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The Module Title Is Nursing The Highly Dependent Patient. The Essay Question Was 'discuss The The Role Of The Nurse In The Delivery Of Intravenous Therapy For The Highly Dependent Patient'.

3348 words - 13 pages

this essay was a level 3 grade essay. the minumum pass for the essay was 48%. this essay was marked at 60%. this essay discussed the various roles of the nurse. some of these were intravenous cannulation, assessment, planning, implementation and evaluation, delivery of intravenous therapy. an area that could of been improved on was,the physiology of fluid balance. more detailed in this are could of increased the mark. along with a more indepth critical appraisal of others work.This assignment is based on the module 'nursing the highly dependent patient'. The aim of this assignment is to discuss the role of the nurse in the safe delivery of intravenous therapy for a highly dependent patient, with reference to the to the normal distribution of body fluid. This topic was selected for discussion, due to the fact that intravenous (IV) therapy is now an important practice of the nurse, as it is recognised that up to eighty per cent of patients admitted to hospital will require this type of therapy (Wilkinson, 1996, cited in Workman, 1999). However, with regards to the delivery of intravenous therapy, by the nurse, there continues to be a high risk of complications associated with this (RCN, 2003). Therefore to address this topic, this assignment will identify the highly dependent patient, and will discuss why these patients may require IV therapy. It will also make reference to the normal distribution of fluids in the body and why this fluid distribution may alter in these patients. The role of the nurse will then be discussed, which will look at the nursing process of assessment, planning, implementation and evaluation. Finally, it will consider interventions that may be used to deliver intravenous therapy safely to the highly dependent patient.The highly dependent patient is recognised, as an individual, who as a result of illness, requires an increased level of nursing care. This may be individual who requires single organ support or a more detailed observation and monitoring, following surgery or discharge from an intensive care unit. These patients, as a result of illness, may have a multiple health problems, which require the assistance of intravenous therapy to meet their health care needs (Sheppard &Wright, 2000)Therefore, according to Spencer (1996 cited in Workman, 1999), the administration of IV therapy may have several purposes with regards to a highly dependent patient. Some of which are, to replace or maintain fluid and electrolytes, transfuse blood or blood products, or to administer medication. Those who may require this therapy are those who may not be able to physically take fluids, such as those who are debilitated (Sheppard & Wright, 2000). Those with cardiovascular, renal and respiratory problems, who cannot maintain fluid and electrolyte balance, due to dysfunction of these organs (Hand, 2001). The elderly, who are more susceptible to dehydration (Reedy, 1988, cited in Sullivan, 1999). Individuals, who have lost large...

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