Comprehensive Nursing - PDF
Added on -2021-06-17
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Running head: COMPREHENSIVE NURSING Comprehensive NursingName of the studentUniversity nameAuthor’s note
1COMPREHENSIVE NURSING Table of ContentsIntroduction............................................................................................................................2Scenario..................................................................................................................................3Assessment.............................................................................................................................4Airway-......................................................................................................................................7Breathing-...................................................................................................................................7Circulation-................................................................................................................................8Disability-...................................................................................................................................9Exposure-...................................................................................................................................9Health priorities....................................................................................................................10Conclusion............................................................................................................................11References............................................................................................................................13
2COMPREHENSIVE NURSING IntroductionThe current assignment focuses upon the aspect of comprehensive nursing care. It isbased on conducting a clinical assessment test for recording of the vital patient signs andsymptoms. Based on the symptoms the diagnosis of the patient is done. However, inproviding appropriate care and support to the patient the nursing profession should take intoconsideration the confidentiality factors. These have been further supported by the guidelinesas highlighted in the Nursing and Midwifery Board of Australia (NMBA). As per the NMBAstandards; at no stage of the clinical assessment and support care the confidentiality standardsshould be breached by the nursing professional (Birks, Davis, Smithson & Cant, 2016).Additionally informed decision making should be supported in designing of care plan for thepatient. This helps in providing sufficient autonomy to the patient and their respective familymembers as they can have a say in choosing the appropriate care plan. It has been seen thatmost of the times a chronic or end of life care patient is unwilling to undergo an aggressivetreatment. Therefore, the nursing professional catering to the health requirements of the endof the life care patient needs to be sensitive in their approach to dealing with the patient. Theyneed to ensure that sufficient and services are delivered for monitoring the health conditionsin the patient effectively.However, as per the NMBA standards the healthcare professionals cannot force thepatient to the patient or their respective families to undergo certain treatment or procedures.Therefore, the nurse should abide by the standards and guidelines as enlisted in the NMBA.As stated in the Standard 1 of NMBA the nursing practices should be guided by experience,knowledge, beliefs of the past encountered by one in a past acute clinical setup. Some of thepast experiences help the nursing profession in the development of effective clinicaljudgment skills. The current assignment focuses upon the different steps undertaken by a
3COMPREHENSIVE NURSING nursing professional in meeting with the support and care requirement of a patient admitted ina chronic care ward.Scenario The current scenario focuses on the case study of Mary who is a five-year-old girlsuffering from Ewing’s sarcoma. The Ewing's sarcoma is a rare cancer of the bone or softtissues and mostly affects white people within the age group of 10-20. It is a malignant,small, round, blue cell tumour. As mentioned by Clappand and Rowlands (2014), the diseasehas high survivability rates depending upon the stage of diagnosis and kind of treatment andsupport received by the patient. It starts from the pelvis and is followed by thigh boneaffecting the cartilage and the nerves. As suggested by Sadak, Neglia, Freyer and Harwood(2013), 87% of the Ewing's sarcoma appears in the bone and rarely found in the soft tissues.A common genetic locus is responsible for large percentage of Ewing's Sarcoma and has thecharacteristics of both mesodermal as well as ectodermal origin.The current highlights the condition of Ewing’s Sarcoma as suffered by Mary who isa five-year-old girl. She lives with her single mother and is the only child. She was sufferingfrom fever and chest pain and had lost 2 kilos weight in the last month. The deterioratingcondition of the patient led to several clinical visits and hospitalizations. The patient had beenprescribed with antibiotics and steroids. The patient here was prescribed with a number ofassessments and clinical tests such as CT scan of the chest, comprehensive blood assessment,bone marrow biopsy. In order to proceed with the treatment and care it is very important to gain consentfrom the patient and their respective families (Stolic, 2014). In this context, an approval hadalready been taken from the patient and her mother before commencing her upon thetreatment process. Additionally, anonymity had been guaranteed while sharing of the
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