Assessing Student Nurse in Planning Patient Care: Holistic Assessment

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This assignment will focus on the holistic assessment and care plan of a patient who was cared for during practice placement. It aims to discuss how the care planning decisions were made and relate these decisions with the relevant literature. The setting was an emergency trauma and orthopaedic ward and the care plan was developed in order to meets the patient’s needs after 1 week admission. The care plan was compiled by the student nurse and his mentor and aimed to identify the patient’s needs and the necessary interventions to meet these needs. The Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008) states that a person’s right to confidentiality must be respected, therefore pseudonyms will be used to refer to…show more content…
Aggleton and Chalmers (2000) define nursing models as ways of representing the process, guiding nurses on what to assess and how to obtain information about the patient, as well as planning and delivering care. The development of John’s care plan was based on the Roper, Logan, and Tierney (1996) twelve activities of daily living. Walsh (1998) says that the use of models in nursing practice is a way to facilitate understanding as models are concerned with knowledge about nursing. Carper (1978) (cited in Basford and Slevin, 2003) identified four types of nursing knowledge: empirical, aesthetic, personal and ethical; which have been applied when on decision making process while elaborating the care plan. In order to make nursing decisions effectively it was crucial that actual and potential problems were identified. The model used assists nurses in identifying potential problems using the activities of living as reference. It is also possible to ascertain if these problems are a pattern in the patient’s life or if they are the actual/potential problem, and identify other factors that can influence the activities of life and have been identified before. On admission, John was assessed and his care needs defined following the fracture femur integrated care pathway which is a multidisciplinary document of care; the care plan used in this assignment was elaborated
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