LEEDS BECKETT UNIVERSITY CARE PLAN FOR DIETETIC STUDENTS ON CLINICAL PLACEMENT Student Dietitian Date Supervising Dietitian Date www.leedsbeckett.ac.uk 1 Northern Dietetic Stakeholder Partnership (September 2012) HSS Faculty Office\PLACEMENT UNIT\WEBSITE FOLDER\Dietetics\ht-dietetics-care-plan-for-dietetic-students.doc Introduction During your Placement you will be expected to complete a care plan. Details of the expected content are provided in this pack. The care plan will contribute to the assessment of the following learning outcomes:LO1, 2, 4, 5, 6, 7, 8 & 9 Guidelines The care plan is an opportunity to fully review the care of one patient in any setting it is not intended to be a lengthy theoretical document The aim of the care plan is for you to apply theory to practice and to use knowledge and clinical reasoning to demonstrate understanding of all elements of the care of a patient The care plan should be appropriate to dietetic practice and to that end the following methods of presentation can apply: - Present orally to a small group of dietitians - Present/discuss at a clinical supervision session - Discuss at an MDT - Present/discuss at a ward round - Oral discussion via a teaching clinic (your supervisor will guide as to how the care plan should be presented) The care plan presentation should be approximately 10 minutes in length Supervisors assessing the care plan should receive your completed care plan report prior to the presentation so your supervisors can make notes for discussion The care plan report should be no more than 4 sides of A4 Action points to improve skills/ knowledge should be agreed between supervisor and student at feedback/feed forward meeting Selection of a an appropriate patient Your supervising dietitians will guide you in the selection of a suitable patient and to ensure that the patient has consented to being used for the purposes of this study. Where possible, you should try to select a patient with whom you are involved in their dietetic care to ensure that this work remains a practical exercise. This will allow your skills and abilities to respond to changing situations to be assessed. 2 Northern Dietetic Stakeholder Partnership (September 2012) HSS Faculty Office\PLACEMENT UNIT\WEBSITE FOLDER\Dietetics\ht-dietetics-care-plan-for-dietetic-students.doc Good practice tips –student 1. Any acronyms for example NG, PEG should only be used if they have been previously defined 2. Always report units of measurement 3. Critically justify your work . Do not just report information, show that you understand what it means and can apply it to your patient 4. This is also an exercise in professional documentation. Use professional language and terminology at all times e.g. ‘feeder’/ monitor ‘bloods’ are inappropriate terms 5. Report accurately and specifically , i.e. for biochemistry ‘ below normal’ , ‘low’ are not acceptable descriptors Assessor Tips Assessors should ask questions following the presentation to clarify points in the care plan. This will provide students with the opportunity to show what they have learnt or to review areas that remain unclear .Please note on the care plan report what areas are to be queried The assessors should write notes on the care plan report to facilitate learning and should together with the student produce a number of action points Please ensure that the care plans are scrutinised and students are carefully questioned to facilitate a full and clear understanding on the part of the student. 3 Northern Dietetic Stakeholder Partnership (September 2012) HSS Faculty Office\PLACEMENT UNIT\WEBSITE FOLDER\Dietetics\ht-dietetics-care-plan-for-dietetic-students.doc Care Plan Template Setting: Gender: Age: Date of Admission / Appointment Date of Initial Dietetic Referral Date of Initial Dietetic Therapy Presenting Complaint Diagnosis Past Medical History Relevant Medical / Surgical Treatment Since Admission (if appropriate to setting) Relevant Medication (action / side effects and any affect on nutrition) Social Information Patient’s Understanding of Their Referral or Condition 4 Northern Dietetic Stakeholder Partnership (September 2012) HSS Faculty Office\PLACEMENT UNIT\WEBSITE FOLDER\Dietetics\ht-dietetics-care-plan-for-dietetic-students.doc Objective Data: Date: Relevant Biochemical Results and Interpretation Component Results Reference Range Interpretation Weight: Height: BMI: History of any recent weight changes and reasons for this 5 Northern Dietetic Stakeholder Partnership (September 2012) HSS Faculty Office\PLACEMENT UNIT\WEBSITE FOLDER\Dietetics\ht-dietetics-care-plan-for-dietetic-students.doc Assessment Diet History / Typical Day State where history relates to i.e. Either the patient’s intake at home or in hospital and how you have obtained Calculate the approximate energy and protein intake. State how you have calculated Depending on your patient you may need to calculate other nutrients, justify your decisions Food Item & Amount Energy (kcals) Protein (g) Breakfast Mid-Morning Lunch Mid-Afternoon Evening Meal Supper / Bedtime / Night-time Total: Calculate the patient’s nutritional requirements: justify why you have chosen the factors used Calculation Justification Energy Protein / Nitrogen Fluid Other What dietetic and other problems need to be considered, how could these be overcome? 6 Northern Dietetic Stakeholder Partnership (September 2012) HSS Faculty Office\PLACEMENT UNIT\WEBSITE FOLDER\Dietetics\ht-dietetics-care-plan-for-dietetic-students.doc Plan What were the objectives of dietetic treatment? Outline a dietetic treatment plan for your patient: Justify and clinically reason your chosen treatments: List the members of staff or carers that you communicated with: State briefly what was said, their roles in the care of your patient and how you worked together: 7 Northern Dietetic Stakeholder Partnership (September 2012) HSS Faculty Office\PLACEMENT UNIT\WEBSITE FOLDER\Dietetics\ht-dietetics-care-plan-for-dietetic-students.doc On-going Monitoring and Review: What methods of monitoring you would use and why. Outline what you will be looking for in each instance Outline your follow up treatment plan 8 Northern Dietetic Stakeholder Partnership (September 2012) HSS Faculty Office\PLACEMENT UNIT\WEBSITE FOLDER\Dietetics\ht-dietetics-care-plan-for-dietetic-students.doc
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