Perioperative Care Pathway for a Patient Undergoing a Named ODPR40111
Development of a perioperative care Pathway for a patient undergoing a named ODPR40111
Perioperative Care Pathways (PCP) Assessment guidance
This is the summative assessment for this module.
This essay will comprise 100% of the available marks.
A 3000-word piece of written work that should take the form of a case study (with 10% allowance – 2700 to 3300 words).
ASK TUTORS FOR HELP IN TH PERIOPERATIVE CARE PATHWAY CASE STUDY
Present in double line spacing, size 12 arial font standard black colour (this is document is written in size 12 arial font and I’ve used double line spacing).
Use an appropriate scholarly format as the third person, aim for the type of language style that you would read in a professional journal.
Though it is a case study about a patient you have looked after; it is not a reflective piece.
You are using that experience to write an account of the whole surgical journey.
Title: Your choice, you can use: “development of a perioperative care pathway for a patient undergoing a named procedure”; or relate it to your case study.
The purpose of this assessment is to be holistic. To look more broadly at the patient as a whole and to recognise the needs of the patient throughout their surgical experience, rather than just for the very short time you see them in the theatre department.
Identify an individual patient: This should be a ‘real’ patient.
The essay should be presented as a case study, that means you will be giving an account of the patient’s journey through their surgical episode.
Take your time and chose your patient carefully as the specific elements of the patient’s case are what will allow you to demonstrate your learning but try to choose a straight-forward case without Cherryl Wagner, 18/03/2021 ODPR40111 Perioperative Care Pathways (PCP) complications.
Be sure to use a pseudonym for your patient and explain why this is (confidentiality and reference).
How are you going to get this information?
You’ll need to do research and a bit of detective work.
I suggest you explain to your assessor/mentor/supervisor what you are researching and see if they can help to point you in the direction of any local resources, give you time to follow the patient etc.
If you can follow the patient all the way through their pathway that would be great!
You might consider attending pre- operative assessment clinics; look at the patient’s notes; find out when they are being followed up and attend their follow-up appointment or next surgery.
Seeing a whole patient journey can be a very interesting and rewarding experience.
Introduction (500 words):
Inform the reader what the assignment is about.
What you will be discussing.
Include a brief patient description and outline of patient pathway.
Pre-surgical period (600-750 words):
This should be an exploration of the patient’s presurgical period and should include, investigations, treatment prior to surgery, the diagnosis and referral, pre-op assessment and optimisation, consideration of health inequalities, and socio-economic elements, mental health implications, communication needs etc.
Conventionally a medical history as taken by a doctor or preassessment practitioner will include the following:
• The Presenting Complaint (why the patient is there)
• History of the Presenting Complaint (what lead up to it, how it has progressed etc.)
• Past Medical/Surgical History (anything relevant to the case and co- morbidities that the patient has, including mental health) Cherryl Wagner, 18/03/2021 ODPR40111 Perioperative Care Pathways (PCP)
• Medication History (what they take now, and any relevant historical drugs like Chemotherapy for example)
• Drug Allergies (get details, as this may have safety concerns for the surgery)
• Social History (socio-economic concerns, housing, support, smoking, drinking, drug use for example, as these may impact on the anaesthetic, rehab, discharge etc.).
Surgical period (600-750 words):
This section should cover the time that the patient spends in the theatre department.
This should include human factors in theatre, communication, the safety of the individual patient, management of patient specific risks and how these are managed and communicated.
This includes the anaesthetic, surgical and recovery phases of the patient’s journey.
Post-surgical period (600-750 words):
This is what happens after the patient leaves the theatre department. Consider what comes next for the patient, including care at home, further surgery, follow up, rehab etc.
Conclusion/summary (250 words):
A summary of the essay and any conclusions you wish to draw from what you have written.
References Harvard referencing.
Other forms of referencing are not accepted.
There is help on how to reference online, from the library and from the study skills resources if you need them.
Please ensure that you are familiar and happy with this form of referencing.
Ensure your references are from a reliable source and dated; sites such as: Mayoclinic.com, or Teachmesurgery.com are not considered appropriate for academic writing, try to find the original article that these sites will have used for the Cherryl Wagner, 18/03/2021 ODPR40111 Perioperative Care Pathways (PCP) information they provide.
Suggested reference list of at least 20-30 references would be a good guide of how may references to use – this demonstrates wider reading and will support your learning of the subject.
Remember your module learning outcomes.
You will need to demonstrate that you have completed these through your assignment:
1. Evaluate the appropriateness of care pathways implemented for patients undergoing anaesthesia and surgery.
2. Demonstrateawarenessofhumanfactorsandtheirroleintheidentification and management of risks associated with anaesthesia and surgery.
3. Evaluateandeffectivelycommunicatedatarelatingtothepatient’scondition during anaesthesia and surgery.
Also remember the things that have been covered in the module content, including taught and group sessions, online discussion forums and further reading, review your notes from the module including the online content:
Pre-operative patient assessment Communication Peri/post-operative care and associated risks
Triade of anaesthesia and associated pharmacology – dosages not necessary
Principles of surgical practice
Standards for monitoring patients
Inequalities in health and social care
Discharge pathways from day surgery department
Patient safety in the operating department
Theatre safeguards Cherryl Wagner, 18/03/2021 ODPR40111 Perioperative Care Pathways (PCP)
Adult safeguarding
Incident reporting
IMPORTANT:
Focus on what is important to your patient’s individual case.
There are MANY possible points for discussion, and you will NOT be able to include them all.
Choose the most relevant to your patient so you can focus on them in more detail, this will avoid your account being descriptive and superficial and allow you to critically engage with the content.
For example, an obese patient will be more at risk of certain things than a patient with a healthy BMI and some co-morbidities will mean that certain things need to be changed or considered etc.
For all the elements you chose to include you will need to reference Local and National Legislative Frameworks and Guidelines.
Just like previous assignments, use this to not just tell what you did, but also why you did it (or not!) and the evidence behind that.
If these guidelines were not followed you could discuss why.
You should also reference independent, published research, appropriate published texts etc. where relevant to support your discussions.
Tutorial support:
It is recommended that you attend your tutorial support for this assignment. You should aim to have chosen your patient and outlined your assignment before the group tutorial
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