Assessment 1 Implementing the Nursing Process

Question description

ASSESSMENT INSTRUCTIONS

Note: Complete the assessments in this course in the order in which they are presented.

PREPARATION

For this assessment, you will develop an ADPIE care plan.

Complete the Vila Health: Implementing the Nursing Process exercise, linked in the Required Resources. This interactive simulation will enable you to interview a patient and gather the information needed for your care plan.

Note: Remember that you can submit all, or a portion of, your draft care plan to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.

REQUIREMENTS

Develop an ADPIE care plan for the patient.

Care Plan Format

Use the ADPIE Care Plan Template [DOCX] and the Guidelines for the ADPIE Phases [PDF] documents linked in the Required Resources.

Supporting Evidence

Cite 5–7 sources of credible, scholarly or professional evidence to support your care plan. Cite one source for each phase: assessment, diagnosis, planning, implementation, and evaluation.

Completing the ADPIE Care Plan From a Care Coordinator Point of View

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your care plan addresses each point, at a minimum. You may also want to read the Implementing the Nursing Process Scoring Guide to better understand how each criterion will be assessed.

• Obtain subjective (personal) data and objective (independent) data from the patient.
  • Assess the quality of the data.
  • Consider psychological, sociocultural, spiritual, and economic barriers, lifestyle factors, and other elements that become relevant during the interview.
• Evaluate the patient’s experiences or responses to actual or potential health problems or life processes.
  • Make three nursing diagnoses, exercising sound clinical judgement.
  • What evidence supports your conclusions?
• Set measurable, achievable, short- and long-range, patient-centered goals or outcomes for nursing interventions, based on patient feedback, that adhere to legal and ethical standards of care.
  • What needs to happen for the patient to get better?
  • How will you effectively provide patient-centered care, while addressing identified goals, using professional standards of practice?
  • What are your legal and ethical guidelines?
  • How will you ensure (or advocate) that provided care is within the realm of the patient’s consent for care?
  • What assumptions or uncertainties are inherent in your goals or outcomes?
  • Consider possible alternate perspectives and conflicting evidence in formulating your goals or outcomes.
• Select unbiased, collaborative interventions to help meet the identified goals and outcomes for the patient.
  • What is your rationale for selected interventions?
  • What assumptions underlie your proposed interventions?
  • How will you implement selected interventions to help meet established goals or outcomes?
• Describe the expected outcomes of the care plan.
  • What factors could create potential uncertainties and necessitate adjustments to care?
• Write clearly and concisely, using correct grammar and mechanics.
  • Express your main points and conclusions coherently.
  • Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your evaluation.
• Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
  • Is your supporting evidence clear and explicit?
  • How or why does particular evidence support a claim?
  • Will your audience see the connection?

Additional Requirements

Be sure that:

• You have cited 5–7 sources of credible, scholarly or professional evidence to support your care plan, one source for each phase: assessment, diagnosis, planning, implementation, and evaluation.

Portfolio Prompt: You may choose to save your care plan to your ePortfolio.