nursing essay

Topics: Health care, Nursing, Allergy Pages: 8 (1947 words) Published: June 8, 2014
This essay will discuss the importance of needs assessment in nursing practice. It will also identify and explore the use of appropriate tools that are required for the service user in the scenario. From the assessment tools selected, one will be prioritised and applied in relation to the service user's condition. The possible outcomes will then be discussed for future care planning for the service user. Finally, the essay will summarise what has been learnt from using the assessment tool. According to Dr. Ishmael (2004) asses, plan, implement and evaluate are the four stages in the nursing process. asses is the first stage and it is the process which information is gathered about the service users health needs for example past and present health issues, this process is a continuous as the service user is always assed (Peate, 2010, p.48). Peate (2010, p.50) said that planning is important as this stage is when all the preparation is carried out for what the service users care are, prioritising and writing the goals of the need that needs to be achieved. Peate (2010, p.53) suggest that implementation is carrying out the care that is set out for the service user and reassessing the services users health and wellbeing. Peate (2010, p.54) concludes that evaluation is looking at whether the goals has been achieved for the service user and looking at the broad specterioum of whether the service users care needs to be planned differently. Nursing assessment is the fist stage that the health care provider establishes a rapport with the service user, the importance of this stage is to identify the service users problems and they are expressed as actual and potential this will give a guide of what they plan that is put in place for the care of the service user (Glasper el, 2010, p.65 to 66). For the purpose of this essay the child scenario is chosen which is Luke Jackson an 8 year old boy who lives with his mother Marie and two sisters age 5. Luke has been diagnosed with asthma since he was 5 but his asthma is not well controlled. Marie is worried about losing her job as she has taken lots of time of work due to Luke's condition. Luke's asthma is always worse when he comes back from his father's house. Dan (father) lives with his partner and has two cats which Luke loves ( see appendix 2 for more detailed). the Roper, Logan and Tierney model will be implemented on the care and needs of Luke. there are 12 activities of daily living (ADL) Breathing, Eating and Drinking, Maintaining a safe environment, Elimination, mobilisation, washing and dressing, working and playing, expressing sexuality, sleeping, death and dying, controlling temperature and communication and along that there are factors that influencing these activities of living ( Roper el, 2000, p.14). To maintaining a safe environment, Luke will need to be send for skin prick test (SPT) to check whether he is allergic to cats. in the mean time it would be best to keep Luke away from cats as this is what seems to make his asthma condition worse. according to Cross (2007) SPT is vital as it informs the professionals whether the patient has any allergy, this is performed to detect immunoglobulin isotype antibodies. the advantages of SPT for Luke is that this test is quick, it takes 15 to 20 minutes to get the result and it provides the information for inhaled, occupational and ingested allergies therefore Luke can go back to seeing his father and Dan can put the necessary precaution so that Luke does not get exercitation of asthma if he is allergic to the cats (Cross, 2007). according to Cross (2007) the disadvantage of SPT is that it only be performed in hospitals as there is a risk of anaphylaxis shock and might need resuscitation. Berger (2002) concluded that the negative aspect of SPT is that the result can be misinterpreted and that antihistamines and oral corticosteroids need to be stopped prior to SPT. in regards to Luke he is reluctant to eat and drink as it makes...
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