Patient's Recovery

The aim of this case study is to analyse and evaluate the anaesthetic and recovery care delivered to a patient undergoing an Adenotonsillectomy. To do this I will outline the process of ensuring the provision of safe and effective care for the patient, give a description of the procedure and equipment used in the anaesthetic room including the drugs used for this particular case and rationale for their use. I will also give a brief description of the surgical procedure including the anaesthetic and recovery care provided. Finally, I will summarise with an evaluation of the care that the patient received. For the purpose of this study, the patient will be referred to as ”the patient”. In doing so, the patients’ right to confidentiality will not be breached and it is also within the boundaries and guidelines set out in local trust policies G10, the Health and Care Professions Council Code of Conduct & Ethics for Students (HCPC 2012 pg 9), the Data Protection Act (1998) & the Caldecott Principles (2013).

As a nurse, I familiarize and incorporate Jean Watson’s caritas principles into my professional and person life. Human caring is the core of the healing process (DiNapoli, Nelson, Turkel, & Watson, 2010). Patients will often cease with the continuation of their therapy if it is not meaningful to them. A nurse should strive to understand and truly care for her patient in order to form a healing relationship (Zolnierek, 2013). Establishing trust within a relationship will enable a patient to reveal his/her true emotions towards the course of treatment. Watson proclaims that the act of caring reveals a stronger effect than medication alone (DiNapoli et al., 2010). I concur with this assumption based on my experiences as a nurse. Unfortunately, I have witnessed patients withdraw and slip deeper into depression while on medication for their diagnosis. However, I have also observed the quality and outlook of a patient’s life improve significantly after realizing someone truly cares for them.

I will now talk about each patient needs as they all differ from each other. Nusrat Patel is 19 years old and has learning disability. This means Nusrat has difficulties in keeping knowledge and skills to the expected level of those the same age as her. Nusrat also has epilepsy which is neurological brain disorder when someone has epilepsy, it means they tend to have epileptic seizures, a seizure is a sudden attack of illness. Nusrat has left residential school to receive full time carer from her mum who has stopped working to care for Nusrat. At times this can be stressful so Nusrat attends the community centre on Tuesday and Thursday which allows Nusrat mother to have a break. Maria montanelli is 34 years primary school teacher who is much like Nusrat mother and takes care of her 96 years old mother who has dementia. Dementia is memory loss and difficulties with cognitive development. Being a primary care for her mother Maria feels she not performing at her best ability because of her lack of sleep which occurs when she assists her mother to the toilet several times. The last patient I would like to mention is Alice Fernandez she is 74 years old who recently lost her husband who had lung cancer. Alice doesn't use her pension the right way as she purchases many drinks as an alcoholic and has increased since her husband passed away. She has been prescribed antidepressant tablet by her G.P but made her lethargic this means she's become slow and sluggish.

This author’s personal philosophy in practice is to provide holistic care to my patients and their families. This author feels that encompassing the whole family or the patients support framework in the plan of care is the best approach to returning the patient to their optimum state of health. It is important to this author to evaluate the all of the aspects of the patient’s lives that they will share. It is important to evaluate the patient’s learning style,

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

I spoke with the family and arranged for him to have video call his son so that he can see and talk to his granddaughter. This helped the patient’s willingness to participate in activities of daily living and reenergized him.

When someone is suffering or living with a chronic illness it can have a huge impact on them psychologically and socially. Chronic Illness is a condition that is prolonged in duration, usually more than 3 months and is rarely cured (DoH, 2012). Having to cope with a chronic condition might lead to life changes, such as dependency on others, loss of income, which can cause feelings of loss and reduced self-esteem. They can also report feelings of social rejection, poor healthcare and workplace termination due to their presenting condition (Earnshaw, Quinn, & Park, 2011).

Within this case study I am going to use two of the Chapelhow et al. (2005) enablers to discuss and reflect on the care of a patient I have been involved with on placement over a period of 5 weeks. ‘Enablers are the essential and underpinning skills that come together to provide expert professional practice’ (Chapelhow, C et al. 2005, p.2). These include; assessment, communication, documentation, risk, professional decision making and managing uncertainty. The enablers work together to provide a holistic approach to the care of patients in health care settings. I am going to focus on and discuss two of the enablers, linking them both together, which will be assessment and communication as I believe these two enablers can be related most to my patient.

Discussion how “words of comfort” encapsulated the books take on medicine, I feel that these words are showing us how in medicine being a caring and sympathetic health care provider is important. (Verghese, 2009) In the book relationships with patients is shown to be as important as the care they are providing. Knowing how much technology and medicine has advanced in the last years I feel that no matter how good the scientific side of it is there has to be a relationship with the health care providers and patients. It is proven that a positive relationship helps a patient recover faster. Relationships can help in many ways just having someone to talk to, give feedback, and encouragement are all way relationships are able to benefit and speed up recovery. (Brainline, 2015)

The multidisciplinary team (MDT) meeting that the author attended was regarding Laura 's case, a 62 year old lady that lives alone and had a fall followed by knee surgery at her right leg which now needed rehabilitation. Laura also has Hypertension, arthritis and recently diagnosed with Parkinson which are managed with medication. In the MDT attended Laura and her daughter, the physiotherapist, occupational therapist, the nurse and the author as a

Furthermore, a multidisciplinary team meeting will be presented to identify the impact of different health care professionals such as a physiotherapist, an occupational therapist and a nurse have on a patient with complex need and how the patient receives the care needed due to the collaborative practice. In addition, a comparison between physiotherapy, occupational therapy and nursing practice will be outlined

Recovery of a patient is much more than the management of medial symptoms. It involves a person regaining control, individualism and independency, “socially re-connecting” and rebuilding their life (Welch, 2010). Protective factors such as self-care, quality of life, pain and illness perception, and physical outcomes can be associated with the recovery of a patient. Welch suggest, “Excessive individualism or self-reliance is an obstacle to resilience when it undermines relationships or prevents people seeking and receiving help when they need it” (Welch,

Family and Friends as Partial Employees Due to the unpredictability of consumer demand in most services, the only time supply matches demand is by accident. Hence, realistically, patient needs are not always going to be satisfied at the exact time when the patient need occurs. Moreover, patient family and friends are often at a loss regarding how they can make a contribution to the patient's recovery efforts. Idle friends and family combined with the constraints placed on staff often results in confrontation and patient dissatisfaction.

The role of relatives and friends is important in the lives of residents. Sometimes just knowing that there is someone to talk to and confide in can help people overcomes their problems just as much as any treatment. The participation

The person component according to Marchuk’s philosophy and science of human nurturing, is clarified as an exemplified soul in which there is solidarity of nature, brain, and body (Marchuk, 2014). Through experience, I realize that anxiety, depression and low self-esteem most of the time ruins recuperation and successful outcomes. This not only refers to the patient but the family/caregiver as well. Involving the patient’s family into the patient’s plan of care is also known as family-centered care, reinforcing the education also promotes positive patient outcomes. Therefore I always take my time to explore any worries in my patient’s or family member that can influence in their recovery.