CPC105_Assessment_1_Part_C_Brief_Care Plan_ Module_6 Page 1 of 7 Task Summary For this assessment, you are required to prepare a care plan in consultation with the patient and her family members for...

CPC105_Assessment_1_Part_C_Brief_Care Plan_ Module_6 Page 1 of 7
Task Summary
For this assessment, you are required to prepare a care plan in consultation with the patient and her
family members for managing her chronic health condition using an interprofessional and holistic
person-centred approach. The aim of this care plan is to enable the patient, her family and her
interprofessional health care team to plan and co-ordinate on-going health care for her life-long
complex chronic condition. For this individual assessment, you have been given a hypothetical case
study of a patient suffering from a chronic condition (see the Appendix 1C). Further information has
een added to this case study for this assessment task.
ASSESSMENT 1 PART C BRIEF
Subject Code and Title CPC105 Care of Persons with a Chronic Condition
Assessment Theory assessment: Case Study
Part C: Develop a care plan
Individual/Group Individual
Length 1200 words (+/- 10%)
Learning Outcomes The Subject Learning Outcomes demonstrated by successful
completion of the task below include:
a) Explore and discuss the impact of chronic health problems
on care planning needs of a person, family and community,
using an evidence-based approach.
) Develop a person-centred care plan for the person with a
chronic health problem through health promotion,
education, disease prevention and self-care.
c) Demonstrate clinical reasoning through nursing assessment,
interventions and evaluation, to support the health care of
persons with chronic health problems.
d) Discuss legal, professional and ethical considerations in care
delivery.
e) Explain and integrate the impact of co-mo
idities, quality
use of medicines principles, risks to self and others into care
plans.
f) Demonstrate interprofessional collaboration in developing
holistic person-centred care plans.
Submission Due by 11:55pm AEST Sunday end of Module 6.1 (Week 11)
Weighting 40%
Total Marks 100 marks
CPC105_Assessment_1_Part_C_Brief_Care Plan_ Module_6 Page 2 of 7

Context
This assessment task provides an opportunity for you to demonstrate the theoretical knowledge you
have acquired in CPC105, by the development of a care plan for a patient with a complex chronic
health condition. This assessment allows you to demonstrate your skills in the planning of holistic,
interprofessional and person-centred care, while focusing on health promotion, education, disease
prevention and self-care.
Task Instructions
To complete this task, utilise the nursing/clinical decision-making process model below:
Nursing process (RNpedia, 2019)
You are required to:
1. Complete the To
ens University Nursing Care Plan template that you will find in the
assessment resources area with the following information:
a) Assessment data – Firstly outline the assessment data (subjective and objective)
obtained from the case study provided. Secondly, what other assessment data
(subjective and objective) would you need to collect in order to conduct a holistic
assessment? Please note how this data would be collected.
) Nursing diagnosis/Collaborative problems - Based upon this assessment, identify and list
two nursing problems the patient is experiencing and two collaborative problems the
patient is experiencing.
c) Planning/Expected outcomes – This is where goals and outcomes are formulated that
directly impact patient care. These expected outcomes/goals should be written as per
the SMART system (S – specific; M – measurable; A – achievable; R – realistic; T – timely)
and include both short-term and long-term outcomes/goals.
CPC105_Assessment_1_Part_C_Brief_Care Plan_ Module_6 Page 3 of 7

d) Nursing interventions - Expand upon all four of these problems and describe the nursing
and interprofessional interventions that should be implemented to provide holistic
patient-centred care. You are to provide rationales for each of these interventions
supported by cu
ent relevant evidence.
e) Evaluation – This evaluation is to occur to determine if the goals/expected outcomes
have been achieved. Please evaluate the interventions, specifying patient data that
would indicate patient improvement and deterioration. As you are not providing care to
this person in the real world, you need to detail what you would expect to see if the
patient was improving due to the implementation of these interventions. Additionally,
you need to detail what you would expect to see if these interventions were not
successful and the patient was deteriorating.
Please remember that this unit is about caring for persons with a chronic condition. Therefore, the
focus of your care plan should be on health promotion, education, disease prevention and self-care
and should focus on the patient, her family and the community setting. Please also be aware of the
following requirements:
 Present your own original work using multiple academic references from academic
ooks, peer reviewed scientific journal articles and other credible sources (.edu, .gov
and .org webpages).
 No introduction and conclusion required for this assessment task.
 Headings can be used for this assessment task.
 Dot points can be used in the care plan template.
 Adhere to the word count (1200 words (+/-10%)) excluding the reference list.
 Academic references are to be included on a separate page using APA (6th ed.)
guidelines.
 Your assessment must be submitted as a word document and not in protected view.
 Your assessment should be in 12-point font, Arial or Times New Roman, 1.5 line spaced
and a minimum of 2.5cm margins.
Referencing
10+ references are required for this assessment task. Use recent, relevant and reliable resources to
complete this task. These should be peer reviewed literature, related to the subject matter and no
older than seven years.
It is essential that you use appropriate APA (6th ed.) referencing style for citing and referencing
esearch. Please see more information on referencing here
http:
li
ary.laureate.net.au
esearch_skills
eferencing
Submission Instructions
http:
li
ary.laureate.net.au
esearch_skills
eferencing

CPC105_Assessment_1_Part_C_Brief_Care Plan_ Module_6 Page 4 of 7

Submit Assessment 1 Part C via the Assessment link in the main navigation menu in CPC105 Care of
Persons with a Chronic Condition. The Learning Facilitator will provide feedback via the Grade Centre
in the LMS portal. Feedback can be viewed in My Grades.
Reference:
RNpedia XXXXXXXXXXNursing process [Chart]. Retrieved from https:
www.rnpedia.com/nursing-
notes/fundamentals-in-nursing-notes/nursing-process
https:
www.rnpedia.com/nursing-notes/fundamentals-in-nursing-notes/nursing-process
https:
www.rnpedia.com/nursing-notes/fundamentals-in-nursing-notes/nursing-process

CPC105_Assessment_1_Part_C_Brief_Care Plan_ Module_ XXXXXXXXXXPage 5 of 7

Assessment Ru
ic: Theory Assessment – Case Study, Part 1C
Assessment
Attributes
Fail
(Yet to achieve
minimum standard)
0-49%
Pass
(Functional)
50-64%
Credit
(Proficient)
65-74%
Distinction
(Advanced)
75-84%
High Distinction
(Exceptional)
85-100%
Knowledge and
understanding of the
assessment, diagnosis
and planning phases of
the nursing/clinical
decision making
process




20%
In your care plan you
have:
- Sometimes used
assessment data to
identify the patient’s
nursing/collaborative
problems.
- Identified vague nursing
and collaborative
problems.
Failed to develop
goals/outcomes for the
patient or developed
vague, non-specific
goals/outcomes.

In your care plan you have:
- Identified appropriate
assessment data from the
case study and identified
future assessment data
equired to consider the
patient’s
nursing/collaborative
problems.
- Used data to identify the
patient’s
nursing/collaborative
problems sometimes
including their aetiology and
defining characteristics.
- Listed some short and/or
long-term goals/outcomes for
the patient.

In your care plan you have:
- Identified co
ect
assessment data from the
case study and identified
co
ect future assessment
data required to consider
the patient’s
nursing/collaborative
problems.
- Used available data to
identify the patient’s
nursing/collaborative
problems usually including
their aetiology and defining
characteristics.
- Clearly specified short-
and long-term
outcomes/goals for the
patient.
In your care plan you have:
- Co
ectly identified most
of the assessment data
from the case study and
identified most of the
future assessment data
equired to consider the
patient’s
nursing/collaborative
problems.
- Used most of the available
data to co
ectly identify
the patient’s
nursing/collaborative
problems including their
aetiology and defining
characteristics.
- Clearly specified short-
and long-term
outcomes/goals for the
patient.
In your care plan you have:
- Co
ectly identified all the
assessment data from the
case study and identified all
the future assessment data
equired to consider the
patient’s
nursing/collaborative
problems.
- Used all available data to
co
ectly identify the
patient’s
nursing/collaborative
problems including their
aetiology and defining
characteristics.
- Clearly and accurately
specified realistic and
achievable short- and long-
term outcomes/goals for
the patient.
Knowledge and
understanding of the
nursing interventions
equired to provide
holistic person-centred
care for the nursing
and collaborative
problems identified

In your care plan you
have:
- Read some material to
identify vague nursing
interventions and
occasionally attempted to
justify some of your
nursing interventions that
In your care plan you have:
- Read modestly and
appropriately to identify
nursing interventions that
focus on health promotion,
education, disease
prevention and self-care.
- Attempted to justify some
of your nursing interventions
In your care plan you have:
- Read widely and
appropriately to identify
nursing interventions that
focus on health promotion,
education, disease
prevention and self-care.
- Usually justified your
choice of nursing
In your care plan you have:
- Focused your reading on
the relevant features of the
case study and focused the
nursing interventions on
health promotion,
education, disease
prevention and self-care.
In your care plan you have:
- Clearly linked the unique
aspects of the case study to
goals and interventions
which focus on health
promotion, education,
CPC105_Assessment_1_Part_C_Brief_Care Plan_ Module_ XXXXXXXXXXPage 6 of 7

20% focus on health
promotion, education,
disease prevention and
self-care.
with reference to some
cu
ent relevant evidence-
ased information.
interventions with
eference to cu
ent
elevant evidence-based
information.
- Justified your choice of
nursing interventions with
eference to cu
ent
elevant evidence-based
information.
disease prevention and