Roper Logan Tierney Model

INTRODUCTION
The existing health care system has progressively encircled the idea of patient-centred approach and empowerment (Siviter, 2008). Moreover, holistic nursing care demands nurses to incorporate accountability, spirituality and psychological well-being (Thornton, 2008). Therefore, in this essay I will present a patient who is admitted and holistically cared during my shifts on my placement ward. Applying Roper Logan Tierney model of care (2000) which focuses on the activities of daily living, an explanation of care rendered to the patient will be outlined. In accordance with the Nursing and Midwifery Council (2015) code of conduct, confidentiality shall be maintained and the patient name has been changed to protect identity. Full
However, she is obese and uses spectacles which increase her risk of falling. Hence, I lowered her bed and kept her zimmer frame, spectacles and call bell within her reach. I also demonstrated her the hand washing techniques and emphazised its importance in preventing the spread of infection.
Communication
Jo’s mother tongue is English and she can effectively communicate without any difficulties.
Breathing
Jo complained of SOB. On observation, I found that her respiratory pattern appeared to be rapid and shallow. I also checked her vital signs and the recordings were temperature 37.2 C, respiratory rate 26/minute, pulse rate 88/minute, blood pressure 130/80 mmHg and saturation on air 88%. No cough or pain while breathing is present. After assessing Jo’s breathing, I completed the National Early Warning Signs chart which showed a score of 5. Therefore, I did hourly vital signs monitoring as per the hospital protocol.
Eating and drinking
Jo is able to eat and drink independently. Due to poor eating habits, she is clinically obese with a BMI of 29.
Elimination
Jo has good bowel and bladder control and uses the hospital toilet.
Personal cleansing and
Lynes (2010) stated that PLB has better outcomes for patients with stable and unstable COPD. Jo looked worried in the beginning as it was her first meeting with the pulmonary rehabilitation team. Therefore, I stayed with her throughout the session, explained everything and reassured her which helped to establish a therapeutic nurse-patient relationship. Saracino (2007) defines the therapeutic relationship as a professional relationship between nurse and patient, which focuses only on the patient’s need for support guidance and care.
I educated Jo about the advantages of building up relationships with others. I asked Jo to reflect on it and to express her feelings. I also maintained eye contact throughout the conversation. Jo showed interest in improving her social interaction by meeting people attending the pulmonary rehabilitation program which helped me to identify that Jo understood what I communicated to her.
I encouraged Jo to walk using Zimmer frame and explained the importance of walking in weight reduction management. Whenever Jo became breathless, she was assisted to the chair and asked to do PLB which benefitted her tremendously. Kennedy (2007) explained that sitting down and leaning forward, placing elbows on the table has scientifically proved to reduce dyspnoea. Moreover, I closely monitored Jo for any COPD exacerbation and also administered oxygen according to the hospital