A paper describing the planning of care of a patient admitted to a extended care unit.
This paper uses the Roper-Logan-Tierney nursing model to discuss the care planning requirements of a patient admitted for respite care with chronic bilateral leg ulcers. It looks at how the assessment of a patient using the Roper, Logan and Tierney nursing model allows us to identify problems, which are not purely medical in nature and shows how in this particular case, care issues include pain, nausea, SOB, hygiene and UTI. It also discusses staff attitudes to pain and wellness.
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“The next listed problem for the patient was nausea. This was a fairly constant sensation that had not led to vomiting. The patient seemed to think that it was not as acute at the time of admission as prior. However, it had led to a loss of appetite. It had been decided, with patient consultation, not to prescribe any antiemetic, unless the symptoms became more severe or recurrent. This made it important to monitor the situation in addition to the fact of loss of appetite can lead to a depressed state and further nausea. It has been shown that there has been a lack of attention to the nutritional status of older patients in NHS hospitals in England and Wales over recent years (Association of Community Health Councils for England and Wales, 1997).”
“The next listed problem for the patient was nausea. This was a fairly constant sensation that had not led to vomiting. The patient seemed to think that it was not as acute at the time of admission as prior. However, it had led to a loss of appetite. It had been decided, with patient consultation, not to prescribe any antiemetic, unless the symptoms became more severe or recurrent. This made it important to monitor the situation in addition to the fact of loss of appetite can lead to a depressed state and further nausea. It has been shown that there has been a lack of attention to the nutritional status of older patients in NHS hospitals in England and Wales over recent years (Association of Community Health Councils for England and Wales, 1997).”