The goal of this assessment is to promote your knowledge and decision making for a client who is living with a progressive illness. You will determine the relevant trajectory phase(s) for a nursing assessment of your client. You will identify their health care needs and coordinate the provision of care they require using the tiers within the Socio Ecological (S/E) framework as resources.Your coordination of care is based on the health needs of the selected client and to the specific health interventions you identify as a nurse to be important when addressing and meeting the client’s needs within their trajectory phase.There may be discussion on potential health requirements in the near future that can be identified at this point of the current trajectory. A ‘shaping of the trajectory concept’ can be applied to the care coordination if you recognise as relevant.Using the S/E framework coordinate your health assessment and care selecting one key aspect from each of the 5 tiers relevant to the specific needs of your client within the identified trajectory phase(s). Commence with identifying what the nursing assessment goal of care is for your chosen client, then commencing with the bottom tier, the person identify one key concept that you can support the client with and why. Within each of the 5 sections discuss what/who may assist (influence) or hinder (effects) the client in achieving the required health goal you have identify from your nursing assessment. If you wish there can be more than one nursing goal to discuss for the plan of care.
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