Device a plan of care for one, client/patient you have nursed in your homebase placement.

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Device a plan of care for one, client/patient you have nursed in your homebase placement.

Identify a patient you have nursed in your home base and briefly provide background information.

Mrs Brownie is a 79-year-old lady, who came into my home base placement because she had a urinary tract infection (UTI) and diarrhoea. Mrs brownie is all care, which means she needs full assistance with hygiene needs, which requires two nurses to assist her. Occasionally she has respiratory problems, but she manages to breathe without oxygen therapy. Mrs Brownie wears glasses and is also registered blind. She also has eating problems, because of difficulty with swallowing, therefore is fed, through a peg tube. She has a urinary catheter due to being highly immobile.

Mrs Brownie has difficulty with her sleep pattern at night. She has a history of Multiple Sclerosis (MS), Miticillin resistant Staphylococcus Areus (MRSA) 4 years ago and UTI, which is recurrent. She is allergic to Trimethroprim tablets. Mrs Brownie doesn't smoke but drinks wine occasionally. Mrs Brownie aimed to be discharged from the hospital but her husband has refused to have her back, unless a tract hoist is provided at home. Mrs Brownie's husband is worried about her lack of mobility. He claimed he couldn't manage to care for Mrs Brownie if a tract hoist was not provided. In the meantime the staff nurse in my ward organised for approval from the council to provide one.

Briefly discuss the contribution of nursing care plans to the practice nursing.

A Nursing Care Plan is a document that is needed to be able to identify a patient's problems. It is a document for assessment on a regular basis in which to measure a patient's progress. A nursing care plan also is a source of information where appropriate nursing care will be acknowledged. For example, with wound assessments care plan, nurses can set targets to deliver a better wound care assessment to the patient by implementing these. According to Basford and Slevin (2003) an effective use of nursing care plans will deliver greater competence to the nurses. This is equally true, as nurses follow the care plan to deliver proper care. A nursing care plan also identifies the patient's needs, such as special requirements and checking a patient's possible deterioration. It can formulates goals and nursing interventions, for example, to deliver appropriate care nurses have to set realistic goals and interventions for the patients care needs. This may be focused on delivery of nursing care, such as physiological or behavioural imbalances in a deficit of self- care (Aggleton and Chalmers 2000).
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Furthermore, using a nursing care plan is a good way to communicate. Communication is a massive part of nursing care asset's where the nurse-patient relationship evolves. Nurses should also have a good listening skills to allow a patient's respect to develop (Peplau 1991). In addition, a nursing care plan is a legal document for litigation. It is evidence to the nurses for future reference, such as evidence in court.

Nevertheless, depending on the model being used, different types of intervention will be appropriate in order to achieve the goals set in the care plan (Aggleton and ...

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