Preview

Acute Care: Care Implementation and Evaluation.

Best Essays
Open Document
Open Document
4287 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Acute Care: Care Implementation and Evaluation.
Acute Care: Care Implementation and Evaluation. This assignment will be based around the care that is implemented and evaluated, within a National Health Service (NHS) Foundation Trust (FT). The focus of the assignment will be to discuss two health problems that a selected patient has and has been admitted to the FT with. The selected patient had been admitted into FT with breathing difficulties and also suffering from dehydration. The assignment will focus upon the goals that are set for the patient whilst in FT and the reasons why the goals are set. The patho-physiology of the two problems will also be discussed and also the care that had been implemented to achieve the goals. Throughout the assignment, the patient will be known as Terry with the permission from the patients parents, according to the Nursing and Midwifery Council (NMC, 2008) confidentiality guidelines. The assignment will also aim to discuss the role of the Health Care Professional (HCP) in planning appropriate care for the patient, in particular, using the assessment technique of goal setting by using Specific, Measurable, Achievable, Realistic and Time Set (S.M.A.R.T) target planning technique (Roper et al, 1996). The reasons for planning care can involve the HCP assisting in preventing potential health problems, for example, breathing difficulties for the patient becoming worse and to also assist in solving problems where possible. Care planning can also assist in alleviating possible health problems that cannot be solved by HCP’ s and so will need the assistance of Multi Disciplinary Team (MDT) , for example, consultant, physiotherapists to further improve an develop the care plan. Terry is a 42 year old single man, who lives with his parents, and has suffered from a number of illnesses throughout his life, for example, optical glyoma, Deep Vein Thrombosis (DVT), epilepsy, and also learning difficulties. Terry has difficulty with breathing, and this appears to have been caused by


Bibliography: Bailey, M., Crossen, S., Holland, J., & Hollis, V. (2008) Observation 's in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 25, Pages 496-544. Oxford: Wiley-Blackwell Publishing. Brown, A Day, S. (1997) Caring for the Patient with a Nutritional Disorder in Walsh, M. (ed) (1997) Watson 's Clinical Nursing and Related Sciences. 5th ed. Chapter 16, Pages 552-570. Edinburgh, Bailliere Tindall. Dolan, S Gibb 's, G (1988) Learning by Doing: A Guide To Teaching and Learning Methods. Oxford: Further Education Unit, Oxford Polytechnic. Hackman, D Local NHS Trust (2004) NHS Trust – Recommended Protocol for Care of the Patient with a PEG. Liverpool: Local NHS Trust. Machin, J., Rhys-Evans, F Nursing and Midwifery Council (2004) Guidelines for Records and Record Keeping. London: NMC. Nursing and Midwifery Council (2008) The Code – Standards of Conduct, Performance and Ethics for Nurses and Midwives Roper, N., Logan, W. W., Tierney, A. J. (1996) The Elements of Nursing. 4th ed. America: Churchill Livingstone. Sarpal, N Soady, C. (2008) Tracheostomy Care and Laryngectomy Care in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 42, Pages 809-829. Oxford: Wiley-Blackwell Publishing. Waugh, A., Grant, A Woodrow, P. (1999) Pulse Oximetry. Nursing Standard. Volume 13, Number 42. Pages 42-46. Woodrow, P

You May Also Find These Documents Helpful

  • Powerful Essays

    Nursing and Midwifery Council (2004) The NMC code of professional conduct; standards for conduct, performance and ethics…

    • 6153 Words
    • 25 Pages
    Powerful Essays
  • Best Essays

    Nursing and Midwifery Council (2008) The Code: Standards of conduct, performance and ethics for Nurses and Midwives. [Online]. Available from: http://www.nmc-uk.org/Nurses-and-midwives/The-code/The-code-in-full/ [Accessed on 8th January 2013].…

    • 2439 Words
    • 9 Pages
    Best Essays
  • Good Essays

    * The code, standards of conducts performance and ethics for nurses and midwifes, NMC, London…

    • 1065 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Gibbs, G. (1988) Learning by doing : A guide to teaching and learning methods. Further Education Unit, Oxford Polytechnic, Oxford.…

    • 2274 Words
    • 10 Pages
    Powerful Essays
  • Powerful Essays

    This assignment will focus on the holistic assessment and care plan of a patient who was cared for during practice placement. It aims to discuss how the care planning decisions were made and relate these decisions with the relevant literature. The setting was an emergency trauma and orthopaedic ward and the care plan was developed in order to meets the patient’s needs after 1 week admission. The care plan was compiled by the student nurse and his mentor and aimed to identify the patient’s needs and the necessary interventions to meet these needs.…

    • 1902 Words
    • 55 Pages
    Powerful Essays
  • Powerful Essays

    This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will be discussed in-depth explaining the pathophysiology, social, cultural and ethical issues where appropriate in the care planning and decision making process. Any vulnerability that the patient may experience will be discussed and dealt with in the care planning and decision making process. The supporting evidence based literature will be analysed and interpreted throughout the assignment.…

    • 3729 Words
    • 15 Pages
    Powerful Essays
  • Best Essays

    The patient on which the care plan will be assessed will be a 72 year old female, May Watters who I assisted in the care of during clinical placement in the Emergency Department (ED). May Watters is a pseudo name to ensure confidentiality to An Bord Analtrais standards (ABA 2000). May was brought in by ambulance which was called by her husband Jimmy. May was brought into the ED for Diarrhoea and Vomiting 5/7 days and generally unwell and weakness and non productive cough. Mays’ husband who is her next of kin was concerned about her deterioration over the days previous to admission and called an ambulance to bring her into hospital. Her medical history includes having asthma from a young age, for which she takes a Ventolin inhaler twice daily. Her social history is she smokes ten cigarettes a day and consumes ten units of alcohol a week. She lives at home with her husband. Mays’ husband said that she has not been eating well for two weeks and feels she has lost weight. Immediate assessment of Airway, Breathing and Circulation was carried out and the nursing diagnosis was that the patient had shortness of breath with Spo2 levels of 89% and cyanosis in the mucous membranes. My preceptor decided that it was important to give the patient high flow oxygen in a non rebreathable mask immidiatly to maintain saturation and assess the patients breathing until a doctor could be consulted.…

    • 3499 Words
    • 14 Pages
    Best Essays
  • Powerful Essays

    Nursing Care Plan

    • 5169 Words
    • 21 Pages

    Patient was brought to Mercy Hospital ER by her husband who found patient lying naked on the doorway. She has multiple home medications including lactulose. History of hepatitis C, pancreatitis, cirrhosis, and alcohol abuse. Patient is allergic to codeine. She is suspected to have hepaticportal hypertension. She is on protonix, multi-vitamins, folic acid, thiamine and lactulose at home. Patients appearance is jaundice, lethargic with altered mental status. Patient only oriented to place. Pupils dilated and weakly reactive to light, deep sclera icterus, conjunctivae pallor. Neck is reported to be supple; no JVD, or LAD. Pt is in no respiratory distress. Her abdomen appears to be distended and it is tender to palpation. Blood Pressure 83/33, pulse of 53, respiratory rate of 24, and temp of 36.8 C. Medical team suspects she is having a GI bleed and an NG tube will be inserted to observe the amounts of blood and monitor if she is actively bleeding. Patient will be transferred to the MICU form ER. In MICU a central line was placed and an EGD was performed to rule out any active bleeding as well as…

    • 5169 Words
    • 21 Pages
    Powerful Essays
  • Best Essays

    Insulin and Diabetes

    • 3224 Words
    • 13 Pages

    The author of this essay will be discussing a patient with type 2 Diabetes Mellitus and will also be discussing the nursing care that will be received by the patient following a hypoglycaemic attack.…

    • 3224 Words
    • 13 Pages
    Best Essays
  • Best Essays

    Kozier, B., Erb, G., Berman, A., Sndyer, S., Lake, R. & Harvey, S. (2008) Fundamentals of nursing: concepts, process and practice. Essex: Pearson Education Limited.…

    • 3155 Words
    • 13 Pages
    Best Essays
  • Powerful Essays

    Acute care essay

    • 2487 Words
    • 7 Pages

    On admission to the hospital it is important that Mr Taylor is given an immediate and systematic assessment which will alert the healthcare professionals to any deterioration in his condition. The assessment method used in this case is the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach. Thim et al (2012) suggests that the aims of this approach are to provide the patient with lifesaving treatment, the ability to break down into more manageable chunks the complex clinical situation. It also provides all healthcare providers with a common awareness and serves as an algorithm for treatment and assessing which in turn can buy time to enable a final diagnosis and treatment plan to be made. According to the National Institute for Health and Clinical Excellence (NICE) (2007), patients may receive suboptimal care if staff do no act on clinical deterioration in a timely manner.…

    • 2487 Words
    • 7 Pages
    Powerful Essays
  • Best Essays

    Models and Framework

    • 2286 Words
    • 10 Pages

    Nursing model is a collection of ideas, knowledge and values about nursing which determines the way nurses, as individuals and groups, work with their patients or clients (Hogston et al. 2002). Models therefore help nurses to organise their thinking about nursing and then set about their practice in an orderly and logical way (Hogston et al. 2002). A nursing framework is a structure used to organise care given to patients (Siviter,2))000)…

    • 2286 Words
    • 10 Pages
    Best Essays
  • Powerful Essays

    Essential Care Needs

    • 1969 Words
    • 8 Pages

    This essay will focus upon meeting one of Mrs Jones’ essential care needs. Her care needs include loss of appetite, dehydration, constipation and pain. The need which will be focussed upon is Mrs Jones’ loss of appetite and nutrition. According to the Nursing and Midwifery Council Code, nurses must be able to provide the fundamentals of care including nutritional care. The code also states that nurses must practice using the best available evidence (NMC 2015). Mrs Jones does have other needs as stated in the case study and meeting Mrs Jones’ nutritional need can contribute to her other care needs such as constipation. According to McCallum and Reade (2009) constipation can be reduced through adequate fibre and water intake and constipation…

    • 1969 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Acute Care Theory

    • 598 Words
    • 3 Pages

    Nutrition is a very important and essential part in everyone’s everyday life. However, when it comes to acute care hospitals, long-term acute care in particular, proper intake of food and water can be highly needed in order for a patient to become healthy and be able to return to his or her everyday life outside of the acute care hospital facility. Obesity became a big problem for many developed nations, however malnutrition reported in hospital patients still remains a prevalent issue, that has to be solved in order to improve the quality of acute care and nutritional care in particular (WHO, 2010). According to Florence Nightingale’s theory, nutritional care is one of the major factors that plays an important role in healing of the patients.…

    • 598 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    ROPER, N. LOGAN, W.W. and TIERNEY, A. J. (1990) The Elements of Nursing Based on a Model of Living. 3rd ed. Edinburgh: Churchill Livingstone.…

    • 2470 Words
    • 10 Pages
    Powerful Essays

Related Topics