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Summative Assessment Guidelines for Jan 20 BSc cohort)
Module- MOD005140- Recognising and responding to acutely ill patient
Due to the unforeseen circumstances it is difficult to undertake a clinical discussion assessment for this module. Hence we have taken an alternative approach to the assessment of this module using a 3000word essay submission via Turnitin.
The summative assessment must demonstrate the following learning outcomes:
Knowledge and understanding learning outcomes:
Discuss and analyse the pathophysiology related to acute changes in health.
Compare and contrast a range of tools or approaches used to assess the patients at risk of clinical deterioration and the therapeutic interventions implemented to ensure timely and appropriate management of those at risk of clinical deterioration.
Reflect upon the psychological and social effects of acute illness on the patient their family or carers and reflect upon the implications of the ethical and legal issues that surround the care of the acutely ill patient.
Intellectual, practical, effective and transferable skills learning outcomes:
Reflect on care delivery and engage effectively with service users, in a professional, compassionate and sensitive manner and clearly communicate changes in acute care needs with the inter-professional team.
Demonstrate appropriate decision making skills in response to the needs of the acutely ill patient.
Develop practice assessment and clinical skills that are transferable and responsive to the patient
These learning outcomes can be understood in the following ways:
Interpreting the haemodynamic monitoring in relation to the underlying pathophysiology, recognising the early warning signs and symptoms of acutely deteriorating and explaining the underlying pathophysiology relating to acute changes in health.
Considering the evidence-based interventions and national clinical guidance to ensure early detection and accurate recognition of acute clinical deterioration is undertaken and a high-quality level of care is delivered for patients with acute changes in health. This can be supported with the understanding and in sight around the different clinical tools that are available to assist and inform clinical decision making.
Whilst physical care is an immediate priority in the acute care for the patient, attention to psychological care of both patient and family is essential.   Psychological well-being can impact on recovery and the importance of patient focused care is paramount.  Students require insight into a wider arena of ethical principles and legislation that influence decision making and the care of acutely ill patients, for example: organ donation, the Mental Capacity Act (MCA) and consent, advance directives or family witness resuscitation.
This could be achieved by effectively recording clinical information and accurately using early warning score and track and trigger system. Students need to demonstrate effective communication skills by using  a compassionate approach toward patients/their families and other staff members and to effectively report and communicate the changes in acute care needs, with all involved.  Inter-professional discussions can be had with wider team members s which reflect evidence based frameworks and national guidelines
The Steps of the assessment process are detailed as below.
You will be expected to choose one scenario and write a 3000word essay with the following structure to meet the learning outcomes. The essay needs to be supported with appropriate literature:
Title page (student ID, module code and title word count)
Index page with contents and page number
Introduction (summarise the scenario which you are going to address linking to the learning outcomes)- maximum 200 words
Analyse and discuss the patient’s signs and symptoms assessment (LO1-2) for the selected scenario. It is important to refer to NEWS, range of assessment tools and severity of the patient conditions. – (approximately 600words).
Critically discuss the pathophysiology of the presenting acute illness. This should include discussion of the cause of admission, physiological responses and the effects of the underlying pathophysiology on organ function (LO 1)-(approximately 600 words).
Critically discuss the nursing and medical interventions required to manage the patient condition. Identify the priorities of care and key interventions and make recommendations based on evidence to manage the priorities of care (e.g. ABCDE, track and trigger and escalation to the appropriate members of the MDT) (LO2)- (approximately 600 words)
Critically discuss the holistic care needs of the patients and their families. Demonstrate awareness of patient-centred care incorporating the role of the family and psychosocial impact of acute illness on patients and their families. Demonstrate the importance of compassionate and holistic approach to care. Demonstrate the awareness about the implications of the ethical and legal issues that surround the care of the acutely ill patient.  (LO3)- (approximately 600 words)
Conclusion of the learning from the case scenario (approximately 200 words)
Please use the level 5 marking criteria while you write this essay as we will be using this to mark the assessment.
LO 4.5.6 will be undertaken in practice

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