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Holistic Care Nurse Essay

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Holistic Care Nurse Essay
The name and other identifying information about the patient included within this piece of work have been changed to protect confidentiality, as required by The Code of Professional Conduct (Nursing and Midwifery Council, 2008). For this reason, the patient included in this case study will be given the pseudonym of Sam Jones.

The purpose of this assignment is to identify one client problem and provide an evidence-based plan of care for the individual. The purpose of care planning is to show a logical and systematic flow of ideas through from the initial assessment to the final evaluation (Mooney and O’Brien, 2006). The nursing model that will be incorporated in this care plan will be the Roper, Logan and Tierney’s model (2000). This model was chosen because is it extremely prevalent in the United Kingdom and is the most widely used model familiar to nurses. The model of nursing specifies 12 activities of daily living which are related to basic human needs and incorporates five dimensions of holistic care, physiological, psychological, sociocultural, politicoeconomical and environmental (Roper, Logan and Tierney’s model, 2000).
Care plans are based on evidence-based practice, allowing the nurse to determine the best possible care and rationale for the chosen nursing interventions (Roper, Logan and Tierney, 2000). They take into account the psychological, biological and sociological needs of the person and therefore provide a holistic approach to care (Roper, Logan and Tierney, 2000). The main activity of living that will be affected within this care plan will be maintaining a safe environment as Mr. Jones may have a potential problem of death, due to hypovolemic and/or metabolic shock caused by ketoacidosis.
Diabetic ketoacidosis (DKA) usually occurs in people with type 1 diabetes mellitus, but diabetic ketoacidosis can develop in any person with diabetes (Diabetes UK, 2013). DKA results from dehydration during a state of relative insulin



References: Rhoda, M, K., Porter, J, M., & Quintini, C. (2011). Fluid and Electrolyte Management: Putting a Plan in Motion. JPEN. Sage Publications Nazario, R Mooney, M. (2007). Fluid Balance. Retrieved from: http://www.nursingtimes.net/nursing-practice/clinical-zones/fluid-balance/199391.article Sarafino, P, E. (2008). Health Psychology: Biopsychosocial Interactions. England, United Kingdom: John Wiley & Sons Webb, L Nursing and Midwifery Council. (NMC). (2008). The Code - Standards of Conduct, Performance and Ethics for Nurses and Midwives. London: NMC Roper, N., Logan, W., Tierney, A Diabetes UK. (2013). The Management of Diabetic Ketoacidosis in Adults. Retrieved from: http://www.diabetes.org.uk/ Preedy, C Webb, L. (2011). Communication skills for the healthcare professionals. Great Clarendon Street, Oxford: Oxford University Press Dugdale, C, D The Joint British Diabetes Societies Inpatient Care Group. (2012). The Management of Diabetic Ketoacidosis in Adults. Retrieved from: http://www.bsped.org.uk/clinical/docs/DKAManagementOfDKAinAdultsMarch20101.pdf Diabetes Daily Oaks, E, E., & Cole, L. (2007). Diabetic Ketoacidosis: DKA. Retrieved from: http://intensivecare.hsnet.nsw.gov.au/five/doc/education_packages/nepean/nepean_guide_DKA_2007.pdf Nursing and Midwifery Council

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