Comprehensive Patient Care Report: Millie's Health Assessment and Plan

This report presents a comprehensive health assessment of an 85-year-old patient named Millie, focusing on her various health issues such as discomfort, leg and joint pain, headaches, and constipation. The assessment utilizes a Functional Health Pattern approach, detailing Millie's medical history, medications, developmental history, nutritional habits, elimination patterns, activity levels, and sensory perceptions. The report then concentrates on Millie's significant leg and joint pain, analyzing the causes and recommending interventions such as warm compresses, gentle massage, physical therapy, and home care remedies. The report also emphasizes the role of nurses in providing care and support, highlighting strategies like positioning, climate control, massage, and patient education. The conclusion summarizes the findings and underscores the importance of a multi-faceted approach to managing Millie's pain and improving her overall quality of life. The report also includes references to relevant research and online resources.

Concept in Patient Care
1

TABLE OF CONTENTS
Introduction .....................................................................................................................................3
PART 1............................................................................................................................................3
Part 2................................................................................................................................................4
Task 3...............................................................................................................................................4
PART 4............................................................................................................................................5
Conclusion ......................................................................................................................................6
References........................................................................................................................................7
2

INTRODUCTION
The present research report focuses on self health assessment of a patient named Millie
who is suffering from different type of issues such as discomfort, pain in legs and joints,
headache due to intake of medicines and constipation. Furthermore, the scholar has selected one
particular issue, carried out its critical assessment and has provided recommendations to
overcome from that issue.
PART 1
Assessment according to Functional Health Pattern
Client Profit Millie is 85 years old and have issues related to health. It includes
discomfort on her back, deafness, swellings on their joints and knees,
she has a broken leg which is operated with rod and wire. Her leg
pains a lot and to reduce the pain she takes meditations. Regular
medications has caused her constipation. Further, she has deafness
and memory problem.
Treatments/Medications (a) Voltaren: When ever she feels pain.
(b) Over the counter drugs: None
Developmental history She had a husband whom she left because of this drinking habit. She
used to go to church but she in a while but that also she stopped
because of scare of falling or slipping off.
Nutritional/Metabolic Usual eating pattern: Prefer to have boiled food.
Elimination pattern Do not go out much but do get out with a friend to down town for a
cup of tea.
Activities Exercise
pattern
She does not do much of exercise and she does watch television most
of her hours to spend her day.
Sensory/Perceptual
Pattern
Hearing: She does not use any type of hearing aids. Do not ask
questions to be repeated but do tells the other person to be loud so
that others speak louder.
3

Pain: Serious pain on her leg as she was operated half a year ago and
leg was operated with wires and rod. Because of change in climate
she faces serious pain and for that she take Voltaren for pain relief.
PART 2
One of the major and most important issue which has been faced by Millie is related to
pain in her legs and joints. It can be stated she is facing severe pain in her legs and swelling in
joints because of which is not even able to move from one place to another. In order to deal with
this issue she is taking medicines but she is not getting desired results from the same. Further,
she requires someone who can support in going from one place to another and without support
this is not possible. One of the best possible solution for her ongoing care is related to providing
a warm bat to Millie. Every day a warm wash clothe can be placed near her joints for some time.
This will support her in getting rid of pain in her joints. The rationale behind this ongoing care is
that the heat generated will directly results in enhancing muscle relaxation and reducing the pain
in joints. Another effective way which can be used to deal with this situation is of providing a
gentle massage to Millie. It will also contribute in reducing pain and increasing relaxation which
will further support her in dealing with the issue faced. The complaints of pain in joints has
resulted in discomfort and fatigue in Millie.
TASK 3
In order to deal with the above mentioned issue it can be recommended that physical
therapy is one of the most effective way which can be used by Millie to overcome from the issue
faced. It is also recommended that Millie can seek for some home care remedies to lower down
the pain which she is having in her joints. For example she can use a wrap or brace to protect the
joint or she can avoid activities which results in pain. Apart from this, it is also recommended
that Millie should focus on consuming the right nutrients in order to reduce the pain which she is
witnessing quite often.
It can be stated that the selected website has given a deep insight into the health
improvements which can be used for patient suffering from pain in joints. Further, a detailed
information is uploaded on selected website which gives researcher a clear idea about the
4

suggestions which can be used and the rationale behind those suggestions. Each and every
section or point has been defined in clear manner and the information available can be termed as
accurate, reliable and authentic.
The information available can be very useful in development and implementation of
Millie nursing care plan. It will help care providers to become aware of key strategies which can
be used to overcome the issue faced by Millie. However, it can be argued that the one website
provides information related to the fact that how joint pain can be cured but it does not have any
data which reflects precautions which can be used to avoid joints pains (Pain management health
centre, 2016). On the other side, another website only lays emphasis on diet plan that can be used
by a person suffering from joint pain and another measure are not mentioned on the selected site
(Eat right food for your arthritis. e.d).
PART 4
Nurses play vital role in providing patient with proper care and support. In this context,
they are provided with proper care so that they take effective care (Dougados and et.al., 2013).
This essay will enable to identify the main strategies which are used by nurses through which
swelling in joints can reduced.
One of the main issue which is faced by patient that is Millie is swelling on joints. In
order to over this type of issue, nurses make use of that position the affected area with pillow.
Further, they make sure that the even there is change in climate, they make sure that the climate
of pain area do not change (Wojciechowski and et.al., 2015). Moreover, they make sure that the
swelling pain do not give raise to any other issue related to health. All safety measures are taken
so that patient do not feel uncomfortable for rest of her body. Further, proper measures are taken
so that subjective changes which take place are recorded and accordingly appropriate steps are
taken so that the issues faced by patient is solved.
Patient should be provided with proper rest so that they do not move their joints much.
There are cases in which the pain increases if it is make in use regularly. Further, frequent
massage is provided so that the swelling can be reduced (Ndosi and et.al., 2014). In some
situations, pain relief medicines are provided so that patient could get the strength to face the
pain. Moreover, they make use of joint protective strategies with the help of which it is balance
5

with proper rest. Swell areas are also covered with cloths and they frequently use hot water so
that issue can be solved. In addition to this, nurses educate patient so that they get to know the
things which they should do and what they should not. This enables to protect patient as they get
aware of what they should take care of (Villeneuve and et.al., 2013). Moreover, joint functioning
should be analysed. Nurse makes sure that they look over the improvement or raise in problems
so that they can develop strategies for the future and better services can be provided. Above
stated are the basic steps or strategies which are taken by nurses with the help of which nurses
provide proper care to their patient with swelling on their joints.
CONCLUSION
From the above carried out report, it can be concluded that Millie is suffering from a
severe pain in her joints. Further, she can make use of home and physical therapy to overcome
from the same. Apart from this, medications can be used to reduced the pain which she is having
in her joints.
6

REFERENCES
Dougados, M. and et.al., 2013. Adding tocilizumab or switching to tocilizumab monotherapy in
methotrexate inadequate responders: 24-week symptomatic and structural results of a 2-
year randomised controlled strategy trial in rheumatoid arthritis (ACT-RAY). Annals of the
rheumatic diseases. 72(1). pp.43-50.
Wojciechowski, J. and et.al., 2015. A population model of early rheumatoid arthritis disease
activity during treatment with methotrexate, sulfasalazine and hydroxychloroquine. British
journal of clinical pharmacology. 79(5). pp.777-788.
Ndosi, M. and et.al., 2014. The outcome and cost-effectiveness of nurse-led care in people with
rheumatoid arthritis: a multicentre randomised controlled trial. Annals of the rheumatic
diseases. 73(11). pp.1975-1982.
Villeneuve, E. and et.al., 2013. A systematic literature review of strategies promoting early
referral and reducing delays in the diagnosis and management of inflammatory arthritis.
Annals of the rheumatic diseases. 72(1). pp.13-22.
Online
Pain management health centre 2016. [Online]. Available through:
<http://www.webmd.com/pain-management/guide/joint-pain>. [Accessed on 24th
September 2016].
Eat right food for your arthritis. e.d. [Online]. Available through:
<http://www.arthritis.org/living-with-arthritis/arthritis-diet/anti-inflammatory/eat-to-beat-
inflammation.php>. [Accessed on 24th September 2016].
7