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Ongoing Health Needs Module: Client Study (Based On Care Planning)

2977 words - 12 pages

The purpose of this assignment is to critically review the process of care planning. This shall be done by examining the topic of care planning, focusing on the chosen client and researching the relevant evidence based practice. For the purposes of confidentiality all persons and places have been changed in accordance with the Nursing and Midwifery Council (2002)The client focussed on for this assignment shall be referred to as "Gordon". He was a 76 years old gentleman who had been transferred to the ward for rehabilitation following a right dynamic hip screw operation (DHS) correcting a fractured hip following a fall at home. Gordon's ongoing health need was that he suffered from Parkinson's which was controlled with drug therapy. Gordon displayed several of the classic symptoms for Parkinson's, (Larsen 1997) slow, stiff, shaky movements, which he had difficulty starting. He Stooped (hunching forward) shuffling when he walked, along with the DHS operation this all limited Gordon's mobility. Gordon needed a care plan that would facilitate his recovery from the operation but also incorporate the ongoing health needs of his Parkinson's. Another major contributing factor was Gordon's confidence, as a fall had caused his fracture, he was now afraid to mobilize for fear of falling again, this fear was limiting his abilities to return to normal mobility.What Is A Care Plan? A care plan is exactly what it says a plan of care for a particular client. Care planning is an essential part of healthcare. Without a specific document delineating the plan of care, important issues are likely to be neglected. Care planning provides a "road map" of sorts, to guide all who are involved with a patient care (Sox 2004). The care plan is not the sole domain of the nurse, to be effective and comprehensive, the care planning process must involve all disciplines that are involved in the care of the patient.Care was always planned long before the phrase 'a Care plan' was coined; what has changed is the method of planning. In the traditional system of nursing, care was planned round tasks, with the nurse in charge allocating a series of jobs to each nurse. The planning of this care was then documented in, for example, the bath book, bowel book, dressings book, etc., and when the task had been completed this would be noted in the cardex as a record of care given. Nurses have therefore always planned care, documented their plans and recorded the results of carrying out their care.The fundamental difference, in today's nursing however, is that the focus of care has changed from being tasks orientated to patient orientated, which has required nurses to consider the whole patient as a person and not just another wound that needs dressing or another section of constipated bowel that needs unblocking.Care plans today are almost exclusively based around models of nursing. Models of nursing are built up out of concepts. In what has become a classic definition, Riehl and Roy (1980)...

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