Care Plan Based on Activities of Daily Living Model

3507 WordsNov 7, 201015 Pages
Part A This portfolio entry requires an assessment and care plan to be presented incorporating the nursing process based on a client that I assisted in the care of during my clinical placement. The patient on which the care plan will be assessed will be a 72 year old female, May Watters who I assisted in the care of during clinical placement in the Emergency Department (ED). May Watters is a pseudo name to ensure confidentiality to An Bord Analtrais standards (ABA 2000). May was brought in by ambulance which was called by her husband Jimmy. May was brought into the ED for Diarrhoea and Vomiting 5/7 days and generally unwell and weakness and non productive cough. Mays’ husband who is her next of kin was concerned about her deterioration…show more content…
In this situation the patient was awaiting an isolation bed as outlined in part A, it was essential to begin planning Mays’ care as she required complex health planning. Through reading the literature I have observed a common criticism of the model is to do with what conditions fit under which AL and also the use of models in general in nursing practice as taking up time caring for patients (Roper et al 1996). Having only ever used the RLT model I don’t feel I have enough understanding of other models to compare it to but through reflection, I feel that as outlined in the literature, fitting physical conditions under ‘headings’ of care plans can be difficult. The RLT model is considered a holistic approach (Holland et al 2003) to provide individualised care to a client. It features interlinked components that look at the complexities of living and the relationship the AL’s have with each other. ‘Lifespan’ is an important concept of the model because as the person moves along the line representing the lifespan continuum there is dynamic change on all aspects of living influenced by biological, psychosocial, sociocultural, environmental, and politicoeconomic circumstance relative to the individual. These factors of the model are outside the scope of this assignment, however, it is noted that as the influence the AL’s they in turn contribute to individuality. Individuality is the primary

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