Care Plan

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Part B I found this particular portfolio more challenging than previous ones. The main reason for this was the fact that I was the required to actively take part in the assessment, planning, implementation and evaluation of a patients care within the service. Doing this came with responsibility that I had not had in previous placements. My preceptor had explained to me the process involved in care planning for a patient on the unit, the doctor will do the majority of the assessment, the nurse carries out the risk assessment and completes Roper Logan and Tierney nursing assessment which is the nursing model used by the Louth/Meath services. The nurse also carries out an admission checklist. When the patient has been admitted and the…show more content…
Roper, Logan and Tierney’s model has been criticised in the past; it has been seen as a checklist and a very simple nursing model (Townsend, 2008). I found that a lot of the information had already been gathered throughout the assessment stage. My preceptor told me that the nurse usually fills in as much of the Roper, Logan and Tierney assessment as possible not wanting to agitate the patient any further by asking the same questions over again. John was far too paranoid to start questioning him again, the Roper, Logan and Tierney assessment was completed by information gathered during assessment. John was orientated to the unit and shown to his sleeping area, I then carried out a property checklist. I felt very uncomfortable doing this as I was going through his personal belongings. I explained to him that this was routine with every new patient. John did sign his consent to admission which surprised me. To be honest I felt that so far the nurse had little intervention with the patient, to me it seemed like the doctor was doing the communication. I voiced this to my preceptor; she explained that this is the case within this service. The nurse’s input is predominantly around complying a care plan for the patient. This leads into the planning stage where the care plan is developed to meet the patient’s needs. Government policy ‘A Vision for Change’
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