1. What are Gary 's current health problems? (Tip: don 't forget the beginning history from last week)
Gary’s main physical issue is a debilitating knee problem which possibly is psoriatic arthritis due to symptoms listed. His other health problems are being currently managed. His mental health seems to be deteriorating as evident by recent alcohol use increase.
2. How are you going to learn more information about Gary 's health?
He could make an appointment with a rheumatologist for a more comprehensive prognosis of his current condition. Other professionals he could attain assistance from are: a physiotherapist, dietitian or even perhaps a psychologist.
3. What assessments need to be conducted to provide a comprehensive assessment with Gary?
A range of rheumatology blood tests with an addition of an array of x-rays would be an ideal course of action in this regard.
4. What assessment tools might be useful?
Antibody
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Possible things that may be advised are for Gary to stay active with cardiovascular activity to not only help arthritis symptoms but his overall health. To supplement this is a diet designated specifically for his condition. Also an improvement to his sleep could stem from improving his mental health. In the meantime, he could play golf in a video game with some degree of physical movement. (Such as the Nintendo Wii)
6. What skills do nurses need to support person centred self management programs with clients?
Skills that nurses need to support in this manner are to firstly assess the client’s situation in a lateral direction that goes over client knowledge, what they have done, can and cannot do. The next step is finding a definition for the problem produced collaboratively between client and resounding health professional. With these two in mind both client and health staff can design a care plan based on goals in the realm of realism targeting core
Robbie and the team reviewed his HRST. According to the HRST, Robbie's medical diagnosis are exostosis of the medial malleolus, hypothyroidism, benign hand tremors, allergies and hypercholesteren. Robbie is under physician care for all diagnosis. He is currently prescribed four medications.
Individualised approach to care planning essay The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care.
The Essay that Is before you is on the metal stability of Alex McCandless during the period of the last two years of his life. To prove that Alex was mentally unstable I need to define the criteria that he will need to fit to be classified as mentally unhealthy or unstable. The Mayo Clinic a respected and internationally renowned hospital defines mental instability as Mental illness refers to a wide range of mental health conditions — disorders that affect your mood, thinking and behavior. Examples of mental disorders include: depression, anxiety disorders, schizophrenia, eating disorders and addictive behaviors. And they list a wide range of symptoms of mental illness Feeling sad or down, Confused thinking or reduced ability to concentrate,
In a clinical environment, person centred care is an essential approach in order to achieve the best outcomes for the patients individual needs. Person centred care involves taking a holistic approach to healthcare in which multiple factors such as age, beliefs, spirituality, values and preferences are taken into consideration when assessing, treating and caring for a patient (Epstein & Street 2011). It enables the patient to have a more interactive and collaborative approach in their healthcare, share responsibility and maintain their dignity and values. It involves a bio-psychosocial perspective to healthcare as opposed to a biomedical attitude. In order to provide patient centred care, the clinician needs to consider the individual’s needs
– as part of an organisation Make sure the one page profiles are in place and that the clients have support in having one. 3.2 Explain the different person-centred thinking skills required to support individuals? Different person centred thinking skills include being able to problem solve, promote dignity, privacy and inclusion and not to force your thoughts and opinions on the client and build a support plan that is personal to the person receiving the care. 3.3 Identify challenges that may be faced in implementing person-centred thinking, planning and reviews in own work? There may be lack of resources available or not having the right equipment.
So, therefore, his emotional condition is stable at times, then sometimes it needs reassurance, but his physical state seems to be
Through-out the therapeutic process the practitioner should help the client understand and accept how they view their self-versus how they are actually. The techniques that are used while using the person centered approach are empathy, genuineness, nonjudgmental and being able to listen, and reflect the client narrative. Integrating your theoretical orientation at your field placement My practicum mission statement “To enable all young people, especially those who need us most, to reach their full potential as productive, caring, responsible citizens”.
Person Centred Care and the Older Adult Is a person centred care approach really that important when it comes to nursing an older person? The answer is simply, yes. Older people are susceptible to a range of vulnerabilities and threats to their personal identity. This essay sets out to prove how meaningful and imperative it is for nurses to provide the elderly with individualised patient care. Divided up into two sections, the first will include a discussion on how patient centred care immensely benefits an older adult by improving their experience while being looked after and taken care of.
3.3% of patients have a written care plan of whom 71% had helped to put it together. 67% reported they utilise their care plan day to day to manage their own health Unfortunately it is not evident from the findings what percentage of patients who had contributed to their care plan use it day to day compared to those that had not contributed. These findings which have been relatively consistent in recent years suggest the existence of other barriers to person centred care. One of these barriers may be the challenge of changing existing mindsets of clinicians to move from the biomedical models of care to a biopsychosocial model, from expert to partner.
After reading Bill 's case study, my immediate reaction on how much Bill suffered with physical pain and mental challenge did not make me feel bad for Bill instead I feel that we can assist him with the services he may need in order to improve his quality of life at home and at work. The problem I saw in the beginning of the case report is his current job as a bartender at a local pub; because of his physical limitations and an inability to concentrate in order to support detailed work can lead to mistakes on the job. To work as a bartender, it requires to have social skills with customers/co-workers; however, Bill 's anxiety interferes with his ability to work with people. I can see an issue of a strong link between overweight and depression; a common mood disorder that can have a huge negative impact on his daily life. Being overweight is a serious health issues that can lead to heart disease and diabetes (type 2 Diabetes Mellitus).
Ask the client there likes and dislikes and there goals for their future this will become the start of your care plan. 1.6 Describe the key features of different styles of person-centred planning and the contexts in which they are most useful? The client is at the centre of the care: this requires having a meeting with the client and listening about what they’d like to do and what they don’t like. This means that the client is at the centre of attention in there care plan. Family members and friends input: this is taking information of their family and friends and using it in a care plan this can be helpful to know more about their cultures and life before entering the home.
Mental illnesses are prevalent in many lives throughout the world. From small undiagnosed conditions to sever mental states. It is impossible for some to escape the hardships of suffering caused by their mind. This is the case in J.D Salinger 's Catcher in the Rye. The boy, Holden Caulfield, is confronted with unseen medical conditions in which he suffers from on a daily basis.
The most closely relatable theoretical framework to customer client is the Nursing Process Discipline Theory. Many studies have shown that the implementation of Orlando’s theory can lead to improvement of nurse-client relationships while decreasing distress. The Nursing Process Discipline Theory developed by Ida Jean Orlando seeks to understand the role of the nurse in addressing the patient’s needs for help. It is crucial for the nurse to utilize their perception, thoughts, and feelings to explore the meaning of the patient’s behavior. This process allows the nurse to identify the source of distress and to attempt to provide the help needed.
Person-Centred Care aims to ensure that the older adult is an equal partner in their health care. Key components that ensure PCC is provided are the following: respect and holism power and empowerment choice and autonomy empathy and compassion. (Rcn.org.uk, 2015) A person-centred approach to nursing focuses on the individuals needs, wants, goals and desires so that they become central to the care and nursing process (OpenLearn, 2015). According to The Department of Health (State of Victoria, Australia), person-centred care is a philosophical approach to care, ensuring that service systems are developed in partnership with older people and/or their carers (Health.vic.gov.au, 2015).
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge