This essay aims to consider the role of a nurse in relation to the care of an elderly patient, this can be planned using the care planning cycle both whilst in hospital and before discharge. It will also look at the role social services play when deciding on the patients future care needs. The role of the nurse and social services can be explained by looking into the bio-medical and socio-medical models of health. Good communication is vital when taking care of an elderly patient and this will be discussed within the communication cycle. It is important to consider the disease processes in old age and how the support and treatment relates to the care value base and rights of the client along with the NMC code of conduct and legislation in …show more content…
It made the task of personal care very difficult. Mr Williams still appears disinterested and has not been eating much at all. However he appears to have struck up a bond with a day time nurse who he is happy to engage with and seems to trust. Mr Williams has been assigned a Social Worker whose role is to assess and decide whether he is in a safe position to return home or if it would be beneficial to him to be placed within a care home.
This essay will discuss all aspects of Mr Williams stay within hospital and his options with regards to future care beyond discharge.
On admission to hospital a nurse would implement a care plan to help Mr Williams through his time in hospital. A care plan aims to meet the individual needs of a patient and one highly used approach can be defined as a person centered. This was first developed by Dr Carl Rogers between the 1940s and 1960s and was considered radical and at the time revolutionary. His theory pushed towards the individual to seek out and fulfil their own personal potential whilst the therapist would create an environment where a person would psychologically and physically feel free from any threat, this would ultimately be achieved by a positive, genuine and empathetic setting created by the therapist. These ideas have since been transferred to many roles where people are in relationships such as childcare, teaching and patient care as is the case with Mr
This presentation is going to talk about person- centred care, confidentiality, respecting privacy and dignity and protecting from risks and harm. The common core principles are important to every Health and Social Care setting as they provide a basis for a general understanding of promoting good mental health and recognising signs of poor mental health among everyone receiving care and support. The aim of care home are to meet the identified needs of individuals who live in that home. An older person might need to live in that care home for years. It is important for staff to be aware of responsibilities in delivering care to support the individuals who live at that home. These common principles of health will help develop the workforce that respond confidently to the individuals and supporting the life they are leading.
The need for older people to have their autonomy to make a decision and be an active partner in the decision making process must be recognised and is an essential component in person centred care. ‘’The older person and family have the right to make informed decisions about all aspects of their care and the nurse respects the level of participation desired’’ (An Bord Altranais, 2009). Nurses most realise the importance of patients participation in their care and strive to uphold it as a principle of person centred care, ‘’Lack of time and/or restrictions on patients choice and involvement, was listed as the number 1 factor to hinder quality nursing care’’ (An Bord Altranais, 2009). As nurses it is our responsibility to take the time to overcome communication barriers, for example, a hearing or speech deficit. The nurse can opt to use non-verbal communication to facilitate the decision making process for the patient. Patients are entitled to information about every aspect of their care and should be frequently updated. Information about management and prevention of conditions, procedures, assessments and investigations ,diagnosis, treatment, follow on care, referrals and services available to patients( i.e. health, social) should all be disclosed to patient (Department of Health,2001). If they
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.
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
On my arrival at Johns I met the private care worker, Gail (made up name), waiting for me outside the house, we sat in my car as she wished to quickly discus the patient. The car being more private than the street and she did not want to have the conversation in John`s house for fear of upsetting his family. She informed me John was now only being nursed on the bed and that movement seemed to cause pain and agitation, John also had a pressure sore under his tummy fold and was taking little or no diet and only sips of water which was distressing his wife. Gail also informed me that although John
This assignment will explore the effect of the long term condition dementia. It will focus on a service user who has recently been admitted onto an assessment ward and their family. It will explore the nurse’s role and how they will support and manage the patient’s illness. The Nursing and Midwifery Council (NMC) (2015) state that individual’s rights to confidentiality must be respected at all times, therefore all names mentioned in this assignment have been changed to maintain confidentiality.
Good effective communication - an ability and willingness to talk and to listen with an open mind, what another person says if generally what they believe to be true, if you disagree ask questions to clarify
In this assignment I will be exploring the issues around communication and assessment in relation to the care given to the patient. I will look at how care was delivered and how successful it was. The NMC (2008) states that healthcare professionals must respect a person’s right to confidentiality; to ensure this I will be using pseudonyms for the service users mentioned in this assignment. I will be referring to the patient as ‘John’ and his wife as ‘Brenda’. I have gained consent from Brenda to talk about her husband’s situation in this assignment, as he did not have capacity to grant consent himself due to dementia.
Dale Gordon has been a patient in the ICU for 6 days after developing complications after open heart surgery. He is an 82-year-old African American who is disoriented to place and time. He lives with his daughter Claudia in her home. Claudia and her two brothers visit Mr. Gordon daily since he has been hospitalized. Mr. Gordon has not been eating well since the surgery and has lost 3 pounds. Mr. Gordon has type 2 diabetes and is on oral antihyperglycemic medication. Before he came to the hospital, Mr. Gordon was able to only ambulate for short distances. He has orders to get up in a chair twice a day. Joan, a student nurse, is caring for Mr. Gordon this morning. She has reviewed his medical record and is now ready to start caring for him.
2.2. Describe how to take into account the history, preferences, wishes and needs of an individual when planning care and support.
Explain a range of ethical and moral dilemmas which social workers and the team may encounter when dealing with this care – look at case study on the assignment brief.
This assignment will investigate a needs orientated approach to care, critically discussing the nursing process. It aims to show an understanding of what a nursing model and the nursing process is, looking in detail at the relationship between this nursing process and the Roper, Logan and Tierney (RLT) model of nursing. This essay will explore how the nursing model and process is implemented in practice, considering how the RLT model assists nurses to adapt a problem-solving technique when developing care plans for individuals. Strengths and limitations of the RLT model and the nursing process, in relation to developing care plans, will be critiqued along with the effectiveness of
The Department of Healthy formed a National Service Frame for Older People (2001) which was established to look at the problems for the elderly people so they get the best quality of care. This helps to minimise age discrimination in elderly people and it promotes independence and provides person centred care. The framework has four underlying principles which are; respecting the individual, intermediate care, providing evidence based specialist care and promoting an active healthy life. There is also National Care Standards which aims to improve the quality of life of the patients by the level of care and support provided. The frameworks and legislations help to guide Alice’s care.
The main focus of this assignment is to examine the ethical, legal and professional frameworks, along with interprofessional collaboration in the provision of postoperative care to a gentleman who was refusing observations and how this influences and shapes professional practice.
Education- Educating Mr Jones on the importance of being still and not doing anything strenuous, he is connected to a heart monitoring machine and any movement or electronic devices may interrupt the signal so mobiles phones IPads etc. should be off, if he needs help to use the toilet make sure the call button is close by educating him on how it works, Mr jones should also be told to let the nursing staff know if his pain gets worse, as supplement medication may be available, instruct his family to do the same, The nurse should take into account the patient's learning style, learning challenges and level of understanding.