Roper Logan and Tierney

Topics: Nursing, Nursing theory, Nursing process Pages: 5 (2071 words) Published: December 29, 2011
The aim of this essay is to demonstrate the assessment process of a patient using the Roper Logan and Tierney (RLT) model of nursing framework and to show how the nursing process works alongside this model. This will be shown by a holistic history of the patient being shown, followed by how the RLT model is applicable to this patient. This is then followed by one nursing intervention being discussed showing how the nursing process is applied to patient care. The patient will be referred to as Mr Frederick Valentine to protect the patient’s anonymity as stated in the Nursing and Midwifery Council Code of Conduct (2008) guidelines. For the appropriate care to be planned for a patient it should be looked at in a holistic manner (NMC 2008). This means taking into account all the aspects of a whole person. This includes the physical, psychological, emotional, spiritual, economic and social factors when assessing, planning, delivering and evaluating care (Scriven 2010). The patient, Mr Frederick Valentine had been suffering of gradually fading vision. He noticed that in bright light his vision was significantly worse, and he was finding it hard to read and watch television. Mr Valentine attended an appointment with his optometrist who refereed him to the Eye Centre at a local hospital stating that he was suffering from a cataract. The eye centre is an ophthalmic day case unit which serves both ophthalmic surgical and medical patients. When Mr Valentine was seen at the eye centre by an ophthalmologist consultant, further investigations revealed that he was suffering from a nuclear age related cataract. The treatment deemed appropriate for this condition was a cataract extraction and the insertion of an intra ocular lens under a local anaesthetic. This treatment was discussed between Mr Valentine and the Consultant and a pre operative assessment was then made in line with Department of Health Guidelines (2000). Brooker et al (2007) state that the aim of a pre operative assessment is to ensure that each patient receives holistic planning for a safe and dignified surgical experience. Informed consent was obtained from the patient for a nursing assessment to be made (NMC 2008). A nursing assessment was used to obtain and record his past and present history in a holistic manner. The following information was taken and recorded. The patient Mr Frederick Valentine, is a Caucasian 79 year old male. Mr Valentine used to be an engineer and worked for the same company for over 50 years. He retired almost 14 years ago and misses his job very much. Fred has been a widow for 8 months now and finds it very difficult to talk about his wife. Fred feels that he is slightly depressed and his doctor has prescribed him some medication for depression which he takes when he remembers. He lives alone in a bungalow rented from the local council and receives a state pension on a weekly basis. He has two daughters whom he has very little contact with. This is due to the eldest daughter living in Scotland and the younger daughter living in Canada. They telephone him occasionally but he has not seen them since their Mothers funeral. Fred has a dog that he describes as his best friend. Fred suffers with poor mobility and uses a Zimmer frame to walk. Due to this lack of mobility he misses taking his dog for walks. Since the age of eleven Fred has been deaf in his right ear and wears a hearing aid in his left ear. In 2008 he suffered from two myocardial infarctions. Mr Valentine describes himself as being in good health apart from his current condition with his vision and lack of mobility. Mr Valentine attends his local Church and is a practising Catholic. He attends luncheon clubs at his church on a Tuesday afternoon and enjoys reading novels and watching wildlife programmes and sport on the television. Due to the lack of visual acuity he has been struggling to read and watch television and feels unsafe when walking around outside of...
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