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APA 6 DescriptionHello,I upload assignment introduction page in which there is mentioned about what and how to make paper.I will also attach marking rubrics. You have to make paper according to case study, given care plan and risk calculator and must have to address four questions with answers in paper.I will upload Q and A session lecture and all ppt for your easiness as you can find lot of references and information in ppts and all information about assignment in Q and A session audio. plz try to use latest five years old references for paper if you can but you can also use references provided in ppts. you must have to answer four questions with introduction and conclusion with essay format.In between if you need any help from me then plz ask me don’t give me rubbish. i need 1925-2000 words with APA 6th reference style. thanks.
hsns_363_lecture_topic_1__3_.pptx

_marking_matrix.pdf

risk_calculator_liam.pdf

t_2_shared_care_plan.docx

t_2_case_study.docx

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Topic 1: HSNS363 Introduction to
Complex Care
HSNS 363
Trimester 2, 2020
1
The University of New England respects and acknowledges that
its people, programs and facilities are built on land, and
surrounded by a sense of belonging, both ancient and
contemporary, of the world’s oldest living culture. In doing so
UNE values and respects Indigenous knowledge systems as a
vital part of the knowledge capital of Australia.
We share the caring of this country with the Gumbaynggirr,
Kamilaroi, and Dhunghutti nations who are the traditional
custodians of the land of Armidale and surrounds.
Aboriginal and Torres Strait Islander viewers are advised
photographs/videos within this unit of study may contain images or video
of deceased persons.
We apologise for any sadness or distress may cause.
2
Emergency Evacuation
In an emergency, call ‘
000’ then UNE Safety & Security on 6773 2099 (24 hrs)
Staff in charge of a class are responsible for the evacuation and safety of that class.
Upon hearing an alarm or seeing danger and you need to evacuate:
•Cease activities, and only if safe to do so, shut down experiments, equipment and machinery.
•Follow all reasonable directions given by your warden
•Evacuate the building/area using the nearest safe exit.
•Do not use the lifts and all doors should be closed (but not locked) on leaving.
•Move to the closest, safe assembly area or as directed by staff/emergency services.
•Remain at the assembly area until instructed to leave by a Warden or emergency services personnel.
•If the assembly area becomes unsafe, move to an alternative safe assembly area.
•Do not re-enter the building until informed that it is safe to do so by a Warden or emergency services
personnel.
•Never enter a building during an alarm.
•Take a moment now to look for your nearest exit and alternative exit.
•Download the UNE SAFE App for all emergency response procedures and safety information.
•This App will also provide you with emergency push notifications during a critical incident here at UNE
delivered by Safety & Security.
3
Workshop objectives
• Topic 1: Introduction to health complexity
– Acquire an understanding of the unit and its requirements including
assessments
– Introduction to complex care concepts and terminology.
4
Modules -module one
Module one – Medical complexity
Topic 1
• Introduction to complex care
Topic 2
• Physiological structures and functions
Topic 3
• Multimorbidity
Modules -module two
Module two – Situational complexity
Topic 4
• Physical and social environment
Topic 5
• Personal factors and participation
Modules -module three
Module three – The Australian healthcare system
Topic 6
• Australian healthcare system
Topic 7
• Healthcare delivery in Australia
Modules -module four
Module four – Nursing care and the complex patient
Topic 8
• Innovation and nursing management of the complex patient
Topic 9
• Evaluation and coordination for complex care
Topic 10
• Complexity and nursing practice
Assessments
• Assessment one (40%)
– 1500 word written assignment
– Case study based
– Due date: 10th of August
• Assessment two (60%)
– 2000 word written assessment
– Case study based
– Due date: 7th of September
Learning Resources
• There is no prescribed text for this unit.
• We will be reviewing a variety of resources relevant to the Australian
and international context.
• Review Moodle content each week for guidance relating to relevant
resources.
10
Content delivery
• Trimester 2 2020
• All content will be delivered online for trimester 2 2020
Teaching staff:
• 1 hour lecture session every Monday
• Weekly 2 hour tutorial session (multiple sessions)
• Weekly discussion board forums
11
Unit contact details
Unit Coordinator
Name: Renjith Hari
Email: renjith.hari@une.edu.au
Phone: 02-67732895
Administration
Name: Shannon Welch
Email: health-admin@une.edu.au
Phone: 0267734357
Health Complexity and Nursing Care
Overview
• What makes a patient ‘complex’?
– Concept definition and discussion
• Understanding complex health in the Australian context
– How does this relate to nursing care?
• Tutorial/online activities for this week
What is ‘complexity’ in health care?
Questions for you…….
• What does a ‘complex’ patient mean to you?

Why are we discussing complexity?
• Can you think of any definitions/terms used to describe patients with
‘complex’ care requirements?
Complexity – Understanding terms
and concepts
• Historical terminology:






Comorbidity
Multimorbidity
Polypathology
Dual diagnosis
Multiple chronic conditions
Etc.……
The relationship between terms from: Manning, E., & Gagnon, M. (2017).
The complex patient: A concept clarification, Nursing & Health Sciences, Vol.19(1), p. 14
Complexity – Understanding terms
and concepts
• Limitations…




Various definitions for terms over time/place
Evolution and variation in interpretation
Often medically/biological focus – disease interactions
Less discussion re how the patient interacts with the healthcare system/nonmedical considerations that influence complexity
Australian model for assessing
Complex care needs
• Developed by Clinical Education and Training QLD (2011)
• Complexity has a profound effect on healthcare and outcomes. It is
characterised by multiple dimensions, including co-occurring or
multifaceted medical conditions, age, frailty, socio-economic realities,
culture, environment, behaviour and systems (Kuipers et al. 2011).
Australian model for assessing Complex
care needs
(Kuipers et al. 2011)
How will the content of this course
help to inform our nursing practice?
• “When individuals with complex health and social needs encounter the
healthcare system, they often receive care that is expensive,
inefficient, and poorly coordinated across both medical and social
providers” (Humowiecki et al 2018).
How will the content of this course help to
inform our nursing practice?
• More detailed understanding of the elements of medical, situational
and system influences and how they impact an individuals health
status.
• Identify the complex nature of a patient journey through the
healthcare system to better facilitate/coordinate care.
Tutorial/online activities
– Factors that contribute to a patients health care complexity.
– Chronic V complex care
References





Braithwaite, J., Churruca, K., Ellis, L. A., Long, J., Clay-Williams, R., Damen, N., Herkes, J., Pomare, C., and
Ludlow, K. (2017) Complexity Science in Healthcare – Aspirations, Approaches, Applications and
Accomplishments: A White Paper. Australian Institute of Health Innovation, Macquarie University: Sydney,
Australia.
Humowiecki M, Kuruna T, Sax R, Hawthorne M, Hamblin A, Turner S, Mate K, Sevin C, Cullen K. Blueprint for
Complex Care: Advancing the Field of Care for Individuals with Complex Health and Social Needs . National
Center for Complex Health and Social Needs, Center for Health Care Strategies, and Institute for
Healthcare Improvement; December 2018.
Kuipers, P., Kendall, E., Ehrlich, C., McIntyre, M., Barber, L., Amsters, D., Kendall, M., Kuipers, K., Muenchberger,
H. & Brownie, S (2011). Complexity and health care: Health practitioner workforce, services, roles, skills
and training to respond to patients with complex needs. Brisbane: Clinical Education and Training
Queensland.
Manning, E., & Gagnon, M. (2017). The complex patient: A concept clarification, Nursing & Health Sciences,
Vol.19(1), pp.13-21.
Valderas, J., Starfield, B., Sibbald, B., Salisbury, C., & Roland, M (2009).
Defining Comorbidity: Implications for Understanding Health and Health Services Annals Of Family
Medicine, Jul-Aug, Vol.7(4), pp.357-363.
Unit: HSNS363
Criteria:
Assessment content (variable criteria and weighting)
Complex care
team
LO: 1
Barriers to care
LO: 2
Assessment Task 2: Complex care case study
Assessment weight: 60%
HD
20-17%
D
16.9-15%
C
14.9-13%
P
12.9-10%
N
9.9-0%
Identify all facilities,
organisations and
professionals Liam and
his parents will have to
access/interact with to
achieve his treatment
goals. Correctly identify
primary and secondary
elements of care and
relevant referral
process.
Essay thoroughly
reviews and integrates
current and relevant
literature.
Identify some of the
facilities, organisations
and professionals Liam
and his parents will have
to access/interact with to
achieve his treatment
goals. Some discussion
offered in relation to
primary and secondary
elements of care and
relevant referral
process.
Essay sufficiently
integrates current and
relevant literature.
Partially identifies
relevant facilities,
organisations and
professionals Liam and
his parents will have to
access/interact with to
achieve his treatment
goals. Some discussion
offered in relation to
primary and secondary
elements of care and
relevant referral
process however,
omissions/digression;
essay sufficiently
reviews literature.
Identifies minimal
facilities, organisations
and professionals Liam
and his parents will have
to access/interact with to
achieve his treatment
goals. Minimal
discussion regarding
primary and secondary
elements of care and
relevant referral process.
Content digresses
significantly/significant
omissions; essay
insufficiently reviews
literature.
Insufficiently identifies
organisations and
professionals Liam and his
parents will have to
access/interact with to
achieve his treatment
goals. Little to no
discussion regarding
primary and secondary
elements of care and
relevant referral process.
Content digresses
significantly/significant
omissions; essay
insufficiently reviews
literature.
Successfully identifies
patient care goals.
Identifies and discusses
barriers to achieving the
care goals (medical,
situational and system).
Provides well-structured
reasoning for why these
barriers will affect Liam’s
care. Discussion
thoroughly reviews and
integrates current and
relevant literature.
Identifies patient care
goals. Identifies and
discusses barriers to
achieving the care goals
(medical, situational and
system). Provides
adequate reasoning for
why these barriers will
affect Liam’s care.
Sufficiently integrates
current and relevant
literature.
Partially identifies
patient care goals and
barriers to achieving
the care goals
(medical, situational
and system). Provides
some reasoning for
why these barriers will
affect Liam’s care.
however,
omissions/digression;
essay sufficiently
reviews literature.
Partial identification
Partially identifies patient
care goals and barriers
to achieving the care
goals (medical,
situational and system).
limited reasoning for why
these barriers will affect
Liam’s care. Discussion
digresses
significantly/significant
omissions; essay
insufficiently reviews
literature.
Does not correctly identity
Partially identifies patient
care goals or barriers to
achieving the care goals
(medical, situational and
system). Limited to no
reasoning for why these
barriers will affect Liam’s
care. Discussion
insufficiently reviews
literature.
Mark
(%)
/20
/20
Care coordination
LO:1,3
Complex care
innovation
LO:3
Criteria:
Writing – 10%
Correctly identifies
relevant care
coordination skills the
Registered Nurses
requires to effectively
manage Liam’s’ shared
care plan. Provides
thorough and wellstructured reasoning
relating to how these
concepts relate to
Liam’s care goals and
barriers to care. Essay
thoroughly reviews and
integrates current and
relevant literature.
Correctly identifies
relevant care
coordination skills the
Registered Nurses
requires to effectively
manage Liam’s’ shared
care plan. Provides
adequate reasoning
relating to how these
concepts relate to
Liam’s care goals and
barriers to care.
Essay sufficiently
integrates current and
relevant literature.
Partially identifies
relevant care
coordination skills the
Registered Nurses
requires to effectively
manage Liam’s’ shared
care plan. Provides
some reasoning
relating to how these
concepts relate to
Liam’s care goals and
barriers to care
however,
omissions/digression;
essay sufficiently
reviews literature.
Minimal discussion
regarding relevant care
coordination skills the
Registered Nurses
requires to effectively
manage Liam’s’ shared
care plan. Content
digresses
significantly/significant
omissions; essay
insufficiently reviews
literature.
Insufficient discussion
regarding relevant care
coordination skills the
Registered Nurses
requires to effectively
manage Liam’s’ shared
care plan. Content
digresses
significantly/significant
omissions; essay
insufficiently reviews
literature.
Correctly identifies
several projects,
programs, technology,
organisations,
innovations etc. that
would assist with
delivering the goals
identified in Liam’s’
shared care plan. High
level of ingenuity
displayed. Discussion
details how the
information presented
relates to Liam’s care
goals. Essay thoroughly
reviews and integrates
current and relevant
literature.
Correctly identifies
several projects,
programs, technology,
organisations,
innovations etc. that
would assist with
delivering the goals
identified in Liam’s’
shared care plan.
Adequate ingenuity
displayed. Discussion
adequately details how
the information
presented relates to
Liam’s care goals.
Essay sufficiently
integrates current and
relevant literature.
Minimal discussion
regarding several
projects, programs,
technology,
organisations,
innovations etc. that
would assist with
delivering the goals
identified in Liam’s’
shared care plan.
Discussion lacks detail
regarding how the
information presented
relates to Liam’s care
goals. Content digresses
significantly/significant
omissions; essay
insufficiently reviews
literature.
Insufficient discussion
regarding several projects,
programs, technology,
organisations, innovations
etc. that would assist with
delivering the goals
identified in Liam’s’ shared
care plan. Content
digresses
significantly/significant
omissions; essay
insufficiently reviews
literature.
HD
10-8.5%
D
8.4-7.5%
Partially identifies
relevant several
projects, programs,
technology,
organisations,
innovations etc. that
would assist with
delivering the goals
identified in Liam’s’
shared care plan.
Some ingenuity
displayed. Some
discussion offered
detailing how the
information presented
relates to Liam’s care
goals. however,
omissions/digression;
essay sufficiently
reviews literature.
P
6.5-5%
N
4.9-0%
C
7.4-6.5%
/20
/20
Mark
(%)
writing and APA (fixed criteria and weighting)
Follows
requirements for
structure,
presentation
grammar and
spelling.
Accurately and
consistently adheres to
essay format writing
conventions,
grammatical
conventions with no
errors and is a logical /
well and succinctly
structured assignment.
Mostly accurate and
consistent adherence to
essay format writing
conventions, adheres to
grammatical
conventions with few
errors and is a logical
and well-structured
assignment.
Partial but close
adherence to essay
format writing
conventions, adheres
to grammatical
conventions, but with
frequent errors, mainly
a well- structured
assignment, lacking
cohesion in places.
Minimal adherence to
essay format writing
conventions, minimal
adherence to
grammatical conventions
with multiple errors, a
weakly structured
assignment, frequently
lacking cohesion.
Little attempt to adhere to
essay format writing
conventions, multiple
grammatical errors with
minimal attention to writing
/ spelling conventions that
significantly distract the
reader from the content. A
poorly structured
assignment, lacking
cohesion.
Follows
requirements for
referencing (APA)
and the
application of
evidence
Accurately and
consistently adheres to
APA referencing
conventions for the intext and reference list
Mostly offers accurate
and consistent APA
referencing conventions
for the in-text and
reference list
A number of inaccurate
and inconsistent APA
references in the in-text
and reference list
Multiple inaccurate and
inconsistent APA
references in the in-text
and reference list
Explicitly acknowledges
all sources used
throughout the
assignment
Principally
acknowledges sources
used throughout the
assignment
Mostly acknowledges
sources used
throughout the
assignment
Minimal acknowledgment
of sources used
throughout the
assignment
Did not adhere to the APA
referencing conventions
and/or made catastrophic,
multiple and consistent
APA errors throughout
/10
/10
Little or no
acknowledgment of
sources used throughout
the assignment
Total
/100%
Chronic Condition Risk Calculator
Purpose of this tool:
1. To measure predictable level of risk for acute presentation in the next 12 months for people with chronic conditions
2. To define the entry point into the HARP program.
3. To form the basis for triage by HARP staff.
4. The Calculator is to be used on entry to the program and again on discharge.
Client name & UR
Liam Taylor 12345
Referring agency
N/A
Date of assessment
01/01/2020
Practitioners Name
Dr Jones
PART A: CLINCIAL ASSESSMENT
PART B: FACTORS IMPACTING ON SELF-MANAGEMENT
1. Presenting Clinical Symptoms
Psycho-social and demographic issues (If the issue is present,
Diagnosis of Chronic Respiratory condition
such as COPD, Paediatric asthma
1
Mental health (depression, anxiety or psychiatric
Diagnosis of Chronic Cardiac condition such as
CHF, Angina
1
Diagnosis of Complex care needs in frail aged
such as dementia, falls, incontinence
1
Diagnosis of Complex care needs in people
under 55yrs such as mental health issues
1
Co- morbid diagnosis of diabetes and/or renal
failure and/or liver disease
1
Rate the impact these factors have
= Score
circle Y, if absent, circle N)
Y
N
Disability (Intellectual, physical, visual, hearing)
Y
N
Transport to services
Y
N
Financial issues (inability to afford health services
Y
N
CALD or Indigenous (health beliefs)
Y
N
Illiteracy and/or limited English
Y
N
Unstable Living Environment
Y
N
Socially isolated
Y
N
Drug and Alcohol problems
Y
N
illness)
and/or medication)
2/ 5
2. Service Access Profile
Acute admission/presentation (Have you been to
hospital more than once in the last 12 months including
today?)
4
Rate the impact these combined factors have on the
person’s ability to self-manage their condition as nil, low
or high.
No regular GP follow up (regular medical checks 2
3
No impact (on client’s ability to self-manage)
0
3
Low impact (on client’s ability to self-manage)
7
High impact (on client’s ability to self-manage)
15
times a year)
Reduced ability to self-care (to the extent it impacts
on disease management)
Add the scores = Score
4/ 10
3. Risk Factors
Score
15 / 15
6. Readiness to change assessment
Smoking
1
Overweight / Obesity (Guide: BMI 26-35)
1
impairment; end stage disease)
Underweight (Guide: BMI ‹ 19)
1
Pre-contemplation (not ready for change)
3
High cholesterol (total cholesterol ≥ 5.5mmol/L, HDL≤
1
Contemplation (considering but unlikely to change
3
1.0mmol/L, LDL ≥ 2.0mmol/L)
No capacity for self-management (cognitive
4
soon)
1
Preparation (Intending to take action in the
immediate future)
2
Physical inactivity (less than 30 mins/d & 4 days/wk)
1
Action (Actively changing health behaviours but have
1
Polypharmacy > 5 medications with difficulty managing
1
Maintenance (Maintained behaviour for ≥ 6 months)
1
Relapse (A return to the old behaviour)
3
High blood pressure (≥ 140/90mmHg or on
medication for high blood pressure)
Add the scores = Score
2/ 7
difficulties maintaining plan)
4. Extenuating factors
Score
Use of services previously
1
Carer Stress issues
1
No Carer availability
1
Cognitive impairment
1
Change to drug regimen
1
Chronic pain
1
Compromised skin integrity e.g Wounds, PAC,
Cellulitis
1
Exposure to triggers for asthma
1
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