This assignment discusses the importance of eating and drinking, which is an activity of daily living. The nursing process will be briefly described; the assessment stage will be discussed and linked to relevant literature.

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Introduction

This assignment discusses the importance of eating and drinking, which is an activity of daily living. The nursing process will be briefly described; the assessment stage will be discussed and linked to relevant literature. A nursing model based on Roper et al (2000) will be used as a framework for the assessment stage. The assignment integrates theory to practice by discussing the holistic assessment of eating and drinking based on a patient called Annie. In accordance with the NMC Code of Professional Conduct (2002), confidentiality will be maintained by the changing of names. Annie is eighty years old and has been admitted following a collapse. Annie has malnutrition, problems masticating, arthritis, dysphagia and early stage dementia. Roper et al (2000), states that eating and drinking is essential to human existence because it provides the energy source required by the body to maintain cells and grow new cells. Aggleton et al (2000), agrees that eating and drinking is vital to maintain the homeostatic balance of the body. The nursing process consists of assessment, planning., implementation and evaluation (Roper et al 2000). The nursing process is a problem orientated approach to individualised patient care (Hinchliff et al 2003). Christensen et al (1995) demonstrates the nursing process is a systematic guide used to assist nurses in the development of critical thinking skills, which leads to a clinical judgement.

Middle

believes that a good assessment includes subjective data because it allows the patient to describe their feelings and perception of symptoms. Hinchliff et al (2003) illustrates that information gained at assessment assists the nurse in the formulation of a care plan. This coincides with Walsh (2002) who agrees that information provided at assessment provides a basis for good nursing care and suggests that nursing care is only as good as the assessment it has been based on. The multidisciplinary team should be informed of relevant information gained at assessment to ensure that the relevant care can be planned. Annie's nutritional status was assessed on admission using the Roper et al (2000) activities of daily living model. Green et al (1998) recommends nutritional assessment should be undertaken on admission. A nutritional assessment being completed at admission would determine if the patient has or is at risk of developing malnutrition (Copeman 2000). The NICE guidelines show that malnutrition accounts for twenty nine per cent of all hospital admissions. When assessing Annie I asked her if she had any problems eating and drinking because I noticed her clothes were too big. This is an example of subjective data Copeman (2000) discloses that malnutrition is a serious problem in the elderly. Nurses should be aware of malnutrition and aim to ensure all patients are well nourished and adequately hydrated.

Conclusion

Noble (1999) feels that elderly people are in a vulnerable position to buy their food due to a lack of public transport to enable them access to the shops. Noble (1999) states that elderly people either have to rely on corner shops which can be expensive or as in Annie's case rely on others to do their shopping. Annie's daughter Pat does her shopping for her which limits Annie's independence and choice of food. From writing this assignment I have discovered that assessment is a complex recurrent procedure (Roper et al 1996). I have learnt that the approach to patient care is to evaluate the problems, prioritise the problems and try to solve the problems. I have also reflected on past experiences of assessments and I now realise that I was assessing a patient using a nursing model which was providing a guide for the assessment. I have learnt to value the patient's opinion even when the patient had dementia, because the patient can still inform others of their symptoms when prompted. I have learnt that malnutrition is a common problem in hospitals. To conclude the assignment a number of points have been made relating to the assessment stage of the nursing process. Roper et al (2000), states that eating and drinking is essential to human existence because it provides the energy source required by the body to maintain cells and grow new cells. Aggleton et al (2000), agrees that eating and drinking is vital to maintain the homeostatic balance of the body. ?? ?? ?? ??

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