Contribute to Client Assessment and Nursing Care Plan: Mr. Bentley

This report presents a nursing care plan for Mr. Bentley, focusing on his discharge planning and the support services needed. The report analyzes three scenarios, addressing actual and potential problems such as stroke, urinary incontinence, dysphagia, hypertension, ischemic heart disease, pneumonia, and movement/balance issues. It outlines nursing interventions, including monitoring vital signs, administering medications, and encouraging patient movement. The plan emphasizes the importance of a residential care home for Mr. Bentley, and it references relevant literature and EN competency standards. The assessment and interventions are designed to promote patient safety, improve outcomes, and facilitate a smooth transition for the patient. The report includes detailed nursing diagnoses, interventions, and expected outcomes for each identified issue.

Contribute to client assessment
and developing nursing care

Table of Contents
ASSESSMENT TASK NO. 2 – SCENARIO..................................................................................3
Scenario 1 ...................................................................................................................................3
Scenario 2 ...................................................................................................................................3
Scenario 3 ...................................................................................................................................5
Considering the scenario of Mr. Bentley, he needs to be provided support services while
planning for the discharge. Therefore, he should be admitted to a residential care home. .......5
REFERENCES................................................................................................................................6

ASSESSMENT TASK NO. 2 – SCENARIO
Scenario 1
 I will function in accordance with the legislation, policies and procedures that govern the
practice of enrolled nurses.
 I will act in a way that will ensure safe outcomes for individuals and groups as I will
recognise and report the potential for harm.
 I will conduct nursing practice in a way that is ethically justified.
 I will conduct nursing practice in a way that respect the rights of groups as well as
individuals.
 I will accept the accountability and responsibility for my own actions with the practice of
enrolled nursing.
 Critical thinking will be demonstrated by me in conduct of enrolled nursing practice.
 I will make contributions to the formulation of care plans by working in collaboration
with registered nurse as well as individuals and groups.
 The nursing care of individuals and groups will be managed by me within the scope of
nursing practice of enrolled nurses.
 I will promote security, personal integrity and safety of individuals and groups.
 I will provide support as well as care to the service users as well as groups of individuals
(EN competency standards for the enrolled nurses. 2002).
Scenario 2
Actual problems
 Stroke or cerebrovascular accident (CVA)
 Urinary incontinence (Silberstein and et. al., 2012)
 Dysphagia
 Hypertension stage 1

Potential problems
 Ischemic Heart disease
 Brain edema due to stroke
 Pneumonia due to stroke
 Movement and balance problems due to stroke (Patwa and et. al., 2012)
Nursing Diagnosis Nursing Intervention Expected Outcome
Actual- Hypertension stage 1 Monitoring and recording the
BP three times 3- 5 min apart
while patient is at rest, sitting
standing.
It will provide a complete
picture of vascular
involvement and will help in
determining the scope of
problem.
Actual- Stroke or
cerebrovascular accident
 Monitoring vital signs
 Administering
supplemental oxygen
 Administering
medications as
indicated
 This will help in
reducing further
damage and will assist
in controlling the
situation
 This will help in
reducing the risk of
cerebral vasodilation
 Thrombolytic agents
will help in dissolving
the clot.
Potential- Pneumonia due to
stroke
 Monitoring
respiratory status
every 2 hours
 Making the patient
rest in Fowler
position.
 This will ensure
effective airway and
pulmonary ventilation
 This will assist in
optimal gas exchange
Potential- Movement and
balance problems due to
stroke
Assessing the extent of
impairment of mobility on a
regular basis
Encourage patient to assist
with movement and exercises
 Strengths and
deficiencies will be
identified which will
provide information
for recovery
 This will help in
reincorporating the
effected side as a part
of patient’s own body

Scenario 3
Considering the scenario of Mr. Bentley, he needs to be provided support services while
planning for the discharge. Therefore, he should be admitted to a residential care home.

REFERENCES
Books and Journals
Silberstein, S. D. and et. al., 2012. Evidence-based guideline update: Pharmacologic treatment
for episodic migraine prevention in adults Report of the Quality Standards Subcommittee of the
American Academy of Neurology and the American Headache Society. Neurology. 78(17).
pp.1337-1345.
Patwa, H. S. and et. al., 2012. Evidence-based guideline: Intravenous immunoglobulin in the
treatment of neuromuscular disorders Report of the Therapeutics and Technology Assessment
Subcommittee of the American Academy of Neurology. Neurology. 78(13). pp.1009-1015.
Online
EN competency standards for the enrolled nurses. 2002. [Online]. Available
Through:<https://www.google.co.in/url?
sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0ahUKEwi5sPffsLzTAhXCsY8KHcE0CxoQ
FggoMAA&url=http%3A%2F%2Fwww.nursingmidwiferyboard.gov.au%2Fdocuments
%2Fdefault.aspx%3Frecord%3DWD10%252F1349%26dbid%3DAP%26chksum
%3DaljeSkQ0D2Yzm4jBCcBhtg%253D
%253D&usg=AFQjCNHOw5U0EFpQ4e97Z8kidXYXNuHcNw>. [Accessed on 24th April,
2017].