NURS1103: Patient Care Plan for Mrs. Violet Kwong: Assessment

This assignment presents a comprehensive patient assessment of Mrs. Violet Kwong, focusing on her overnight admission, vital signs, and mental state. The assessment identifies loneliness and depression as primary concerns, stemming from her husband's departure and isolation from family. The assignment includes open-ended questions designed to explore Mrs. Kwong's feelings and promote patient safety, such as inquiries about her coping mechanisms, relationships with her children, and overall mental well-being. The process information categorizes vital signs as normal and the overnight admission as abnormal, prompting reflection on the need for psychological assistance. The conclusion emphasizes the importance of a care plan that prioritizes her mental and emotional needs, recommending a visit to her family in Malaysia to alleviate her distress. References to relevant research papers support the assessment and care plan's approach.

NURS1103: Written Assessment
Patient: Mrs. Violet Kwong
1. Patient situation: From the current situation, it can be clearly ascertained that the patient
Mrs. Kwong was admitted in the hospital overnight and the lower BP, increased heart
rate and respiratory rate seem to be the major causes. The major cause for this present
state of Mrs. Kwong was the loneliness and depression that she was facing after her
husband had left and the fact that she is away from her friends and family who are in
Malaysia. The isolation that she is suffering from has also made her relationship with her
children superficial where she perceives that they are communicating with her only as a
facade. This has affected her mental state and the wound on her leg is also an increasing
concern for her but overall it can be said that the mental state in which she is in is more
complex than any physical evidences of deterioration in health which are not present in
her.
2. Collect cues/information:
Open ended questions: Person centred explanation and reason for
asking
Have you coped up from the incident of
your husband going away?
The reason that this question will be asked is
that the mental state of the person is very
difficult to be understood without proper
insight into the actual grief that they are facing.
Further, when the cognitive thinking of the
patient, the mental exertion that they are facing
and the behavioural state in which they are is
key in designing the care plan for the patients
(Xia & Li, 2018). For instance, this question
will help in understanding what the current
mental state of Mrs. Kwong is i.e. whether she
is still living in th past or has she accepted the
fact that her husband has went away and
therefore she has moved on. In both the
different cases, care plan would obviously
differ where in the former care plan would be

more retrospective and indoors as compared to
the care plan in second case which would
include more physical activity.
Why do you think your children are not
really concerned about you?
Patient has often found to be complaining
about her two children where she says that the
girl comes on weekends and just keeps talking
and then leaves without thinking to ask even
once about the actual heath of her mother. Son
on the other hand just talks on calls and hangs
up within few minutes. Now asking this
question will force her to seriously think about
the relationship that she actually shares with
her children and she might change her opinion
about them later on. It has been identified that
the support of children in the older age is
extremely necessary in identifying that
whether the patient is in a mentally stable
ground or not (Shvedko & et.al., 2018). This
will help in developing correct activities for
Mrs. Kwong where her interactive sessions
with the local children around the premises or
with other older ladies can be increased so that
the loneliness aspect decreases.
Do you really think that your health has
been affected or are you ill with any
serious concern?
This is the most critical question that can be
asked with the patient and there are chances
that this question can even offend the patient.
But, it is necessary to ask Mrs. Kwong this
question because she does not shows any
serious health consequence and the only
trouble that she is facing is mental or
emotional. If she is happier from her
surroundings or from the environment in
which she lives then it will get easier for her to
conform towards leading a better life.

Therefore, asking this question will help in
probing that whether there is need of any
practical i.e. operational treatment for her and
the care plan can be more psychologically
oriented rather than being practical thus
helping the patient (Campagne, 2019).
Are you at the state of mental peace? This is another question that probes the mental
peace rather than the physical evidence and in
this the patient themselves think about the
reasons that why they are unhappy. This is the
most effective retrospection where the patient
begins to search the reasons for their
unhappiness themselves thus identifying and
solving the reasons or causes themselves. This
can contribute effectively in the care plan
developed for Mrs. Kwong where she can
engage in mental exercises and activities as she
pleases based on the results that she has
identified. Therefore, it is necessary to increase
the chances at the better lifestyle where
happiness is the primary goal rather than other
worldly prospects (McHugh Power & et.al.,
2019). It will help her in recovering much
quickly because the mental stress and the state
of depression is the major reason behind the
decreasing health of patient currently.
Do you think you require any intensive
medical care?
Asking this question is very important as this
helps in ascertaining what is the wish or desire
of the patient. Many times patients without any
serious diseases or problem wish to undertake
intensive care where they are kept laced in
medical equipments. This is mainly done in
order to seek attention of their loved ones.
Another category of patients are those who do

not find themselves in need of any specific
medical treatment of care when they ponder on
the question deeply (Valtorta & et.al., 2018).
This has therefore ultimately led to the patient
Mrs. Kwong engaging is self analysis and
therefore the care plan can be developed
according to the wish that she expresses upon
retrospection. Even if she chooses the option
of medical assistance, it will not be very
intensive as she does not has any major
physical disease and her care plan will broadly
be more psychological or liberal.
3. Explanation of how the questions will promote patient safety
The questions that have been asked will probe into the existing mental status of the
patient and will help in developing better insights into the thinking patterns and emotions
that the patient is experiencing. As it was identified in the research paper published by
Xia & Li (2018), it is imperative to ascertain the exact cause and further the view of the
patient regarding different important aspects of their life, but, the authors have further
emphasised, it is even more important to give them a chance to retrospect. They should
analyse themselves that whether they are carrying the opinions that have actually been
placed in their minds by someone else or are these feelings, beliefs and emotions their
own. This can critically help in improving the thought process of the patients.
Further, it can also be summarised form the view point of Valtorta & et.al., (2018), that
there are many patients who mainly require the psychological assistance or treatment of
the patients who are more inclined towards the reception of the attention and concern of
their relatives or families in the guise of medical treatments and equipments. If the
patients show these symptoms then they need assistance severely in terms of the mental
and emotional well being. Therefore, it can be said that tin case of the current patient
being examines i.e. Mrs Kwong, she is also suffering more form mental trauma rather
than any physical constriction and her reports have turned out fairly stable vitals.
It can hence be concluded that the use of correct care plan strategies for the patients is
necessary in ascertaining the correct treatment procedure for them and therefore help

them in addressing the concerns satisfactorily where the patient is promoted to search for
happiness rather than seeking loneliness and this can be used to ultimately improve the
existing condition of the patient effectively.
4. Process information: The normal data can be categorised as the vital signs of the patients
that prove to be stable and balanced with slight increase but that is treated as entirely
normal given the different conditions that they are facing overall. Mrs. Kwong’s vitals
were stable and therefore can be categorised as normal information about her.
However the abnormal information can be categorised as the one where despite the lack
of any major physical injury, Mrs. Kwong admitted herself in the medical facility
overnight which is a abnormal mindset and mental or emotional state that it presents.
This abnormality can be further researched in the context of the peace that Mrs. Kwong
needs by meeting her family which is based in Malaysia.
5. Reflection: On the basis of the study of the case study on the patient Mrs. Violet Kwong
and further on observing the vitals that she presents, it can be effectively concluded that
the patient does not require any medical assistance or does not needs to undergo any
major operations but she is need of psychological assistance. Further, I can conclude that
the best solution for her would be to visit her friends and family in Malaysia where she
can spend a while and regain the calmness and happiness with which she has always
lived and again reconnect her. This is the major cause behind her present state and
therefore can be addressed adequately using these effective strategies rather than
consumption of any medicines or undergoing any operation.

References
Campagne, D. M. (2019). Stress and perceived social isolation (loneliness). Archives of
gerontology and geriatrics.
McHugh Power, J. E., & et.al., (2019). New insights into loneliness and its treatment in older
adults. The American Journal of Geriatric Psychiatry. 27(3). S8-S9.
Shvedko, A., & et.al., (2018). Physical activity interventions for treatment of social isolation,
loneliness or low social support in older adults: A systematic review and meta-analysis
of randomised controlled trials. Psychology of Sport and Exercise. 34. 128-137.
Valtorta, N. K., & et.al., (2018). Loneliness, social isolation and risk of cardiovascular
disease in the English Longitudinal Study of Ageing. European journal of preventive
cardiology. 25(13). 1387-1396.
Xia, N., & Li, H. (2018). Loneliness, social isolation, and cardiovascular health. Antioxidants
& redox signalling. 28(9). 837-851.