Devising a care plan for a patient.

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                21 09 05

INTRODUCTION TO NURSING

Module Code 103AN

DEVISE A CARE PLAN FOR A PATIENT

Word Limit: 1500

Actual Count: 1507

Date of Submission 18th October 2005

                                

                                        ADULT NURSING

Contents

Introduction of patient………………………………………………………………...        3

Contribution of Nursing Care Plans....................................................................        4        

           

Achievable Goals …………….……………………………………………………….6

Short Term Goals……………………………………….........................................        6

Intermediate and Long Term Goals…………………………………………….…..        7

Nursing Interventions……………………………………………..………………….        8

 Summative Evaluation………………………………………………………………10

Appendix .. ……………………………………………………………………………11

References…………………………………………………………………………….12

Patient Assessment and Care Plan

Introduction of patient

The following care plan will be based on a personal experience with a patient who was nursed on a hospital ward.  This interaction took place on an Orthopaedic Ward.

The patient was selected as the subject of this assignment because the author carried out the initial assessment.  During this pre-admission assessment a good rapport was developed.  This made for positive communication.  Moreover, the patient had many different and complex needs.  Catering for these different needs illustrates the benefit and the importance of carrying out a structured and holistic assessment to create a total picture of an individual from which to plan care.

In selecting a patient to draw up a care plan, confidentiality and privacy were assured and both the patient and her husband were made aware of the nature of the exercise and were quite happy to continue on that basis.  The author agreed with the husband to name the patient Mrs. Smith.  It is essential that such assurances and permissions are sought before embarking on an assignment such as this (NMC, 2002).

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Mrs. Smith is a retired 62 year old lady, who lives with her husband.  She has been married for almost forty years and has two sons who both live abroad.  She has enjoyed a long career with a well known Market Research Company as a mentor to both new and experienced interviewers, a position that enabled her to travel around most of the country. Unfortunately due to a road traffic accident two years ago in which she suffered a broken arm, whip lash and injured her knee rather seriously, she also sustained a head injury which resulted in epilepsy. ...

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