Nursing assignment sample PDF
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Added on 2021-04-24
Nursing assignment sample PDF
Added on 2021-04-24
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ASSIGNMENT -2 NURSING 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 avoidance strategies.......................................................................................................................7Conclusion...................................................................................................................10References...................................................................................................................10
Introduction/Identification of the patient The virtual case world scenario for this essay is the case of Mr. Harold Graeme Blake, he is an 83years old male residing in SA. His physical appearance introduces 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 stable life. However, the health condition of Mr. Harold is a complicated scenario, he is suffering from many critical medical issues that involve Ischaemic heart disease (IHD), angina, left cerebrovascular accident (CVA), Gastro-oesophageal reflux disorder (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 to Feiginet al. (2014) research angina is considered as one of the major complications ofcoronary artery bypass graft. Mr. Harold is on critical medication where he takes more than eight medicines on daily basis. In the present case study, Mr. Harold is admitted to the emergency department after his confrontation with an angina episode while taking a taxi as normal daily activity. He was admitted to cardiology unit and further transfer to the surgical ward. Mr. Harold was identified with serious symptomsof angina involving shortness of breath, pain 8.5/10, choking sensation, chest tightness, nosebleed etc. The present situation of Mr. Harold along with his medical history makes his case a complicated one to initiate care and overcome his sufferings. In the present case scenario, Mr. Harold underwent a 60days treatment process to overcome his present critical encounter with angina. Cardiologist, speech pathologist, occupational therapist and physiotherapist reviewed Mr. Harold. He underwent CT scan, neurological observation and percutaneous endoscopic gastronomy along with insertion of a nasogastric tube (NG) and for feeding. The case study indicated that it was a complicated task to handle the situation of Mr. Harold. Even after five months of the accident he was fully dependant on others for his daily activities. Mr. Harold was in continuous tough with dietician after seven months of surgery in the nursing home. This situation indicates that Mr. Harold specifically needs special care to overcome 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 further readmission to hospital. Therefore, in the present situation it is required to adopt certain specific care strategies, processes, resources etc. providing Mr. Harold proper care 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 potential barriers 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 needs As per case study description about Mr. Harold condition at the hospital and after the transition to a nursing home it is clear that he needs a high level of care for his 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, his pain rate was 8.5/10. According to Kisselaet al. (2012) studied that any kind of severe pain before or after surgeries requires a proper nursing case. The painful conditions if not managed with proper care can lead to degradation in quality of life. Further, Schaferet al. (2012) indicated that pain management through proper care also helps in liberating the dependency of the patient for his ADLs. Therefore, the most basic of Mr. Harold is care for his pain that will help to overcome his issue of dependence for ADLs because even after seven months of discharge from hospital he is still fully dependent for his daily living activities. Alongside, care is needed to improve and overcome his dependency on daily living activities to make him more independent. 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 was having speaking difficulties in the initial stage of his hospitalisation. However, his speaking issue was very well handled and resolved by speech pathologist but still further care plan will help more in the proper improvement of this issue. Mr. Harold has a problem with breath shortness at exertion. Shortness of breath if not taken care can lead to serious hazards for a heart patient. Blacket al. (2014) studies that
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