Roper Logan and Tierney

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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. For the appropriate care to be planned for a patient it should be looked at in a holistic manner (NMC …show more content…

These activities are not exclusive but many interlink with each other (Roper et al 1996). Upon assessment not all of the ADL’s were presenting with any obstacles. The ADL’s which were seen to need intervention were maintaining a safe environment and mobility due to his decreased sight, difficulty with hearing and problems with walking. The communication ADL is appropriate as hearing and non verbal communication in the form of eye contact is diminished (Rawlings 2004). The lifespan on the continuum is linked to age. Beginning with infancy and moving through to old age. As Mr Valentine is 79 years old he moves along the continuum into old age. Age is closely linked with the dependence and independence continuum (Dingwall 2010). Newborn babies or young children are dependant on adults due to their age, but adults could also become dependant due to mobility problems requiring a wheelchair or requiring specialised equipment such as artificial ventilation required for survival (Roper et al 2000). As Mr Valentine relies on a walking frame to help aid in his mobility this is seen as dependence. The factors influencing the ADL’s are biological, psychological, sociocultural, environmental and politicoeconomic Once the information is recorded a care plan based around the pre operative assessment can be created using the next step in the

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