify and explain why these are priorities for the patient, using the data you have collected and evidence-based literature.
  • Include a copy of the health assessment framework in your submission (this will not be included in your word count).

 

 

Some points to consider:

  • DO NOT address interventions for your patient’s management. These aspects are addressed in your other clinical speciality units.
  • It is recommended that you choose a patient with a straightforward clinical presentation. Health assessment of patients with multiple co-morbidities and problems would be very difficult to present within the confines of the word limit for Assessment 2.
  • Examples of health assessment tools are:

functional health patterns

health assessment documentation currently used in your workplace

Systems-orientated approach, such as the Emergency Care Cycle or head to toe/body systems assessment

  • You must include a copy of your health assessment framework in your submission (this will not be included in your word count).

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