The Main Health Issues Of John Ryan

Before the model of change can begin, the nurse should develop a non-judgemental supportive therapeutic relationship with Mr Abraham which will enable  the nurse to know him better and see what his triggers are and what challenges he faces in his everyday life . The health professional should

(3) spondylolishesis is the lumbar slippage of the vertebra between L4-L5 and L5 and S1 which causes the compression of the spinal nerves 4) degenerative joint disease related to aging is also responsible for the cause of sciatica, there is a malformation involvement in the spine and dehydration resulting to disc herniation and severe inflammation in the vertebral bodies causing the compression and irritation of the spinal nerve roots 4) degenerative joint disease related to aging is also responsible for the cause of sciatica . Sciatica evolves between the age of forty to sixty years old and commonly occurs more in male as compared to female (Fuller & Goodman, 2015). Also, genetic cause also plays a significant role in etiology aside from infection, the vast amount of load of the vertebral column causing the protuberance of the disc(Fuller & Goodman, 2015). Moreover, malignancy or arthritic spine within the vertebra or trauma implicates the cause of sciatic nerve irritation or compression (Fuller & Goodman,

Virginia Henderson’s contribution to the nursing profession has been very influential. One of her contributions is her well known definition of nursing which request the nurse to be an expert independent practitioner equipped with the right knowledge in basic nursing care to achieve the goals of proper patient care (McCrae, 2012). Her definition along with the fourteen basic needs brought huge changes in nursing practice. The fourteen fundamental needs gives support and assistance to provide proper nursing care. In addition, Henderson also understood the importance of using the nursing process, she stated as part of the nursing process, it was vital for the nurse to collect, analyze and develop an optimal plan of care to ensure the best quality of care and patient outcomes (McCrae, 2012). Henderson defined nursing as a concept. Henderson regarded person, health, environment and nursing as follows, Person: The patient is a person who needs support attaining independence and well-being or sometimes peaceful passing. The body and mind are one entity, not to be separated in care. Patient and

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.

Summarise two main functional deficits (signs and symptoms of illness) in Frank’s body systems necessitating nursing care (50 words or less).

In order to answer this question, I am firstly going to describe, in detail, the Biomedical and Social Models of Health. The 2 approaches are very different, and from a caring perspective, are both as important as one another when putting a care plan in place for service users such as Trevor .

The areas of concern from Justin’s MHA are his suicidal ideation, depressive symptoms: social withdrawal, seclusion in room, unemployment, weight loss, strong feelings of worthlessness, lack of energy and motivation, decreased appetite, difficulty sleeping and completing tasks of daily living, in addition to his unmanaged diabetes which have all been occurring simultaneously for a prolonged amount of time (beyondblue 2010; Hungerford et al. 2012, p. 185). As a national safety priority in care, his suicidal ideation, associated with feelings of hopelessness and worthlessness should be prioritised so that Justin will not act on these ideas or harm himself (National Mental Health Working Group 2005, p. 13). Ultimately, by establishing a therapeutic relationship, daily assessments of suicidal intent with active encouragement of informing a staff member when the urge to act upon suicidal thoughts are present as well as encouragement to explicitly speak about his feelings associated with such behaviours, identification of his strengths, resources and support systems and the administration of prescribed medication, with consideration of Justin’s cultural background, is of utmost importance in Justin’s care plan (Berman et al. 2014, p. 1189; The Royal Australian and New Zealand College of Psychiatrists 2009). Effectively, ensuring that a holistic and recovery-based framework which involves the care planning not exclusive to his

R.H. has a large, active family in the area who assist in his care and plan of treatment as much as possible, and provide daily visits. Prior to the most recent hospital admission, the family reports he was an active man who lived alone, and was quite capable of caring for himself and his house. He has a wife who suffers from dementia and is cared for by their children. He meets with his primary care doctor as well as a home health nurse frequently to monitor his condition and review treatment options. Additionally, the patient is a non-practicing Catholic, with a close group of friends and other support systems within the community. Even with the high level of support he has, the patient is still at an increased risk for ineffective coping due to the sudden onset of his symptoms. Due to his continued weakness and confusion related to high levels of pain medications, much of the decision making is left up to his family, particularly his eldest daughter causing stress for the whole family. Because of his self-care deficit, which will likely extend after discharge, he will likely require extensive rehabilitation as well as being required to live either with family members or in a care facility. The patient and family will need to be continually monitored for ineffective coping for the duration of his hospital stay, as well as following discharge.

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.

Today, in the United States back pain affects more than 80% of people in the U.S. at a cost of more than $100 billion a year. Back pain can lead to many emotions from those suffering, chronic pain leads to anger, immobility, depression, and other crippling effects. While the causes from back pain range from far and between, the purpose of this research paper will tell the story of Spinal Stenosis and its effect on many Americans today. Through this paper, the reader will learn Spinal Stenosis background information, etiology, symptoms, how to properly be diagnosed, the clinical appearance, treatments, outcomes, the economic impacts, and finally information on the quality of life for someone who has been diagnosed with Spinal

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.

Spinal stenosis treatment options have evolved over time and with surgical advancements. Treating spinal stenosis envisages several factors like soothing pained nerve fibers as these are impinged by the narrowed vertebral foramina by following.

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.

A very brief synopsis detailing the reason for referral was proposed to Mrs Banks to establish her understanding for attending. The process of the assessment, including questioning of the current complaint, past medical history and the likelihood of a physical examination was explained. Mrs Banks was then asked if she wanted her husband present during the health assessment which she did, if the patient agrees, it is good practice to allow family members to be involved in the assessment and decision making process about treatment and care (NICE 2007). Mr Banks was then invited into the room and again introductions were made. Good clear communication skills help to build therapeutic relationships with the patient, interpersonal skills help to

Throughout this essay, the chosen nursing model of assessing a patient’s social needs and medical history; Roper, Logan and Tierney (R-L-T model) Activities of living (AL) will be outlined (Holland et al, 2008). Through the use of substantial and relevant theoretical literature, AL will be highlighted i.e. biological, psychological, political economic, environmental and social-cultural issues. This will include theoretical highlights of care given to a patient admitted in hospital holistically. Basically by assessing and examining the importance of model and framework in nursing practice will help to understand the patient and rationale. A framework of Assessment, Diagnosis, Planning, Implementation and Evaluation (A. D. P.I.E) will be