Complex Care: Critical Analysis of Nursing Problems and Care Plan for Mr. Sylvester Charles
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Added on  2023/01/12
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This essay critically analyzes the nursing problems faced by Mr. Sylvester Charles and develops a care plan for his recovery. It discusses the Roper-Logan-Tierney Model for Nursing and factors influencing the care plan.
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COMPLEX CARE 1
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Table of Contents INTRODUCTION...........................................................................................................................3 MAIN BODY...................................................................................................................................3 Aim of the case study..................................................................................................................3 Discussion and critical analysis of the cause of the two identified nursing problems and factors that influence the care planned for the patient:...............................................................4 2
INTRODUCTION Present essay is particularly based on the case scenario given of a person whose name is Mr. Sylvester Charles. An old gentleman, with an age of 58 years living with Susie (Wife). Individual was theSenior Manager of a well-known insurance company, but due to rapid changes that company was continuously making, it has become one of the reason for increasing within the distress and raised issues for Sylvester. This is where, he took the retirement and started tending to the garden. Including this, one day Sylvester found collapsed within the garden area, where the reason that came in front was the stroke. Away with this, essay will put light on activities of daily living; ADL’s by Roper-Logan- Tierney Model,Waterlow score, NEWS2, VIP score. Also, it will also put light on critical analysis over the cause of the two identified nursing problems. Including this, it will also put light on pathophysiology and may also include all the applications as well in order to put relevant information in relation to pharmacological/non-pharmacological interventions. Lastly, a care plan will be developed for Mr. Sylvester Charles, which will help him in getting recovered as soon as possible. MAIN BODY Aim of the case study This essay consists of a particular aim and i.e. “To critically analyse and identify the nursing problems at the time of serving proper medication to Mr. Sylvester Charles”. Roper-logan-tierney's model for nursing based on a model of living: The Roper-Logan-Tierney Model for Nursing is a theory of nursing care based on activities of daily living, which are often abbreviated ADLs or ALs. Within United Kingdom, this model utilised by public sector business organisations like NHS and so on, which was developed by Winifred W. Logan, Nancy Roper along with the Alison J. Tierney. Basically, this theory could effectively lead Mr. Sylvester Charles to get healthy again as, various health practitioners has often started utilising different ways through which, how the life of an individual who is sick got changed because of illness, injury, or admission to a hospital rather than as a way of planning for increasing independence and quality of life. In the same way, if it is talked about Mr. Sylvester Charles, then he has been dealing with number of issues like hypercholesterolemia, hypertension, they gave up smoking 12 months ago and diabetes type 2 as 3
well. Also, because of different reasons like degree of Anomia and Aphasia, Mr. Sylvester Charles started avoiding, This is where, it was needed by nurses to consider a number of activities and these are:communication,maintaining a safe environment, eating along with drinking, breathing, personal cleansing and dressing, eliminating, mobilising, controlling body temperature, playing and working, sleeping, expressing sexuality & dying as well. All these numbers of activities that are required to be undertaken at the time of serving medication toMr. Sylvester Charles considering this framework, it is said thatplanning, assessment, evaluating and implementing process in relation to provision of care given toMr. Sylvester Charles would become much more easy and improvised as well. It is also critically analysed that not only, maintaining a safe environment within the Hospital is required but also it is much needed by Susie to develop a much more healthy environment as well based on the situation ofMr. Sylvester Charles. This could be understood with a good example whereMr. Sylvester Charles left gardening his gardern. This is where, it was pretty much required by Mrs. Susie Charles to deliver the right support through considering all the aspects like eating along with drinking,maintaining a safe environment, personal cleansing and dressing, breathing, mobilising, eliminating, playing and working, controlling body temperature, expressing sexuality, sleeping and dying stage as well. Here, it is said that Susie would require to deliver the right path to Sylvester to clearly gain a number of focus over different areas where, he may not feel depressed at all. Discussion and critical analysis of the cause of the two identified nursing problems and factors that influence the care planned for the patient Mr. Sylvester Charles was the individuals who was dealing with number of problems in relation to stroke, anomia, aphasia along with thehistory of hypertension, diabetes type 2 and hypercholesterolemia. Including this, if it is talked about the two different nursing problems that are being taken into consideration are: Acute impaired physical mobility related to the inability to move the right side of his body as evidenced by left-sided ischaemic stroke with difficulty in walking.This is considered to be one of the crucial problem, which was faced by Mr. Sylvester Charles and his wife because,this paralysis attack impacted upon overall processes that Mr. Sylvester Charles used to do, which raised different questions in mindset of Susie. Basically, a depressed person who has already lost his hope of living the life happily cannot survive for a long period of time, even through offering 4
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right medication. This may result into death of Mr. Sylvester Charles. But, based on what different researchers has mentioned is that human body if properly gets medication, it will directly help the individual to recover. There is no feeling that could stop a person to recover, where Mr. Sylvester Charles who stopped talking to his wife, may also considered this as a problem, but he was also getting right medication after reaching to the home. Including this, another issue that came in front was:Verbal communication impairment related to anomia and aphasia as evidenced by Intermitted confusion, poor attention span, poor interaction and lack of interest for garden activities........... 5