This is a collaborative essay the senario and instructions is attached
This essay required you to critically evaluate a key issue of health care provision in a clinical/care environment, based on a scenario from a clinical placement.
This is a 3000-word essay. In addition, you are required to provide 250 words overview of the scenario related to the key issue you have chosen to evaluate as an appendix.
1. Critically evaluate the unique roles that health and social care professionals and providers have across a variety of care settings to achieve optimal care and service outcomes.
2. Evaluate and synthesise strategies to involve people, families and carers in decision making with reference to current clinical, ethical and legal frameworks
3. Apply knowledge of anatomy, physiology, pathophysiology and pharmacology to demonstrate a critical understanding of the nursing assessment and management of the individual.
Your essay should critically analyse and evaluate an issue that has influenced nursing care provision for a patient or group of patients in your scenario. Some suggestions of health care provision issues you may consider: clinical practice issues, ethical dilemmas, political or economic considerations which may influence the delivery of care.
You are recommended to concentrate on one particular area of focus, while acknowledging areas of overlap with other key issues in your discussion.
Your discussion should demonstrate effective application of theory and research to inform decision making, problem solving in the chosen practice issue and draw upon a broad range of appropriate literature to support your discussion and analysis.
Mr. P is a 50-year-old man who is diagnosed diabetic and has bilateral leg ulcers. Heis currently going to the district nurses at the leg ulcer clinic once a week to have his leg redressed. The key issue is Mr. P is not fully compliant with his leg ulcer care andis taking the dressings off before the next visit. Mr. P works in a restaurant and does long hours; he is also the sole breadwinner in his family and said he is expected to work hard in the heat. The district nurses have told Mr. P on numerous occasions to try and work less hours or keep the leg dressings intact. As the weeks go by he is still not being compliant with the treatment. The district nurses contact his GP to inform them that he is not complying and worried that it will make his leg ulcers worse. The nurses also contact the tissue viability nurse to ask for advice on further treatment. The tissue viability nurse suggested doing a doppler, to ensure the correctbandaging is being used and adequate circulation in the legs. All members of the multidisciplinary team will encourage and educate the patient on the consequences of his choices of not completely following the treatment. Also, I needed to add why he was taking his dressing off in the scenario.
-Mental capacity Act