This essay is based on the Case study of a patient named as Mrs Ford. It will be written as a logical account, adopting a problem solving approach to her care. She is elderly and has been admitted onto a medical ward in the hospital, following a stroke. This essay analyses the care that she will receive and focuses on the use of assessment tools in practice. Interventions will be put in place directly relating to the assessment feedback and in line with best practice.
Mrs Ford is a 70 year old lady who has been admitted following a stroke. She is accompanied by her husband. Mrs Ford is a fictional name used in this essay due to confidentiality (Nursing and Midwifery Council (NMC), 2010). A holistic approach to nursing care will be implemented and all dimensions of Mrs Ford considered during her admission, including all physiological, sociological and psychological aspects. Holistic nursing is healing the person as a whole, including the body, mind, emotion, spirit and environment, because everything is interconnected (Klebanoff and Hess, 2013). The problem solving approach applied to her care is the process of clinical reasoning. Clinical reasoning is a complex thought process that analyses specific information and comes up with possible interventions before deciding on the best course of action (Simmons, 2010).
Both Mrs Ford and her husband are anxious, and of their 3 children only one lives close by. Prior to admission Mrs Ford was independent and had been living with her husband in their own bungalow in a local village. She is a retired manager and was previously enjoying her retirement. The only medical history she has stated is hypertension occurring over the past 10 years of which she is on anti-hypertensive medication for. Mrs Ford is classed as obese with a BMI of 30 (WHO, 2006) and is currently presenting in hospital with a stroke. She has hypertension and is increasing in age which are the two most important predisposing risk