An essay providing a written account of delivering edidence based care in collaboration with an individual patient.
|You should explicitly discuss the edidence base for the intervations planned/used with patient. You should also
give consideration to how far it’s possible to use this evidence in collaboration with a patient (use an acute
ward/setting). The essay should include a brief introduction which clearly states your aims for the essay and
identifies maintenance of confidetiality and consent. A description of an assessment of a patient’s problems
utilizing the stress vulnerability mode. An individualized stress vulnerability chart should be constructed for the
patient and included as an appendix. Brief consideration should be given to the theory underpinning this model and
the evidence supporting it. Discussion of a negotiated approach to working on one problem identified in your
assessment which would be a suitable target for one of the interventions that you have learnt on the course:
Motivational interviewing, problem solving, coping strategy, enhancement, relapse prevention. Here you need to
identify and discuss either how collaboration with this patient was achieved or ways in which it was compromised.
The rationale for your selected intervention should be stated as well as a discussion of the evidence base for it.
You should carry out the clinical exercise detailed below which is relevant to the intervention you have selected.
You should then give a reflective account of carrying out this clinical exercise using a structured reflective
model such as Gibbs. Include a brief identiication of planned reviewed and evaluation of care involving the
patient. A conclusion which summarizes your experience of integrating collaborative and evidence based care and
your reflections on this. Additional: you are being asked to integrate theory and practise in this essay. In
clinical practice, this may not be straightforward: either collaboration is not achieved or it is not possible to
implement an evidence based intervention. In your essay you must discuss and reflect on these issues. Guidelines
for clinical exercises: Application of a stress vulnerability model. Clinical Task: Carry out an interview with a
patient from your current caseload, or alternatively with the patient’s carer if the patient’s mental state
prevents the patient from participating willingly and meaningfully in the assessment. Using the information
obtained from the interview, together with relevant information drawn from other reliable sources such as medical
and nursing notes, construct an individualized stress vulnerability chart for the patient using the format set out
in the lecture notes. Required documentation. A single copy of the completed stress vulnerability chart must be
included as an appendix in the essay. Formulation, care planning and problem solving Clinical Task: Identify a
patient from your current caseload. Carry out the problem solving process with the patient using one of the
approaches from the lecture to identify their main concerns, develop a description of a target problem, identify
relevant strengths and resources available to assist the problem solving process, identify a range of solutions and
agree on the best soluton, agree how to implement the agreed solution and set relevant SMART goals, agree on when
and how to monitor progress. Provide a written summary of the process in the appendices. Motivational interviewing.
Clinical Task: Working collaboratively with a patient from clinical setting or with their caregiver: identify a
specific behaviour or situation that may be adversely affecting the patient’s mental or physical health, discuss
the good and not so good aspect of the behaviour or situatd the benefits and costs of change. Required
documentation: Produce a written summary of the process that includes a clear brief description of , the unhelpful
health related behaviuor or situation, the good and not so good aspects of the current situation or behaviour as
reported by the patient and what the patient see’s as the cost and benefits of change. Include this in the
appendices. Choose any of the above evidence based intervation