Nursing assignment sample PDF

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ASSIGNMENT -2NURSING ASSIGNMENT(CRITICAL ANALYSIS)
Table of ContentsIntroduction/Identification of the patient..................................................................3Identification of patient needs.....................................................................................4Understanding of potential barriers to care and underlying assumptions.............6Identification of care plan, community resources and hospital avoidancestrategies.......................................................................................................................7Conclusion...................................................................................................................10References...................................................................................................................10
Introduction/Identification of the patientThe virtual case world scenario for this essay is the case of Mr. HaroldGraeme Blake, he is an 83years old male residing in SA. His physical appearanceintroduces a slim, calm person with the body weight of 81kg and height 179cm. Mr.Harold is a family oriented male having a beautiful wife, two children and a stablelife. However, the health condition of Mr. Harold is a complicated scenario, he issuffering from many critical medical issues that involve Ischaemic heart disease(IHD), angina, left cerebrovascular accident (CVA), Gastro-oesophageal refluxdisorder (GORD) and spinal injury along with many other complicated issues.Mr. Harold had various serious surgeries in past that are cholecystectomy,appendectomy, two hip replacements and coronary artery bypass graft. According toFeiginet al. (2014) research angina is considered as one of the major complications ofcoronary artery bypass graft. Mr. Harold is on critical medication where he takesmore than eight medicines on daily basis. In the present case study, Mr. Harold isadmitted to the emergency department after his confrontation with an angina episodewhile taking a taxi as normal daily activity. He was admitted to cardiology unit andfurther transfer to the surgical ward. Mr. Harold was identified with serious symptomsof angina involving shortness of breath, pain 8.5/10, choking sensation, chesttightness, nosebleed etc.The present situation of Mr. Harold along with his medical history makes hiscase a complicated one to initiate care and overcome his sufferings. In the presentcase scenario, Mr. Harold underwent a 60days treatment process to overcome hispresent critical encounter with angina. Cardiologist, speech pathologist, occupationaltherapist and physiotherapist reviewed Mr. Harold. He underwent CT scan,neurological observation and percutaneous endoscopic gastronomy along withinsertion of a nasogastric tube (NG) and for feeding. The case study indicated that itwas a complicated task to handle the situation of Mr. Harold. Even after five monthsof the accident he was fully dependant on others for his daily activities. Mr. Haroldwas in continuous tough with dietician after seven months of surgery in the nursinghome.This situation indicates that Mr. Harold specifically needs special care toovercome his present complex health situation. After discharge from the nursing
home, it is required to indulge Mr. Harold in care process that will avoid his furtherreadmission to hospital. Therefore, in the present situation it is required to adoptcertain specific care strategies, processes, resources etc. providing Mr. Harold propercare at home. This essay involves a step-by-step process for planning care for Mr.Harold that involves identification of his specific needs, care plan and potentialbarriers to this care plan. The essay structures complete information that is essential toimplement a proper nursing care plan for case study patient Mr. Harold.Identification of patient needsAs per case study description about Mr. Harold condition at the hospital andafter the transition to a nursing home it is clear that he needs a high level of care forhis basic as well as certain complex needs. The major basic needs for which Mr.Harold will be requiring care involves shortness of breath at exertion (SOBOE),speaking difficulties, care for his right arm and help in daily living activities (ADLs).In the background information about Mr. Harold hospital admission symptoms, hispain rate was 8.5/10. According toKisselaet al. (2012) studied that any kind ofsevere pain before or after surgeries requires a proper nursing case. The painfulconditions if not managed with proper care can lead to degradation in quality of life.Further,Schaferet al. (2012) indicated that pain management through proper carealso helps in liberating the dependency of the patient for his ADLs. Therefore, themost basic of Mr. Harold is care for his pain that will help to overcome his issue ofdependence for ADLs because even after seven months of discharge from hospital heis still fully dependent for his daily living activities. Alongside, care is needed toimprove and overcome his dependency on daily living activities to make him moreindependent.Another most important need for Mr. Harold is care and treatment for his rightarm that was identified as unable to move during his first month of hospitalisation.There was increased tone and reflexes in his right arm. Further, Mr. Harold washaving speaking difficulties in the initial stage of his hospitalisation. However, hisspeaking issue was very well handled and resolved by speech pathologist but stillfurther care plan will help more in the proper improvement of this issue. Mr. Haroldhas a problem with breath shortness at exertion. Shortness of breath if not taken carecan lead to serious hazards for a heart patient.Blacket al. (2014) studies that
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