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Introduction

Andrew Buck P10553252 Andrew Buck 11/01 P10553252 Word Count: 1808 Within this assignment the author has chosen the subject of Dysphasia to discuses while using the nursing model of Roper, Logan and Tierney (RLT) The author will discuss how physical, social and psychological influences impact on the health of the individuals in society, he will also demonstrate evidence of a developing knowledge of the various biological, social and psychological explanatory models of health / ill health and the evidence which underpins them and recognise their relevance of nursing, also the author will demonstrate evidence of a developing knowledge which underpins safe and effective nursing practice, finally he will recognise the relevance of the nursing contribution to the inter-professional context of health care. Dysphasia is a medical term for a patient that has difficulty is swallowing; this condition is classified under the signs and symptoms within the ICD-10. It is comment for some patients to have little awareness of the condition and lack of symptoms will not exclude any underlying disease. When Dysphasia goes unnoticed or untreated patients run a real risk of ?pulmonary aspiration? and then may contract ?aspiration pneumonia? this is caused by food or liquid going in to the lungs the wrong way, some patients will not show any signs of aspiration, this then falls under the term silent aspiration, these particular patients will show no signs of coughing or show any outward signs of aspiration, this can also lead to dehydration, malnutrition and then lead on to full renal failure. ...read more.

Middle

Following the advice from the Dietician, nursing staff will assist the patient to follow these activities through, helping the patient with their food and fluids. Once a patient has finished a meal if in hospital this should be recorded on a food and fluid chart, this is the duty of a nurse to enter this in a correct fashion however; the nursing staff may wish to ask the patient to record this information on to the food and fluid chat. This gives the patient chance to become involved in their own care and gives the patient a sense of independence; this would have to be check on a regular basis to make sure that this is being done correctly by nursing staff, another method is for 2 charts to be in place, one for the patient to fill in another for nursing staff to fill in again this gives the patient a sense of being involved in their own care. Social and Psychological The ways families eat will vary, where some families will make a point of sitting down at a table together at meal times, other families may never sit down together to eat at all. Some families will only ever sit down at a dinner table on occasions such as Christmas where different kinds of foods are eaten, during such occasions patient with the said condition may find it difficult to join in with such activities, this is where while in hospital, the patient along with the nursing staff can sit down and talk to members of the patient?s family, and explain the patients fears and anxieties about eating when going home along with answering any questions that the family members may have. ...read more.

Conclusion

It is therefore important that it is detected early, and appropriate nursing care is given, to give the patient a better standard of living. It is important that a bedside test is carried out as soon as possible to detect this condition, and appropriate support is given to the patient. It is also important to make the patient and their family feel included in the patients care. The nursing model by Roper, Logan and Tierney shows a framework, to give assessment and reassessment in nursing care, all this is shown around activates of daily living. By using this model affectively a nurse can give the patient the best care possible, whilst maintaining and promoting the best level of dignity and independence possible. Reference List DePippo, KL, Holas, MA, Reding, MJ, Validation of 3oz water swallow test for aspiration following stroke Archives of Neurology 1992 Vol 49 P 1259 Daniels, SK, McAdam, CP, Brailey, K, Foundas, AL, Clinical Assessment of swallowing and prediction of dysphagia severity. American Journal of Speech language Pathology. 1997 Vol 6 pp 17 - 25, National Institute of Health and Clinical Excellence (2006) Nutrition support in adults: oral nutrition support, enteral tube feeding and parenteral nutrition. London: NICE. http:/www.nice.org.uk/nicemedia/pdf/CG032NICEguideline.pdf (accessed 07Jan2012) Matthew R. Hoffman, Jason D. Mielens, Michelle R. Ciucci, Corinne A. Jones and Jack J. Jiang,(2011). Dysphagia. Vol 26 pp.14 Roper, N. Logan, W. W. and Tierney A, J. (2003) The Roper-Logan-Tierney Model of Nursing: Based on Activities of Living. Edinburgh: Churchill Livingston. Royal College of Physicians. (2004) National Clinical Guidelines for Stroke. London. The Stroke Association (2009) Psychological Effects of Stroke. London: The Stroke Association. The Stroke Association (2008) Swallowing problems after stroke London: The Stroke Association. ...read more.

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