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Nursing care assessment Essay: Nursing care assessment 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.
For the purpose of this assignment, the enablers of assessment and communication in relation to the care 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 mobile 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.
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, Breathing and Circulation ABC algorithm.
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 that a remedy of a uniformed approach and concise communication between professionals is essential, to ensure safe theraputic practice.
By utalising 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, 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, 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, the nurse was able to evaluate the overall asssessment, to establish that the presenting symptoms could indicate Rose has some form of an infection. 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 approach, 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 effective care the biomedical model alone is simply not enough.
The psychosocial model should therefore also be considered, in order to treat Rose from a holistic perspective Chapelhowe, et al.Dec 02, · Systemic Racism & Privilege (Essay) The first key term I will be defining is Systemic Racism.
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