Activities of Living-Case Study

Throughout this essay, the chosen nursing model of assessing a patient’s social needs and medical history; Roper, Logan and Tierney (R-L-T model) Activities of living (AL) will be outlined (Holland et al, 2008). Through the use of substantial and relevant theoretical literature, AL will be highlighted i.e. biological, psychological, political economic, environmental and social-cultural issues. This will include theoretical highlights of care given to a patient admitted in hospital holistically. Basically by assessing and examining the importance of model and framework in nursing practice will help to understand the patient and rationale. A framework of Assessment, Diagnosis, Planning, Implementation and Evaluation (A. D. P.I.E) will be used and their importance explained (Walsh, 2001). The influence of other multidisciplinary team in providing care for the patient and the plan of care will be assessed in relation to the model and framework used.

Furthermore, an account of patient’s present health status, under my care while on my clinical placement will be explored, covering a one day shift period. According to the Nursing and Midwifery Council; Record keeping Guidance for nurses and midwives and people’s right to confidentiality (NMC, 2010), patient’s details are protected for confidential reasons. Therefore, my patient will be known as Mr Hussein aged 57. Information used in hospitals or any clinical settings is protected and nurses and all caregivers are expected to conceal for confidentiality reasons.

Identified Model and Rationale
The model by Nancy Roper, Logan and Tierney was first established in 1970 and had since been the backbone for student nurses to understand nursing care for a patient at a medical perspective. The R-L-T model consists of five components; AL, Lifespan, Dependence or Independence, Factors affecting the AL and individuality in lifestyles. Factors that affect AL are biological, psychological, socio-cultural and environmental and

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