To maintain confidentiality and protect autonomy, the patients name has been changed and any details through which a reader could identify the patient or the care location have also been changed. This complies with the NMC professional code of conduct (2002). Furthermore for legal issues, the writer has gained consent from the selected patient. The writer explained to the patient clearly what information would be needed in the report and that confidentiality would always be maintained. With this information …show more content…
However, McCormack etal argues that 'assessment is not just the undertaking of a set of technical skills; rather, it requires a certain kind of relationship between those who participate in it and with whom we share the purposes and standards of the practice ' (2004). Assessments should not only focus on the needs presented by the patient, but on the strengths and abilities that the patient may bring to bear on resolving those needs (Kemp and Richardson 1994). This approach enables the nurse to use the assessment to plan care that is truly person centred. It was with this theory that Joyce was assessed. This is best approached through biography because all patients have a past, a present and a future. The NMC code of professional conduct (2002) explains that you must respect the patient as an individual. This means that you look at all the different elements that make up a patient. This provides the basis of holism. Siviter (2004) outlines that holism and holistic care look at the patient as a whole person, with unique and individual needs and circumstances. Holism ensures the nurse to see more than just the reason the patients are in care. It encourages them to look at the way the patients feel, what is important to them and their families, their living situation …show more content…
Even though Joyce is overweight, she explained that she’s recently lost weight due to the worry and stress of being ill. She has no dietary requirements at present, but has outlined that when she has fully recovered from the operation she would like help and advice to loose weight.
Eliminating. Joyce is fully continent and no concerns expressed.
Personal cleansing and dressing. Joyce is self caring with her hygiene needs. Joyce takes pride in her appearance and often has a beauty routine both in the morning and night. She expressed that she doesn’t want this changed and would like facilities to acquire this. Joyce has brought into hospital her own nightwear and belongings.
Controlling body temperature. Joyce’s body temperature on admission is 37.6ºC. This is above the normal range. She is not particularly vulnerable to changes in temperature, the room temperature is set at a medium heat on the thermostat and the weather outside is cold, to which Joyce is wearing the appropriate