Activities of Living-Case Study

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Throughout this essay, the chosen nursing model of assessing a patient’s social needs and medical history; Roper, Logan and Tierney (R-L-T model) Activities of living (AL) will be outlined (Holland et al, 2008). Through the use of substantial and relevant theoretical literature, AL will be highlighted i.e. biological, psychological, political economic, environmental and social-cultural issues. This will include theoretical highlights of care given to a patient admitted in hospital holistically. Basically by assessing and examining the importance of model and framework in nursing practice will help to understand the patient and rationale. A framework of Assessment, Diagnosis, Planning, Implementation and Evaluation (A. D. P.I.E) will be used and their importance explained (Walsh, 2001). The influence of other multidisciplinary team in providing care for the patient and the plan of care will be assessed in relation to the model and framework used.

Furthermore, an account of patient’s present health status, under my care while on my clinical placement will be explored, covering a one day shift period. According to the Nursing and Midwifery Council; Record keeping Guidance for nurses and midwives and people’s right to confidentiality (NMC, 2010), patient’s details are protected for confidential reasons. Therefore, my patient will be known as Mr Hussein aged 57. Information used in hospitals or any clinical settings is protected and nurses and all caregivers are expected to conceal for confidentiality reasons.

Identified Model and Rationale
The model by Nancy Roper, Logan and Tierney was first established in 1970 and had since been the backbone for student nurses to understand nursing care for a patient at a medical perspective. The R-L-T model consists of five components; AL, Lifespan, Dependence or Independence, Factors affecting the AL and individuality in lifestyles. Factors that affect AL are biological, psychological, socio-cultural and environmental and politico economic (Holland et al, 2008). The theory underpins R-L-T model with Maslow’s hierarchy of human needs that the 12 AL are basic human necessities unique to every individual. The framework should be used correctly to allow nurses create individualised plan of care for each patient. (Roper et al, 2000). The rationale behind this model is that it guides and gives instructions for nursing care. As a student, the model made it easy to understand and on how patient’s health illness can be affected from being independent and becoming dependent on families. Throughout my placement, I realised that it was the same model used during patient admission so need to familiarise myself with it. Moreover, I chose R-L-T model to advance on my skills and knowledge on nursing process. R-L-T model specifies that once the model is followed and used correctly it will help nurses in decision making and maintaining a good relationship between multidisciplinary teams (Pearson et al, 2005¹¹) As a result, I noticed this with nurses and made me reflect on nursing process, helping to maintain a systematic approach to care for patients constantly or periodically.

Advantages and Disadvantages of R-L-T Model
R-L-T model’s covers important areas, a patient expect such as; communication and care delivery professionalism, ethical practice and health promotion, educating them on how to live healthy and reduce risks and illness. The model also encourages nurses to use their own initiatives and knowledge when encountering anticipated or unanticipated situation to promote a quick recovery (Aggleton, 2000).

In addition, Roper model promotes and implement a systematic approach of care that is acceptable and a benefits to patients, looking at particular activities without ignoring others. It also allows the nursing process to sight into the illness experiences, consenting nurses to understand the patients’ psychological, socio-cultural and environmental and politico economic situations....
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