5N3707 Activities of Living Patient Care Assessment Skills Demonstration and Project

5N3707 Skills Demonstration

 “A skills demonstration is used to assess a wide range of practical based learning outcomes including practical skills and knowledge. A skills demonstration will require the learner to complete a task or series of tasks that demonstrate a range of skills.”

 Instructions:

As part of this assessment, learners are required to write 6 reports outlining how they would undertake the following clinical skills:

1. Measurement and recording of temperature.
2. Measurement and recording of pulse & respiration.
3. Measurement and recording of blood pressure.
4. Measurement and recording of fluid balance.
5. Recording urinalysis.
6. Recording patient’s weight.

Evidence of the above will be provided by:

Written report – write your report for each of the skills (x6) under the following headings: (see below for further guidance)

• Preparation of client.
• Organisation of resources/materials.
• Procedure & Rationale.
• Safety & infection control practices.
• Reflection on learning.

Important: In writing your reports you can draw on knowledge and learning gained from the course material and/or from work based practice you have gained.

Any results issued are provisional and subject to confirmation from the QQI External Authenticator.

Important Guidelines:

• Your skill reports must be written in first person.
• In your reports it is important to emphasize how you would promote good client care, knowledge and understanding.
• When writing the reports, it is also of great importance to use the language of the vocation/profession, avoiding ‘layman’ terms and inappropriate/unprofessional terms.
• Word Count: Each report must be: 800 words. (+/-10%)   
• Referenced material is not required in reports, they must be written in own words, illustrating your learning and understanding.  

For final presentation of your work please ensure:

• Accuracy of information supplied.
• Quality of Presentation
• Grammatical correctness and proper spelling
• Written in the correct context as instructed.
• Professional vocational language is used.

Please note failure to adhere to the above, may result in deduction of marks.

Report Structure Guidelines:

Each report must follow the below structure. 

PREPARATION OF CLIENT:

In this section outline how you would prepare your client for the measurement and recording of the skill

ORGANISATION OF MATERIAL/ RESOURCES REQUIRED:

In this section outline how you would prepare all your equipment/material for the task.

COMMUNICATION: {in this section outline how you would communicate with your client and how you would report and document results}

PROCEDURE AND RATIONALE:

In this section provide a detailed account of how you would undertake the required clinical skills, addressing the steps of the procedure in detail and rationale for interventions, outlining good practice.

SAFETY & INFECTION CONTROL:

In this section outline the safety measures and infection control measures you would apply in safely executing the task and on completion.

REFELCTION ON LEARNING:

In this section reflect on knowledge gained and identify how this new learning will assist you in practice going forward.

Assessment Criteria

Tutor:  Siobhan Lynch

Signed: ____________________________

Date: _____________________________  

5N3707 Project

 “A project is a response to a brief devised by the assessor. A project is usually carried out over an extended period of time. Projects may involve research, require investigation of a topic, issue or problem or may involve process such as a design task, a performance or practical activity or production of an artefact or event”.

Title: ‘Applying the model of living, discuss the care needs of a client in relation to their activities of daily living’.

Instructions:

For your project please chose either option (1) or (2) depending on your current circumstance. Where possible learners are encouraged to choose Option (1), however, if you are unable to attend placement and/or have little or no experiences working with directly clients/service users, please chose Option (2).

1. Complete the project on a service user /client you have cared for during your current or previous work placement or family member relative you have cared for in the home, whereby you have been involved in assisting them with their care. Or,
2. Choose one of the case studies profiles below to complete the project and follow the guidelines provided to complete same. The below case studies are a brief overview of a client and you are free to interpret and expand upon the client history, background if you wish.

The word limit for this Project is: 3000-4000 (+/- 10%).

Please note, the following are not included in your word count.

• Content’s page — must be included.
• Bibliography/reference list — must be included.
• Appendices are optional.

Important Information 

Your work must also protect the anonymity of the client and organisation if used, thus all names must be changed. This must be stated clearly in your work.

Please note: if you do go over your word count deduction will be at tutor discretion, based on the relevance of the information submitted.

In your project, you must demonstrate your ability to research the topic independently. Please ensure to use relevant research and sources of information and provide a bibliography as per Harvard Style.

In the completion of this project, you may gather your material from a variety of resources which may include the following:

• The Internet——– reliable sources only. It is preferable to use Irish / UK based websites.
• Healthcare Literature/Journals
• Books
• Course Material

For final presentation of your work please ensure:

• Accuracy of information supplied.
• Quality of Presentation
• Grammatical correctness and proper spelling
• Written in the correct context as instructed.
• Professional vocational language is used.
• Referencing as per Harvard style.

 Please note failure to adhere to the above, may result in deduction of marks.

Assessment Criteria:

• understanding and application of concepts associated with caring for patients/clients utilising the activities of living. (20 Marks)
• relevant research and sources of information (5 Marks)
• appropriate presentation of work (5 Marks)  
• comprehensive reflective analysis of findings and logical conclusions and recommendations (10 Marks)

Any results issued are provisional and subject to confirmation from the QQI External Authenticator.

Case Study (1)

Lilly is a 92-year-old lady who was admitted to the Nursing home a year ago following a bad chest infection that resulted in her contracting pneumonia, she had spent over a month at the local acute hospital previous to her admission. Lilly’s husband is deceased two years and she have two daughters. Her mental health is good, and she has no issues with hearing or sleep and has glasses for reading only. Lilly has some long-term health conditions that are as follows:

• Hypothyroidism
• Diverticular disease
• Trigeminal neuralgia
• Aortic sclerosis

Lilly also recently developed mild issues with swallowing fluids and was recommended for thickened fluids by the SLT. Her bowel movements are to be closely monitored because of the diverticular disease that she suffers; she has been prescribed a mild laxative to help keep her movements regular. Having been a smoker most of her life, Lilly at times needs oxygen after exertion.

Case Study (2)

Mary is an 81-year-old lady with a diagnosis of multi-infarct dementia. She has been a resident in longterm care for over three years. Mary has a complex medical history with multiple co-morbidities. In terms of medical history, Mary has been diagnosed with ischemic heart disease, atrial fibrillation, carotid stenosis and osteoarthritis. She also suffered a cerebrovascular accident in 2015 with resulting right sided weakness. Mary had a left sided total hip replacement in 2013.

She had a deep vein thrombosis following this resulting in a pulmonary embolism and is on long term anticoagulation. Mary also takes medication to control her blood pressure and improve her heart function. She scores 17/30 on mini mental state exam putting her towards the more severe end of cognitive impairment. Mary is a retired teacher and widowed, her husband having passed away last year. She has one daughter living locally and two grandchildren. She is visited regularly by her family and they are very supportive and active in the care process.

Case Study (3)

James Brown a 75-year-old male and was admitted into the nursing home in January 2020. Previous to this Mr. Brown was in St. Vincent’s hospital following a stroke where he spent six months. Following the stroke Mr Brown now uses a rollator.

He requires the assistances of one with his personal care needs. He is partially paralysed on the left side of his body, and sometimes his speech is a little slurred, he can become frustrated when he cannot communicate his needs.

Mr Browns wife and son visit every few days. Prior to his retirement Mr. Brown worked in Dublin Dockyards and had a keen interest in swimming, hill walking and crossword puzzles. On occasions Mr. Brown can appear depressed and needs to be motivated, he has a history of type two diabetes and is on diabetic diet.

Guidelines: 

Please follow the below structure for your project

Your work must also protect the anonymity of the client and organisation, thus where used all names must be changed. This must be stated clearly in your work.

INTRODUCTION:

• In this section provide an overview of the nursing process and model of living
• Outline aims and objectives.

CLIENT PROFILE:

• Client’s name.
• Health history/current problems.

MODEL OF LIVING:

(Apply to your client)

• Lifespan – identify the correct lifespan for your client.
• Dependence/independence outlined.
• Factors affecting activities of living. In this section address factors affecting your client’s quality of life/dependency level under the following headings:
  1. Physical
  2. Psychological
  3. Socio-cultural
  4. Environmental
  5. Economic

ACTIVITES OF LIVING:

• In relation to your client, assess individual needs under each activity of living, identifying actual and potential problems.
• What factors are affecting health recovery.
• For each actual and potential problem, discuss the planning, implementation and evaluation of care interventions.

In this section, which is the main body of your project overall, you must address all the above points which can be approached in the following manner:

EXAMPLE  

Maintaining a Safe Environment 

• Look at actual needs and potential problems that may occur.
• Factors affecting overall health with this activity.
• Overview of care planned, implemented, and how it is evaluated. Look at main issues/problem(s) of concern.

Conclusion & Reflection:

• In this section critique the model of living and nursing process.
• Reflect on the care interventions provided to client.
• Reflect on knowledge gained and personal recommendations.

“PLEASE ENSURE TO CLEARLY REFERENCE All INFORMATION SOURCED IN YOUR WORK WITH EVIDENCE OF IN-TEXT REFERENCING AND SUPPORTING BIBLIOGRAPHY. TO ENSURE THAT THE CORRECT REFERENCING FORMAT IS APPLIED LEARNERS SHOULD REFER TO THE ADDITIONAL GUIDELINES ON REFERENCING DOC.

PENALTIES WILL BE APPLICABLE (REF MOST UP TO DATE VERSION OF THE PLAGIARISIM POLICY) TO THOSE ASSESSMENTS THAT DO NOT CONSIDER THESE REFERENCING GUIDELINES”.