NURSING CARE

Nursing Care

Nursing Care

Introduction

Referring to the problems discussed regarding Mr. Bonnici who has a number of health problems ranging from being overweight, has mild right sided weakness from a stroke (Cerebral Vascular Accident - CVA) mobilises independently with a frame and has a history of severe right sided shoulder pain. He has had no bowel actions since going into the facility. When creating a care plans it is evident that nurses must tailor them to the individuals needs, and collaboratively work with the client to achieve or maintain holistic well being, mental health, and independence. It is also imperative to recognize that many issues are multi-factorial and that one nursing goal can not solve everything. Through developing four nursing diagnoses, goals, and justifications it is clear that follow-up and re-assessment of the clients needs are crucial

Prior to the CVA, Mr Bonnici had some health problems that include a long history of anxiety and epilepsy. The cerebrovascular accident has left Mr Bonnici unable to perform any activities of daily living so has been forced to reside in a nursing home. Mr Bonnici is surrounded by elderly patients primarily affected by dementia, leaving his susceptible to other possible problems such as depressive episodes, (although he is on medication for depression), boredom, or possible withdrawal just to name a few. This paper will discuss how the nursing staff uses the nursing process to encourage Mr Bonnici to be involved in activities and his surroundings I will address areas such as nursing diagnoses and nursing goals with justification in order to promote the holistic well being.

The following are the nursing diagnoses, goals, and justifications suggested for Mr. Bonnici's recovery.

1- Palliative Care

Mr Bonnici's emotional wellbeing will largely determine his overall health. If he is happy, free from pain and discomfort then he is more likely to join in with daily activities in the facility. Nursing staff can assist Mr Bonnici to stay pain free Mr Bonnici self initiates toileting needs and moves around the building in a wheelchair but is still reliant on staff to assist him. If the nursing staff do not attend Mr Bonnici promptly he will try to transfer herself to the toilet and then is at risk of falling. Mr Bonnici understands this and waits sometimes but in order to avoid falls staff must be aware of Mr Bonnici's location at all times. This can be difficult at times as Mr Bonnici moves around from room to room, but generally seeks out a room with other people in it. Prompt attention will assist Mr Bonnici with elimination needs also and help to prevent constipation or incontinence. Some of the approaches to persevering care and nursing management have theoretical as well as pragmatic values. For example, palliative care has been advised an significant part of disease management guidelines and should not be restricted only to persons whose situation are serious, but can furthermore be utilised as an approach to minimize pain in patients who are in early phases of ...