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The purpose of this essay is to describe the holistic assessment of a 66 year old male patient who has been admitted to hospital for bowel surgery following the diagnosis of a cancerous tumour. The operation will result in the patient having a part of...

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Introduction

The purpose of this essay is to describe the holistic assessment of a 66 year old male patient who has been admitted to hospital for bowel surgery following the diagnosis of a cancerous tumour. The operation will result in the patient having a part of his bowel removed after which the patient will require a colostomy bag for the elimination of faeces (see patient profile in appendix 1 for further details). A Pseudonym will be used to protect the patient's confidentiality and he will be referred to as 'Peter' in this essay which is in line with the nurses' code of conduct guidelines (NMC 2002). The process of the assessment will be described along with the nursing model chosen. The nursing model gives the student nurse a framework to help direct and guide her throughout the assessment process (Aggleton and Chalmers, 2000). The Roper, Tierney and Logan model (1986) has been chosen as it is the model the ward follows for all assessment procedures. The assessment process using the Roper, Tierney and Logan model is holistic because it relates to the study of the human being as a whole rather than its individual parts. A holistic view point includes two basic beliefs: 1) ...read more.

Middle

Firstly I wanted to put him at ease as I could see from his body language that he was very tense and needed reassurance. I approached him smiling and introduced myself to him, explaining that I was a student nurse and that I would be a part of his care team under the supervision of the sister in charge during his stay. I then helped to orientate him to the ward by showing Peter where the facilities were, such as the bathroom, toilets, dayroom and nurses station. I also showed him his locker, how to work the radio and TV and the bell to call a nurse. Orientation to the ward helps to alleviate stress in patients (Faulkner 2000). I explained to Peter that I had an assessment form to fill out and would like to ask him some questions. After giving him a brief idea of how long it would take and what it entailed I proceeded to carry out the assessment with the patients permission to do so. Gaining permission from the patient or client follows the guidelines illustrated in the Nurses Code of Conduct (NMC, 2000). I pulled the curtain around the bed to protect the patient's privacy but taking into account that we still could be heard. ...read more.

Conclusion

Through the assessment process we have learnt that Peter will have good family support when discharged. Important medical information has been bought to my attention, such as his allergy to aspirin and that he suffers from arthritis. His worries and anxiety towards his ability to cope and how the operation will affect his relationship with his wife and others were highlighted. Information gathered during the nursing assessment process gives health professionals the ability to plan the care of the patient effectively whilst being able to identify any problems with regards to the physical, psychological or social needs of the patient (Faulkner 1996). Assessing my patient using the Roper, Tierney and Logan nursing model with a framework has helped me to build up a picture of the client, identifying his individual needs. Although I had a role to fulfil it gave me the ideal opportunity to get to know my patient whilst collecting objective and subjective data. I found that asking questions and giving explanations gave the patient confidence and seemed to put him at ease, it also made him realise that his safety was paramount. Using these assessment tools to measure, assess and evaluate the patient it provided the health team with valuable information about the client, enabling them to deliver the most appropriate care. ...read more.

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