Refusal of Treatment

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Safety and Comfort Essay

The purpose of this essay is to devise a plan of care for a patient. The plan must be in relation to an actual or potential problem as identified under the Activities of Living (ALs) using the Roper Logan and Tierney model of nursing. For this a patient has been selected after meeting with them in a ward setting in the geographical area. Adequate verbal consent defined by Kozier et al (2008) as ‘an informed decision making process’ has been obtained from the patient and in order to protect their identity and coincide with NMC guidelines of patient confidentiality the patients name has been changed and neither the ward nor the hospital shall be disclosed.

The patient is Miss Webster who is a 46 year old female admitted to the ward with shortness of breath and an exacerbation of her chronic obstructive pulmonary disease (COPD). Her past medical history includes asthma, COPD, chronic bronchitis, frequent chest infections, endometriosis, polycystic ovarian syndrome and a radical hysterectomy in 2007. As previously mentioned the Roper Logan and Tierney model shall be used in order to identify an actual or potential problem relating to any of the twelve activities of living and a care plan shall be devised and implemented based upon this. But what exactly is the Roper Logan and Tierney model of Nursing?

Holland (2008) summarise this model by stating that it is divided into two parts, namely the model for living and the model for nursing. For the purpose of this essay the model for nursing shall be used. In this model there are five components. The Activities for Living of which there are twelve namely- maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, mobilising, working and playing, expressing sexuality, sleeping and dying. Within these twelve activities there are five influencing factors; biological, psychological,...
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