In this section you should indicate the topic and structural content of your assignment. Briefly introduce your clinical role and setting; include reference to the development of Advanced Clinical Practice (ACP) in your role and clinical area, in light of national drivers for clinical service development and ACP competencies.Provide a brief introduction to the patient with an overview of the symptoms to be discussed. It is very important that you maintain both the selected patient’s confidentiality and that of the care setting and its staff.Critical Evaluation of your consultation, history-taking and physical examinationDemonstrate a systematic understanding of the consultation and history taking process, identifying, analysing and interpreting pivotal points in the consultation which have helped to support or refute the diagnostic decision. Refer to structured consultation approaches and use of consultation and history-taking models in your discussion.Demonstrate synthesis of knowledge by exploring the underlying pathophysiological processes which have resulted in the clinical signs exhibited. Critically evaluate your own consultation, the history-taking process as well as the physical examination that was undertaken.Refer to current clinical guidelines (e.g. NICE) and contemporary research to support your discussion. A written example of your clinical documentation, ensuring full anonymity, should be included as an appendix.ConclusionYour assignment should end with a conclusion which summarises your key points and draws together what you have said in the main body of the assignment. It should summarise the assessment and analysis you have presented in the main text, without adding any new material.Critical ReflectionCritically reflect on the advanced health assessment undertaken, identifying your own learning needs and areas for development. Demonstrate your developing ability to apply problem solving skills to complex problems by reflecting on the approach utilised in the consultation and identify areas where your scope of practice has extended in light of your critical evaluation of the consultation. It helps to use a structured model of reflection e.g. Driscoll’s model of reflection (2007): What? This is a brief overview of your consultation/history-taking/physical examination. So what? This section should have supporting references as it is the analytical section of your reflection. Now what? This should include a brief action plan of how you will achieve the on-going learning needs identified in your reflection.ReferencesPlease refer to the University of Wolverhampton’s system for referencing, the modified Harvard system. Refer to ‘Cite Them Right’ which is available online via the university website www.wlv.ac.uk/lib with excellent resources available in the ’Skills for Learning’ section available via https://www.wlv.ac.uk/lib/skills-for-learning/Avoid use of patient-centred websites as reference material and seek peer-reviewed and current journals. Demonstrate evidence of widened reading with use of relevant evidence-based literature and clinical guidelines to support the discussion.AppendicesAppendix 1: The clinical documentation: A written example of the clinical documentation obtained from the consultation should be included as an appendix. You can make reference to this in the main text to support your discussion.Record the patient’s health status using appropriate clinical terminologies and formats. You must ensure full confidentiality of the patient and of the clinical area. Demonstrate the ability to document the advanced health assessment at an appropriate advanced level to allow for appropriate referral or review by the clinical team, in accordance to the standards of your professional body.
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