Using the underpinning evidence base and theory explore the service users background and risk factors for health. This could include age, gender, ethnicity, family, social family circumstances, psychosocial factors, lifestyle factors, genetic factors and others depending on the condition.
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Using the underpinning evidence base and theory explain the underlying disease process including the role of risk factors.

Using the underpinning evidence base and theory identify the key individual goals for health promotion. Discuss and evaluate the strategies that the nurse can use to support the patient. Consider empowerment of the patient, self actualisation, identification and transfer to NHS and community support services. For example you could discuss motivational interviewing, stop smoking clinics, structured diabetes education programmes or stroke, pulmonary or cardiac rehabilitation programmes.

2. The acute management. (LO nos 1,4,6,7,8)

Using the underpinning evidence base and theory identify the key signs and symptoms and explain their pathophysiological basis.

Identify the key nursing goals in terms of care. Then focus on one or two main nursing goals and evaluate the underpinning evidence base and theory in order to plan and deliver the nursing care effectively. Discuss how you involve the service user in care.

For example nursing goals may include management of expressive aphasia, glycaemic control, dyspnoea or cardiac pain from a holistic perspective.

3. Whilst living with and managing the long term phase of the condition. (LO nos 1,2,3,4,6,7,8)

Using the underpinning evidence base and theory consider the service user perspective in terms of how they will manage their long term condition in partnership with the nurse.

Explore the individualas experience of living with a long term condition. Identify the physical, psychological, emotional, social and potential ethical issues that may arise.

Discuss the relationship between the nurse and service user to include shared decision making and self management.

For example you may want to focus your discussion on some of the following; personal meanings, biographical disruption, illness narratives, trajectory, exacerbation and remission, identity, altered self concept, stigma, labeling and stereotyping, altered regimes, mastery, relationship and role change, coping strategies, emotional and social adaptation shared decision making and self management.

Case study 1 a Stroke
Abhas Sidu aged 52 has lived in the UK for most of his life mo

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