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Devising a care plan for a patient.

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Introduction

INTRODUCTION TO NURSING Module Code 103AN DEVISE A CARE PLAN FOR A PATIENT Word Limit: 1500 Actual Count: 1507 Date of Submission 18th October 2005 ADULT NURSING Contents Introduction of patient........................................................................... 3 Contribution of Nursing Care Plans.................................................................... 4 Achievable Goals ................................................................................6 Short Term Goals...................................................................................... 6 Intermediate and Long Term Goals......................................................... 7 Nursing Interventions........................................................................... 8 Summative Evaluation........................................................................10 Appendix .. .......................................................................................11 References........................................................................................12 Patient Assessment and Care Plan Introduction of patient The following care plan will be based on a personal experience with a patient who was nursed on a hospital ward. This interaction took place on an Orthopaedic Ward. The patient was selected as the subject of this assignment because the author carried out the initial assessment. During this pre-admission assessment a good rapport was developed. This made for positive communication. Moreover, the patient had many different and complex needs. Catering for these different needs illustrates the benefit and the importance of carrying out a structured and holistic assessment to create a total picture of an individual from which to plan care. In selecting a patient to draw up a care plan, confidentiality and privacy were assured and both the patient and her husband were made aware of the nature of the exercise and were quite happy to continue on that basis. ...read more.

Middle

Some models focus on the nurse striving to help the patient or client to care for him or herself. The nurse concentrates on helping patients to do things for themselves as they progress rather than doing everything for them, a principle known as self care (Orem, et al. 2001), so more then one model could be used to produce a comprehensive care plan. Care plans look not only at the aspects of daily care within the hospital setting but also at the continuation of care in the community. (Cavanagh, 1991). Discuss TWO problems that are a priority and identify goals that are achievable for those problems. Problem: Patient has a painful knee Short Term Goal: A realistic care plan will be implemented, addressing her daily needs, and alleviating pain with the knee with analgesic therapy, including medication. Intermediate Goals Mrs. Smith will begin leg exercises, ice packs will be given when needed. Regular visits from the physiotherapist's will be required, addressing her mobility problems. Long Term Goals Patient will be able to walk with sticks and maintain her proper body weight (Gulanick, M. 2002). Mrs. Smith should be able to return home under the care of the district nurse for knee dressings and to remove the staples. ...read more.

Conclusion

will also be available for expert help and guidance if required. A regular visit to see the consultant will be arranged, as she will require careful monitoring of her condition with possible adjustments to her medication as she gets older. A nurse will arrange for an epilepsy liaison nurse to visit Mrs. Smith at her home and spend time with both herself and her husband, providing them with information on all aspects of her condition, discussing issues they wish to raise. Mrs. Smith's family will come more proficient at managing her seizures, and their confidence will increase with their ability to support their mother/wife to live a full and active life. Summative Evaluation Tuesday 16th August 2005, 10.30 am Goals were achieved within the time span set. Patient will be for discharge home today. Ambulance booked for 1.30pm. Family informed of discharge. Patient is aware of her limitations, alcohol/driving. Medication explained to the patient and her husband. Letter has been written for her epilepsy liaison nurse and GP. An appointment has been made for her to see the Neurological Consultant. Appointment card has been given to patient. Anxieties have been spoken about with patient; leaflets on epilepsy and information about the BEA (British Epilepsy Association) have been discussed. ...read more.

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