PLANNING STAGE Instructor Institution Date My patient is an elderly lady aged 82. To preserve the confidentiality of the patient as provided by the Nursing and Midwifery Code of Conduct (2008), I will refer her as Mrs. M. The patient who has been diagnosed with hyponatremia, UTI, confusion and Alzheimer requires proper nursing care…
Therefore, I will give a thorough analysis of Mrs. M’s condition as I plan the bathing activity and its application. My roles in caring for Mrs. M include ensuring that her dignity and privacy are upheld. More importantly, a patient centered care approach is applied. The care will focus on making the patient safe because of the risks associated with her condition. I am obliged to adhere to the legal and ethical code of conduct while caring for my patient and this includes ensuring confidentiality and respecting her. I will also play the role of ensuring that the care of the patient is documented. Cooney, A, et al. (2000) explain that the Roper -Logan-Tierney model of nursing provides that nurses must document the care that is provided to elderly patients with mental illness. This is important because it provides a point of reference that is important for the management of the patient’s condition. Furthermore, I will be responsible of reporting signs of possible deterioration of the patient’s condition. The love and belonging needs as stipulated by Maslow’s hierarchy of needs are important to the patient especially due to the fact that she lives alone. During the treatment, I will play the role of ensuring that the patient feels loved and cared for so that her social needs are achieved or met. Moreover, Maslow’s theory which describes safety needs can be used to evaluate Mrs. M. The patient has a risk of falling due to the confusion and hyponatremia that she has. As a result, it becomes necessary for me to put the safety of the patient as a one of the top priorities during the nursing care. Mrs. M has a son and a daughter. The assistance that the patient’s daughter gives her illustrates that she has emotional support and love from her family. Sutcliffe (2011) explains that the role of family members in taking care of elderly patients is very important because their social well being is determined by the love and support they get from those who are close to them. Mrs. M lives in Glasgow which is a nice neighborhood with favorable cultural and social factors. This contributes significantly to her psychological and social well being. It is therefore my role to take advantage of the social benefits that the patient has to enhance her wellness and health. I will play this role by encouraging the patient’s daughter to spend more time with her and talk about good moments. This would cause her to be more relaxed and less confused and thus help her to be free from the risks which are associated with her condition. The fact that Mrs. M does not smoke illustrates that her health behavior reduces the risks of quick deterioration of her health. According to Murphy, Gretebeck and Alexander (2007), patient centered care of elderly patients should involve plenty of communication between the care provider and the patient. The role of communication in the care of my patient is very significant due to the confusion that she often experiences. Through effective communication, I would be able to explain things that are confusing to the patient and therefore enable her to understand her surrounding well. This will help to reduce the risk of falling especially during the bath. Moreover, it is through good communication with my patient that I will be able to determine her health condition, needs, feelings and desires. I will be able to attain the trust of the patient if ...
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M. My patient has been diagnosed with hyponatremia, UTI, confusion and Alzheimer. I had planned to do my activity with another patient given Mrs. M left the ward, which she did before the day of the activity. I chose another patient that is suitable for a bed bath; I named her Mrs.
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