Introduction
Care planning is very important part of nursing. According to the Department of Health (2007) it is a holistic approach that recognises that medical needs are not the only issue with a person that is in hospital. It helps people to achieve the outcomes they want for themselves through truly personalised services and promoting health and well being. According to Leach (2007) care planning generates great benefits to client and staff by organising care by establishing common treatment objectives and as a result this will improve the continuity of care as the objectives will have relevance, clarity and control. The names of all people and the care setting mentioned in this assignment have been changed to ensure that they cannot be identified. The author will keep within the guidelines of An Board Altranis (2008) that all records and information of any patient must be kept confidential. The author has also gained permission off the Clinical nurse manager of the ward for the use of the client’s information ensuring her that pseudo names will be used throughout the assignment.
John Thompson was admitted to the St. Peters (long term care dementia unit) after becoming very confused, agitated and with a history of falls in the last six weeks. He has hit out at family members. He has began to wander at night time, suffer from hallucinations and has been heard crying out in his bedroom. Wandering according to the Alzheimer’s society of Ireland (2011) is seen as pacing up and down an area or the person just leaving the house and not being able to find their way home and have no explanation of why they did it. This is related to progression of his dementia. Dementia is a progressive disease of the brain where language, learni...
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...ble from: http://www.mna-elderly.com/mna_screening_process.html >March 2011 (Accessed 18 March 2011) (Internet).
Prevention plus. (2011) Home of the Braden Scale. Available from: http://www.bradenscale.com/faq.htm >March 2011. (Accessed 18 March 2011) (Internet).
Pool, J. (2008). The Pool Activity Level (PAL) Instrument for Occupational Profiling. A practical resource for carers of people with cognitive impairment. London: Printwise (Haverhill) Ltd.
Sparks, S. and Taylor, C. (2005) Nursing Diagnosis Manual (6th edition) London: Lippincott Williams and Wilkins
United Kingdom, Department of Health. (2007) Putting People First. A shared vision and commitment to the transformation of adult social care. London: National Health Service.
Webster, J. (2002) Teamwork: understanding multi professional working. Nursing Older People. 14 (3). pp 14-19.
Doenges, Marilyn E, Moorhouse, Mary Frances, Murr, Alice. (2008). Nurse’s Pocket Guide. Philadelphia: F.A.Davis Company.
Ackley, B. & Ladwig, G. (2010) Nursing diagnosis handbook:an evidence based guide to planning care. Maryland Heights, MO: Mosbey.
...ional Therapy. Just Checking Telecare 1 Year Pilot Report: ‘Giving People with Dementia a Voice.’ Leeds: Just Checking.
Reeves, S., Macmillan, K., & VanSoeren, M. (2010). Leadership of interprofessional health and social care teams: a socio-historical analysis. Journal of Nursing Management, 18(3), 258-264. doi: 10.1111/j.1365-2834.2010.01077.x.
I am going to discuss a case of Mrs. Judi Sharman who is 74-years-old widower suffering from severe stage of dementia and has been an aged care home resident for the past two years. At the time of admission into residential care, she was suffering from moderate stage of dementia but now her behavior and psychological symptoms got worsened from past six months. She has been becoming more agitated in evening with sun downing and is physically aggressive at some times and her mood disturbances become problem for other residents and staff members as she starts sudden shouting and disturbs others. She is also experiencing some hallucinations and delusions that represent psychotic illness .Now I will discuss the identification, assessment and management of these symptoms by using current literature.
Wilson, Ronald W. and Elmassian Bonnie J., The American Journal of Nursing , Vol. 81, No. 4 (Apr., 1981), pp. 722-725
Taylor, C., Lillis, C., LeMone, P., & Lynn, P. (2011, 7th edition). Fundamentals of Nursing. (pg. 45-46). China. Lippincott, Williams & Wilkins.
Dementia has caused challenges and heartache for many families I have met. A loved one who no longer recognizes you could be difficult to cope with. I have had clients who do not know their own children and are unaware of their surroundings. Even though they have lived in the same home for over 30 years; it is now a strange new place to explore. Closets, bedrooms, and garages that were once frequented are now entered with caution and wonder. Everyday items are puzzles just waiting to be solved. As the disease progresses the harder it is to grasp the present. The past, like an old friend, beckons and comes to life bringing former friends and relatives of long ago, to the surface. Stories of days gone by are repeated and relived over and over. Constantly searching while longing to understand what is happening. Not being able to piece together the answers is frustrating. With frustration comes irritability and sleeplessness turning days into nights and nights into days. Everyday tasks became impossible, confusing, and troublesome. Dementia sometimes goes for years undetected; it is one of the most difficult diseases to diagnose. Because Dementia is an incurable disease that progresses with time we need to be diligent in finding a cure to prevent more victims.
Potter, P.A., Perry, A.G., Stocker, P.A., & Hall. (2017). Fundamentals of Nursing (9th ed.). St. Louis, MO:
Potter, P. A., & Perry, A. G. (2005). Fundamentals of nursing (6th ed.). St. Louis, MO: Mosby,
Mrs S. is an 88 years old female patient who lives on her own, and was admitted into a rehabilitation ward following a hip operation due to a fall at home. She has a past medical history of Congestive Cardiac Failure (CCF), diverticulitis, and asthma. Also, Mrs S presented with rapid weight loss, palpitation, feeling tired, peripheral oedema, fatigue, difficulty breathing when lying flat in the bed, waking up at night with shortness of breath and anxiety. In addition to all that she had a pressure sore in her bottom that was not broken. In order to have good holistic care of Mrs S, the nursing process was used as identified by Sibson. Sibson (2010) identifies four key steps to the nursing process, which are assessment, planning, implementation and evaluation; which are important for ensuring a quality standard of nursing care.
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Spark Ralph, S. & Taylor, C. M. (2011). Nursing diagnosis reference manual (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Chenoweth, L & McAuliffe, D 2012, The road to social work and human service practice, 3rd edn, Cengage Learning, South Melbourne.
Gordon, M. (2007). Manual of nursing diagnosis: including all diagnostic categories approved by the North American Nursing Diagnosis Association (11th ed.). Sudbury, Massachusetts: Jones and Bartlett.