Nursing care assessment Essay:
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Holistic Care Nurse Essay The name and other identifying information about the patient included within this piece of work have been changed to protect confidentiality, as required by The Code of Professional Conduct Nursing and Midwifery Council, For this reason, the patient included in this case study will be given the pseudonym of Sam Jones.
The purpose of this assignment is to identify one client problem and provide an evidence-based plan of care for the individual. This model was chosen because is it extremely prevalent in the United Kingdom and is the most widely used model familiar to nurses.
Care plans are based on evidence-based practice, allowing the nurse to determine the best Holistic care essay care and rationale for the chosen nursing interventions Roper, Logan and Tierney, They take into account the psychological, biological and sociological needs of the person and therefore provide a holistic approach to care Roper, Logan and Tierney, The main activity of living that will be affected within this care plan will be maintaining a safe environment as Mr.
Diabetic ketoacidosis DKA usually occurs in people with type 1 diabetes mellitus, but diabetic ketoacidosis can develop in any person with diabetes Diabetes UK, DKA results from dehydration during a state of relative insulin deficiency, associated with high blood levels of sugar level and ketones Diabetes UK, This happens because there is not enough insulin to allow glucose to enter the cells where it can be used as energy so the body begins to use stores of fat as an alternative source of energy, and this in turn produces an acidic by-product known as ketones Diabetes UK, Severe metabolic acidosis can lead to shock or death Dugdale, The specific problem was chosen because there are measures that can significantly reduce the risk of metabolic and hypovolemic shock which can be caused by severe metabolic acidosis Dugdale, Within the care plan relevant care interventions will be identified to prevent the possible development of shock for Mr.
In practice the interventions would happen contemporaneously. The interventions involve identifying the potential risk factors for the development of shock by using specific assessments. Once the diagnosis was made, specific, achievable, measurable, realistic and time limited goals of care for Mr.
The NHS foundation trust specific guidelines for adult diabetic ketoacidosis suggest a series of immediate actions and assessments for suspected DKA which will allow for appropriate interventions to be made and will provide a baseline which will provide a measure of the effectiveness of the treatment The Joint British Diabetes Societies Inpatient Care Group, [JBDS], Mr Jones will need fluid and electrolyte management to clear ketones and correct electrolyte imbalance Nazario, He will also require pharmacological involvement which will include administrating medication that is needed to reverse the acidosis, raised blood glucose and pH levels Nazario, Psychological intervention is also necessary to reduce his anxiety and therefore reduce potential shock Nazario, The goal of treatment for Mr Jones is to lower his high blood sugar level with insulin an hour after the insulin infusion is administrated with the expected outcome of maintaining a blood glucose level in the range of 8.
Another goal is to replace his lost body fluids; intravenous fluids will be given to treat dehydration and dehydration status will be assessed every hour by monitoring intake and output, skin turgor and vital signs JBDS, Fluid and Electrolyte Management According to The Joint British Diabetes Society the usual cause of shock in DKA is severe fluid depletion secondary to osmotic diuresis leading to intravascular volume depletion.
Diabetes Daily justify this by stating that dehydration can become severe enough to cause shock. So once a diagnosis of DKA has been established, fluid replacement should be commenced immediately Park, According to Oaks and Cole the development of total body dehydration and sodium depletion is the result of increased urinary output and electrolyte losses.Free Holistic papers, essays, and research papers.
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Words | 8 Pages. Palliative care is a system of holistic care aimed to satisfy the requirements of the chronically ill, typically within their home and community rather than as an in-patient1. Hospice is based on the same principles of care. Holistic assessments in nursing provide a unique quality of care to the individual patient.
Holism in the provision of care includes assessments obtaining data about the physiological, psychological, sociological, spiritual, developmental, cultural and environmental aspects. Holistic care essay. Chuck maze runner descriptive essay us education system essay ceremonial steffen serra essay essay cleanliness of rivers and my responsibilities in school writing research papers with confidence.
Essay on universe. The name and other identifying information about the patient included within this piece of work have been changed to protect confidentiality, as required by The Code of Professional Conduct (Nursing and Midwifery Council, ).
HOLISTIC NURSING Suggesting that holistic nursing care should be introduced in postgraduate critical care nursing, Lane et al () point out that critical care education is an important aspect of professional development for a critical care nurse.