strength based approach towards client care

Topics: Nursing, Health care, Interpersonal relationship Pages: 7 (2489 words) Published: October 12, 2013
Below is an overview of a strength based approach towards client care and in accordance to domain 2 management of nursing care, competency 2.3 of Nursing Council of New Zealand, confidentiality and anonymity was maintained at all times. The assessment was commenced upon gaining verbal consent from the client with reference to The Health and Disability Rights Act (Ministry of Justice, 2004). Mr Y is an elderly man who is now residing at a rest home was diagnosed with hypertension, meningitis, epilepsy, type 2 diabetes and korsakoffs dementia due to prolonged alcohol dependency (Ambrose, 2001). Mr Y is a person with a very delightful personality and is not fussed about anything. However hesitates to be the first one to start conversation. He starts to talk if the second person begins communication. He is independent with almost all activities of daily life however is supervised by staff as Mr Y is susceptible to wandering mostly in the afternoon so more care is provided accordingly. The client has no nutritional complications and has three medium sized meals in a day. He has no bladder and bowel difficulties and therefore needs no incontinence products, neither in the day nor during the night. Mr Y has no sleep disturbances nevertheless exhibits some degree of anxiety and agitation at some point which is when he wants to be with his family. Mr Y has no family support as his sister who was the only support has moved abroad. The clients change in behaviour is controlled by diversional therapies which includes activities with regards to his strengths and psychosocial activities. The client is well orientated to time people and places. A strengths based approach provides a new perception of potentials rather than complications, options rather than constraints and wellness rather than ill health and once this is seen, achievement can occur (Rapp & Goscha, 2006). Therefore with the advantage of the assessment various strengths of the client were identified. Mr y is known to have a very pleasant voice and therefore sings very well. He is also a very talented guitar player and used to be part of the music club during his young days. Additionally Mr Y has a very intact long term memory as he was able to recognise his friends from his teen age days as well as he was reminiscing his memories from childhood during the interview. He enjoys spending time with everyone regardless of nationality and is very easy to get along with. Mr Y is always willing to take part in all activities such as playing bingo, card games, pool etc. but needs to be invited for the games by someone. He is always willing to help with work for instance bbq, shopping and many other things if and whenever he is able to. The client was a very sporty and active person and used to play football in the league. The greatest strength of Mr Y is that he is still able to walk around and perform all his activities of daily life which keeps him physically and mentally fit. This also slows down the progression of his declining physical and mental health (Faulkner, Taylor,2005). Conversely the client also displays feelings of being alienated and isolated which needs to be considered as studies of clients’ experiences of mental health services provide indication that being understood and listened to in a considerate and sensitive way ratifies their humanity and provides anticipation for their future (Shattell, Mc Allister, & Hogan, 2006). The full assessment was carried out in compliance to all the competencies of domain 3- interpersonal relationship of nursing council of New Zealand. Firstly, researching about korsakoffs dementia and its effects on the patient before carrying out the assessment allowed attaining knowledge on a broader perspective. It also aided in critical thinking and client evaluation which limited assumptions and gave more meaning and understanding to the findings. After gaining consent from the registered nurse patient folder was accessed for clients past...
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