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Care Delivery and Care Management in Nursing - Case Study Example

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Care Delivery and Care Management in Nursing

(Kurtzman and Corrigan, 2007, 20-36). This patient, Mr. John Smith has mental disability.
Maintenance of Safe Environment: The nurse plans therapeutic interventions for clients with actual or potential risks for safety based on the nursing assessment of the risks and a development of a care plan for the specific client through a process called nursing process (Scott-Cawiezell and Vogelsmeier, 2006, p. 179-215).
Nursing Process: The Roper et al. model for nursing offers a framework where during care, the nurse is able to ensure that his individuality is taken adequate care of and provided due weightage. The Roper-Logan-Tierney model recommends a problem-solving approach in the nursing process (Roper, Logan, and Tierney, 1983, 17-19). Deriving from this, nursing process can be defined as a systematic approach to planning and delivering nursing care. This process comprises of four main stages, namely, assessment, planning, implementation, and evaluation. After the problem is determined, the nurse can then assess the needs of the patient. Depending on the needs, a plan of care is developed, depending on which the nurse can determine nursing goals. Once the goal is set, the chosen nursing care strategies can then be implemented, after which, it is also important to evaluate the care process, since any gap can be rectified through evaluation (Roper, Logan, and Tierney, 1983, 17-19).
Assessment: Assessment is a cyclica...
Smith. His main and actual problem was that he was unable to maintain his own internal and external safe environment due to his confused and impaired cognitive state. Rate of breathing, pattern of chest movement, presence of cyanosis, and pulse oximetry are important steps of assessment. It is important to remain aware that if needed, oxygen needs to be prescribed. Neurological assessment needed to be undertaken to assess the state of confusion and cognition. The aggression was also needed to be assessed. A safe external environment needed to be assessed by positioning of Mr. John Smith on bed, protective devices, and his own mobility. Apart from these, it was also important to assess whether all equipment for emergency care was within reach and was in working order. These included oxygen, suction apparatus, emergency trolley and resuscitation kit (Lesa and Dixon, 2007, 166-172).
Identification of the Actual and Potential Problems: While assessing Mr. Smith, his actual and potential problems were prioritized. He was elderly with confusion and memory loss. Therefore, he was dependent for his care and needs. His religious and spiritual needs were also important parts of the assessment. His most important need was his care needs in terms of safety. Once his respiratory safety was ensured, his other actual problems were identified. He was having a problem with mobility due to age and confused state. This would call for positioning in the bed, safety arrangements in the bed and bed to chair mobility. Due to bed-ridden condition, he might have pressure sore or deep vein thrombosis (Roper, Logan, and Tierney, 1983, 43-44). Independent movement was also unsafe. He could end up having falls that is a safety risk. He was having aggression that ...Show more


Introduction: This is an account of nursing care for Mr. John Smith applying nursing process. Mr. John Smith is a pseudonym, and his identity will remain undisclosed. This patient is a 74-year-old resident in a nursing home. He is a patient with confusion and memory impairment…
Author : lgreenfelder
Care Delivery and Care Management in Nursing essay example
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