Case Study and Care Plan
Assignment: Case Study and Care Plan
Assignment: Case Study and Care Plan
The purpose of a case study is to describe an individual situation/case in nursing that allows the student to identify key issues of the case, analyze the case using relevant theoretical concepts from nursing and psychiatric nursing and recommend a course of action for that case.
Students are presented with a case study and will work through the critical thinking exercises.
They will utilize the nursing process and present a plan of care that addresses the holistic needs of the client and the focuses on theoretical understandings of forensic psychiatric nursing care.
Develop a holistic care plan based on the “Incarcerated and Substance Use” Case Study. Using the Care Plan template as a guide and the resources presented in this course, create a care plan that utilizes each phase of the nursing process (ADPIE). Use APA format for your assignment, including a title and reference page.
Your Care Plan must include:
- Written assessment including subjective, objective and historical data – clear, concise and to the point.
- Written MSE from the information available. Keep your report clear and concise.
- Create one 3-part Nursing Diagnosis following the guide described in the NANDA Nursing Diagnosis Guide – choose what you feel is a PRIORITY consideration for this client – think about what the most important consideration for this client at this time is.
- Develop one goal for your Nursing Diagnosis
- Create three interventions to support the client obtaining the goal (6 total)
- Scientific rationale/principle with references for each selected intervention (6 total)
- Evaluation of interventions selected (6 total)
Marking Guide:
Assessment: Includes subjective, objective, and historical data that support nursing diagnosis.
1 mark for subjective data. 1 mark for objective data. 1 mark for historical data to support the nursing diagnosis
MSE:
1 mark for appearance. 1 mark for behaviour. 1 mark for affect and mood. 1 mark for thought process. 1 mark for thought content. 1 mark for speech. 1 mark for cognition. 1 mark for insight and judgment.
NANDA Nursing Diagnosis (2 ND)
4 marks for each complete NANDA diagnosis as per correct accuracy and priority sequence. 1 mark for including ‘as evidenced by’. 1 mark for including ‘related to’. 2 marks for appropriate choice of what is a priority for this client.
Goal/Outcome Criteria
2 Marks for the goal. 1 mark for a goal related to the diagnosis. 1 mark for use of evidence/ reference to support use of the goal.
Nursing InterventionsÂ
1 mark for each intervention (3 in total). 1 mark for each use of evidence/ reference to support efficacy of the chosen interventions.
Evaluation of Interventions
2 mark for each method of evaluating the 3 interventions including use of literature/ evidence to support the evaluation process.
Medication Regimen
2 marks for identifying possible medications to benefit the client. 2 marks for evidence/ reference to support these choices.
Referrals to community supports
0.5 mark for each support identified (up to 4 services) including a description of the service. 1 mark for including supportive evidence for each service.
APA Reference Page
1 mark for including a reference page in APA formatting. 1 mark for completed reference list used in the care plan.
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