Assessment and care planning of the

A former nurse and mother of four who cares for her husband a doctor at home. He was diagnosed in Also providing distance care for her elderly demented mother. So they said 'Well was I not happy?

Assessment and care planning of the

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, 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, 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.

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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.

Comprehensive Assessment and Plan of Care | National Hospice and Palliative Care Organization

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? After assessment, care plan is formulated. Barrett, Wilson and Woollands adefined a care plan as an integrated document that addresses each identified need and risk.

Care planning is important because it guides in the on-going provision of nursing care. Good care planning allows healthcare professionals make evidence-based decisions about care based on a comprehensive assessment, and to prove this, if necessary Barrett, Wilson and Woollands a.

Care plans can be problematic when they are not filled in correctly or are completed carelessly. This can jeopardise patient care. Every nurse has a professional responsibility to make sure that care plans are filled in to the best of her ability to help herself and her colleagues to continue the process of giving the best care possible necessary Barrett, Wilson and Woollands a.

Before assessment takes place, the nurse should explain when and why it will be carried out; allow adequate time; attend to the needs of the patient; consider confidentiality; ensure the environment is conducive; and consider the coping patterns of the patient Jenkins During assessment, the nurse needs to use both verbal and non-verbal communication.

Using non-verbal communication means that she should observe the patient, looking at the colour of the skin, the eyes, and taking note of odour and breathing. Kate was allocated a bed within a four-bed female bay.

Person-Centered Assessment and Care Planning | The Gerontologist | Oxford Academic

Her daughter was with her at the bedside.Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in the office or other outpatient, home, domiciliary or rest home setting with all of the following required elements.

assessment will replace the current requirement for an initial plan of care. The proposed CoP outlines the content of the comprehensive assessment and the timeframes in which it must be completed and updated. A care plan is written to describe the needs and the way that they are to be met.

It should be reviewed regularly, especially when the situation changes. (See Alzheimer’s Society factsheets ' Assessment for care and support in England’, ‘Assessment for care and support in Wales’, and ‘NI factsheet: Community care assessment ' for more details of what is available and how to apply).

Assessment of the Patient

Aug 21,  · Assessment, sometimes called appraisal in Residential Care Facilities for the Elderly, is a process to gather information about a person's life, functional abilities and needs in order to develop an individualized plan of care.

Since , California Advocates for Nursing Home Reform has been fighting for the rights of long-term care residents in . Organized by body system, it offers instant advice on assessment and care planning for the disorders home health nurses are likely to encounter.

Providing assessment guides for all body systems, the home environment, and the client's psychological status, it includes full care plans for over 50 illnesses and conditions most commonly encountered /5(16).

Assessment and care planning of the

To be ready for the new survey process that implements on Nov. 28, , nurse assessment coordinators (NACs) not only need to understand how to code NH (Opioid Medications Received), they also should make sure that the interdisciplinary team (IDT) understands how to assess and care plan for opioids as part of a resident’s pain management plan.

Assessment and Care Plan Forms