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Development of Patient Care Plan Essay

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Added on  2021-04-16

Development of Patient Care Plan Essay

   Added on 2021-04-16

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Running head: NURSING ASSIGNMENTNursing assignmentName of the StudentName of the UniversityAuthor note
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1NURSING ASSIGNMENTCases study- PhillipPrimary care for chronic illness is very complicated as it is multifactorial in nature. Thepatient’s health may be affected by different factors. To provide high quality and safe care thenurse must consider the patient and associated clinical needs (Helgeson & Zajdel, 2017). Theessay deals with the case study of Philip, 67 years old male, with primary diagnosis ofParkinson’s disease. The case study will be analysed to identify the two priorities of care. Theaim of the essay is to develop comprehensive care plan for him applying the clinical reasoningcycle. It is the tool for nurses to develop the goal driven nursing care, considering the spiral ofseries of linked clinical encounters (Dalton, Gee & Levett-Jones, 2015). It will help inprioritisation of care while integrating different aspects of the Philip’s clinical condition.Prioritisation and care plan involves use of clinical reasoning and decision making skills(Papastavrou, Andreou & Efstathiou, 2014). To understand the patient’s health status it is necessary to consider the present situation(Dalton, Gee & Levett-Jones, 2015). In the given case study, Philips 67-years old male ispresented to the medical ward after losing balance and fall. After two weeks he was diagnosedwith Parkinson’s disease. His symptoms were numbness in his hands and difficult speech. Hefeels everything is spinning around. Further, process may involve collection of cues andinformation from the patient’s health history, previous assessment and further assessment(Dalton, Gee & Levett-Jones, 2015). The patient history shows presence of high cholesterol. Hehas surgical history of Left knee arthoplasty. As a child he had tonsillectomy andadenoidectomy. The discharge history shows patient under variety of medication for Parkinson’sdisease. At the time of admission he had upper limb tremor that was more pronounced on rightside. The patient experiences drooling, fatigue and sleepy episodes during the day time. The
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2NURSING ASSIGNMENTpatient’s history also highlights the feelings of blue and fluctuations of mood, globalbradykinesia, and increasing hypoponia. The cumulative effect of these may have manifested asdifficulty in working with hot water or making tea. His occuputational history showed him assemi-retired worker. He worked part time at tea store. It may be associated with serious financialimplications. His social life is poor. He is separated from his wife and his children do not supportenough. It may be related to emotional issues if unaddressed. These conditions if untreated maylead to other comorbidities such as hypertension, diabetes, paralysis, chronic pulmonary diseaseand others (Lubomski et al., 2014). It is necessary to process this information, to prioritize the care. It involves use of criticalthinking and relation of information to clinical knowledge (Dalton, Gee & Levett-Jones, 2015).Philips fails to coordinate at work may be due to lack of dopamine. The loss of neurons and cellsfrom the substantia nigra of the brain leads to decreased dopamine secretion. Dopamine isresponsible for impairing the basal ganglia in low levels, thereby affecting movement andcoordination of activity (Schulz-Schaeffer, 2015). Gait is the most telling signal of Parkinson’sdisease. In normal condition the patient can walk from head to toe but in Parkinson disease thepatient does not lift the feet at all. As the gait shuffling becomes more pronounced, the patientsuffers from fall. It is known as freezing of gait (Reichmann et al., 2016). Falls may be due tofailure in sustaining the waking velocity as in normal condition for longer distances (Schulz-Schaeffer, 2015). Parkinson’s disease results in deteriorating rhythm control, bilateralcoordination of gait, Sleep scaling, gait symmetry, and decrease the dynamic postural control. Itmay be the rationale for motor symptoms, upper limb tremor, and bradykinesia and sleepyepisodes. It is manifested as drooling, confusion, and dropping of equipments at work (Schulz-Schaeffer, 2015).
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