For this assignment I will be writing a reflective account which will identify a significant episode of care in which I had been involved with, by identifying the pathophysiology and the disease process for the chosen patient; this will be presented by giving a brief outline of the psychosocial influences of the illness for the patient and others who may have been involved with the care. I will also reflect upon this episode by using a reflective model and examining the nursing process, using a holistic perspective throughout the reflective framework. Maintaining confidentiality is a key element, outlined in the Nursing Midwifery Council the Code (2008).
The care for this patient was assessed using Roper Logan and Tierney, being the most used nursing models. It is described by (Newton.C, 1991, 15). “the concept is based on four components with the nature of the individual, the nature of health and illness the role of nursing in health and illness and also the nature of the environment” these all cover the 12 activities of daily living. With many of the twelve affecting the patient some were more ideal for the patient individually. These will be assessed during the in-depth description of the patient.
The client admitted onto the ward, a Male of 58 years of age, with a past medical history of diabetes, hypertension, a BMI of over 28.4, which is recorded as overweight and also unstable angina, and also a patient who smokes 20 cigarettes daily. His family were keen visitors and always wanted to be involved with the care. This patient lived with their wife and was mobile. The client was admitted with unstable angina and this surrounded the care episode.
PATHOPHYSIOLOGY
Firstly I will now discuss the pathophysiology of angina to give the reader an insight into the disease and reference it within the client and the episode of care. Looking at the cardiovascular system it comprises of the heart arteries, capillaries and veins. “This is what