Nursing Care Planning

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The model of Nursing that is most familiar to nurses was originally developed by Roper in 1976 and was updated and added to in 1980, 1981 and 1983 by Roper, Logan and Tierney. The model has been used in a wide variety of nursing settings. The model of nursing specifies 12 activities of daily living which are related to basic human needs. They are maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal hygiene, controlling body temperature, mobilising, working and playing, expressing sexuality, sleeping and dying.

In this essay I am going to look at how the nurse would establish a care plan in relation to the 12 activities of daily living, with controlling body temperature as its main aim. Controlling a persons body temperature is an important activity of daily living and is vital in everyday routines. The patient involved in the care plan is Mr Turner, a patient who has been living in a nursing home for the past year and has presently been unconscious for the past 3 weeks. The fact that Mr Turner is unconscious it is therefore vital that his body temperature is regulated and monitored at frequent intervals as Mr Turner is unable to inform nursing staff if he is feeling any changes in his temperature. The Roper, Logan and Tierney model of nursing suggests that the activities of living can be used as a guide when an assessment of needs is being carried out. The assessment process would most likely involve the nurse and the patient discussing each activity and identifying previous routines. However in Mr Turners case this may involve the nurse collaborating with relatives and close friends.

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When the primary nurse is establishing the care plan she must always have her main aim in mind. In Mr Turner's situation it is controlling his body temperature. The nurse has to ensure that the balance between heat loss and heat production is equal. The nurse should observe regularly for any...
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