thesis
This essay will include Ms “Brown” (pseudonym) holistic nursing assessment and care plan. It will explain the reason for using Ropan, Logan and Tierney 2000 as a basis for assessment and care planning. The student will also use the Waterlow score and pain assessment tool during the assessment. Having recognized Ms Brown’s assessed needs and care planning decisions, those related to Ms Smith’s difficulty in mobilising and her pain are explained in further detail using the relevant literature including decision-making theories and Gurbett’s model of narrative development (Gurbutt2006). To protect Mary’s confidentiality any information relating to her is anonymised (NMC 2010).
Mary was a 55 year old woman who lived alone in an isolated village out in the countryside. She has suffered from diabetes all her life but has managed to take care of her own needs with regular mediation and support from her community nurses and GP. She worked in a factory for most of her life but due to her hip replacement last month her mobility became poor, she had to give up work earlier than planned. She also had to give up her car because she could no longer afford to keep it on as she is now living on a pension. She never married nor had any children but her brother, William, lives in the next town and is in regular contact with her and her family be telephone, which is an important lifeline to her. She also used to like going to local activities such as bingo every Wednesday but because of her operation she suffers too much pain to leave her home. Mary is becoming very concerned about her diabetes and her general quality of life. Her pension restricts her ability to buy the right food for diabetes and she noticed that she is getting more irregular readings when she uses her blood sugar monitoring kit. Up until now she has been able to manage her diabetes with very little support from anyone and has led an independent life so she cannot understand why it has suddenly become so
Mary was a 55 year old woman who lived alone in an isolated village out in the countryside. She has suffered from diabetes all her life but has managed to take care of her own needs with regular mediation and support from her community nurses and GP. She worked in a factory for most of her life but due to her hip replacement last month her mobility became poor, she had to give up work earlier than planned. She also had to give up her car because she could no longer afford to keep it on as she is now living on a pension. She never married nor had any children but her brother, William, lives in the next town and is in regular contact with her and her family be telephone, which is an important lifeline to her. She also used to like going to local activities such as bingo every Wednesday but because of her operation she suffers too much pain to leave her home. Mary is becoming very concerned about her diabetes and her general quality of life. Her pension restricts her ability to buy the right food for diabetes and she noticed that she is getting more irregular readings when she uses her blood sugar monitoring kit. Up until now she has been able to manage her diabetes with very little support from anyone and has led an independent life so she cannot understand why it has suddenly become so