The aim of this care analysis is to explore the process of assessment and care planning of a patient who has been admitted into hospital.
From the assessment 2 keys areas of care will be identified and explored further.
The author will present the factors that lead to the patient being admitted, followed by an assessment of their general health status at this time.
The author will present the factors that lead to the admission into hospital, followed by a brief account of the client’s personal history and an assessment of their general health status at this time. The care that this assignment is based on is over a period of 10 days.
Throughout the essay a demonstration of using research based rational for all nursing care will be used.
(1)The author will attempt to explore the evidence and theories that underpins the nursing interventions and how they contributed to the care of this client.
(2)This will be achieved through a holistic assessment of the patient on admission to hospital. The nursing model that this will be based against is Roper, Logan & Tierney as this is the model that the trust follows.
(3)In conjunction with the 2 identified care needs, the patients physiological, psychological and sociological needs will be explored.
(4) In order to plan and deliver nursing care effectively the 4 step nursing process, assess plan, implement and evaluate will be followed in conjunction with the nursing model, Ropers activities of daily living.
(5) Finally I will reflect on my own inter-professional communication skills in relation to the assessment, care planning and the delivery of care.
In accordance with the Nursing and Midwifery Council (NMC) names of individuals and Trusts organisations have been changed in order to maintain confidentiality. (NMC, 2008)
As stated in the NMC, this patients health needs were dealt with in a professional manner at all times. In accordance with the NMC, guidelines for record keeping, (2008) all information that...