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Nursing case study. The aspect selected is pressure area care and nursing models, knowledge, and theories necessary to deliver care when assessing the risk of developing pressure ulcer will be discussed. In accord with NMC Code (2008), confidentiality wil

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Introduction

INTRODUCTION This assignment is about an aspect of nursing care and how nursing theories, models, and knowledge affected the way this care has been delivered to patients and how it has been communicated to others, which I could observe while on placement. The aspect selected is pressure area care and nursing models, knowledge, and theories necessary to deliver care when assessing the risk of developing pressure ulcer will be discussed. In accord with NMC Code (2008), confidentiality will be maintained and names have been changed. The placement happened in an acute medical ward, with a wide range of medical problems; where many patients were elderly people and people who need to be bed rest due their condition, while in hospital. Both types of patients are in high risk of developing pressure ulcer, and I could observe and help the nurse called Claire in the assessment of patients in risk of development of pressure ulcer and in the care of which have already developed it. DELIVERY OF CARE In order to choose the appropriated care, nurses need to assess the patients. Assessment is a vital part of nursing process, which is a 'professional approach for selecting, organizing, and delivering appropriate nursing care to a patient' (Potter and Perry, 2007). Nursing process it is a continuous patient-centred process and can be change in accordance with patient needs. It involves five stages: assess, diagnose, planning, implementation and evaluation (Kozier et al, 2008). To help in the nursing process, nurses will use nursing models. Nursing models aim to help the nursing process work. It is a way of represent the nursing process, telling what nurses do to assess and gain information about patient, providing guidance when planning and delivering care (Aggleton and Chalmers, 2000). ...read more.

Middle

The HCAs could help the nurse with the assessment of patient's skin while providing them with personal hygiene, and report it immediately to the nurse, which will come and do a more detail assessment. Although this is a very busy ward, the staff is very friendly and well organised, resulting in good deliver of care, with high levels of satisfaction of the patient and carers. COMMUNICATION Communication between all health care professionals involved in care is another aspect that may influence the quality of care given. Communication is the heart of nursing and essential in conveying caring and applying nursing skills and knowledge as part of a health care team of patients, families and colleagues (Potter and Perry, 2007). Claire has used written and verbal communication to make other ward staff or other health care professionals, which would be involved in that care, aware of patient's needs. Written communication involved patient records, assessments, interventions, documentation, nursing notes, risk assessment tools, care plans, discharge plan, diagnosis, fluid charts, nutrition charts, etc. All the written records about the patients' health care are confidential and may be used as legal documentation. Information is recorded after each patient contact and is available to all health care team (Potter and Perry, 2007). Each patient has two files, both available to all professionals involved with the patient's care. The main file is kept on the nurses' station and contains most of the information available about the patient. It is where all medical notes, nurses notes, interventions, care plans, tests and procedures, assessment tools (like Waterlow, moving and handling, admission assessment of activities of living), personal details about the patient, allergies and any other information for the daily care of the patient. ...read more.

Conclusion

The written communication in the nurse notes also needs to be improved, as it contains many abbreviations and the fact that the notes are note clear may lead to mistakes. Appendix 1 Activities of Living Maintaining a safe environment Communicating Breathing Eating and Drinking Eliminating Personal Cleansing and Dressing Controlling Body Temperature Mobilizing Working and Playing Expressing Sexuality Sleeping Dying (Roper, Logan and Tierney, 1996, p20) REFERENCE LIST Aggleton, P. & Chalmers, H. (2000) Nursing Models and Nursing Practice. 2nd ed. Basingstoke: Palgrave. Alexander, M. Fawcett, J. and Runciman, P. (2006) Nursing Practice Hospital and Home: The Adult. 3rd ed. London: Elsevier. Bailey, S. (2004) 'Nursing Knowledge in Integrated Care'. Nursing Standard. 18 (44), pp. 38-41. [online]. Available at: http://www.nursing-standard.co.uk/resources/archive/GetArticleById.asp?ArticleId=3646 (accessed: 21 May 2008). Basford, L. & Slevin, O. (2003) Theory and Practice of Nursing: An Integrated Approach to Caring Practice. 2nd ed. Cheltenham: Nelson Thornes. Carper B (1978) Fundamental Patterns of Knowing in Nursing. Advances in Nursing Science. 1 (1), pp: 13-23. Davies, S.& Priestly, M.(2006) 'A reflective evaluation of patient handover practices'. Nursing Standard. 20(21), pp 49-52. [online]. Available at: http://www.nursing-standard.co.uk/resources/archive/GetArticleById.asp?ArticleId=4056 (accessed: 28 May 2008). Edwards, S. (2002) 'Nursing Knowledge: Defining New Boundaries'. Nursing Standard. 17 (2), pp.40-44. [online]. Available at: http://www.nursing-standard.co.uk/resources/archive/GetArticleById.asp?ArticleId=3272 (accessed: 21 May 2008). Kozier, B. et al (2008) Fundamentals of Nursing: Concepts, Process and Practice. London: Pearson Education. NMC (2007). Record Keeping. [online]. London. Available at: http://www.nmc-uk.org/aFrameDisplay.aspx?DocumentID=4008 (accessed: 27 May 2008). NMC (2008) The Code: Standards of Conduct, Performance and Ethics for Nurses and Midwives [online]. London. Available at: http://www.nmc-uk.org/aFrameDisplay.aspx?DocumentID=3954 [accessed: 21 May 2008] Potter, P. & Perry, A. (2007) Basic Nursing: Essential for Practice. 6th ed. Canada: Mosby Elsevier Roper, N., Logan, W & Tierney, A. (1996) The Elements of Nursing: A Model for Nursing Based on a Model of Living. 4th ed. London: Churchill Livingstone. ?? ?? ?? ?? 1 ...read more.

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