Harold Blake Case Study

Running head: HAROLD BLAKE CASE STUDY
HAROLD BLAKE CASE STUDY
Name of the Student
Name of the University
Author Note

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HAROLD BLAKE CASE STUDY
Introduction
Nursing process is a five phased system in which the nurse needs to assess, diagnose,
plan, implement and evaluate the patient’s condition and treatment procedure on the basis of the
doctor’s consent. Person-centred care model on the other hand depends on the prioritisation of
the patient health condition over any other possible aspects. The person centred care plan relies
on the relationship between the nurse and the patient and the prioritisation prospect of the nurse
(Eaton, Roberts & Turner, 2015). On the basis of this model it can be seen that the diagnosis and
planning phase of the nursing process would be helpful in the person centred care as these phases
depends on patient’s need assessment and also help in the patient care in a proper planning. On
the other hand the discharge plan would be the step in which the patient’s further care would be
evaluated and planned prior to the time when the patient leave the hospital. Thus the evaluation
phase and the person centred care would be helpful in devising a proper discharge plan for the
patient. Here, Harold Blake a 83 year old patient experiencing cerebral vascular accident and
angina in day two of his admission in the hospital. In the following sections the nursing
diagnosis for Harold Blake’s intervention would be discussed with the focus on the person
centred care and also the ethical issues of the nursing and the multidisciplinary team for the
treatment.

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HAROLD BLAKE CASE STUDY
Discussion
Nursing diagnosis
Nursing process is comprised of five primary stages and collectively they are called the
five sequential stages of nursing which are assessment, diagnosis, planning, implementation and
evaluation. Here, nursing diagnosis can be marked as the most important aspect of all the
sequential steps as on the basis of the diagnosis process the nurse can be able to plan the nursing
care for the patient and the diagnosis process helps in the proper understanding of the patient’s
current condition and provide the idea about the patient’s actual needs. The diagnosis process
although depends on the assessment process as it helps in the assessment of the past medical
history of the patient and also the primary knowledge about the patient and on that assessment
the diagnosis process can be directed and thus the treatment planning and implementation of
those planning could be possible (Udod & Wagner, 2018). Nursing diagnosis could be
differentiated into four types that are the actual diagnosis, wellness or health promotion
diagnosis, risk diagnosis and the syndrome diagnosis. The actual diagnosis process helps in the
identification of the current condition of the patient, wellness diagnosis helps in the
determination of the increasing decreasing future treatment or wellness of the patient, risk
diagnosis assesses the risk factors of the patient’s disease or the condition and finally the
syndrome diagnosis helps in the determination of the symptoms of the patient (Pati & Arstall,
2017). Here in the day two of Harold Blake’s admission it has been seen there is a phase of nose
bleed in the morning and the consciousness of the patient is in a negative condition as he was
nauseas and dizzy and could not recognize or talk properly as the cardiology registrar found.
Harold was not properly oriented and also could not recognize people properly however, he

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HAROLD BLAKE CASE STUDY
could follow simple commands. As a result of past cerebral vascular accident his right hand and
leg was not working properly and ate the day two of admission after angina attack he could only
lift his left hand when asked. This can be the indication of his cerebral vascular accident and also
his pain in the chest for 20 minutes which was prevented after two times charging of glycerol
trinitrate spray. On the other hand observation process highlighted that his drowsiness and the
nauseas condition getting to normal points and his blood pressure was nearly normal as well with the
increasing heart beats per minute within a period of time from 47 to 62 however, the beat per minute
ratio was lower in terms of an average person. His nose bleed and the cerebral vascular accident
would be the cause which would affect the heart beat rate of his and the lower blood pressure as
well which was ranging from 148/70 to 138/65 thus the lower blood pressure imbalances the
mechanism of the cerebro spinal fluid and the blood pressure in the brain and it leads to the
manifested haemorrhage and it can be able to describe the causes of the nose bleed of Harold and
also the drowsiness and unconsciousness of the patient. His GCS range was from 12/15 to 14/15
from the first hour to the last observation and it was determined on the basis of his confused
verbal communication and responses to the simple commands. On the basis of the condition the
unstable angina was related to his lower blood pressure and lower breathing rate as well and the
saturation level of oxygen as well. These conditions were found the assessment on the past
medical history of the patient and the current observation as well. His past
Hypercholesterolaemia and also the extreme smoking habit depicts the current condition and also
age of the patient also affects the condition. On the basis of the past medical history of Harold
and the assessment of the cardiology registrar the nurse could lead to the diagnosis of the
patient’s cerebral haemorrhage and also the assessment of the type of the angina of the patient.
The nurse should be able to talk the patient and understand his discomfort and the needs as well