Care of the Patient with Complex Care Needs

CARE OF THE PATIENT WITH COMPLEX CARE
NEEDS
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In contemporary scenario, health care needs of people are changing due to different
health dimensions; however at the same time it is essential in terms of adding new services in the
health care sector. Thus, in this respect, the present research essay is discussing about Bob Evans
who is a 68 year old man and who was admitted in the hospital because of decomposed heart
failure (Skelly and et.al, 2016). As per the clinical history, Job has ischaemic heart disease for
around 20 years and along with that, he has coronary artery bypass graft which is a compete
heart block. The patient is taking several medications such as Furosemide, Enalapril, Warfarin,
Simvastatin and Lactulose. Thus, considering the heart issues, it is clear that the patients’ needs
should have a specific treatment; hence that is being discussed in the present research study.
Moreover, in this context discussion has also been included regarding the care and nursing
services which are essential for Bob to get recover. After developing the plan, it will be suitably
implemented so as to get the desired outcomes.
At present, the patient is admitted because of heart failure which also leads to gross
peripheral oedema and painful legs. Therefore, the patient requires inotropic support. Similarly,
his renal function is also changing; hence he is becoming hypotensive. After discussing the entire
matter, Mr Evans has shown interest in being at home at the time of dying (Braunwald, 2016).
Thus, considering his medical condition the family members and care practitioners have decided
to deliver palliative care services at home. For the care needs, the community nursing team will
continue to manage the health care needs with GP and palliative care team as this is also useful
in treating the patient in effectual way.
Therefore, considering the situation of Mr Evans, it can be said that nurses can make use
of Roper-Logan-Tierney activities to categorise the major nursing care priorities. Chronic
Obstructive Pulmonary Disease is typically one of the major causes of mortality in UK and it is
also known as a chronic illness that is often caused by smoking. Since, Mr Evans is habitual of
smoking and drinking; therefore he has the issues of COPD. The disease is a life-long illness and
it can also affect a person’s life (Shortness of Breath without Chest Pain Can Signify the
Presence of High Risk Heart Disease, 2005). Therefore, as per the model, chief focus will be laid
on aspects of care related to berating, eating, drinking and motioning a safe environment. These
aspects are also useful in terms of delivering the best care for the patients.
Instead of having several changes in the health dimensions, Mr Evans continues to smoke
and drink alcohol on social basis. Because of such health issues, he has taken early retirement
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from the job (Vasudevan and et.al, 2017). His family members are very much concerned about
his health dimensions; hence considering the same they have decided to give appropriate health
care services to the patients. Mr Evans is required to have proper medical treatment about heart
failure, pain management and wound assessment as his health conditions are getting changed
frequently. At present, Mr Evans is getting services from community nursing team as his care is
managed by the Community Matron and Specialist heart failure Nurses in the community.
Appropriate nursing care management is essential since that could help the patient to get
recovered as early as possible. Therefore, as per Roper-Logan-Tierney, changes are required to
be made in the eating and daily life schedule of the patient so that health prospects can be
improved accordingly (Yin and Hsiung, 2016). With the help of this model, proper treatment can
be delivered to Mr Evans so that his health prospects can be enhanced. This nursing process is a
systematic tool which is useful in ascertaining the needs of individuals. At the same time, it also
works in giving better services to the patients. COPD is considered as the 5th most common cause
of morbidity and mortality which enhances the number of patients in the country.
Henceforth, as per the identified problems of Mr Evans, the main aim of nursing is to
solve her problems by preventing the worst conditions which is occurring with her. At the initial
stage, it is crucial for the nurses to make the patient breathe comfortably so that other health
issues can be improved accordingly (Braunwald, 2016). Specific attention is required to be given
on heart problem and kidney disease which are major aspects of a person’s health. Along with
medication, suitable therapies are also required to be given so that Mr Evans can move forward a
happy life.
It is also crucial for the nurses to ensure that Mr Evans is leaving his sedentary lifestyle;
since, then only he will move forward towards a healthy lifestyle. Along with community nurses,
it is also crucial for the health care practitioners to encourage Mr Evans to move forward towards
a healthy life (Rizik and et.al, 2017). The model states that there are varied factors that impact
the health care services; hence it is crucial for the nurses to consider all such dimensions. Nurses
and health care practitioners are required to keep balance between social and cultural values as
that also holds more importance in encouraging service dimensions. Further, nursing services
will also be enhanced through meeting all the requirements of patients. For instance- Mr Evans
wishes to be at home in his last days; therefore while delivering palliative care services, it is
crucial for the nurses to keep all the cultural and social values.
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