Nurse Client Care Plan

This Case Study will be undertaken as a group activity and is designed to deepen your knowledge about mental illnesses, and to test your understanding about the nursing care of people suffering from such conditions. It will also assist you to express your ideas through class presentation and in writing.

Nurse-patient relationships are cited as therapeutic relationship at times and is known to be vital for nurses to provide the best possible care to the patients. Appreciating the diverse phases of therapeutic communication is essential.

The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and

The framework for creating a therapeutic relationship is built on the nurse’s ability to show empathy towards the client. Empathy is being able to put oneself in the patient’s shoes, to feel the same things they feel

Nurse’s care for several patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patient’s disease to understand the nursing judgments and interventions involved, the medications for this diagnosis, and to understand the disease. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.

Effective nursing practice is in need of on an effective therapeutic relationship between the nurse and the client. This instruction addresses the qualities and capacities of an effective therapeutic relationship, the state of knowledge, and the information needed to be effective. To implement a therapeutic relationship effectively, hospitals characteristics must be supportive. The therapeutic relationship is also known as the helping alliance and it refers to the bond between a healthcare professional and a client. It is the means of professional hopes to involve with, so as to change the outcome result of the client. This relationship is significant to the client’s orientation

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

Theorist Hildegard Peplau set the foundational elements for newly graduated students to introduce the importance of patient/nurse relationships into their practice (Peplau 1991). Peplau’s book is mainly directed toward psychiatric patients, but improving interpersonal skills with patients from all disciplines will create a caring, informative environments for individualized care plans (D’Antionio, Beeber, Sills, & Naegle, 2014). Also,

Acute psychiatric inpatient nursing is primarily focused on the assessment and treatment of patients admitted in times of crisis. To effectively assess a patients needs a nurse requires an overview of the patient’s interactions with their external & internal environment. Fundamental to this been successful is the nurse patient relationship, forming a trusting relationship and maintaining this throughout the patient’s care. The nurse’s ability to listen, talk and understand are identified as key to positive patient experiences of feeling supported and cared for (Gilburt et al 2008).

Question 2: I provide almost all of the care for assigned patients throughout the shift but may not have the same patients from their admission to discharge

A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.

The therapeutic nurse-patient relationship is known as a close and consistent connection approaching during patients’

In this case study, one day of care for a 28 year old, male patient on a low secure psychiatric unit will be examined and discussed. The main focus will be on implementation and evaluation of the nursing process. These areas will be covered under; physiological, psycho-sociological and pharmacological aspects of the patient’s care. Although, the case study is discussed using third person expression, the care discussed is what was implemented and evaluated by myself, a second year student nurse, under supervision from a qualified member of staff.

Ineffective breathing pattern related to decreased oxygen saturation, poor tissue perfusion, obesity, decreased air entry to bases of both lungs, gout and arthritic pain, decreased cardiac output, disease process of COPD, and stress as evidenced by shortness of breath, BMI > 30 abnormal breathing patterns (rapid, shallow breathing), abnormal skin colour (slightly purplish), excessive diaphoresis, nasal flaring and use of accessory muscles, statement of joint pain, oxygen saturations of 85-95% 2L NP, immobility 95% of the day, and adventitious sounds throughout lungs (crackles) secondary to CHF, hypertension, pain caused by gout and arthritis, and obesity

About one-quarter of all American adults suffer from a mental health disorder in any given year, according to the National Institute of Mental Health (NIMH). Mental health is an important component of overall health and wellness. Treatment options often include medication and psychotherapy. Mental health nurses help patients who suffer from mental illness to recover their mental health so that they can live to their fullest potential. For example, mental health nurses work in a variety of settings, such as, psychiatric hospitals, substance abuse treatment programs, home healthcare services, community mental health agencies, and private practice. This paper will give a description of my clinical experience at a psychiatric hospital.