SFU-011 - Module 4 (Model answer)

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Model Answer

Expected Outcome

Reflection Task (10 minutes)

Document and Present (15 minutes)

Hear from a professional in this role to see how they might approach this task. The following pages are a detailed model answer for the work simulation on Care Planning, geared towards a student interested in becoming a Nurse.

Create Task (20 minutes)

Analysis Task (30 minutes)

Research Task (30 minutes)

Preparation Task (10 minutes)

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PREPARAtion task

Simulation

For Type 2 Diabetes

• Unexplained weight loss or gain
• Excessive thirst and frequent urination (signs of hyperglycemia)
• Fatigue or confusion
• Numbness or tingling in hands and feet (neuropathy)
• Sores or infections that are slow to heal

For Hypertension

• Severe headaches
• Dizziness or lightheadedness
• Blurred vision
• Chest pain or pressure
• Sudden nosebleeds

• Increased shortness of breath or difficulty breathing
• Persistent or worsening cough, particularly with mucus production
• Cyanosis (bluish discolouration of lips or extremities)
• Chest pain or tightness
• Fatigue and decreased ability to exercise

For COPD

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Step one: Do some research into basic patient profiles. Think about what warning signs you would expect from a patient such as the one below. Given Mr. Joe Biggs' medical conditions (COPD, hypertension, and type 2 diabetes), the following warning signs should be closely monitored:

Preparation task (10 minutes):

Objective: Understand what a basic profile for a hypothetical patient looks like.

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Research task (30 minutes):

Objective: Learn more about different diseases, including their management guidelines and complications, and understand the role of a Nurse in managing patients with diseases such as the ones described. Step one: Research the patient’s diagnosed diseases, including their management guidelines and common complications and reflect on the role of a Nurse in managing patients with these diseases.

Type 2 Diabetes

• Management Guidelines: Use oral hypoglycemic agents or insulin therapy. Emphasise a balanced diet, blood sugar monitoring, and exercise
• Common Complications: Diabetic neuropathy, retinopathy, cardiovascular disease
• Nurse's Role: Monitor blood glucose, provide foot care, educate about diet and medication management, prevent complications, administer insulin as appropriate

Hypertension

• Management Guidelines: Administer antihypertensive medications (ACE inhibitors, beta-blockers). Encourage a low-sodium diet and regular monitoring of blood pressure
• Common Complications: Heart disease, stroke, and kidney damage
• Nurse's Role: Regular BP monitoring, medication adherence support, lifestyle counselling (diet, exercise)

COPD

• Management Guidelines: Use bronchodilators, inhaled corticosteroids, and supplemental oxygen. Encourage pulmonary rehabilitation and smoking cessation
• Common Complications: Respiratory infections, lung failure, and heart failure

• Nurse's Role: Monitor respiratory status, manage oxygen therapy, teach inhaler use, and educate about exacerbation prevention

research task

Simulation

Analysis Task

Simulation

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Step two: Consider what challenges this patient might face. Challenges:

• Ensuring adherence to multiple medications
• Encouraging lifestyle changes (e.g. diet, smoking cessation), which can be difficult for older patients
• Preventing complications from the interplay between diabetes and hypertension
• Managing potential isolation and reduced mobility due to COPD
• Managing a life-limiting illness with no cure

Objective: Understand what different psychosocial and healthcare needs a patient with diagnosed diseases might have.

Step one: Do some research into what psychosocial and healthcare needs a patient with these diagnosed diseases might face. Healthcare Needs:

• Regular monitoring of blood pressure, blood glucose, and lung function
• Medication management for all chronic conditions
• Diet management to control both hypertension and diabetes
• Oxygen therapy and respiratory care for COPD

Psychosocial Needs:

• Emotional support due to the burden of managing multiple chronic illnesses
• Education on lifestyle changes (smoking cessation, dietary modifications)
• Access to social support and mental health counselling to manage potential anxiety and depression

Analysis task (30 minutes):

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Step one: Research the different care plan factors listed below and create your own comprehensive care plan for the patient.

Objective: Understand what factors must be considered when formulating a comprehensive care plan for a patient.

Create task (45 minutes):

Discharge Planning

Education about Condition

Psychosocial Support

Involvement of Multidisciplinary Team

Nutrition and Hydration

Non-Pharmacological Management

Pharmacological Symptom Management

Physical Care

Create Task

Simulation

DOCUMENT AND PRESENT

Simulation

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Mr. Joe Biggs Care Plan Summary:

• Medical Conditions: COPD, Hypertension, Type 2 Diabetes
• Physical Care: Daily monitoring of vital signs, lung function and blood glucose
• Pharmacological Management: Administer bronchodilators, antihypertensives, and oral hypoglycemic agents
• Non-Pharmacological Management: Pulmonary rehab, breathing exercises, smoking cessation support
• Nutrition and Hydration: Low-sodium, carbohydrate-controlled diet, fluid balance
• Multidisciplinary Team: COPD Nurse Specialist, Endocrinologist or Diabetes Nurse Specialist, Dietitian, Respiratory Therapist, Psychologist, Social Worker
• Psychosocial Support: Mental health resources, support groups
• Education: Medication adherence, self-monitoring, dietary changes
• Discharge Plan: Home care setup, clear emergency instructions

Step one: Review the care plan document template. Step two: Input your care plan from the previous task into the structured format provided. You’ll need to ensure that the plan is feasible and adheres to nursing best practices.

Objective: prepare your care plan from the previous task into a structured document.

Document & present (20 minutes):

Reflection Task

Simulation

Challenges:

• Balancing multiple complex conditions and ensuring integrated care
• Creating a diet plan that simultaneously addresses hypertension and diabetes

Straightforward Aspects:

• Implementing standard care for each chronic illness (COPD, diabetes, hypertension) based on guidelines
• Recognising the role of the multidisciplinary team

What I Learnt about the Role of a Nurse in Providing Quality Patient Care:

• This exercise deepened my understanding of managing chronic comorbidities and coordinating holistic care
• I gained valuable insights into balancing physical care with psychosocial support, improving patient-centred care

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Step one: Review your work and think about what you found challenging about completing the task, what was straightforward, and what you have learnt about a Nurse’s role in providing quality care for patients.

Objective: Undergo a self-evaluation where you reflect on what was straightforward about the task, what you found challenging, and what you have learnt about the role of a Nurse in providing care for patients with diagnosed diseases.

Reflection task (15 minutes):