HNN 217 Community Nursing Practice Assessment Task 2: Holistic Care Plan 2000 words 60%...

Question

HNN 217 Community Nursing Practice Assessment Task 2: Holistic Care Plan 2000 words 60% weighting

Purpose of assessment task

This assessment task will enable you to develop knowledge about the role of the community nurse in planning care and reflecting on your practice.

Due date: Time: Location: Format:

Thursday 20 May 2021
8.00pm
Assignment dropbox on HNN 217 CloudDeakin unit site PDF*

*PDF conversion software is availablehereon Deakin Software Catalogue

Please check the document before submitting to the dropbox to ensure the formatting has not changed.

You are responsible for ensuring that the correct version of your assessment task is properly uploaded into the correct assessment dropbox.

This task is designed to assess the following Unit Learning Outcomes:
1. Explain the relationship between nursing, the social determinants of health, and primary health care.
2. Identify the roles and responsibilities of the nurse engaged in community health practice, including education of individuals, families, and carers.
3. Evaluate symptoms, functional status, and risk in the management of individuals, significant others and communities.
4. Demonstrate integration of knowledge and skills by providing safe, effective care for individuals from diverse cultural backgrounds in community settings.
Topic background:

Tran has attended the community clinic in South Melbourne for support with managing her HIV. Tran is recently diagnosed with HIV and requires a holistic care plan to be developed. This is the information from Tran’s referral.

Tran is a 30-year female who lives in transitional housing. She has arrived in Australia from Vietnam two years ago and is currently unemployed. Tran has experienced periods of homelessness since she has become estranged from her family after her HIV diagnosis. Tran speaks limited English and has been difficult to engage in consultations

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with the treating team at the clinic as she appears dismissive and misses appointments regularly. Tran regularly attends the community drop-in centre for meals and food vouchers and has no other supports in Melbourne. Tran has a history of intravenous substance use and has declined to engage with Drug and Alcohol services. Tran has been prescribed Zidovudine at her last visit to the clinic last week; however, she has not returned for blood tests to monitor her CD4 levels. The GP at the clinic has expressed concern about Tran’ recent weight loss and medication adherence and has requested follow up from the community nurses.

Assignment QuestionPart A:

1.Explain the importance of holistic care in supporting Tran.
2.Using the case scenario and the nursing process, identify two priorities of care

you would address in developing a holistic care plan for Tran.3.Use the table below to develop your priorities into a plan of care.

Part B:

Using Rolfe’s reflective framework, reflect on how your key learnings from the unit will inform the culturally safe care you plan to provide for Tran.

Rolfe’s reflective framework is structured around these three questions.
What? – describe a particular situation, then focus on achievements, consequences, responses, feelings, and problems.
So what? – discuss what you have learnt about yourself, relationships, models, attitudes, cultures, actions, thoughts, understanding and any improvements.
Now what? – identify what you need to do in the future to improve future outcomes and develop your learning.

Reference: Rolfe, G., Freshwater, D., & Jasper, M., 2001. Critical reflection for nursing and the helping professions: A user’s guide, Palgrave Basingstoke.

Priorities	Goals	Interventions	Rationales	Evaluations
1.
2.
3.

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Instructions for this assessment task:

You can use headers (Part A and B) to separate the sections.

You will need to provide evidence of research/reading, so a reference list and in- text citation would be expected to back up your ideas.

Presentation requirements:Title Page:

Include the following information on separate lines; Title of Paper (bold font), Student Name/s, University/Institution Name, Unit Code and Name, Facilitator Name, Due Date.

Formatting of Title Page: Centred text alignment and double-line spacing.

Font:

Writing is to be in an accessible font. Examples of these include; 12-point type size Times New Roman.

11-point type size Georgia.
11-point type size Calibri.
11-point type size Arial.
Ensure the same font is used consistently throughout the entire paper.

Spacing:

Double-line spacing (Do not insert extra lines between paragraphs or the references list entries.)

Page numbers

Page numbers to be provided on all pages. Place page number in the top right hand corner

Margins

2.54 cm at the top, bottom, left-hand, and right-hand sides of the page (default page margin).

Paragraph indents

Indent the first line of each paragraph 1.27 cm (using the tab key or paragraph tool).

Exceptions: abstract, block quotations, title page (centred alignment), titles and headings, table titles and notes, references (hanging indent), appendix labels and titles

(Consultwith APA 7 style manual for specific detail).Justification of text

All text needs to be aligned to the left, not justified (right margin remains uneven)

Word Count

Assignments must be no more than 10% above or below the indicated word count, not including title page, in-text citations and reference lists

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Criterion mode:Points		High Distinction		Distinction		Credit		Pass		Fail
		Starting %	80	Starting%	70	Starting%	60	Starting%	50	Starting%	0
Demonstrates understanding about holistic care and identifies appropriate priorities in the planning of care and support for Tran. Criterion 1		care and goals relevant to the case scenario is explained in a synthesised response that demonstrates an integration of key concepts.		care and goals relevant to the case scenario is explained in- depth that demonstrates some integration with the key concepts.		care and goals relevant to the case scenario is explained in- depth but lacks integration with the key concepts.		care and goals relevant to the case scenario is identified; however, the discussion lacks explanation.		not demonstrate an understanding about holistic care and goals identified are not relevant to the case scenario.
Points/Percentage	40
Demonstrates understanding about culturally safe care through reflection about self- awareness and knowledge from the key learning from the unit. Criterion 2		depth of concepts which are insightful, well-supported and linked to clinical practice.		in the understanding of concepts and links to clinical practice.		thoughtful understanding of concepts and links to clinical practice.		limited understanding of concepts and links to clinical practice.		demonstrate understanding about culturally safe care and implications for own clinical practice.
Points/Percentage	35
Relevant literature selected and used to support discussion. Criterion 3		research through the selection of quality literature, which is utilised skilfully to support the claims made.		research through the selection of mostly quality literature, which is utilised skilfully to support the claims made.		research through the selection of mostly quality literature, which is utilised well to support the claims made.		selected is adequate and has been utilised to support the claims made most of the time.		inadequate which has resulted in an unsatisfactory explanation of the concepts and insufficient evidence to support the claims made.
Points/Percentage	10
Formatting and Referencing style is accurate and consistent with APA style. Criterion 4		style at least 80% of the times.		style with minimal errors in text or the reference list (correct at least 70% of the time).		style with many minor errors in text or reference list (correct at least 60% of the time).		style with significant errors noted in text or reference list.		support discussion in text or reference list.
Points/Percentage	5
Writing is in accordance with standard language conventions. Criterion 5		coherent and logically- organised sequence and expressed in engaging, well written, grammatically correct language.		organised and expressed in clear and grammatically correct language with minimal errors in spelling and grammar.		organised and most of the time is expressed in clear language with few errors in spelling and grammar.		adequately, although improvements could be made to one of more of the following: better organisation; clearer articulation of ideas; and greater attention to spelling and grammar.		unclear expression make it difficult to follow ideas, and multiple spelling and grammatical errors significantly detract from readability throughout.
Points/Percentage	10
Total Points	100	(This total must be manually calculated)

Understanding about holisticUnderstanding about holisticUnderstanding about holisticUnderstanding about holisticThe content presented does Response demonstrates an inResponse demonstrates depthResponse demonstratesResponse demonstratesReflection does not

There is evidence of thoroughThere is evidence of wideThere is evidence of sufficientThe quality of the literatureThe quality of the literature is Adhered to APA referencingAdhered to APA referencingAdhered to APA referencingAdhered to APA referencingAPA 6 style not used to Content is presented in aContent presented is logicallyThe content is logicallyContent can be understoodDisorganised structure a

hnn217assessment-task-2tri12021-q2bux41r.pdf

Sabah · Accepted Answer

HOLISTIC CARE PLAN									1
HOLISTIC CARE PLAN				 					14
TITLE OF PAPER: ASSESSMENT TASK 2: HOLISTIC CARE PLAN
STUDENT NAME: ________________________
UNIVERSITY/INSTITUTION NAME: DEAKIN UNIVERSITY
UNIT CODE AND NAME: HNN 217 COMMUNITY NURSING PRACTICE
FACILITATOR NAME: ________________________
DUE DATE: ________________________
Table of Contents
Introduction	3
Part A:	3
1. Significance of Holistic Care for Supporting Tran	3
2. Priorities of Care to Address Development of Holistic Care Plan for Tran	5
Care Plan for HIV	5
Priorities	5
Goals	5
Interventions	5
Rationales	5
Evaluation	5
Care Plan for Substance Abuse	7
Priorities	7
Goals	7
Intervention	7
Rationale	7
Evaluation	7
Part B:	10
Rolfe’s Reflective Framework	10
References	13
Introduction
Holistic care is defined as a thorough and in-depth understanding of a patient’s complex needs and addressing their social, physical, emotional and psychological state of mind to create a care plan that enables them to deal with their illness and lead a healthy life. During an illness, a patient loses their ability to look after themselves and hence they depend on holistic care to provide them support.
Florence Nightingale was the first nurse who developed the concept of holistic nursing plan that is widely emphasised and used in the healthcare sector today (Haldane et al., 2017). Tran has a history of HIV as well as substance abuse. She has been missing her appointments, which is not a good move because that will progress her disease further and the consequences will be serious.
Hence, it is necessary to make a holistic plan of care for Tran, which will cover her HIV treatment and management plan along with a proper treatment plan for drug abuse. My care of plan includes a wide range of approaches mainly including treatment, education, medication, self-care, nutrition and alternative forms of treatments.
According to Jasemi et al. (2017), holistic nurses are characterised by their professional commitment, social relationship with patients and ethical beliefs. I believe all these principles are extremely necessary for a healthy care plan to be established and building communication skills with the patient is the key to attain it. 
Part A:
1. Significance of Holistic Care for Supporting Tran
As Tran has been known to have HIV and she is not taking her treatment diligently, hence I have decided to develop a care plan for her. People having HIV or AIDS are prone to severe infections because of compromised immunity hence a systematic approach needs to be established. Due to recurrent infections, there is a repeated need of hospitalisation for such patients over the course of the disease and it increases their chances of mortality as well as morbidity especially when a patient develops resistance to antibiotics.
According to Zepeda et al. (2019), Highly Active Antiretroviral Therapy (HAART) is known to decrease the progress of HIV in people but it is the non-adherence to medication, which is known to cause complications of the disease and developing opportunistic infections. Since Tran has no proper accommodation and is homeless, hence, I have decided to extend palliative care so that she can continue getting proper treatment. She has no access to proper food and is even addicted to drugs.
Tran has supposedly acquired HIV due to sharing of needles with multiple people because intravenous injections provides instant bioavailability and the drug gets instantly circulated into the system thereby reaching effecting brain. According to Wang and Maher (2019), drug addiction is known to cause psychotic disorders among patients such as suicidal thoughts, aggression, violence, mood disorders and a plethora of developing other serious illnesses.
Tran has been known to miss appointments with the community clinic treating HIV and even not seeking treatment from drug and alcohol services, which is a very common pattern, observed amongst illicit drug users due to societal stigma and fear of judgemental attitudes from healthcare staff members. According to Wieman et al. (2018), stigma associated with HIV and Drug use is the main factor responsible for patients not turning up for treatments because they are made to feel undervalued and their social service needs are not met by the practitioners.
2. Priorities of Care to Address Development of Holistic Care Plan for Tran
Care Plan for HIV
	Priorities
	Goals
	Interventions
	Rationales
	Evaluation
	1. Nutrition imbalance, Weight loss, malnutrition
	To achieve and maintain a healthy balance of weight
	Assess patient’s ability to chew and taste food, Use of Dronabinol
	Lesion of mouth, throat due to fungal infections like candidiasis and Kaposi’s sarcoma
	Antifungal therapy to treat patient’s mouth infections resulting in improved eating ability
	2. Abdominal diarrhoea and cramping
	Abnormal bowel sounds and movements
	Lactose intolerance and hypermotility of gastrointestinal tract, HAART, Chemotherapy
	Antiemetics drug medications such as promethazine and Compazine
	Change in diet and introducing supplementary foods as well as antibiotic use to treat GI disorders
	3. Fatigue
	To meet energy requirements
	Encourage nutritional food uptake, monitor sleep patterns, exercise daily, CBT
	Adequate intake of nutrients, side effects of drugs and chemotherapy treatments
	Improvement in sense of energy and stamina
	4. Acute pain
	Pain should be relieved, sleep quality improvement
	Repositioning and massaging of joints, acupuncture exercising, meditation, deep breathing
	Administering analgesics to relieve pain, CNS depressants
	Improvement and alteration in muscle tone is observed
	5. Risk for Infection
	To reduce risks by healing of broken skin/wounds and improved immunity
	Wash hands,

HNN 217 Community Nursing Practice Assessment Task 2: Holistic Care Plan 2000 words 60% weighting Purpose of assessment task This assessment task will enable you to develop knowledge about the role of...

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