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What Is The Role Of Nurses In The Community. Give Detailed Account Of A Patient Cared For?

2551 words - 10 pages

This essay focuses on the nursing care received by a patient during practice placement in the community. The rationale for choosing this patient is because the author participated fully in providing care needs for this particular patient. A good nurse and patient relationship was developed which enabled the author to feel confident and at ease whiles providing care. The author learnt and developed new skills, which will be essential for future clinical practice.There will be a brief account of the patient's patient profile. Models used to identified the patient's actual and potential problems will be discussed. The author will then critique the models used identifying the strengths and limitations. (Care Plan in Appendix One) In conclusion the author will reflect on the care given and how it will enable self-improvement in providing quality nursing in the future.In compliance with the NMC (2002) Code of Professional Conduct for confidentiality, the patient involved in this care study will be referred to as Mr. Ian Clarke to protect his identity. After clearly explaining my intentions, Mr. Clarke gave me his verbal consent to be subject of my care study without obligations.Mr. Ian Clarke is a 60-year-old English man. A chain smoker who smokes about 15 - 20 cigarettes a day. Mr. Clarke was once married but separated from his wife many years ago. He has 2 children but is not in contact with them. At present Mr. Clarke lives in a single hotel room, provided by social services after spending long periods of time in Prison and later on the streets. He has a lady friend who visits regularly, they have known each other for over 5 years.Mr. Clarke has a medical history of hypertension, type 2 diabetes mellitus, which was diagnosed 5 years ago and has been administering insulin (Human Mixtard 30/70) twice daily to control his diabetes. His presenting complaint is his leg ulcer, which has developed on both garter areas of his leg. This has been ongoing for the last 2 weeks and he is still undergoing further investigations.The purpose of the District Nurses daily input is to assist Mr. Clarke to administer his insulin injection, give him his other medications, check his blood glucose levels, monitor his blood pressure, re-fill his dossett box on a weekly basis , order any required prescriptions and book transport for any pending appointments to the hospital, e.g. diabetic clinic. Also dress his leg ulcer, which is done twice a week. Necessary referrals were made to other agencies as required. Awaiting the right diagnosis of Mr. Clarke's ulcer, the district nurse with the author used their own initiative to dress the ulcers.Mr. Clarke spends most of his day in his hotel room watching television and smoking. Due to his leg ulcer Mr. Clarke was not been able to go to the nearby park, which he visits with his lady friend to feed the birds.For this care study a combined model was used. Roper et al (1996) Activities of Living model and Orem (1995) Self-care model...

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