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Roper Logan Tierney Model of Nursing Assignment

   

Added on  2022-09-02

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Running head: NURSING CARE
Role of Adult Nurse in Adult Care Setting
Name of the Student
Name of the University
Author Note
Roper Logan Tierney Model of Nursing Assignment_1

NURSING CARE1
To provide effective care to the patient, the nursing and multi-disciplinary team will
follow the Roper Logan Tierney Model of Nursing which is a theory of nursing care based on
activities of daily living (Williams, 2017). Using this model of care, the adult nurses and the
multidisciplinary team will process one daily activity that is critical in restoring the health of
the patient. To comply with the NMC Code of Conduct of confidentiality, a pseudonym Mrs
Burst will be used to discuss the patient in this essay (Nursing & Midwifery Council (NMC),
2015). The Author will discuss the health need, the role of the nurse and a discussion to
clarify on how effective communication and teamwork is essential in care delivery. This
narrative refers to an 89year old woman who was admitted due to aspiration pneumonia and
Lower respiratory tract infection (LRTI). Her medical history showed she had three strokes in
the past, urinary tract infection, high cholesterol, Asthma and type 2 diabetes. Before she was
admitted to hospital, she was staying alone with four times package of care. Patient stayed in
hospital for more than four weeks because she was waiting for placement to a rehab centre
while she recovers.
According to the Nursing and Midwifery Council 2018, the very first priority of the
nurses should be to assess the patient upon and get a complete picture of the patient’s current
and future care needs (Shepherd 2017). With higher competency in nursing skills, the nurses
can recognise the pertinent changes to prioritize their interventions accordingly to ensure the
highest standards of health care delivery to the patient (Wighus and Bjørk 2018). The nurses
can employ a structured assessment including physical examination to complete the
inspection and assessment of the patient’s required level of care (Bani-issa et al. 2019). On
the basis of this assessment, clinical judgement on the nursing interventions should be made
by the health care professionals and nurses (Standing 2017).
A similar assessment of Mrs Burst, was done to outline the healthcare services and
multi-disciplinary team formation to provide patient-centered care to her. She has been
Roper Logan Tierney Model of Nursing Assignment_2

NURSING CARE2
diagnosed with lower respiratory tract infection and infection. The medical history of the
patient includes type-2 diabetes, 2 stroke incidents, urinary tract infection, high cholesterol
levels and asthma. Analysing the medical history, it is evident that the patient requires the
standard intervention of the multi-disciplinary team to work together and address patient care
and safety.
Upon conducting a thorough aphasia assessment of the patient’s current health status,
a package of care was determined specifically for Mrs Burst. This care package included
professionals from different fields to provide disease-specific care to the patient. The
Mississippi Aphasia Screening Test (MAST) and Western Aphasia Battery-Revised (WAB-
R) were used the two screening tools, used for determining the language skills of the patient
(Nursi et al. 2019; Clark et al. 2019).
One of the interventions determined for Mrs Burst is SALT (Speech and Language Therapy)
taken care of by a speech and language therapist. From the health assessment of Mrs Burst, it
was evident that she was suffering from aphasia and was at a risk of chronic condition owing
to her medical history of two strokes. From the health assessment of Mrs Burst, it was evident
that she was at high risk of suffering from chronic aphasia due to a medical history of two
strokes. Aphasia is a condition of the impaired ability of speech production, which is resulted
from brain damage. This communication is a disorder is common in older patients who have
suffered from a stroke in their past. Stroke incidents can lead to injury or damage to the
language parts of the brain, disability the person’s capability to understand words and
communicate effectively. As the patient had a past history of 2 strokes, it can be determined
that the patient is at high risk of attaining chronic aphasia (Stahl et al. 2018). To improve this
condition and treat aphasia, speech and language therapy is recommended, for which the
professional has been assigned. The therapist will increase the speech activity of Mrs Burst
and reduce any signs of impairment with the help of short and less intensive sessions of
Roper Logan Tierney Model of Nursing Assignment_3

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