Assessing Student Nurse in Planning Patient Care: Holistic Assessment
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.
The Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008) states that a person’s right to confidentiality must be respected, therefore pseudonyms will be used to refer to individuals and all personal information used within the care plan are fictitious. Also, consent was obtained from the people involved in this scenario.
John Smith is fifty seven years old and was admitted after a fall and consequently left neck of femur fracture. He has undergone surgery to repair his fracture and was able to mobilize with full weight bearing a day after the procedure. However the post-op x-ray three days later has shown a crack fracture below the prosthesis and John was put on bed rest with 5lbs traction on his left leg for six weeks. John was born with cystic spina bifida, and has no motor sensation on his legs, however he was able to mobilise independently using elbow crutches before the surgery. In spina bifida, the spinal cord is damaged or not properly developed and as a result, there is always some paralysis and loss of sensation below the damaged region. The amount of disability depends very much on where the spina bifida is, and the amount of affected nerve tissue involved. Also, bladder and bowel problems occur in most people with spina bifida, as the nerves come from the bottom of the spinal cord, so are always below the lesion (ASBAH, 2010). John is expected to stay in the ward for at least another
The Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008) states that a person’s right to confidentiality must be respected, therefore pseudonyms will be used to refer to individuals and all personal information used within the care plan are fictitious. Also, consent was obtained from the people involved in this scenario.
John Smith is fifty seven years old and was admitted after a fall and consequently left neck of femur fracture. He has undergone surgery to repair his fracture and was able to mobilize with full weight bearing a day after the procedure. However the post-op x-ray three days later has shown a crack fracture below the prosthesis and John was put on bed rest with 5lbs traction on his left leg for six weeks. John was born with cystic spina bifida, and has no motor sensation on his legs, however he was able to mobilise independently using elbow crutches before the surgery. In spina bifida, the spinal cord is damaged or not properly developed and as a result, there is always some paralysis and loss of sensation below the damaged region. The amount of disability depends very much on where the spina bifida is, and the amount of affected nerve tissue involved. Also, bladder and bowel problems occur in most people with spina bifida, as the nerves come from the bottom of the spinal cord, so are always below the lesion (ASBAH, 2010). John is expected to stay in the ward for at least another