Observation of a patient however must be systematic in order to ensure that nothing is missed. Other means of obtaining data are physical examination of the patient, informal discussion with the patient, family and significant others and medical records. Objective date are essentially those which can be observed and measured, while subjective data are how the patient defines and reports their own experience. PLANNING Care is planned according to the nature of the actual or potential problems identified and is dependent on the nurses' knowledge of appropriate care to be given for that health problem and taking account of the individuality of the patient.
Related Introduction This essay deals with the holistic assessment of a patient who was admitted onto the medical ward where I undertook my placement.
Firstly, the relevant life history of the patient will be briefly explained. Secondly, the Roper, Logan and Tierney model of nursing that was used to assess the care needs of the patient will be discussed, Breathing roper logan tierney then the assessment process will be analysed critically.
Identified areas of need — breathing and personal cleansing — will be discussed in relation to the care given and with reference to psychological, social, and biological factors as well as patho-physiology.
Furthermore, the role of inter-professional skills in relation to care planning and delivery will be analysed, and finally the care given to the patient will be evaluated. Throughout this assignment, confidentiality will be maintained to a high standard by following the Nursing and Midwifery Council NMCCode of Conduct No information regarding the hospital or ward will be mentioned, in accordance with the Data Protection Act The pseudonym Kate will be used to maintain the confidentiality of the patient Kate, a lady aged 84, was admitted to a medical ward through the Accident and Emergency department.
She was admitted with asthma and a chest infection. She presented with severe dyspnoea, wheezing, chest tightness and immobility.
Kate is a patient known to suffer from chronic chest infections and asthma, with which she was diagnosed when she was young. She takes regular bronchodilators and corticosteroids in the form of inhalers and tablets.
Kate lives on her own in a one bedroom flat. She has a daughter who lives one street away and visits her frequently. Her daughter stated that Kate has a very active social life; she enjoys going out for shopping using a shopping trolley. Elkin, Perry and Potter outlined nursing process as a systematic way to planning and delivering care to the patient.
It involves four stages: Assessment is the first and most critical step of the nursing process, in which the nurse carries out a holistic assessment by collecting all the data about a patient in order to identify the patients nursing problems Alfaro-Lefevre Holland stated that assessment as an on-going process used to identify needs, preferences and abilities of a patient.
Among the physical aspects assessed are vital signs and general observations of the patient. Assessment is extremely important because it provides the scientific basis for a complete nursing care plan Wilkinson Assessment is of benefit to the patient because it allows his or her medical needs to be known, but it can feel intimidating or embarrassing so the nurse needs to develop a good rapport NursingLink Under time pressure this can sometimes be neglected.
Are the tools user-friendly? What are they for? Why do we have them?Published: Fri, 10 Jun INTRODUCTION. In this assignment I will present a patient I have cared for during one shift on my placement ward.
Using the Holland et al () Roper Logan Tierney model of care which focuses on the activities of daily living a description of care . Nancy Roper's desire to become a nurse started in childhood, and as a result of her experiences and education, she, along with two of her colleagues, developed the Roper-Logan-Tierney Model of Nursing to assess patients' level of independence and provide the best individualized care for them.
Roper-Logan-Tierney Model of Living The Roper-Logan-Tierney Model for Nursing is a theory of nursing care based on activities of daily living, which are often abbreviated ADLs or ALs.
The model is widespread in the United Kingdom, especially in the public sector. The Roper, Logan and Tierney model of nursing (originally published in , and subsequently revised in , , and the latest edition in ) is a model of .
Secondly, the Roper, Logan and Tierney model of nursing that was used to assess the care needs of the patient will be discussed, and then the assessment process will be analysed critically. Identified areas of need – breathing and personal cleansing – will be discussed in relation to the care given and with reference to psychological.
Roper-Logan-Tierney activities of daily living framework model, in conjunction with the nursing process to identify the patient’s main priorities for nursing care.