discussion 1 Clinical case scenario

A 39-year-old homeless man presents to the emergency department for cough and fever. He says that his illness has been worsening over the past 2 weeks. He originally had dyspnea on exertion and now is short of breath at rest. On questioning, he tells you that he lives in a homeless shelter when he can, but he frequently sleeps on the streets. He has used IV drugs (primarily heroin) “on and off” for many years. He denies medical history but the only time he gets medical attention is when he comes to the emergency department for an illness or injury. On review of systems, he complains of fatigue, weight loss, and diarrhea. On examination, he is a thin, disheveled man appearing much older than his stated age. His temperature is 100.5°F (38.0°C), his blood pressure is 100/50 mm Hg, his pulse is 105 beats/min, and his respiratory rate is 24 breaths/min. His initial oxygen saturation is 89% on room air, which comes up to 94% on 4 L of oxygen by nasal cannula. Significant findings on examination include dry mucous membranes, a tachycardic but regular cardiac rhythm, a benign abdomen, and generally wastedappearing extremities. His pulmonary examination is significant for tachypnea and fine crackles bilaterally, but no visible signs of cyanosis. His chest x-ray is read by the radiologist as having diffuse, bilateral,

interstitial infiltrates that look like “ground glass.”

Answer the following questions

1-What is the most likely cause of this patient’s current pulmonary

complaints?

2-What underlying illness does this patient most likely have?

3-What testing and treatment should be started now?

 What are the criteria for selecting qualitative versus quantitative   resources in relation to your literature review? Which is quantitative research so important to nursing research?

Part 1 – Assignment Brief:

1. Produce a critical and evaluative essay on service user involvement.

2. Reference should be made to theoretical concepts of service user involvement, with a critical evaluation of its impact on delivery/development of care services.

3. Articulate the person-centred approach in health and social care and critically appraise its importance for service providers.

4. Make links with and critically analyse themes/theory of power and empowerment throughout this essay.

In addition, the marking tutor will be looking for evidence of the following:

· Does the essay cover the main points of the topic logically?

· Is the essay presented in an appropriate context?

· Is the essay coherent and well-structured?

· Is there evidence of personal research in relation to the topic beyond material covered in class?

· Is there evidence of understanding of the topic?

Part 2:

Assessment Number

2

Assessment Type (and weighting)

15-20 mins Oral assessment –   Presentation (30%)

Assessment Name

Person Centred Approach – A Case Study

Assessment Submission Date

Printed and   electronic copy of presentation submitted to tutor on day

Learning Outcomes Assessed: 

LO4: Recommend, justify and   discuss appropriate strategies to implement a

person centred approach with reference to a specific experience / case

study

Part 2 – Assignment Brief:

Please use the oral assessment format provided for the development of your case study 

Presentation

1. You are required to deliver a presentation using a specific experience or case

study

2. You are required to collate and analyse information from scholarly and non

scholarly materials

Your presentation will address the following criteria:

• Introduce your case study

• Justify why it is important to implement a person centred approach in case of interest interest

• Discuss approach service user involvement strategies that relate and underpin the identified case study

• Consider the recommendations for practice, for a person centred approach, relevant to case study

• Draw some conclusions