6KNIS606: (Palliative and End of Life Care Foundations) Critically evaluate the nursing assessment of one core issue/concern/symptom (choose from the list below) experienced by a palliative patient

Module / Subject / School:

6KNIS606: Palliative and End of Life Care Foundations

Requirements: 

Critically evaluate the nursing assessment of one core issue/concern/symptom (choose from the list below) experienced by a palliative patient, with reference to the literature, and incorporating the wider implications for palliative care nursing in the setting in which you work. You can choose a patient from your work setting or one of the patients we used in the assessment workshop on the module. 

Core issues (chose one or choose your own not on this list): 

• Pain assessment 

• Breathlessness assessment  

• A communication issue (either between health care team and patient/family, or within the family) 

• Encountering an ethical issue in palliative care practice

• Locations of care – delivering palliative care in different settings

• Rehabilitation in palliative care

• End of life and dementia

What we score:

73%

Our Writer’s Comment 

This assignment is designed to assess students’ understanding of business practices.

To secure an A+ grade, adhere to these guidelines and make sure your work aligns with the grading criteria:

Step 1: Choosing Your Core Issue

First, pick a core issue from the list that resonates with your experience or aligns well with your current work setting. It could be pain assessment, breathlessness, communication issues, or any of the other options. Whatever you choose, make sure it’s something you can speak to deeply—ideally, one that you have encountered with patients in your work. For instance, if you’ve seen patients struggling with breathlessness, this might be a great option because you can bring in practical, real-world examples to enrich your evaluation.

If you choose something like “communication issues,” which is a broad topic, narrow it down. For example, you could focus on how miscommunication between healthcare professionals and family members impacts care decisions. This keeps your evaluation focused and specific, which is a key part of critical analysis.

Step 2: Begin with a Clear Structure

Your assignment needs to have a clear and logical structure. Here’s a good outline to follow:

1. Introduction: Start by introducing the issue you’ve chosen, why it’s important in palliative care, and how it affects patients’ quality of life. Be specific about the context. For instance, if you’re focusing on breathlessness, you could explain how it’s a common and distressing symptom for many palliative patients and why effective assessment is critical for comfort and care.
2. Literature Review: Here, you need to back up your discussion with evidence. Refer to the latest research and literature on your chosen issue. For example, if you’re discussing pain assessment, what does the literature say about the best tools or strategies? Don’t just summarize; critically evaluate the literature. Compare different assessment tools or methods and highlight their strengths and limitations.
3. Clinical Application and Critical Analysis: This is the heart of your paper. Relate the literature to your own experience in practice. Critically evaluate how assessments are performed in your setting and whether they align with the best practices discussed in the literature. For instance, if the literature suggests a particular pain scale is highly effective, but your workplace uses a different one, analyze why this might be. Is it due to training, resources, or institutional policies? This kind of critical thinking shows depth.
4. Wider Implications: Don’t forget to include a discussion on the broader implications for palliative care nursing. How does assessing this symptom impact the holistic care of the patient? How might this assessment influence decision-making, communication with family members, or the patient’s dignity at the end of life? Think about the setting you work in—is it a hospital, hospice, or home care? How does the setting affect how you assess and manage the issue?
5. Conclusion: Summarize your key points and suggest any areas for improvement. You might end with a recommendation for better practices based on your analysis, such as the adoption of a more effective assessment tool or further training for nurses in communication.

Step 3: Critical Evaluation

To score well, it’s important to evaluate critically rather than just describe. This means questioning the effectiveness of current practices and backing up your points with literature. For example, if your work setting uses a certain breathlessness assessment tool but you find it lacking in sensitivity for certain patients, explain why that’s a problem and what alternative might be better.

Use reflective practice here—what have you noticed in your own work that either aligns with or challenges the literature? The more specific and detailed you can be, the better. Avoid generalizations and focus on thoughtful analysis.

Step 4: Incorporate a Real Patient or Example

Using a real-life patient, whether from your own work or the module’s workshop, helps anchor your essay in practical experience. It makes your analysis more relatable and shows that you’re applying theory to practice. Make sure to maintain confidentiality if you’re using a patient from your work.

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