Note: write in APA format and must site references whenever quote from any book, journal or website. Also mention any assumptions that you may be considering in answering your questions…..
identify one (1) nursing diagnosis (clinical judgement) related to Lucas’ psychosocial, spiritual or cultural well-being, based on the cues you identified in step 3.
1. Review the ‘Episode of care – Lucas’ page in ‘Assessment 1’ module on Canvas. This is where
you will find the clinical case information.
2. Using the case information, complete a psychosocial assessment using the ‘Formulation
Framework – 5 P’s’
o Presenting problem
o Predisposing factors
o Precipitating factors
o Perpetuating factors
o Protective factors
3. Identify case relevant ‘cues’ based on steps 1 & 2.
4. Using the ‘Nursing diagnoses: definitions and classifications – 2015-17’ (NANDA-I), identify
one (1) nursing diagnosis (clinical judgement) related to Lucas’ psychosocial, spiritual or
cultural well-being, based on the cues you identified in step 3.
5. Outline two (2) priorities of care for Lucas based on your nursing diagnosis (supported with
6. Document steps 2-5 as a handwritten clinical progress note guided by the:
o Minimum Standards of Nursing Documentation
o Nursing and Midwifery Content Audit Tool (NMCAT) criteria
o Legal requirements criteria
See Johnson, Jefferies & Langdon (2010) – Table 1 (Minimum standards and NMCAT criteria)
& 5 (NMCAT legal requirements).