The Care Of A Patient

This essay will discus a decision that was made on a local male acute ward. Using this example, an analysis of the decision making process has been made and a reflective model has been used in order to generate personal knowledge that will inform further practice (Rolfe, 2011a). A pseudonym of Tim has been used for the discussed patient to maintain confidentiality in accordance with the NMC code of conduct (2010a).

Standard 1.5 outlines that the nurse follows the ethical framework both in practice and when making decisions (Nursing and Midwifery Board of Australia,

This essay will explore why consent and confidentiallity is important in midwifery practice. It will look into why it is needed and what can happen if these aspects are breeched in anyway. The National Health service was founded in 1948, this brought free healthcare to everyone. In 1902 the Midwives act becomes a law and midwifery became an established profession, fast forward to 2004 the midwives rules and standards are published and then amended in 2012 and in 2008 the code of conduct was brought into practice. These publications are legal documents in which all nurse and midwives must abide by. In these documents there are clear rules that surround both consent and confidentiality (NHS Choices 2014)

An evaluation of Mrs Smith circulation was the next step carried out by the nurse, as in the breathing assessment Mrs Smith pallor was noted as being flushed and the patient appeared confused this could be associated with poor cardiac output. The nurse recorded the patient’s blood pressure using a dinamap it was measured at 88/50, it was then rechecked manually to ensure accuracy. The pulse was checked manually for rate and rhythm it was recorded as 98 beats per minute. Capillary refill was checked, was found to be normal.

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.

Uncle Jake and Aunt Leah were playing golf last week. On the sixth hole, Jake told Leah that he was having unusual pain in his left arm and chest. All of a sudden he felt weak and complained that his shirt was much too tight. A dentist playing one hole behind them examined Jake and found he was short of breath, pale, and sweating. He called 911 on his cell phone and told Jake to lie down and wait for the ambulance. The paramedics rushed Jake to the hospital where he was evaluated by a cardiologist. The tests showed that he had four clogged arteries. He was scheduled for surgery the next day.

When Jim first attends hospital a care plan will be put into place to ensure quality patient care. When structuring the care plan Jim 's history, medication and allergies will be recorded followed by his daily routines and his personal needs. In order to produce the care plan a risk assessment will need to be carried out. A plan of the action will then be enforced, this plan will then be implemented and evaluated at the end to see whether Jim has taken to the treatment or whether he has deteriorated. However when putting Jim 's care plan into place it is essential that the data is specific, measurable, achievable, realistic and time specific to ensure Jim is getting the best possible care. Due to Jim 's lack of vocal communication his friend Sam may have to pass the nurses as much personal information about Jim as possible.

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.

In this case, the issue is whether the treatment of the Patient during her second admission of April 7, 2016 through April 8, 2016, should be considered a separate admission for DRG payment, or a continuation of treatment from her previous admission of March 30, 2016 to April 7, 2016.

As an individual’s ethics will play a large part in their practice, there are specific guidelines and legislation that exist to ensure that nurses, as well as other health professionals, practice in a way that is ethical (Avery, 2013). These laws further exists to attempt to simplify the ethical issues that sometimes present in nursing practice and to attempt to guide one’s actions. The Nursing and Midwifery Board of Australia (NMBA) provides guidance to nurses by providing a number of professional codes and guidelines (Avery, 2013). The NMBA has developed a code of ethics for nurses comprising of eight codes (Avery, 2013). These are as follows; 1) Nurses value quality nursing care for all people; 2) Nurses value respect and kindness for self and others;

NMC (2008) The Code: Standards of conduct, performance and ethics for nurses and midwives. London: Nursing and Midwifery Council

The CAEN Decision Making Model for Nursing Practice Framework was chosen for this analysis due to its incorporation of foundational knowledge, thinking processes, context and decision-making processes. The model places major emphasis on the quality of relationships, salience and pattern recognition, healing initiatives, critical reflection to analyze a situation pre and post and to value different ways of knowing. The client along with the nurse is intertwined in the center of the framework highlighting the importance of their relationship. All critical decision making for nursing practice is the client’s lived experience of health and healing; which is essential to the inquiry process where a nurse will enter into and become engaged in the new relationship. In this situation, being directly involved with the patient provided an opportunity to create a relationship on the basis of providing health and healing measures (CAEN, 2008).

Caring is the fundamental features and expression of human being. Caring means to take care someone need your help not just by your knowledge as a professional nurse, but with your feeling and emotion as human being. As a nurse to caring your patient you should be know how he is feel, if your patient is worry about something or angry from something, so as a smart professional nurse you could help him easily. caring and healing on the same way, you can't healing your patient without caring him, but as a nurse you must be make sure the patient caring not mandatory so you can do it by anyway, that is could give the patient negative energy, but the patient caring by interest and love to help other that is can give the patient positive energy because

When a client comes into a healthcare center with a suspicion of an MI it’s the nurses job to continuously assess, plan, implement prescribed treatments as well as teach both before and after a diagnosis is made. Primary goal for these patients is stabilization. For assessing this patient, the nurse is first assessing their level of consciousness, for shortness of breath, and for signs indicative of decreased oxygen perfusion to the extremities such as pallor or a slow capillary refill. She’s also asking if chest pain has been relieved, about the type of pain, the location and if there was any radiation of pain to another pain of the body and if they feel any palpitations. Auscultating heart and

This essay aims to focus on the pathway taken by a patient, a 62-year-old male, who came to the Rapid Access Chest Pain Clinic (RACPC) after being referred by his local GP to assess and further examine his complaint of chest pain for the last two months. The aim of such a clinic is to fast track patients who have suspected ischaemic heart disease so that they can go on to receive the appropriate treatment and medication if diagnosed, in accordance with guidelines set by NICE (4). In my opinion, it is advantageous to have such guidelines