In adherence to the NMC code of professional conduct (2012) and confidential provision, I would like to identify my client with a pseudo name (Mary). Mary is a 74 year old woman whom is a resident of a nursing home. We had previous knowledge of a history of left cerebral vascular accident with left hemiparesis due to hypertension on 20th September 2004. See ‘appendix one’ for the clients profile.
At work, I have observed many clients with CVA who are at higher risk of developing a pressure ulcer. This makes me enthusiastic to learn more about the holistic approach to this problem. In order to assess fully a client’s needs, a holistic and humanistic approach should be taken, looking at the physical and psychological aspects of the patient, rather than just the patients’ actual health problem. According to Holland et al (2003) “Assessment is the gathering of information and formulation of judgements regarding a person’s health, situation, needs and wishes, which should guide further action”. Its purpose is to provide an accurate picture of patients, including both their capacity to perform activities of daily living and the stability of their condition. The action was taken to maintain a safe environment because Mary was in shock, in pain and unconscious. She was also at risk from injury due to her weakness and being in a strange environment. Due to the result of CVA she had developed severe cognitive and motor speech problem. She was unable to communicate verbally therefore she used a communicating board to express her feelings. Tracheotomy was inserted to maintain her oxygen saturation level and to prevent a chest infection. Providing adequate