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Systematic approaches to client care

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Systematic Approach to Client Care The aim of this assignment is to show the importance of a collaborative, inclusive approach to care and issues related to the context of care within a health care setting. For the purpose of this essay I will be conducting a case study. A case study is a unit of activity in the real world which exists in the here and now, and it is only possible to study in its context. It can be a study of an individual, a group, an institution and a community or multiples of each, for example a case study of many different hospitals or professions (Gillham, 2000). According to (Yin, 2003) case study research is an essential research method as it is appropriate when researchers need to study a topic in depth, and when it is critical to include complex details of a variety of conditions and have to rely on multiple sources of evidence. As I am conducting my case study based on approach to client care, I need to seek consent from the client whom I wish to study. Informed consent is vital before individuals can take part in a research study (World Medical Association Declaration of Helsinki 1997). The Data Protection Act (1998) states that organizations have a duty of confidentiality towards their clients and any personal information held by an organization should not be shared or distributed without prior consent from the individual concerned, for example health records. It is the client's decision to partake in any research, to gain this we must make it possible for them to give informed consent. It is important to let the client know that withholding consent will have no impact on their existing care or their future care, some people may feel obligated to consent in fear that they will face repercussions (Wilson et al. 2000). It is important to let the client know how and why their information is being shared to respect their right to confidentiality (Nursing and Midwifery Council, 2008). ...read more.


teams to assess him. Their findings were recorded in the patients shared notes and the appropriate actions were taken, for example to provide adaptations to Paul's home and he was issued a Zimmer frame. Paul has a history of excessive alcohol consumption; this excess has meant that he now suffers from Alcoholic Liver Disease (ALD). It is important to include this ailment as part of Paul's care pathway in order to try and stabilise the condition and to assess the amount of damage to the liver. This being part of the care pathway will mean that all health professionals involved with Paul's care will be kept informed. It is important to keep everyone involved to avoid complications, such as counteracting treatments or advice, for example Paul's care could have been compromised had one profession given him advice on how he should restrict his movement but had this not been documented a different health professional could have also given him advice on his movement, whether the advice be conflicting or not. It would also be difficult to know if Paul was adhering to medical advice if the recommendations given to Paul were not communicated to other health professionals. According to Bj´┐Żrvell (2000) the main benefit of the shared nursing notes is to improve the standard of structured communication between healthcare professionals to ensure the continuity of individually planned patient care. As part of Paul's care pathway we stated that 'investigations are to be carried out as directed by medical team.' The Consultant recorded that because Paul has alcoholic liver disease, his hypertension can be an indication of cirrhosis of the liver. It was also recorded that Paul should have an investigatory Computed Tomography (CT) abdomen and an ultrasound to confirm prognosis. After the CT abdomen, it was recorded that Paul did have cirrhosis of the liver. Cirrhosis is the development of scar tissue within the liver from an underlying cause (Nursing Times, 2002). ...read more.


And after every consultation or treatment development with Paul, the outcome was documented. In conclusion this essay has highlighted the importance of having a holistic approach to nursing, good record keeping, collaborative care and working as part of an MDT. The case study showed how these elements of nursing practice can be applied to a health care setting and why we need to apply them. The case study has also made it possible to show implications to practice if there are breaks in communication between members of the MDT, had outcomes of assessments not been documented it could have been difficult to understand what nursing care to provide for Paul, for example if the results of his blood glucose levels not been documented I would not have known what dietary advice to give Paul, such as advising him to have a sugary snack if his blood glucose levels were low. Good communication between members of the MDT is vital to ensure optimal and appropriate care is possible in all areas of care. From discussing this in my essay, I understand the importance and can implement this in future practice. I have also developed my understanding of holistic care, to implement this into future practice I will spend more time with patients in order to find out how their MDT treatment if affecting them and to see if they are adhering to medical advice, I have chosen this as an area of development as I have learned that knowing more about patients can give much more of an insight into how they are responding to treatments, coping with diagnosis and how their time in hospital could be made better. Paul had no complaints about his stay on the ward but by knowing more about him I knew why he drank excessive amounts of alcohol, his level of addiction to cigarettes and his level of commitment to stopping smoking and drinking alcohol. Whilst respecting Paul's autonomy and right to refuse consent, treatment and health promotion. ...read more.

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