This module aims to enable the students to develop advanced clinical assessment and care planning skills to safeguard and manage the holistic care of people with long term conditions, multi/co morbidities, and complex care needs in the community within the context of the District Nurses role. It will provide opportunity, for students to:  

i)  develop knowledge and skills to critically apply clinical and diagnostic reasoning to decision making whilst taking into account differential diagnosis and the potential for overshadowing 

ii) develop critical judgment in order to formulate management plans and care plans to meet the individual needs of people, their families or carers and communities  

iii) critically appraise the evidence informing national and local policies relating to care management.

Learning Outcomes

1. Critically analyse and use a range of consultation models, assessment methods, and advanced clinical examination skills to obtain both subjective and objective data and apply clinical and diagnostic reasoning to decision making whilst taking into account differential diagnosis and the potential for overshadowing to enable an accurate diagnosis.
2. Exercise critical judgement based on appraisal of evidence, policy and legislative frameworks to inform and critically appraise complex assessment information and data when dealing with uncertainty and complex situations in order to formulate personalised management plans for care and support families to make decisions about care and treatment options.
3. Apply specialist subject knowledge to deliver a range of care and treatment that can be supportive, curative, symptom relieving or palliative, review the efficacy of interventions recognising when additional expertise is necessary, make referrals and/or escalate concerns to ensure that immediate and continuing care needs of patients are met including safeguarding concerns.
4. Demonstrate achievement of section 2, term 2 summative assessment of practice.

 

Assessment

The OSCE (Objective Structured Clinical Examination) will comprise of 3 x 15-minute stations.   

The first station will assess the student’s ability to undertake a patient history, complete a holistic assessment of a patient, using advanced assessment skills, and use clinical and diagnostic reasoning to relate findings to a range of differential diagnoses .

The second station will assess the students ability to formulate a care management plan which is underpinned by a biopsychological approach.  

The third station will involve the student undertaking a viva voce that explores: 

• Their rationale for the proposed care management plan 
• The complexity arising from legal and ethical dilemmas and their impact on decision making in the and community care setting strategies that they would use to ensuring a personalised care plan

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This module can contribute to the following programme(s)

P14299: Post Graduate Diploma Community Specialist Practice: District Nursing (Work Based Learning Route) – 12 Month

P14301: Post graduate Diploma Community Specialist Practice: District Nursing (Independent and Supplementary Prescribing Route – 12 Month)