Teach the client about prescribed medications oxycodone, for pain , such as how to use it, how often to take it, how much at once, and the desired and adverse effects of it. The client is able to properly utilize the prescribed oxycodone in their therapy to achieve a comfort level of 5 by the end of the day. Nursing interventions for this goal were effective to help the patient achieve a more comfortable state.
Outcomes The client is able to identify and report the side effects of the oxycodone, so that they can report any nausea, constipation, or abnormal sleep patterns to a nurse or physician. Accessed September 14, We will write a custom essay sample on Care Plan specifically for you. Kate was also started on antibiotics to combat the infection because, on auscultation, the doctor found that the chest was not clear. Kate was being reassured during care, her daughter was encouraged to be visiting her mum regularly because she used to be settled whenever the daughter was around.
The call bell was always in reach for to call when in need. Kate was nursed in an upright position using pillows and a profiling bed in order to increase chest capacity and facilitate easy respiratory function by use of gravity Brooker and Nicol, In this position, Kate was comfortable and calm while other vital signs were being checked.
Pulse rate and temperature were also being checked and recorded because if raised, they indicate infection in the blood.
NMC encouraged teamwork to maintain good quality care. Kate was referred to the respiratory nurse who is specialised in helping patients with breathing problems. Kate was on oxygen since admission; therefore she was taught about importance of healthy breathing and taught her about breathing exercises to help her wean from oxygen. Due to breathlessness and loss of mobility it was difficulty for Kate to maintain her personal hygiene.
Hygiene is the practice of cleanliness that is needed to maintain health, for example bathing, mouth washing and hair washing. The skin is the first line of defence, so it is vital to maintain personal cleansing to protect the inner organs against injuries and infection Hemming Field and Smith stated that personal cleansing also stimulates the body, produces a sense of well-being, and enables nurses to assess the patient holistically. Personal hygiene is particularly important for the elderly because their skin becomes fragile and more prone to breaking down Holloway and Jones This is due to slower epidermal cell renewal and a reduction in collagen Hess Therefore this need was very important for Kate; she needed to maintain her hygiene as she used to, before she was ill.
The goal for meeting this need was to maintain personal hygiene and comfort. The care plan prescribed involved first gaining consent from Kate, explaining what was going to be done. Identifying usual habits helps individuals to maintain their social life if things are done according to their wishes.
Though Hemming said all human beings need personal hygiene, Holland argued that it is important to ask patients how they feel about being cleaned, especially genital area. She preferred washing daily, shower and a hair wash once a week, and a mouth wash every morning and before going to bed. Kate was assisted with personal care after having her medication, especially the nebuliser. Individuals with asthma experience shortness of breath whenever they are physically active Ritz, Rosenfield and Steptoe After having medication Kate was able to participate during personal hygiene.
According to NMC guidelines on confidentiality a , privacy and dignity should be maintained when giving care to patients. Therefore, whenever Kate was being assisted with personal care, it was ensured that the screens were closed and she was properly covered. Field and Smith suggested that assisting a patient with personal hygiene is the time that nurses can assess the patient holistically.
Since Kate was immobile, it was very important to check her pressure areas for any redness. She was also checked for any pallor, jaundice, cyanosis or dry skin that needed attention. The care was always carried out according to her wishes.
Kate was able to wash and dress herself with minimal assistance. She was discharged on a continuous care package comprising care three times a day, although discharge was delayed by one week so that the care package could be ready. The model of the twelve activities of living was followed successfully on the whole. The nurse collected subjective and objective data, allowing a nursing diagnosis to be formulated, goals to be identified and a care plan to be constructed and implemented.
However, this lower level of privacy has to be balanced against causing anxiety to the patient. This was very important because of the effects of potential panic on breathing; therefore, this was the correct balance to strike.
This is a good example of the use of inter-professional skills, as a number of different departments were involved in creating and implementing the care plan. However, the system was not as efficient as it should have been: Kate spent unnecessary time in hospital after recovery because the care plan was not yet in place. Assessment can also take a long time, especially with the elderly who are usually slow to respond. Therefore, more time is needed to be sure that the necessary progress has been achieved before taking further steps.
However, poor staffing also affects performance in this area, an observation supported by the Royal College of Nursing In conclusion, the assessment of this patient was completed successfully, and the deviation from best practice recommendations the lower level of privacy was justified by the clinical circumstances. Progress from assessment to care goals was good, and at this point an inter-disciplinary team was used successfully.
However, the one flaw in this process was delays, caused partly by the difficulties of working across different departments, and partly, it seems, by staff shortages. Ebersole, P and Hess, P. T oward Healthy Aging: Human Needs and Nursing Response.: Human Needs and Nursing Response.
Nursing Link Physical Assessment: Development of supportive relationship is considered as an essential part of care for schizophrenic patients. A well-trained nurse, counselors, psychotherapists, pharmacist and occupational therapists comprise of the support team. Creating a positive environment around the patient fills him up with optimistic thoughts which in turn gives him the strength to identify his condition and for self-healing.
The support team works together to provide day to day support but also ensures that patients have the independence to make his own choice which slowly helps the patient to heal Silverstein, The family therapy plays most important role in the healing of schizophrenia patients as the support and understanding of the family members have deep psychological effects upon the patient. In this kind of intervention, the family is first educated about the nature of the illness and the principles of the treatment.
This intervention continues for a longer period often for 2 years. Family members are not only taught how to handle schizophrenic patients but also to have patient and not to lose themselves caring, such patients.
Family intervention is helpful in decreasing the relapse of the diseases and hospitalization repeatedly. Such intervention also helps in managing the medication and building trust in the family that provides a safe network for communication Pharoah, Our PhD experts are always available when you need them the most.
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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). Patient care planning is the organised assessment and identification of patient problems, the setting of goals, and the establishment of methods and strategies based on best evidenced based practice for achieving them (Uhlrich, Canale & Wendell, ).
Essay about Development of Patient Care Plan - This essay will explore a needs orientated approach to the care that is delivered to a patient and examine the significance of the use of models and frameworks in the nursing process. Creating a Nursing Care Plan from Case Study Patient care planning is the organised assessment and identification of patient problems, the setting of goals, and the establishment of methods and strategies based on best evidenced based practice for achieving them (Uhlrich, Canale & Wendell, ).