A Critical Analysis Of Patient Centred Assessment Essay

The assessment process is the back bone to any package of care and it is vital that it is personal and appropriate to the individual concerned. Although studies have found that there is no singular theory or understanding as to what the purpose of assessment is, there are different approaches and forms of assessment carried out in health and social care. These different approaches can sometimes result in different outcomes.

The aim of this assignment to explore the assessment and care planning phase of nursing process, communication and interpersonal skills related to a chosen case study. Nursing process is the systemic organised approach used by the nurses to improve the quality of nursing care and it consists of mainly five steps, assessment, diagnosis, planning, implementation, evaluation (RCN,2016) this essay also explain the basic pharmacology and nurses responsibility in medicine administration related to the case study. This essay focused on a 70 year old lady, shoo was admitted in the surgical ward during my placement. She was diagnosed with oesophageal cancer recently and now admitted with swallowing difficulty and neck pain. The patient is referred

The following is a critical reflection of my performance during an objective structured clinical exam (OSCE), as part of my training for the role of Psychological Wellbeing Practitioner (PWP). An OCSE is an assessment technique whereby a student demonstrates their competence under simulated conditions (Fidment 2012). For this OSCE, my competence in undertaking a treatment session with a patient was under examination. The treatment session I undertook involved discussing the patient’s progress with behavioural activation (BA), a cognitive-behavioural intervention used for people experiencing depression (Richards and Whyte 2011).

This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has

To support such discussions, a range of knowledge gained throughout this module and previous programme themes, as well as a formative care plan developed for a fictional patient known as Mabel Dunn (see appendix A); will be utilised effectually. Through the exploration of each stage of the problem solving approach in turn, and how RLT is utilised alongside this process, enables an extensive in depth analysis to take place whilst using the formative care plan as reflective material to support the discussion.

The purpose of this essay is to explain the assessment interview process. This essay will feature an imaginary interview involving the client and helping process. The significance of the interview process initiates effective case management and entails direction of the client's goals (Kyser, 2014).

Sawbridge and Hewison (2015) believe that compassion is important to the delivery of patient care. However, professionals are working in environments that are increasingly targeted which can take the professionals away from delivering compassionate care (Baverstock and Finley 2016). This assignment aims to discuss how important and how realistic it is for health and social care leaders to balance compassion with effective and efficient service delivery. It aims to do this by exploring what is meant by the term compassion and the influence that it has on patient care. The author will then move on to discuss the impact compassion has on service delivery, considering if professionals need to balance compassion with effective and efficient care delivery including the if compassion is in fact required to deliver effective care.

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

The aim of this essay is to demonstrate the assessment process of a patient using the Roper Logan and Tierney (RLT) model of nursing framework and to show how the nursing process works alongside this model. This will be shown by a holistic history of the patient being shown, followed by how the RLT model is applicable to this patient. This is then followed by one nursing intervention being discussed showing how the nursing process is applied to patient care. The patient will be referred to as Mr Frederick Valentine to protect the patient’s anonymity as stated in the Nursing and Midwifery Council Code of Conduct (2008) guidelines.

Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

• To put patients at the heart of care I implemented, with service users engagement a specifically designed innovative CPA questionnaire. Patients’ feedback reflects better satisfaction and empowerment to take a lead in their meetings, a cultural change as highlighted by one of 13 patients surveyed, “Makes me feel that I've input into decision-making in the meeting… It is logical, practical and informative… ". Clinicians felt enabled to offer a more bespoke management and get a clearer picture of patients health and social needs. This project, already taken up by other community teams was highly commended at the Trust Board meeting and Health Education NW Leadership conference in April '17.

It is a bit difficult to coordinate the typed questions along with the physical assessment. However, I understand the concept of the experience is to learn how to complete a health assessment, as well as assess the patient’s

During week ten, I reinforced all I learned concerning how to proceed during patients’ visitations and how to complete their routine reports. Practice is essential to learn how to file routine visits and how to keep up to date the patients’ files. It is very important to include every single detail of the visit and the state of the patient to avoid any liability later on. I also practice answering phone calls of the patients and their families. I am learning how important to know about different resources to help the patients and their families with their needs. For example, I learned about different group home, caregivers, and therapist. It is important to get familiar with all these business’ reputations and services so you can referred the patients with

When the patient first came in I think I did quite well as I welcomed

Clinical practicum has provided a valuable study opportunity to me.When I took care of a living person in wards,I could apply the skills which are learnt from indoor lessons in school and books.Also,I could achieve more knowledge outside textbooks.However,I find that there is a difference between the real situation and theory.In ward,nurses have to be multitasking and need to manage several patients,time is precious to them.Nurses have to make an effort to save time from different ways.To give an example,in the ward I worked in this clinical practicum,nurses connected the syringe to the end of tube and administered drug to a patient with nasogastric tube by giving pressure to pump drug solution down the tube.Thus ,the procedure finished in a few seconds.I learnt this method from them and applied it in my practice.However,I was stopped by the supervisor teacher during one of my practise.She told us that it was wrong to administer drug by using pressure.She then asked me for the right method.I was shocked in that time because I learnt this way from the