Palliative Care

Assignment brief

  1. Demonstrate a critical understanding of external influences which have a direct effect on end-of-life care, and the strategies employed by the practitioner to facilitate the delivery of quality palliative care services.
  2. Critically evaluate a variety of physical, psychological, and social factors which impact on the client’s experience in relation to palliative care.

Assessment title

Palliative Care Case Study

Assessment description

The assignment will be based on a case study of a palliative care client, identifying and discussing the internal and external influences on effective client care, and how these may influence the experiences of all concerned within the palliative care situation. (3000 words.)

Guidelines

Background

A case study is written for a clear purpose and to a particular audience. Specific information and evidence are presented, analyzed and applied. Reports are presented in a clearly structured format making use of sections and headings so that the information is easy to locate and follow. Case studies are used as forms of written assessment to identify what you have learned from your reading, research, and experience and giving you an experience of a skill that is used in practice and research (e.g., incident, development, progress and scientific reports). Case writing skills may be increasingly useful as your career progresses.

 

Case studies allow episodes of care to inform the delivery of high-quality healthcare. A case study discusses, for practice, research or educational purposes. Case studies written without structure are insufficiently rigorous to guide clinical practice and research needs.

Case study

  • No individuals (including patients and staff) should be contacted.
  • No medical, health or any other records should be used.
  • Confidentiality needs to be maintained including the explicit use of pseudonyms and, as appropriate, removal or modification of personal identifiers.

 

Focus

  • The focus is the patient and palliative care.

o             Therefore, what is presented in the discussion needs to be related to the patient.

o             Therefore, what is presented needs to be explicitly related to palliative care (see book “Case studies in palliative and end-of-life care” for examples).

 

Case can be a:

  • Patient recently or previously encountered by you or colleagues.
  • Patient in your current or previous health settings.
  • Patient you have professionally and anonymously discussed with other professionals.
  • Patient encountered during student placement (during your training).
  • Simulated case, accommodating palliative care issues you would like to explore, within the confinements of the Learning Outcomes.

Cannot be from:

  • The course/work of others.
  • Journals.
  • The internet.
  • Books.
  • Published sources.
  • Similar sources to the above.

 

Headings

These are the headings that need to be used.

History

Physical examination

Diagnostics

Clinical question/s

Patient discussion

Follow-up

References cat01750a&AN=udc.998829&site=eds-live (Accessed: 23 May 2022).

  1. History – 100- 400 words
  2. Physical examination details- Signs, symptoms, vitals, and observation (100- 200 words)
  3. Diagnostics: Laboratory test, imaging and results (100- 200 words)
  4. Clinical questions: 1 or 2 questions (50- 100 words)
  5. patient discussion: related to the clinical questions/ relevant literature arguments with relatives, recommendations, etc (1700- 2000 words)
  6. Follow up: Recommendations for practice and research going forward.

Also include External influences and physical factors, psychological and social issues / Pain management

 

 

What should be included:

See book “Case studies in palliative and end-of-life care”.

Therefore, what is relevant from the following should be considered: History: relevant key background information including explaining the palliative care situation.

Physical examination: relevant signs, symptoms, vital signs, observations, physical examination findings.

Diagnostics: relevant laboratory test, imaging, survey results.

Clinical question/s: question/s related to what the assignment will analyse. Only one or two questions.

Patient discussion: discussion related to the clinical question/s and relevant literature. Arguments with rationale with inferences explained. You can think about your recommendations as this will help you make discussions in relation to these here.

Follow-up: relevant changes to care (if any) with rationale, recommendations for practice and research going forward considering ‘Patient discussion’, strengths and limitations of the assignment.

 

Word count

The word count for this work is 3000 words.

Word count queries

The word count for each heading will vary according to each case study as you can see in examples on “Case studies in palliative and end-of-life care”. However, the following can be used as a rough estimate: History (100-400), Physical examination (100-200), Diagnostics (100-200), Clinical question/s (50-150), Patient discussion (1700-2300) and Follow-up (300-600).

Sources referred to in this document

Campbell, M. L. (2012) Case studies in palliative and end-of-life care. [electronic resource]. Wiley-Blackwell (Case studies in nursing). Available at: Campbell, M. L. (2012) Case studies in palliative and end-of-life care. [electronic resource]. Wiley-Blackwell (Case studies in nursing). Available at: https://ezproxy.derby.ac.uk/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=

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