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Care Planning

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Care Planning
Maximising Health

To protect the resident’s identity, the resident will be called Mrs Florence Nightingale. Mrs Florence Nightingale has been selected to demonstrate how to maximize health using the nursing process. She is a 77 year’s old elderly resident in a private up-market nursing home in an EMI unit, who’s unable to self mobilize and is dependent upon a hoist for transferring. She is unable to verbally communicate, or feed her self. Due to her restricted mouth movement, difficulty with swallowing and fear of choking she is only fed in liquid form, which is thickened. She suffers from multiple disorders such as Alzheimer’s, CVA (stroke) and is doubly incontinent. Issues focusing on sustenance intake and surrounding issues will be explored in order to maximize the health of Mrs Florence Nightingale. Issues include psychological and social impacts of eating alone, ensuring adequate nutritional intake and adequate mouth care. Through the nursing process the patient’s perspective of health is identified in order maximize the patient’s health.

The nursing process is an organised, systematic and cyclical method of giving goal oriented, humanistic care to patients that’s both effective and efficient (Alfaro-LeFevre, R. 1994), it is often supported by nursing models such as Roper, Logan and Tierney model for nursing, based on activities of living and Maslow's Hierarchy of Human Needs etc. It consists of five sequential and interrelated steps - Assessment, Diagnosis, Planning, Implementation and Evaluation – during which you perform deliberate activities designed to maximize long-term results (Alfaro-LeFevre, R. 1994). In the UK the diagnosis stage of the process is omitted, although UK nurses determine a patient's needs or problems, they are not widely regarded as "diagnoses" (Wikipedia 2006).
This systematic approach to care is cyclical in nature and can end at any stage if the problem is solved. The nursing process not only focuses on ways to improve the

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