In-Depth Nursing Report: Client Observation, Safety, and Care Plan

This nursing assignment provides a comprehensive report on client observation and assessment of support needs. It covers various aspects such as home safety assessments, identification of potential hazards, and recommendations for minimizing risks. The report includes detailed observations from client visits, focusing on elderly care, individuals with physical disabilities, and those with intellectual disabilities. It also addresses important considerations like legal and ethical requirements for carers, the impact of caring roles on families, and different family structures. Additionally, the assignment explores service delivery models, relevant policies, and strength-based approaches to client care, offering a holistic view of nursing practices. Desklib offers a range of solved assignments and past papers to aid students in their studies.

Nursing Assignment 1
Nursing Assignment
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Nursing Assignment 2
Table of Contents
QUESTION1: Observation at a client’s home...........................................................................3
QUESTION 2: Indicators of abuse and/or neglect....................................................................4
QUESTION 2: Importance of acknowledgement of the roles of all people involved in the care
plan of a person..........................................................................................................................6
QUESTION 3: ways in which the caring role can have a negative impact on families, carers,
and friends..................................................................................................................................6
QUESTION 4: Types of family structures and effects on person with support needs..............6
QUESTION 5: Changes or transitions in the life of a person with support needs and their
effects on families and carers.....................................................................................................7
QUESTION 6: Service delivery philosophy and models of my organization (Care-full
Service Delivery).......................................................................................................................7
QUESTION 7: Policies and Procedures of Care-full services for carers and families..............8
QUESTION 8: Legal and Ethical Requirements of a carer.......................................................8
QUESTION 1: assessment of the needs of clients and their carers and families......................8
QUESTION 7: Body processes and their importance..............................................................12
QUESTION 1: Class sessions on human body and its healthy functioning............................12
QUESTION 1: Supporting ones independence and well-being...............................................15
QUESTION PC 5.2: Importance of understanding the necessary workplace documents.......15
QUESTION PC 5.4..................................................................................................................15
QUESTION 1: evidence/ details of communication at three different work situations..........16
QUESTION PC 1.1:.................................................................................................................17
QUESTION PC 1.3..................................................................................................................17
QUESTION PC 2.3: seeking feedback from client with disability.........................................18
QUESTION PC 3.3: Dialogue on success strategy.................................................................19
QUESTION PC 3.4..................................................................................................................19
References................................................................................................................................22

Nursing Assignment 3

Nursing Assignment 4
QUESTION1: Observation at a client’s home
My supervisor assessed my observation of the client’s home which was home to an elderly
man.
My responsibilities included:
 Assess the suitability of the home to the elderly man
 Examine security protocols, if at all they are there
 Ascertain potential hazards and risk in the room
 Recommendations on how to minimize any potential risks
 Effectiveness of the smoke alarm
Security protocols at the clients homes
 All windows and doors are lockable and should be locked most of the times
 Keep a phone nearby
 Use the installed peephole in case of doubt
 Do not leave a spare key accessible
 Ensure that the home is well lit and motion sensor lights are installed and working
 Use an alert necklace or bracelet in case the phone is not reachable
Potential hazards in the room/to the client
 Too high cabinets
 Sharp utensils that break easily
 Furniture that is not easy to stand up from after sitting
 A small pet that gets below the feet
 Throw rugs
Potential risks to myself

Nursing Assignment 5
 Obstructed pathways
Hot to minimize these risks in this situation
Risks such as throw rugs can easily be eliminated. The furniture needs restructuring and be
made to the height and comfort of the client. The obstructed pathways just need a thorough
re-organization of the items in the house and elimination of the unnecessary items. The small
pet can only be substituted with a bigger pet.
The smoke alarm is averagely effective, however, I can make recommendations that the fire
safety system be assessed after every month to ensure that it is effective.
Limitations on my visit
 The client wanted me to fix the ineffective smoke alarm and yet I don’t have the
capacity to do so
 The client also wanted me to re-arrange the room to eliminate the obstructed pathway
Aspects of my care were person-oriented and I was able to empower and give the dignity of
risk to the client in various ways. I empowered the client by encouraging him and ensuring
that the room gave him the necessary comfort and ease. I also gave the client a dignity of risk
by assessing any potential risks and hazards in the room and making necessary
recommendations.
QUESTION 2: Indicators of abuse and/or neglect
Physical abuse
 Bruises
 Burns or scalds
 Fractures or broken bones
 Bite marks (Cooper, Selwood, and Livingston, 2008).

Nursing Assignment 6
Sexual abuse
 Fear responses to flashbacks of the assault
 Fear of whether it is possible to ever feel safe again
 Feelings of guilt (Austin et al., 2008)
 Loss of interest in sex (Rosen, Lachs, and Pillemer, 2010)
Psychological abuse
 Reluctance to talk publicly
 Avoiding eye or verbal contact with care provider
 Hopelessness
 Fear (Alonso, Manso, and Sánchez, 2012)
Emotional abuse
 Loss of self-esteem or confidence
 Social withdrawal or loss of interest
 Depression
 Headache (Glaser, 2009)
Financial abuse
 Abnormal use of credit cards
 Missing money from accounts
 Lack of basic necessities like food at home
 Missing possessions (Manthorpe and Samsi, 2012)
QUESTION 2: Importance of acknowledgement of the roles of all people involved in the
care plan of a person
It is crucial to acknowledge the roles of all people involved in the care plan of a person
because they are the ones who have a one on one experience or encounter with the client and

Nursing Assignment 7
therefore will provide information that is important on which specific support needs are
required.
QUESTION 3: ways in which the caring role can have a negative impact on families,
carers, and friends
i. Isolation. The demands of the role of caring can hinder carers and families from being
involved in normal participation of family and community activities and employment
(Bramble, Moyle, and McAllister, 2009).
ii. Invisibility. It is possible that the carer attending to persons with disability or illness
to focus so much on the patient to the extent of forgetting their individual care
iii. Low quality of family relationships among the care givers because of the high care
giving demands
iv. Lack of bonding between the client and their families and friends due to isolation
(Williams et al., 2010).
v. Depression amongst the family members and friends due to the separation
QUESTION 4: Types of family structures and effects on person with support needs
i. Nuclear family
Nuclear family may have an effect on a person with support needs because of the already
established bond amongst the family members
ii. Single parent family.
A single parent family affects the individual in need of support because of the limited
financial resources which only come from a single person (Cunningham, 2014).
iii. Extended family.

Nursing Assignment 8
An extended family affect the person with support needs because this structure is often
characteristic of financial difficulties thus may not be able to cater for the expenses of care
giving but instead will prefer to stay together in the same house
QUESTION 5: Changes or transitions in the life of a person with support needs and
their effects on families and carers
i. Inability to move or perform basic tasks. This will significantly affect the family and
carer because the individual will appear like a burden to the family
ii. Sense of isolation. The individual with support needs will feel isolated and thus
become depressed leading to other health problems, and this will psychologically
affect the family and friends
iii. High demands of care with increase in age may be too strenuous for the carer thus
affecting the quality of care offered the client. This will further affect the quality
health of the patient
QUESTION 6: Service delivery philosophy and models of my organization (Care-full
Service Delivery)
The Care-full Service deliver model offers a framework for palliative care service providers
(primary and specialist) to jointly offer services for the advantage of patients and families
The Model aims at attaining cohesive, co-operative, excellent quality palliative care service
delivery in all its branches and to ensure that there is complete access to patients through:
 Comprehensive evaluation of the palliative care needs of the patients
 Minimizing duplication
 Clarity in roles
The model appreciates that:
 Persons suffering from sicknesses that limit life should individually be attended to
from the specialists’ care-full service delivery according to their unique needs.

Nursing Assignment 9
 Most of the patients are offered primary care-full services without having to go
through the specialist service
QUESTION 7: Policies and Procedures of Care-full services for carers and families
Procedures
 Client accident incident reporting and investigation
 Abuse and neglect of a client
 Food handling
 Standard of service provision
 Supporting and reporting client behaviours of concern
Policy
 Client health checks
 Clients human rights and freedom from abuse and neglect
 Cultural security for clients
 Disability aged care entry and exit criteria
QUESTION 8: Legal and Ethical Requirements of a carer
i. Privacy and confidentiality. This provides guidelines on how to collect, use, and
disclose any personal information about the clients
ii. Disability discrimination act and racial discrimination act. disability discrimination
act prohibits the discrimination of people based on their disability whereas the racial
discrimination act offers prohibitions on discriminating one on the basis of colour
QUESTION 1: assessment of the needs of clients and their carers and families
Elderly
Profile information
Age: 78 years

Nursing Assignment 10
Name: Eliphas White
Family structure: Extended family
Current medication and their purpose
Eliphas white is currently undergoing medication for osteoporosis to strengthen his bones and
enable him to walk
Summary of medical history
The client has been sick for the past 15 years and has been under medication. The major
diseases that have affected him in his old age or for the past 15 years include diabetes and
osteoporosis
Present physical abilities
Can only for short distances when aided
Poor eyesight
Home safety problems
No one is available to take care of the client, all family members are busy with work and
school
Need of carer
The patient requires constant needs of a carer
Recommendation: the client should be assigned a carer for home care nursing and the house
remodelled to suit the situation. Alternatively, the client can be taken to a care centre
Client with physical disability
Profile information

Nursing Assignment 11
Age: 20 years
Name: James Clark
Family structure: Nuclear family
Current medication and their purpose
James Clark is currently under no special medication since his condition is permanent or
inborn
Summary of medical history
The client has not been ill for the last two years, except for psychiatric services that are
offered to him on monthly basis
Present physical abilities
The client can only move using his wheel chair due to disabled legs
All other major organs are appropriately functional
Need of carer
The patient requires more of counselling services and part time carer
Client with intellectual disability
Profile information
Age: 20 years
Name: Edith Whimsy
Family structure: Nuclear family
Current medication and their purpose

Nursing Assignment 12
Edith is currently undergoing medication to improve her intellectual and cognitive abilities
Summary of medical history
The client has been suffering from intellectual disability since birth but has been improving
Present physical abilities
The client can accomplish all physical activities except for those that require aggressive
mental involvement
Need of carer
The patient should be provided with a psychiatrist and a specialist in intellectual disabilities
QUESTION 2: Strength-based approach in assessment of care relationships
My client is Mr Richard aged 66 years and is living alone since the death of his Wife who
they had been married for 20 years.
Problems encountered
The client became emotional when asked of his past and thus could not offer detailed
information regarding how he feels currently
The client had signs of depression and financial mismanagement but was unwilling to open
up. The neighbours were very much willing to help the old man but he wanted to live lonely.
Strength based solutions applied
Several factors were considered when preparing for the assessment: the following questions
were asked in accordance to the legal duties for the Care Act
 What is to be considered to ensure the assessment is successful?
 How to ensure that a strength based approach is factored in
 Who will be engaged in the assessment