right middle cerebral artery (MCA) infarct. A CT brain was performed which showed loss of grey and white matter differentiation and acute infarct in the right middle cerebral artery territory. He was assessed under the Roper‚
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and could not mobilise as it caused him considerable respiratory distress. Jack called his daughter who in turn accompanied him to hospital. The model used to plan Jack’s care was the ’Activities of Living Model’ developed by Nancy Roper‚ Winifred Logan and Alison Tierney (1980). It is the model used on the ward as it facilitates individualised and holistic nursing care. In conjunction with the nursing process it is possible for nursing interventions to be planned‚ implemented and evaluated following
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lost weight. Immediate assessment of Airway‚ Breathing and Circulation was carried out and the nursing diagnosis was that the patient had shortness of breath with Spo2 levels of 89% and cyanosis in the mucous membranes. My preceptor decided that it was important to give the patient high flow oxygen in a non rebreathable mask immidiatly to maintain saturation and assess the patients breathing until a doctor could be consulted. Once the Airway Breathing and Circulation had been addressed the nursing
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DMD‚ the main treatment focus is control of symptoms and management of complications. These complications include: • Dilated cardio-myopathy • Respiratory Impairment • Joint contractures • Scoliosis • Dysphagia Roper‚ Logan and Tierney (2000) developed a model of nursing and within this model they developed a Model of Living. The main features of this highly complex phenomenon are as follows: |MODEL OF LIVING | |Activities
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Safety and Comfort Essay The purpose of this essay is to devise a plan of care for a patient. The plan must be in relation to an actual or potential problem as identified under the Activities of Living (ALs) using the Roper Logan and Tierney model of nursing. For this a patient has been selected after meeting with them in a ward setting in the geographical area. Adequate verbal consent defined by Kozier et al (2008) as ‘an informed decision making process’ has been obtained from the patient
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demonstrates the importance of following defined methods‚ theories and practices (Aggleton & Chalmers‚ 2000). Nursing theories arouse out of the need to define the role of nursing as a profession and to begin thinking theoretically about nursing (Tierney‚ 1998) whilst moving away from medical orientation (Wimpenny‚ 2002). Utilising nursing theory allows for the empowerment and autonomy of the nurse (Holland‚ 2003)‚ providing the nurse with a clear sense of purpose and their role within the multidisciplinary
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.............page3 Patient presentation..................................................page4 Diagnosis....................................................................page Overview of nursing models and nursing process.....page Roper‚ Logan‚ and Tierney Model.............................................page Assessment...............................................................page Planning....................................................................page Intervention.......
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Introduction Throughout this piece the writer will discuss the fundamentals of nursing (primary‚secondary and tertiary care) when assessing Mr Murphy who is a seventy two year old gentleman recently discharged home from hospital on oxygen‚ post an exacerbation of his chronic lung disease. The assessment setting takes place within the commuity where the comunity nurse plays a pivotal role in assessing both Mr Murphy and Mrs Murphy within their home. This is appropriate due to Mr Murphy not being
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This essay will include Ms “Brown” (pseudonym) holistic nursing assessment and care plan. It will explain the reason for using Ropan‚ Logan and Tierney 2000 as a basis for assessment and care planning. The student will also use the Waterlow score and pain assessment tool during the assessment. Having recognized Ms Brown’s assessed needs and care planning decisions‚ those related to Ms Smith’s difficulty in mobilising and her pain are explained in further detail using the relevant literature including
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(dyspnoea)‚ and as lying down exasperates her ability to breath effectively‚ has been sleeping in a chair. This is the primary concern of Lily. There has also been recent weight loss. The aim of any nursing interventions will be to improve Lily’s breathing and nutritional status; allowing her to mobilise more effectively and relieve pressure on her sacral area. Dyspnoea is a common and debilitating symptom of heart failure. Patients frequently become distressed and frightened by their breathlessness
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