Patient Care Plan for Mr. George Albert Baden

This poster presents a patient care plan for Mr. George Albert Baden, a patient with increasing headaches, loss of balance, and minor age-related changes. The poster includes assessments, fall risks, referrals to neurologist, physiotherapist, and occupational therapist, and treatment options. The poster is for NURS3005 - Transition to professional practice 2 at Flinders University.

NURS3005 – Transition to professional practice 2. 1 – Poster Template
Student Name: Student ID: Tutor: Class Number: 9
I
I am Sumitra KC,3rd year nursing student from Flinders University. I am taking care of this patient who is admitted in the
hospital. The full name of the patient is Mr. George Albert Baden, date of birth is 14/05/1941, MRN number is 2679318.
S
Increasing headaches
Loss of balance
Minor age related changes
After admitting, daily episode of loss of balance has been seen but no fall have been seen.
B
Had Past Medical History of Hypertension, MI, Atrial fibrillation, Moderate Congestive Cardiac Failure, Osteoarthritis in his
left hip.
The patient is presently on Metoprolol 50 mg, Furosemide 40 mg and Meloxicam 15 mg, Enalapril 5 mg medications.
A
Head-to- Toe Assessment
Vital signs
Pain Assessment
Neurological Assessment
BGL blood test
Uric Analysis tests
Fall risks: The patient has fall risks, where it includes mobility problems, balance in disorders and chronic illness and impaired
vision variedly which further is essential to be checked. Also fall risks such as mild bruising to broken bones, head
injuries and even death are some of the risks which can be found that are critical to be analyzed within patient.
R
Referral to Neurologist, Physiotherapist,Occupational Therapist

NURS3005 – Transition to professional practice 2. 1 – Poster Template
Rational, Reason or
Justification (this
section must be
referenced and refer
to the NMBA
standards)
I
Rational or Reason or Justification
I have introduced my-self to the succeeding person with a handover covering my name and my designation. Introduction to the
next healthcare professional or any staff is necessary so that it provide a support and direct the next staff towards resources to
optimize various health related decisions of patient. Nursing and Midwifery Board of Australia (NMBA) standards of nursing
concentrates upon promoting professionalism, values and trust. It sets out a professional behavior and code of conduct in which
importance of introduction of self is mentioned (Ossenberg and et.al., 2021). Standard-2 of NMBA states that nurses should
communicate efficiently and should be respectful of a person's dignity. Collaborative and therapeutic practice of NMBA
standards focuses upon the communication, teamwork and collaboration. Standard 2.8 of 2, Of NMBA focuses upon
participation as it leads to collaborative professional practice (NMBA-Enrolled nurse standards for practice, 2021).
Self introduction to the next staff helps the next professional to have a clear idea and understanding of the role of the preceding

staff (Lewis, 2020). If a handover does not provide any clear identity of giving person's identity to the other person, the Right
To Be Informed is violated (Bromley, 2018). The section 2.10 of NMBA provides that patients must acknowledge and
accommodate whenever possible to the referencing of patients receiving nursing care (NMBA-Enrolled nurse standards for
practice. 2021).
In this handover, I have introduced the patient in three identifiers including his name, his date of birth and his MRN number
carefully regarding confidentiality and privacy issues. These 3 identifications can help in patient identification and prevent any
errors relating to identification. Staff must be aware of surroundings where they are communicating about handover (Ossenberg,
Mitchell and Henderson, 2020). It is important because it can violate the right to privacy of the patient if the surroundings is not
appropriate for communication (Forrester, 2018). Right to Safety of patient can breached if there is any mis-identification of
information (Bryce, Foley and Reeves, 2017). Standard 6 of NMBA practices states that nurses must provide appropriate, safe
and responsive quality nursing practices for the patient (NMBA-Enrolled nurse standards for practice. 2021).
S
Rational or Reason or Justification
Through observing the condition of Mr. Baden, I have provided analgesia for pain relief. I have mentioned all the facts and
condition which fall under his situation. No falls were observed since the patient was admitted but various episodes of loss of
balance were seen. Minor aged related changes were also seen from a CT scan.
The standard 3 (3.7) of NMBA states the role of nurses in identification and promotion of integral part of nursing practices and
professionalism in influencing improved health results for patients (NMBA-Enrolled nurse standards for practice, 2021).
Reactions such as high headaches and loss of balance can be a symptom of fluctuating blood pressures. Section 3 also states that
a registered nurse is responsible to provide information and knowledge to validate people for decision-making and taking
actions related to their health and well-being (NMBA-Enrolled nurse standards for practice, 2021). Handovers can provide
clarity for expectations or outputs of the conditions of Mr. Baden (Wilson and et.al., 2019).
Understanding patient situation is very important because it can help the staff to access, analyses and utilize the best evidence
available which include research findings for a quality and safe practice according to the to Standard-1(1.1) of NMBA. Point
1.7 of Standard 1 of NMBA, analysis of situation contributes towards quality improvement and relevant research for patient
outcomes. Situation analysis can help the registered nurse to seek, respond and engage actively to practice review and feedback
on patient outcomes as per Section 3.5 of NMBA (NMBA-Enrolled nurse standards for practice, 2021).
B
Rational or Reason or Justification
As per NMBA, Standard 1.2 states that registered nurses can develop their practices through reflecting on experiences, actions,
beliefs and knowledge provided by previous staff in the background to identify how to shape practices. Background also help
the next staff to plan, take decisions and evaluate assessment of patient information (Cashin and et.al., 2017). According to
standard 1, effective communication with the patient and their family is necessary to get all the required information adequately.
It is very important to assess all the medications which Mr Baden was taking as they might exacerbate the symptoms and the
reasons for his admission. As per the standard 2 of NMBA, it is essential for the nurses to establish professional therapeutic
relationship with the patient and their family because this can help in reducing anxiety and stress regarding treatment and
practices (NMBA-Enrolled nurse standards for practice, 2021). According to section 3.2 it provides knowledge, education and
information required for enhancing people's control over the health outcome of patients. Section 4.1 of NMBA, focuses upon
the usage of assessments such as background for working I collaboration with other staff to determine factors which affect he
health and well-being of people to determine potential action and referrals (NMBA-Enrolled nurse standards for practice,
2021).
A
Rational or Reason or Justification
I have included Head to toe assessment for Mr.Baden to detect any unusual findings of all the body systems on the patient’s
overall condition. Symptoms of any neurological changes has been performed to check the level of consciousness by using
Glasgow Coma Scale(GCS) to assess the patient’s eye opening, verbal response and motor response(Reith et al., 2016) . Mr
George is experiencing some changes in his brain which are leading to dizziness. GCS highest score is 15 which reflects fully
alert and oriented whereas lowest score is 3 which reflects unconscious. CT scans of Mr. Baden were conducted in order to scan
his head and examine his blood vessels. Mr. Baden has been experiencing pain due to increasing headaches. For the pain
management, OLDSCART pain assessment tool has been conducted to assess the pain (Telford, A.,2017). Mr. Baden was
advised to get physiotherapy to treat Osteoarthritis. CT scans of Mr. Baden were conducted in order to scan his head and

NURS3005 – Transition to professional practice 2. 1 – Poster Template
examine his blood vessels. MRI of head was also conducted to detect any brain injury and cause of increasing headache (Lowe
and Plummer, 2019). MRI scans help in monitoring of treatment effectiveness. Cardiac monitoring tests were also conducted to
know if fluctuating heart rates have cause loss of balance (Endacott and et.al., 2018). As from the past history of Mr. Baden, he
had moderate cardiac failure. and hypertension. Blood pressure tests were also conducted to analyze symptoms of cardiac arrest.
As Mr. Baden has OA in his left hip, X-Ray of pelvic region has also been conducted to assess the injury. ECG was also
conducted as Mr. Baden has a history of various heart diseases such as moderate cardiac failure and MI (Nagle and et.al., 2017).
Assessment also helps the registered nurses or professionals in assessment of data and available evidence for developing a plan
related to treatment of the patient as per section 5.1 of NMBA nursing practices. According to the NMBA Standard 7,
assessment of patient information can help the registered nurses in motioning and evaluation of patient's progress towards the
expected outcomes of patient's health (NMBA-Enrolled nurse standards for practice, 2021).
Fall risks such as chronic illness, and impaired vision and head injuries have been found to be justified as fall risks factor where
patient has been found to be crucial within patient as patient faces various diseases. Blood tests and U/A has been also done as
it plays crucial role for appropriate further treatment of patient and to appropriately build up new strategies for proper
treatments to be done.
As per standard 1 of NMBA, critically thinking for strategies and best available evidence is critical for decision making.
Assessment of patient should be based upon professional relationships and conduct systematic and comprehensive assessments
as per Standard 2 and 4 of NMBA. According to standard 7 of NMBA the outcomes must be monitored to practices
accordingly (NMBA-Enrolled nurse standards for practice, 2021).
R
Rational or Reason or Justification
I suggest that there are various options for ailment which can be recommended. For increasing headache MRI scans were
considered and as per the reports Mr. Baden is referred to a neurologist who can treat headache. Neurologist will be able to
identify the exact reason for increasing headache. The Physiotherapist would assess Mr. Baden’s mobility as he had OA in his
left hip to improve patient’s quality of life( Cassarino et al.,2019). The OT will help patient to live independently to perform
day-to-day tasks (Cassarino et al.,2019). Patient was experiencing dizziness and was having several incidents of loss of balance.
For treatment of heart rate fluctuations MR. Baden is referred to A Advanced heart failure center because, he has a past record
of moderate cardiac failure. Advanced heart failure center is also referred because Mr. Baden also had Hypertension, Atrial
fibrillation and MI which can lead to cardiac arrest and the heart related diseases. Mr. Baden is also referred to a physiotherapist
to treat his Osteoarthritis in hip.
According to section1.4 of NMBA Standard 1, staff must focus on providing nursing care as per the agreed plan of workplace
policies, professional standards, care and procedural guidelines (NMBA-Enrolled nurse standards for practice, 2021). Section
3.6 of NMBA focus upon consulting the registered nurses and other professionals of the multidisciplinary heath care system and
teams for providing accurate information and enabling informed decisions by other professionals (Takashima and et.al., 2019).
Standard 2 and 6 of NMBA states that the staff must establish professional relationships and provide safe and appropriate
responsive nursing practices. As per standard 7 the the progress of practices must be monitored for expected outcomes (NMBA-
Enrolled nurse standards for practice, 2021).

NURS3005 – Transition to professional practice 2. 1 – Poster Template
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