Care of Vulnerable People Homework Help

NURS08047 Care of Vulnerable People Summative Assessment

Critically discuss the development of vulnerability with reference to resilience and to risk and protective factors. Demonstrate an understanding of the theories influencing the person’s development.


The Summative Assessment consists of 2 parts: a 2,000 word essay which is worth 80% of the final mark and a short life science multiple choice test which is worth 20% of the final mark.

The essay will test the student’s’ knowledge and understanding of learning outcomes (L.Os) 1, 2, 3 and 4. The class test will test the students’ knowledge and understanding of learning outcome 5.

Written assignment


L1. Demonstrate an understanding of the factors which influence human development across the lifespan.

L2. Demonstrate an understanding of the appropriate care for people who are vulnerable utilising a holistic approach.

L3. Critically discuss the concepts of rights, dignity and compassion within health and social care.

L4. Demonstrate an understanding of the value of interpersonal skills, self awareness and awareness of others.


Class Test


L5. Demonstrate an understanding of factors influencing the development of vulnerability utilising knowledge from life science.


Written Assignment

Students will complete an essay consisting of 2,000 words (+10%)which is worth 80% of the overall total module mark. This asks students to focus on a person who could be considered as vulnerable with reference to influencing factors and appropriate care.

Summative Assessment Guidance

Identify a person experiencing a particular condition that you met whilst in practice (ensuring that confidentiality is maintained). Please see table below which will assist you in identifying an appropriate long term condition.

Provide a rationale for selection and discuss relevance to wider context and nursing role.

Critically discuss the development of vulnerability with reference to resilience and to risk and protective factors. Demonstrate an understanding of the theories influencing the person’sdevelopment.

Demonstrate an understanding of appropriate care for this person utilising a holistic approach.

Provide a conclusion and identify your learning from the module with reference to implications for practice and your role as a student nurse.

Students should consider a person they have met in practice (although it is acceptable to use one of the unfolding scenarios, a made up person or a family member/friend) with one of the following conditions. We would strongly suggest using one of these, although if you would like to choose another long term condition you MUST discuss this with one of your site leads to ensure that you can still meet the assessment criteria.You will see that some of the conditions are ‘umbrella’ conditions where they encompass a number of disorders, for example Cancer. You may be more specific (i.e. Breast Cancer) so long as your introduction covers this and you remain focussed on the specific condition throughout.

Eating Disorders Dementia
Anxiety Disorders Diabetes Mellitus
Asperger’s Syndrome Depressive Disorders
Attachment (Secure or Insecure) Schizophrenia
Attention Deficit Hyperactivity Disorder (ADHD) Cardiovascular Disease
Autism Spectrum Disorder (ASD) Parkinson’s Disease
Kidney disease Hypertension
Cancer Loss (i.e. Death or Separation or Divorce)
Multiple Sclerosis Stroke
Obesity Substance Misuse
Alzheimer’s Disease Epilepsy
Asthma Liver Disease
Chronic Obstructive Pulmonary Disease (COPD) Arthritis










Expected assignment content

Marks Expected content
1.Introduction and rationale.


Identify a person experiencing a particular condition and discuss your rationale for choice with reference to the wider context and nursing role.


Contributes to achievement of Learning Outcome 1

10 Introduce the person, giving some brief background information about them and the condition they are experiencing. Please give some context for your discussion – for example; did you care for the person at home or within a hospital environment?


Provide a clear definition of the condition and describe the context. For example, is it a national priority? Additionally, you should make clear links to the nursing role.


2. Critically discuss the development of vulnerability with reference to risk and resilience.


Demonstrate an understanding of the factors influencing human development.


Contributes to achievement of Learning Outcome 1

40 Define vulnerability and resilience, and make a link to the client you identified in your introduction (why is the client considered vulnerable?).


Define and discuss risk factors and protective factors, and discuss the person in relation to each.  You should consider risk and protective factors from an individual, family and environmental perspective.


Consider the impact on your client (in relation to the condition and life experience) and critically discuss what theory is applicable.  Ensure that you have considered where the client is in the lifespan, as well as the condition in relation to the lifespan.



3.Demonstrate an understanding of appropriate care for this person who is considered vulnerable utilising a holistic approach.


Contributes to achievement of Learning Outcomes 1, 2, 3 and 4

40 Refer to the holistic model of health, giving a definition and consider how this applies to your person. Thereafter, select two aspects of their health which have been impacted upon by their condition and discuss in more detail. Ensure that you justify your selection of these domains making clear links to the personand providing sufficient detail.


Discuss care for this person(principles of care delivery and the care required).  You may wish to make reference to: compassionate care, interpersonal skills, communication, self-awareness, values based care, person centred care, professional, ethical and legal principles and rights and dignity etc.


4. Conclusion and identification of learning from module with reference to implications for practice and your role as a student nurse.


Contributes to achievement of Learning Outcomes 1,2,3 and 4

10 Summarise and bring together the main learning points from your discussions.


Discuss what you have learned from your chosen topic.


Discuss the implications or recommendations for you as a student nurse.




As this is a level 8 module, your work should be appropriately linked to the course material, referenced using a variety of contemporary academic literature and should be critical in nature.  You may wish to refer to the SCQF level descriptors for more information

Please ensure that you consider the level 8 descriptor only at this stage.

Questions and Answers

Summative Assignment


  1. Is the person a specific person or do I talk in general about people experiencing that condition?
  2. You need to identify a specific person i.e. “the focus if this assessment will be on a 45 year old female experiencing Multiple Sclerosis (MS)”. This will enable you to identify where they are in the lifespan and to link this to a theory. However, with reference to supporting literature you should also discuss this in general terms i.e. “Barker and Collins (2010) suggest people experiencing MS require….”It is up to you how you do this.
  3. By the time I’ve described my person in the introduction I’ve used nearly 300 words, is this alright?
  4. It is up to you how you present the information but it might be better to adhere closely to what’s specifically required in the introduction. One way to do this is:

“the focus of this assignment will be on a 45 year old female experiencing MS. To protect confidentiality the person will be referred to as Sue in keeping with guidance from the Nursing and Midwifery Council (NMC 2015).  Sue is considered as having a number of risk and resilience factors and particular requirements in relation to care and these will be focused on in the following sections”.

  1. If I choose a topic where there are several different types i.e. Cancer, Dementia, Cardiovascular Disease, Liver disease, substance misuse, should I be focusing on one?
  2. Yesdefinitely you should focus on one so that you can convey sufficient depth of knowledge. So acknowledge that there are different types and for the purpose of the assignment and there will be a focus on whichever one you decide to pick.
  3. Is this a reflective piece of work which can be written in first person? How do you write in third person for your personal rationale for choosing person?
  4. No. This assessment should be written in third person throughout. However in section 1 (where you are asked to identify a person providing a rationale for choice) and section 4 (where you are asked about your learning) it is acceptable to write here specifically in first person.
  5. Is it usual academic writing?
  6. Yes, in third person other than as indicated in the previous question.
  7. How will I know if my writing is reflective?
  8. If you look at what you have written and it refers to you describing what you did when you looked after someone with this condition it is likely that you have written this in the style of a reflection. This IS NOT what is required and you need to change this to write in third person.
  9. Should I use a reflective model in this assessment?
  10. A reflective model is NOT required for this assessment. In section 4 you may mention reflection (with a brief definition and reference) when discussing your personal learning.
  11. How much should I be describing the person, condition, their life etc?
  12. Look closely at the marking guidance and adjust your wording accordingly. You should only be providing a VERY brief overview (3-4 lines maximum)introducing your person experiencing the condition. Other features which you include in section 2/3 such as poor housing, poverty, employment, abuse, financial security etc should only be mentioned if you intend to discuss themas risk/resilience factors, as you will need all your words for that. This leaves you enough words to “critically discuss” these topics using the literature.
  13. Can I discuss the person having a physical and mental health condition or more than one problem?
  14. It would be a good idea to acknowledge the link between physical and psychosocial health (with a reference to support this) and it may be that you are able to integrate some discussion about the second condition within risk factors. However for the purposes of the assignment and conveying sufficient depth of knowledge you will need to be careful to remain focused on the main topic you identified.
  15. Now that I’ve done the formative assessment I want to change my mind about the topic I want to choose for the summative assessment?
  16. This is completely up to you. The formative assessment is designed to assist you with the summative assessment and part of that process might include discovering that you want to change your focus.
  17. I need some clarity required regarding vulnerability/risk/resilience.
  18. Review the PowerPoints on vulnerability and risk and resilience, and general module material where this has been made reference to. Look at the examples in the “Additional Information Specific to Assessment” document – if you are still not sure discuss this with a lecturer.There are several appropriate definitions for Risk, Resilience and Vulnerability and you are encouraged to consider those which best apply to the patient you are discussing.

Q.Does risk mean risk of developing condition or risk after developing?

  1. Risk in section 2 should be focussed on current risk factors, but may also include factors not necessarily relating specifically to the condition i.e. an additional learning difficulty, low IQ, difficulty understanding, difficulty communicating, low self esteembecause all of these could contribute to the person being considered as vulnerable. Potential risk factors of developing something more could also be relevant but primarily there should be evidence of actual risk factors.
  2. I am discussing stroke, does Erikson’s lifespan theory need to be included?
  3. No you don’t have to of course, but depending on the age of your person it may be an easy way to integrate theory by acknowledging where the person is in relation to psychosocial development. If you want to refer to something else instead you can.
  4. If I use terms like haemorrhagic, ischaemic, or neuropathy should I give definitions of these terms?
  5. If you mention any specific term related to a condition you should provide a brief explanation of what it is to demonstrate your understanding. This is preferable to copying the term from a book.
  6. Can I call the person “patient”?


  1. It is better if you refer to “person” rather than “patient” – this is inline with the SPSP who changed their logo from ‘every patient every time’ to every person every time’ and “person” closely aligns with the module as we discuss “person centred care”.


  1. How much physiology should I include?
  2. Difficult to be specific here as it depends on your topic and if you decide to discuss the physical domain. However, it would also be acceptable not to include any as learning outcome 5 will be assessed by the life science test.
  3. Is vulnerable being susceptible to other illness or vulnerable being susceptible to abuse/ bullying?
  4. This can be either or both. For the purpose of your assignment it will depend on the definition of vulnerability you select. We would think that you would want to select a definition that is closely relevant to the person of your choice and the condition they have.
  5. Is referencing old theories acceptable, as we have been advised in other assignments to use up to date references?
  6. You can use a range of references. For example Rogers (1997) is quite old but is considered a significant author – you won’t be marked down for using an older reference as long as you also have good quality recent references i.e. core texts and journal articles from within the last 5 years.
  7. Is Maslow appropriate to use or must I use theory only mentioned in the CoVP module?
  8. You can, if it is relevant to the requirements of the assignment, use any theory from outwith this module. However, this must be appropriately referenced.
  9. Do you focus on the person at the age they are at or include future health?
  10. It is up to you but you will probably need all of your words to focus on the current picture or immediate future needs.
  11. Should we provide the social background of a person e.g. employment?
  12. Only if you are referring to this as a risk (i.e. unemployed) or resilience (i.e. employed) factor (supported by the literature) as you will need to use your words to address the specific requirements of the assignment.


  1. How do interpersonal skills apply?
  2. Interpersonal skills are important in the way in which care is delivered – so self awareness, person centred care, empathy, warmth, caring conversations, communication skills etc are all important skills. Please refer to module materials.
  3. Is critical analysis my opinion?
  4. It is essential to use the literature to support your discussion. Your opinion must always be supported with a reference (i.e. an author and a date) which links to what you have said. There is more information on this topic in the week 7 resources, please access the articles.
  5. How will I link my person to the whole lifespan if they only developed the condition later in life? Do I just talk about how the particular condition affects the stage of lifespan person is at?
  6. You need to acknowledge where your person is in the lifespan and discuss whether the condition is something specific to that part of the lifespan or possible in other parts of the lifespan. You may wish to discuss risk factors which could have contributed to the development of the condition in earlier life or you can just discuss the current risk/resilience factors.You can focus on the condition and how it is affecting the person at the stage in lifespan they are at.
  7. Are you allowed to use learning outcomes as headings within the assignment?
  8. Yes or you can refer to sections 1-4.
  9. Do I need to state which 2 dimensions of health I have chosen?
  10. Yes.

Q.“explain rationale for choice-academic/practice/field”-what is this referring to?

  1. This is to allow you to discuss why you selected this topic. Is it because it sounded interesting in class; there is considerable literature; due to policy developments; a gap in practice skills/knowledge; a theory/practice gap; you became aware it is a priority in practice to have nurses better equipped to address people experiencing this condition; is it because adult nurses need a better understanding of mental health/mental health nurses need a better understanding of physical health. Or did you select it for a completely different reason(s)?(supported by evidence).
  2. “link to nursing role”-what part of the nursing role (holistic care, legal requirements, NMC)
  3. This is up to you to decide. How do you think the person experiencing this condition, (with consideration of the wider context) links to your role as a nurse in society today/towards the future.


  1. “consider the impact on this client (in relation to the condition and life experience)what theory is applicable to your client”-in relation to dementia, which theories could be used here?
  2. This is for you to consider and decide – in terms of Erikson’s psychosocial stages what stage would this person be at? Would they possibly be experiencing grief/loss? (stages and tasks of grief?) Ageing related to the nervous system/physiology episodic/semantic cognitive changes etc.
  3.  I just wondered if there is any particular font, size and line spacing required for this particular assignment.
  4. The general consensus is that you should use either Arial or Times New Roman, size 12 font and 1.5 line spacing.
  5. I have heard from someone recently that you cannot use your patients name in a sentence that is referenced or marks will be deducted?
  6. You need to be careful when discussing your patient alongside work that you’ve read from a textbook etc. You need to make sure that you place the reference carefully so that it is clear that the author was not talking about your patient specifically.

To give you an example, if you were discussing the importance of not using jargon with people who have cognitive issues as discussed by the NMC, you couldn’t say…….’…it is important in caring for Jane that as her nurse I don’t use jargon (NMC, 2015)’ as this suggests that the NMC were discussing the care specifically for Jane.  You could say however…‘The NMC (2015) discussed the importance of not using language that the patient finds difficult to understand, and this is especially important for Jane given the cognitive issues she is experiencing’.

The important thing to ask yourself is; does this look as though the author was discussing my particular patient?  If the answer to this is yes, then you would need to consider rewriting your statement

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