Managing Complexities in Care Delivery (Field Specific)
Student Guidance: Case Study
You must submit a 4000-word case study. This will critically discuss the complex interventions and multidisciplinary team involvement from a holistic perspective in the management of an episode of care for a service user.
NB: This case study is not about just outlining the nursing care a client received but, is about how the complexities of managing an episode of care was or was not achieved.
How to get started:
Think of experiences you have had in your practice with your client group. Then identify one of these experiences, where the service user had an episode of care requiring complex health and social care needs.
Draft work for review:
The Case Study Plan is 1 x page of A4 paper
Suggested Case Study Structure:
Section 1/Introduction: (Suggested not greater than 5% of assignment wordage).
Tell the reader what you are going to do in the assignment.
Briefly identify your client and the context of the service user environment.
Briefly outline key issues, individuals and the complexities to be critically evaluated within the main body of the case study.
State the assignment will include a conclusion.
Include the Nursing and Midwifery Council (NMC) confidentiality clause and any pseudonyms used.
Section 2: (Suggested not greater than 10% of assignment wordage).
Start by critically outlining the theory of case management as applied to your field and what is meant by the term complexities of care in health and social care delivery.
Section 3: (Suggested 20% of assignment wordage).
This section of the case study will now link specifically to your service user.
Relate this to a critical understanding of the conceptualisation of their health condition. For example, if the service user has diabetes and dementia how these relate to each other from a holistic perspective.
Next choose one management intervention that related to the episode of care, for example:
A case conference or review
Transition from children to adult services
Intensive interventions primary or secondary care
Change in mental or physical health i.e. Individual with Downs syndrome developing dementia
Following this, give the rationale for the need for co-ordinated management of care.
Section 4: (Suggested 60% of assignment wordage).
Here you make a judgement about the management interventions and what happened.
Critically discuss the roles and responsibilities of other care professionals and organisations within complex case management in the co-ordination of care. Do this by critically analysing, appraising and evaluating the dynamics of the chosen management intervention and the involvement of others. Ensure this includes a critical review of the role of the nurse.
Include relevant theories and strategies relating to areas such as communication, team dynamics, partnership working, inter-disciplinary team working and integrated care delivery. Critically review the extent to which the service user and family/carer perspective was integrated into the coordination of care.
From a holistic perspective, critically evaluate the co-ordinated care. Consider this in relation to the client group and service user, was the intervention appropriate:
Was it effective?
What guidelines were followed?
Consider risk management, liaison.
Assignment Conclusion: (suggested not greater than 5% of assignment wordage).
This is a brief summary of the key components of the case study content. Do not include new evidence.
The assignment must be supported with relevant evidence-based literature throughout.
A reference list must be included and adhere to APA guidelines.
There is no set number of references.
If you require additional help with APA referencing seek support from study skills development team.