· This page of the essay has words. Download the full version above. This assignment will discuss and analyse the nursing care given to an 85 year old female patient, during a four week hospital practice placement. In order to fully comply with the Nursing and Midwifery Council (NMC) Code of Conduct (), full consent has been verbally granted by the patient to utilise personal clinical 5/5(1) Excerpt from Essay: Nursing Care Plan. Patient Assessment and Implementation of Nursing Model in Addressing Patient Care Goals. The patient being assessed is a year-old female brought to the gynae ward for diarrhea and vomiting and generally unwell and weakness in addition to a non-productive cough · In the process of planning of care to every patient, Holistic nursing is the most effective and helpful method to cater all the needs of each patient as holistic nursing focuses on the improvement and healing of an individual as a bio-psycho-social unity, from birth until death (Papathanasiou et al., ) Moreover, team approach is also vital in the delivery of care as team members from
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This page of the essay has words. Download the full version above. This assignment will discuss and analyse the nursing care given to an 85 year old female patient, during a four week hospital practice placement. In order to fully comply with the Nursing and Midwifery Council NMC Code of Conductfull consent has been verbally granted by the patient to utilise personal clinical information for the purpose of this case study.
To ensure patient anonymity, throughout this assignment the patient will be referred to as Rose Swift. Chapelhow et al states, in order for a novice to become an expert practitioner there are several enablers which are fundamental to the nursing care that Rose received.
These are: communication, assessment, managing risk, documentation, decision making and managing uncertainty. For the purpose of this assignment, the enablers of assessment and communication in relation to the nursing assessment essay that Rose received will be discussed.
Background Rose Swift is a retired teacher, a widower and is a mother of two sons. After a short stay in a general medical ward for treatment of a urinary tract infection, Rose was transferred to an intermediate care ward for further rehabilitation, before being discharged home with a care package. Prior to admisson Rose lived alone, was independantly nursing assessment essay with a stick and would cook her own meals.
Assessment The Royal Marsdenregards initial nursing assessments as a step to providing an individualised patient centered nursing care plan. However, as cited by Chapelhowe et al nursing assessments are far from static. As part of the nursing assessment process, a set of individualised outcomes are agreed, in collaboration with the nurse, Rose and the multidisiplinary team. For a successful assessment to take place, it is argued a sufficient baseline knowledge is required by the nurse Peate, In contrast however Chapelhowe, et al argue that base line knowledge alone is not enough, nursing assessment essay.
It is therefore considered that a combination of the two is thus required NMC, As the resusitation council points out, inital nursing assessments in acute settings enable preservation of life, by providing fast intervention where required, using the Airways, nursing assessment essay, Breathing and Circulation ABC algorithm. When a patient such a Rose sustains a head injury, the National insititute of Health and Care Excellence NICE National Insitiute for Health and Care Excellence, recommends the use of MGCS.
When used repeatedly, MGCS can indicate the progression of a brain injury Teasdale, et al. Recently however, there has been some criticism against MGCS regarding the tools ease of use Mattar, et al. McLernon questions if the MGCS tool is still fit for purpose, citing reduced reliability due to lack of clinical consistency and poor communication between professionals.
It is therefore suggested nursing assessment essay a remedy of a uniformed approach and concise communication between professionals is essential, to ensure safe theraputic practice. Farne, et al. By nursing assessment essay this knowledge, this enabled the nurse to apply her professional decision making skills, in order to continue with further assesssments which included a set of observations. A fundamental part of the asessment process, observations allow the nurse to obtain a baseline figure in order to carry out a continous assessment and evaluation, nursing assessment essay, and enable the nurse to establish the level of care that Rose requires Wheatly, To identify the risk of Rose deteriorating further, as per Nursing and Midwifery Council guidelines, each quantitive result was charted correctly, concisely and legiblibly by the nurse and given a score using a modified early warning score MEWS Department of Health, After combining all results, nursing assessment essay, the nurse was then able to establish that Rose was scoring a MEWS for a raised temperature and increased pulse in addition to a reduced MGCS.
By drawing on previous experience and knowledge, nursing assessment essay, the nurse was able to evaluate the overall asssessment, to establish that the presenting symptoms could indicate Rose has some form of an infection, nursing assessment essay. This could be the reason for the fall and delerium Schroeder, To rule out a urinary tract infection, a urine dip stick test on a midstream urine sample was conducted. This test showed positive for leukocytes and nitrates, indicating a positive infection result Little, et al.
Considered a dualistic nursing assessment essay, this model treats the mind and body as separate entities. Fast acting in its approach it treats the immediate problem Mehta, However, in order to provide truly nursing assessment essay care the biomedical model alone is simply not enough. It is considered by many professionals that a holistic viewpoint should be taken The Royal Marsden NHS Foundation Trust, The psychosocial model should therefore also be considered, in order to treat Rose from a holistic perspective Chapelhowe, et al.
It considers twelve fundamental concepts and provides a continuum in recognition that dependency can change throughout time Roper, et al. Kearney argues however, that the care Rose receives maybe jeopardised using this model, due to its inflexibility and complex structure.
To alleviate this, The Royal Marsden therefore advises that the nurse should use a pragmatic approach, and use the ADL framework as a guideline for professional decision making. Due to Roses confused state and unsteady gait, assistance would now be required with washing, nursing assessment essay, dressing, mobilising and other essential care needs as defined by the Department of Health in the Essence of Care guidelines.
Communication Effective communication is an essential skill which enables the expert nurse to build a therapeutic relationship with Rose Chapelhowe, et al. According to Dwamena, nursing assessment essay, et al. Throughout Roses hospital journey there nursing assessment essay many ways in which the nurse interacts with Rose.
However, as cited by The Royal Marsdeninterpersonal communication skills nursing assessment essay the most widely used medium in nursing and arguably the most important skill. As the initial assessment process is often the first interaction Rose may have with the ward staff, Rose maybe reluctant to share information Perry Black, nursing assessment essay, Trusting environments enable Rose to feel safe and supported and provide a platform where Rose will feel comfortable and confident in sharing information with the multi-disciplinary team The Royal Marsden NHS Foundation Trust, In order to assimilate meaningful information from Rose, the nurse utilised her communication skills effectively in a number of different ways.
An example of this would be, during the initial assessment process. When Rose was admitted to the ward, in line with NMC Code of Conduct to ensure privacy and dignity is maintained, the assessment took place in a cubicle, with the door closed thus creating a quiet environment.
The Royal Marsden states a quiet environment during assessments is essential to enable Rose to maintain optimum concentration and remain complicit in her responses. Past research has shown discrepancies can often occur between the nurses understanding and that of Rose during assessments Lauri, et al.
A quiet environment therefore enables the nurse to focus solely on Roses responses, to maintain a meaningful interaction and deliver effective individualised therapeutic care The Royal Marsden NHS Foundation Trust, To ensure effective non verbal communication takes place, nursing assessment essay, body language should also be considered.
White, et al. Throughout Roses hospital journey it was noted the nurse positivly adapted her body language to suit the needs of Rose. An example of this would be when conducting assessments the nurse sat facing Rose, kept an open posture and maintained regular eye contact. These interations are considered by Eganto be fundamental elements of non verbal exchanges, in order to achieve optimum levels of communication, nursing assessment essay.
As specified by the nursing and midwifery Code of Conduct optimum communication is an essential nursing skill. To be proficient, the nurse should respect Roses right to be involved in the decisions of her care NMC, During discharge planning the nurse demonstated the proficient use of communication, when a conflict occurred between Rose and her family.
Acting as an advocate, the nurse conveyed the wishes of Rose to return to her home against her sons wishes. Xxx xxx states during discharge planning, conflict can often occur due to lack of communication. To remedy this, the nurse utalised her commuication skills by asking open ended questions to asscertain the reasons behind the familys anxieties.
Questions that are open ended allow the answer given by the receiver to be expanded and explored xxxxx xxxx. However XXX XXX states questions alone are not enough. In order to gauge nursing assessment essay true meaning of the answer, non verbal signals should also be observed xxx xxxx.
In conclusion in order to provide effective nursing care nursing assessment essay Rose the nurse must ensure that a thourgh assessment is conducted. This cannot be fully completed however, without effective communication skills, concise documentation and decision making. Each enabler is therefore interlinked to provide individualised holistic nursing care to Rose. As a nurse, nursing assessment essay, good communication is vital to build a positive theraputic relationship with Rose and to enhance the relationship there are a number of factors the nurse should be aware of such as enviroment and non verbal communication prompts, nursing assessment essay.
Good interpersonal skills are therefore an essential nursing skill to aid the recovery of Rose. download the rest of the essay nursing assessment essay. Essay Sauce, Nursing care assessment, nursing assessment essay.
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· In the process of planning of care to every patient, Holistic nursing is the most effective and helpful method to cater all the needs of each patient as holistic nursing focuses on the improvement and healing of an individual as a bio-psycho-social unity, from birth until death (Papathanasiou et al., ) Moreover, team approach is also vital in the delivery of care as team members from This essay will discuss the information that should be gathered during an assessment, and the possible interventions that may be put in place to correct the issue. Florence Nightingale had a definition of nursing published in , which was that nursing is “to put the patient in the best condition for nature to act upon him” (Rosdahl & Kowalski , p. 3) · Assessment in Nursing Assignment. Topics: Nursing, Psychiatry, Nursing care plan Pages: 10 ( words) Published: November 20, This assignment will discuss and define the role of assessment as a vital tool in the provision of nursing care within the Nursing process. The author will describe sources of information which may inform the assessment process, identify a specific assessment
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