Monday, April 8, 2013

Principles and practice of adult nursing


The aim of this assignment is to demonstrate an understanding of the relationship among cardinal problems of a patient and the c ar planned to mitigate these problems. A further purpose is to develop an understanding of implementing a holistic approach to planning complaint and to evaluate its effectiveness. I shall justify the selection of problems, intervention the patient received, and relevant physiology and psychology.

The expand for this assignment come from a recent clinical organisation on a surgical ward, which deals with Hepato-Biliary surgery. The patient will be referred to as lamella to ensure Nursing and Midwifery Council (2002) confidentiality guidelines are concurred.


Gill is a 50-year-old insulin dependant Diabetic. She was admitted to the ward via Acute Medical appraisal Unit (AMAU). Gill was found on the floor later on a fall, feeling drowsy, vague and confused and complaining of abdo pain. after(prenominal) nurse hand-over, a multi-disciplinary team embarked on a schema to assess, monitor and resolve Gills issues. Multi-disciplinary working is encouraged within the NHS picture (2000) and is concerned with professional healthcare providers working together for the public assistance of the patient. (Castledine 1996) Gill was then admitted to the ward where a full nursing assessment took place and from here a plan of care was prescribed and implemented.

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Further information was obtained from previous medical records. This revealed in 1998 Gill had a cerebral vascular accident (CVA) and recovered well. She was to a fault diagnosed with alcohol liver disease (ALD) in April 2000 and diabetes 15 long time ago. Gills observations on admission where taken so to provide a basis for any later comparisons. Her blood sugar glucose reading was 32.4 millimols per litre. The normal reading should be between 4-7 mmol/l originally meals rising to no higher than 10 mmol/l two hours after meals ( A ward test...

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