Suzan Nursing Care Plan

Clients are assessed in a holistic way to identify the needs and therefore to provide individualised care plan. For instance, people unsteady on feet might need minimum support in personal care under the provision of safety as well as maintain their independence. Some with poor vision accuracy might require assistance in medication management due to the high risk of error in medication administration. Besides, chronic conditions have profound negative impact on individual’s life such socialisation (Carrier & Newbury 2016). Social isolation could further impact on physical and mental health. Nurses can address this issue by teaching clients to understand their conditions and work with them to set goals for long-term management. Nurses could also empower them to participate in the community programs such as craft workshop and bus trip. Individual’s socioeconomic position, employment, education, housing and other resources influence one’s health and wellbeing (Marmot 2005). I have come across clients from various cultural backgrounds. As a community nurse, I also need to understand client’s culture needs, family structure, and cultural norm, by addressing their preference and the language barriers. These barriers may prevent clients from seeking relevant services if they do not

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.

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

Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The

Emma thinks that she does not have difficulty with the supervision but she does sometimes struggle with the resistance in regards to the walk-in program. Historically, nurses have not done counselling although, it is within their scope of practice in an informal way through their college. In that instance, Emma tends to be strategic with coordinating walk-in and being mindful of which clients she assigns to each practitioner. For example, if a client presents with significant trauma symptoms or hyperarousal with trauma, nurses may not be as trauma informed as a social worker. However, a patient may present with a desire to access an assessment through psychiatry and to discuss their medication regimen where a mental health nurse may have a more advanced knowledge of medication. Nurses have addressed that ‘going in cold’ is outside of their purview and that seems to make them more resistant to being involved.

The first patient I witnessed was a 25 year old female. Pertinent patient medical history is anxiety, depression, and sleep dysfunction. The referring diagnosis is Chondromalacia of the right patella, which is also known as runner’s knee, is a condition where the cartilage on the undersurface of the kneecap deteriorates and softens. The physician who referred the patient, Victor N. Egwu, MD, orders the PT to evaluate and treat three times per week for four weeks. Right knee ROM and strengthening exercises should be done to treat patient. The PT evaluation justification history includes 1-2 person factors examination is addressing three or more elements. The clinical presentation is stable. The clinical decision-making is low co-morbidities.

The author will also discuss the principles of the Mental Capacity Act (2005) and the Mental Health Act (1983) and how it protect an adult who is vulnerable and lacks capacity. Likewise, the author will discuss ranges of nursing interventions, person-centred care, and ethical dilemmas.

In this essay I will discuss a service user I encountered on recent practice placement who was referred to the hospital after she has been deteriorating in mental health and she has bipolar disorder. I am going to discuss the assessment and development of the care plan of the service user. The essay will also consist of a brief biography of the patient’s contributing factors towards her present mental health circumstances. The relevant culturally sensitive engagement and assessment skills used by the nurse in their relationships with the service user will be discussed. I will also explore legislative and nursing frameworks that influence and contribute to positive and hopeful service user’s care. The assignment will also explore the

The aim of this assignment is to critically discuss the nurse’s role in planning care. The case of care is a 60-year-old lady named Mary. The names in this assignment have been changed in order to remain confidentiality in line with the Nursing and midwifery Council (2015). Mary has a son and lives with her husband of 30 years. Mary was diagnosed with type one diabetes mellitus when she was 18 years old. Mary also has a leg ulcer which is effecting many aspects of her life. Although Mary has other health problems I will be mainly focusing on the leg ulcer.

The aim of this assignment is to critically discuss the nurse’s role in planning care. The case of care is a 60-year-old lady named Mary. The names in this assignment have been changed in order to remain confidentiality in line with the Nursing and midwifery Council (2015). Mary has a son and lives with her husband of 30 years. Mary was diagnosed with type one diabetes mellitus when she was 18 years old. Mary also has a leg ulcer which is effecting many aspects of her life. Although Mary has other health problems I will be mainly focusing on the leg ulcer.

This essay will explore a needs orientated approach to the care that is delivered to a patient and examine the significance of the use of models and frameworks in the nursing process. It is intended to identify a patient with biopsychosocial needs that requires nursing intervention. Their holistic plan of care will then be critiqued in relation to the nursing model and framework utilised by the nursing staff.

One of these norms that helped to guide care was the development of the therapeutic nurse-client relationship. Creating this relationship would have allowed for the establishment of trust and respect between the nurse, Jacqueline, and Jack, thereby fostering care and the improvement of personal health. Despite this nursing norm being implemented within the assessment as well as the care plans of both Canadian and Rwandan perspectives, there were also aspects that varied between the practices and norms implemented by the two perspectives. One norm in particular that was apparent in the Canadian, but not the Rwandan perspective was the utilization of community supports. Community supports can help to improve the health of individual(s) by employing various resources that can assist in reaching of the most desirable outcome(s) for said individual(s). As nursing in Canada is thought to be a practice that involves large amounts of collaboration, community supports are a common resource that many nurses rely on and incorporate into care. Moreover, although the Rwandan perspective did not suggest the use of community supports in Jack and Jacqueline’s care, this viewpoint still worked to address their goals, but in a way that solely involved the nurse providing

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

1. Selecting a mate: Although patient is single, she has many friends. Patient was happy to introduce her friends that came to visit. Introductions were all made as friends, no boyfriend or husband mentioned.