Patient Care Report: Nursing Introduction and Action Plan for Elderly

This report delves into a patient care scenario involving Mr. Williams, a 75-year-old patient who experienced a fall. It emphasizes the role of future nurses in mitigating risks and preventing harm to elderly individuals. The report analyzes Mr. Williams' case, highlighting the importance of patient-centered nursing to improve health outcomes. It explores the author's reflections on the patient's experience, including feelings of sadness, guilt, and a commitment to enhance care. The report outlines the nurse's values and beliefs, emphasizing ethical principles like honesty and beneficence. It critically analyzes the quality of care provided, identifying both inadequate and adequate aspects. The conclusion underscores the need for improved communication, timely care, and family involvement. Finally, it presents a detailed action plan to enhance Mr. Williams' health outcomes, including setting goals, identifying symptoms, and utilizing strategies like effective communication and person-centered care. The report stresses the importance of nurses' involvement in creating action plans to improve the health outcome of Mr. Williams.

PATIENT CARE-NURSING

INTRODUCTION
Future nurses have a responsibility to reduce risk factors faced by individuals and protect
specially older people from falls and harm that can be caused to them from falls. Assignment
lays focus on experience faced by Mr. Williams (Bill) a 75 year old patient. Case study presents
that patient has gone through an accidental injury due to fell down (Gausvik et.al. (2015).
Assignment highlights theories such as patient centred nursing in order to improve health
outcome of service user. Report discusses about feelings and thoughts of future nurses related to
accident. Further it will lay emphasis on nursing action plan to enhance well-being of service
user.
MAIN BODY
Background information
Reflection is a method that registered nurses use in order to make patients ware about
there situation and conditions. This make nurses better understand about the service users'
disease and prevent them to develop further risks.
1. Description
The stage first of Gibb's reflection cycle which is description stage gives nurses with the
methods and tools to have an idea about experiences faced by patients such as in this case of
prevention of falls. Case study provides information about Mr. William who has suffered from
chronic accidental injury and had undergone surgeries with both positive and negative aspects.
(Urden et.al. (2015). A negative aspect was that nurses were not involved in timely care of
patient and did not inform about precautions he can take for rest. A positive aspect was that bill
have an idea about his present condition. Two main themes of care includes timely care for
patient suffering from fall and acute diagnosis for present conditions of patient. (Laschinger et.al.
(2014).
2. Feelings and Thoughts
After listening to the experiences shared by Mr. William I was totally in shocked and was
surrounded with feelings of sadness, guilt and shame. I was feeling ashamed as a nurse that
hospital settings were totally ineffective in their working and failed to impart acute care to
elderly ill patient. In my placement I would have provided care based on values and beliefs
followed by bill (Tobiano et.al. (2015). My all the decisions will be based on needs and
preferences of service user. Mr. William was given inefficient care which has also made him

anxious and depressed. I had a feeling of sympathy and empathy towards patient after hearing his
tough experiences. I was disturbed, distress, stressful and thought of how I can improve my care
and what methods I can use in order to enhance health outcomes of Bill.
3. Values and Beliefs
At my placement I would be involved in providing care To Mr. Williams which are
totally based on patients values and beliefs. Treatment underlies ethical principles of care that is
honesty, autonomy, beneficence. All the decisions related to diagnosis process will be taken by
service user after consulting to their family members. Also, nurses should be involved in giving
treatment to patient which is fair and just (Boev et.al. (2015). No discrimination would exist on
the basis of caste, colour, age, sex or religion. These values and beliefs are very important as it
benefits both patient and nurses. It will improve health outcome of service user and enhance
nurses quality of work. These values and beliefs are also important to family member of patients
as it assists them in knowing the exact condition of service user. These principles are also
important to me as it would help me in removing my feelings of guilt and shame (Urden et.al.
(2015).
4. Analyse
The care aspects in the case scenario was inadequate as patient was not provided with
timely care. No nurses and health care professionals were available near service user with whom
he can communicate his problems. For example Mr. Williams was waiting for 11 hours in the
waiting room and no nurse or health-care professional was coming to have a check upon.
According to Laschinger et.al. (2014) if nurses are not involved in building relationship through
effective communication, then it might hamper patients health and they might have a feeling of
ignorance. Like For instance Mr. Bill was feeling ignored as he was shouting in pain and feeling
isolated, yet he has no one to share his feeling. Nurses have the responsibility to provide
emotional support in order to build relationship with patient, so they are easily able to identify
the needs and wants of service users.
The care aspects in the case scenario was adequate as person-centred care was being
implemented to Mr. Williams. Like for example Bill was sent to the best physiotherapist by his
GP in order to cure his arm. According to Gausvik et.al. (2015) person-centred therapy supports
nurses in knowing the perception followed by an individual. This help nurses in building a
relationship of trust and friendship with service user that improves their well-being. This therapy

identifies each persons' ability and desire for growth and change. The therapist offers support and
guidance so that patient can discover solution to their problem themselves. Like for instance GP
provided Mr. Bill assistance and told him the name of the best physiotherapist so that he can
consult him. Also, health-care professionals analyse Mr. Williams need and ask him to swallow
pill cam which is an advanced technology used for curing anaemia. Also, nurses have found out
the reason behind anaemia by doing endoscopy of patient. These practices by carers has build
trust in the mind of Bill.
5. Conclusion Drawn
Mr. Williams lost trust in public health-care services when he was left unattended and
ignored. The negative indicator here presents the adverse patient outcome and fall in service
users condition. These indicators will direct a future change in patient and family care provided
by health-care professionals. Adverse outcome in patient health conditions would make service
user to not consult that nurse again (Urden et.al. (2015). They will form a negative image in their
mind for nurses and health-care professionals. These indicators will force nurses to enhance their
communication power in order to meet needs and wants of Mr. Williams. It will also allow them
to give timely care and involve family members of Bill in decision-making process. Nurses need
to alter there way of working, they can involve multi-disciplinary team in order to provide acute
care to service user.
Mr. Williams had a lot of trust in private hospital as health-care professional over there
guided him to the best physiotherapist. The positive indicator here presents improved patients
outcome and providing a safe and secure care to service user. These indicators will direct a
future change in patient and family care (The 3 Types of Nursing Sensitive Indicators, (2012).
Nurses will lay more emphasis on improving their service quality. They would try to build a
more trustful and friendly relationship with Mr. Williams. These positive outcomes will motivate
and encourage health-care professionals to better understand the patient. They would be involve
in keen monitoring and observing service users. Nurses would assist Bill to educate him
regarding the signs and symptoms of diseases patient has been facing. It would also help nurses
in early detection of disorders.
6. Action Plan
Nurses would be involved in creating action plan in order to improve the health outcome
of Mr. Williams. They will set a goal so that health-care professional can enhance their quality of

care. Health-care professionals needs to identify the signs and symptoms faced by patient
suffering from disease (Urden et.al. (2015). In order to partnership with patient and their family
many strategies like effective communication, person-centred care will be used by nurses. All the
treatment given by them would be based on culture and values of patient. Also, strategies can
include making use of multi-disciplinary team in order to enhance health outcome of Bill. They
would be involved in evaluating the health outcome of patient after implementing the strategies.
CONCLUSION
From the above study, it has been summarised that timely care and prevention of risk
from fall of patient has concluded as one of the most important task of nurses. For avoiding
improving present conditions of Mr. Williams, nurses has been involved in providing and
educating bill about his present conditions. Also, person-centred approach has used by health-
care professional in order to enhance there quality of treatment. Nurses has also indulged
providing care based on belief, values and culture of patient. Further, action plan has generated
by nurses to achieve there objective of giving timely care and establishing effective
communication.

REFERENCES
Books and Journals
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Gausvik, C., Lautar, A., Miller, L., Pallerla, H., & Schlaudecker, J. (2015). Structured nursing
communication on interdisciplinary acute care teams improves perceptions of safety,
efficiency, understanding of care plan and teamwork as well as job satisfaction. Journal
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Laschinger, H. K. S., & Fida, R. (2015). Linking nurses’ perceptions of patient care quality to
job satisfaction: the role of authentic leadership and empowering professional practice
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Laschinger, H. K. S., Read, E., Wilk, P., & Finegan, J. (2014). The influence of nursing unit
empowerment and social capital on unit effectiveness and nurse perceptions of patient
care quality. Journal of Nursing Administration.44(6). 347-352. DOI: 10.1186
Tobiano, G., Bucknall, T., Marshall, A., Guinane, J., & Chaboyer, W. (2015). Nurses' views of
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Tobiano, G., Marshall, A., Bucknall, T., & Chaboyer, W. (2015). Patient participation in nursing
care on medical wards: an integrative review. International Journal of Nursing
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Urden, L. D., Stacy, K. M., & Lough, M. E. (2015). Priorities in critical care nursing. Elsevier
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Online
The 3 Types of Nursing Sensitive Indicators. (2012). [Online]. Available through:
<https://www.americansentinel.edu/blog/2011/11/02/what-are-nursing-sensitive-
quality-indicators-anyway/>.