Care Plan Based on Activities of Daily Living Model

Students are to create a care plan using the selected and approved case study. The case study

This assignment will explore and critically evaluate the role of the registered nurse in the development of a plan of care that is patient centred. This will involve examining and critically analysing the chosen nursing model in a holistic assessment of the patient and the use of the nursing framework ASPIRE (Barrett, Wilson and Wollands, 2012).

This assignment will discuss the nurse's role in devising of a care plan for a patient, including the rationale upon which this care plan has been based, evaluating that the goals intended are met or amended. The patient's identity will be protected using a pseudonym of Kora in keeping with the standards of maintaining confidentiality set by Nursing and Midwifery (NMC, 2015). The patient has Chronic Obstructive Pulmonary Disease (COPD) which is a long-term health condition which is slowly progressive, cause’s obstruction to airway that cannot be reversed, alterations in breathing with exacerbation often suggesting worsening of the disease (Currie, 2007). Kora is 63 years has three young grandchildren permanently in her care, Kora being in

RLT identified twelve activities as the core of the model of living (Holland, 2008). I learned the medical terminology. In a group, we identified the patient Jim’s physical factors according to RLT. RLT helps nurses to individualize the patients (Williams, B. C. (2015), and facilitate the first four elements of CRC as a guide for holistic patient assessment( . First, I was excited to learn the medical terminology. It sounds like an alien language and it was fun to decrypt the medical passwords. However, I was overwhelmed by the twelve activities of living, and how it interrelates in many ways (Holland, 2008). I wish, at the end of year three, I could be more confident of RLT. Medical terminology was easier than I expected, once you know the elements, it is easy to understand. On the other hand, finding biological concerns for Jim was challenging. For example, biological factors associated with an aging body was difficult to identify because, I have lack of understanding of older people’s physical changes. I am not familiar with aging, because, I never witness the aging pross fully. Therefore, Understanding the lifespan linked to age and identifying the needs of care could be the challenge for me. However, visualizing the model of nursing, checking dependence and independence of activities of living, dividing in to twelve elements, gave me few guidelines to

Lees (2012) defines complex care as those who have multiple care and health needs, whom require complex interventions and often need a diverse range of services to aid their wellbeing. Lees (2012) separates complex patients into two groups who are deemed more likely to be a ‘complex patient’. Firstly, frail elderly patients who often have several care needs which are associated with multiple health related problems. Secondly, patients who are terminally ill with palliative care needs or patients nearing the end of life who tend to have complex needs. Nonetheless, taking into account the Vector Model, Safford et al (2007) argue that it is not just multiple and long term health issues which make a patient complex. It involves, biological, socioeconomic,

The purpose of this assignment is to explore a needs orientated approach to care planning, through the use of a problem solving approach to care, and a nursing model. It aims to show an understanding of what both a problem solving approach to care, and a nursing model are; and to establish how various key elements of both are implemented in practice. The following citation by the Department of Health (DH) (2009) identifies what is intended by the process of care planning;

This week, I was given the opportunity to care for two female patients – 205(1) and (2). The first patient, 205-1, was admitted with respiratory distress and had a past medical history of hypertension, schizophrenia and bipolar disorder. She was initially put on 2 L/min of oxygen and placed on oxygen titration protocol with orders to maintain O2 saturations between 88-92%. The patient was oriented to person and place, but had difficulty with time. She was also obese (BMI 30) and deemed a moderate assist with ambulation. Her care plan included total assistance with ADLs, smoking cessation and oxygen protocols, limited salt intake (3mg), and chronic pain management. The second patient, 205-2, was admitted with a right pelvic fracture and had

Write one goal and one measurable expected outcome related to your nursing diagnosis. Explain why this goal and outcome is a priority. Include cultural considerations for this client.

The following are directions to write the narrative description of your field project. It should be written in APA (6th edition) format, appropriately noting in-text citations, references, etc. You may attach as appendices any charts, tables, or other materials (labeled with the source identified per APA format). The document should be a minimum of 7 pages and no more than 10 pages, not including the cover sheet, reference page(s), and appendices. Use the headings in the outline below as the headings

Closely linked to this decision-making model is the ubiquitous nursing process. The nursing process includes data collection and documentation, analysis of the data to determine current condition and real or potential health related issues, development of an individualized plan of care to deal with these issues, implementation of that plan of care, and evaluation of the plan of care to determine its effectiveness and adjust the plan as needed. (Blais, Hayes, Kozier, & Erb, 2006)

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.

7. Which collaborative problem will the nurse include in a care plan for a patient admitted to the

As individuals age changes occur physiologically that are part of normal aging. These changes occur in all organ systems and can impact an individual’s quality of life. The changes related to aging can be attributed to an individual’s genetic make up, lifestyle, physical activity, and dietary lifestyle. Being able to differentiate between normal changes in aging against disease process is important because it can help clinicians develop a plan of care (Boltz, Capezuti, Fulmer, & Zwicker, 2012). Creating an accurate plan of care for older adults will greatly impact their quality of life.

In my placement as a second year student, most of my duties are focused on providing nursing care and general ward

Besides handover, an initial assessment is carried out to treat and identify any life threatening problems, concentrating on level of consciousness, airway, breathing and circulation. Based on the assessment, the main issues are determined and patient care was prioritised. With my patient, Mrs Smith, I performed initial assessment using ABCDE approach. ABCDE approach is highly accepted systemic approach which focuses on the most life threatening clinical problems (Thim et al, 2012). The results on Mrs Smith were her airway was patent, breathing bilaterally on her own, cardiovascularly stable, fully alert and in terms of exposure, she had one arterial line, two peripheral cannula and an indwelling urinary catheter. Based on handover and initial assessment, the main problems identified on Mrs Smith were management of newly diagnosed type 2 diabetes, care of her amputated wound and pain management. The nursing management for Mrs Smith was based on managing these problems, monitoring vital signs and preventing any risks associated with her conditions.