The purpose of this essay is to use the Activities of Daily Living (ADL) assessment to identity the needs of a patient called Ernest (pseudonim). Ernest is a 74 years old man who was admitted in hospital with “off legs” due to infection. He has Chronic Kidney Disease (CKD) and haemodialyses three times a week. He has been diagnosed with dementia which makes him sometimes confused, although he has been able to live on his own at home with the assistance of his two daughters. After three weeks in hospital he was discarged to his home with a package of care. The assessment will be focus on three ADL: eating and drinking, mobilising and communication.
ADL evaluates the level of independence and coping mechanisms patients have when performing
As part of the ADL assessment, nurses need to know what Earnest is eating and drinking. As a CKD patient Earnest needs to follow a restricted diet to avoid other complications derived from CKD as high blood pressure or anaemia. He also must record his fluid intake to know how his kidneys are working and how much fluid he is retaining. Due to the CKD, Earnest’s kidneys produce few EPO, the hormones that induce bone narrow to make red blood cells, whose will distribute oxygen to tissues and organs (Peate and Nair, 2011, p. 377). Haemodialysis can make him lose blood and nutrients as iron or acid folic that assist in the production of a protein called haemoglobin that carries the oxygen in the red blood cells. CKD patients have more changes to have a poorer nutritional status, which can lead into low albumin levels and anaemia. Both of them affect Earnest physically as they cause fatigue (due to less oxygen in brain and muscles) and increases the risk of infection (Bonner, Wellard, and Caltabiano, 2010) as it has already happened to
Patients with CKD on dialysis treatment are at high risk of developing depression which can lead to loss of appetite and malnutrition (Hedayati, 2009). Dementia is another factor that can make Earnest to have depressive episodes (Snowden et al., 2015). Hence, it is important to screen Earnest for depression if he loses his appetite to know if that is the cause and to implement adequate measures. If required, introduction of different and more appealing recipes or ingredients can be contemplated, as well as encouraging the practice of hobbies or improving communication with him to overcome
A Mini Nutritional Assessment (MNA) was completed on Anne. The MNA is a tool used to provide a rapid assessment of elderly patients’ nutritional status. The MNA is made up of simple measurements and a few brief questions that can be completed by the patient in no more than ten minutes. The nutritional status of a patient is evaluated using a two-step process to accurately determine a patient’s nutritional status (McGee
Upon admission to the ward holistic assessment would be performed. Lucy would be assessed according to 12 activities of living (AL), mentioned in Roper, Logan and Tierney model. This holistic approach enables to develop a care plan that will identify the problems for Lucy in performing certain activities, whilst allowing her to remain independent with other activities.
This entails that the professional nurse provide not only ordinary but extraordinary care and support to make it possible for these individuals to achieve their requirements for self-care. Furthermore, the professional nurse judiciously and collaboratively partakes in the individual’s health care provided by the medical doctor. Dorthea Orem understood that individuals possess the natural capability of self-care, and nurses have a duty to place emphasis on enhancing that capability. Nurses who deliver direct care can support these capabilities by offering learning opportunities and teaching methods that enhance self-care activities, therefore contributing a positive and encouraging influence on the individuals and caregivers quality of
Kidney Smart is an educational course geared educating the general public and DaVita patients about kidney disease progression, and the importance of maintain a healthy lifestyle that prevent symptom worsening. Information regarding signing up for a class is found on the healthcare site. Kidney Smart provides a platform that facilitates meaningful interaction within the community. Many people are oblivious regarding the how taxing diabetes and hypertension can be to the organs within the body. Interdisciplinary collaboration is essential with enhancing the patient experience across a variety of healthcare disciplines (Freshwater, Cahlil, and Essen, 2014). These efforts are instrumental toward preventing undesirable outcomes. Remaining employed while depending on dialysis, recipes, and other facts are also found within the healthcare site (DaVita,
One of such early interventions may be offered by Roper, Logan, Tierney (1980) called the activities of daily living model. As explained in the presentation, the model consists of an individual’s ability to carry out self-care tasks such as functional mobility, self-feeding, personal hygiene and grooming (Roper, Logan & Tierney, 1980). Thus, any change in these may be considered as a deteriorating patient.
It has also developed numerous courses that are intended to provide information and tools that may be needed to approach both significant nursing care and patient care issues. Given the scale of the population suffering with chronic kidney disease and the diversity of backgrounds in which patients are found, this curriculum may be of benefit to nurses caring for nephrology patients in many settings (ANNA, 2015). It supports, promotes among its members, and sponsors nursing research intended to develop evidence-based practice and to advance nursing science (ANNA, 2015). It strives to provide nurses with leadership opportunities, and encourages nurses to seize opportunities to advance and refine their leadership abilities (ANNA, 2015).
The 21st century health system has been marked by rapid developments in medical technology, availability of treatments, and advancements in the field of medicine. These changes have tremendously contributed to better prevention, management, and control of chronic illnesses like heart disease, asthma, diabetes and arthritis. However, the reality of chronic illness is intertwined with continued dwindle in quality of life, of dependency, of medication and limits. In this condition of diminishing health, the patient starkly experiences the dichotomy between the mind and the body. As P1 shares, “My mind is ok, but my body is simply weak. It has its own ways.”
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed during my second year studying Adult Diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rationale behind this. During an admission I completed under the supervision of my mentor, I was pre-assessing a 37 year old lady who had arrived at the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outlined in this piece of work has learning disabilities it was imperative to identify any barriers to communication (Nursing standards 2006). There were a number of nursing priorities identified, the patient also has hypertension.
By using Gross Domestic Product as the main indicator of well-being, many important factors are neglected. As defined in the New Merriam-Webster Dictionary, well-being is the state of being happy, healthy, or prosperous (1989, p.831). Economically, perhaps the only relevant state under the definition is prosperity, but in reality happiness and health have a great impact on well-being, significant enough to be recognized even when focusing mainly on wealth in numbers. If society hopes to have a more accurate and complete indication of well-being, globally or nationally, a new system of measurement must be developed, leaving GDP to its original function of totaling the dollar value of all domestically-produced goods and services sold over a period of time.
This assignment critically discusses about dementia, a widespread disability among older adults today. It provides an introduction to dementia and analyses its prevalence in society. The various forms of dementias are elaborated with description about dysfunctions and symptoms. Nursing Assessment and Interventions are provided in the further sections which discusses about actions nurses should take on while evaluating patients and treating them. Finally, communication, an important Activity of Daily Living (ADL) is explored and patient/carer advice is presented so as to maintain good health conditions in the patient.
Environmental and intellectual wellness were my highest ranked scores and my lowest ranked score was in the occupational domain. Through observing the other domains of wellness I believe that this makes perfect sense in relation to my lifestyle and myself as a whole. The highest scores are due to my interest and satisfaction in these areas. Both environmental and intellectual wellness had factors which I voluntarily partake in my daily life. The lowest ranked score is due to an overall lack of interest and comfort. My wellness scores do not come as a surprise to me and solely offer different viewpoints of what I think properly describes my current health.
The biopsychosocial model (BPS) is a framework used to systematically consider the interactions between biological, psychological and social influences on human functioning, in the context of a person’s disease or illness (Boundless Psychology, 2016). This integrated approach suggests that health and sickness overlap and can be best understood by looking at the multiple combinations of these influences and how they interact and affect a person’s health and wellbeing (Wade, 2009). This assignment will aim to discuss the BPS model, describe the different perspectives within the theory and demonstrate how they apply to patient care. In order to do this, a case study of a person with a chronic health condition will be introduced and the factors
The purpose of this paper is to take an in depth look at a renal diet which is designed for people suffering from certain kidney conditions. A renal diet can be described as a nutritional regime which is: “low in sodium, phosphorous and protein... [It] also promotes the importance of consuming high-quality protein and usually limits fluids. Some patients may also need to limit potassium and even calcium” (Nephcure). Throughout the course of this paper various aspects are addressed. these include: the role of the kidneys, the importance of professional guidance, the reasons why people follow a renal diet, monitoring sodium intake, monitoring potassium intake, monitoring phosphorus intake, protein consumption, and fluid control.
On these occasions, I rely on my nursing assessment, evaluation, and interventions, collaborative skills, and scientific knowledge to make sound clinical judgments for the benefit of my patients. As a hemodialysis nurse, I will persevere to comply with innovation in nursing practice, EBP, research, and education. I believe growth requires generation of innovative, improved ideas and practices for the betterment of the organization and patient satisfaction. For this reason, I will embrace technological advancements; empower front line staff to embrace change and innovation; and motivate staff to be change agents on the floor with the aim to provide better quality of care for our
According to David (2008), health assessments are red-hot right now- and for good reason. With health care costs estimated to increase to more than $4 trillion by 2016, personal health assessments will help to ameliorate some of these costs by providing individuals with much needed health information so that they can manage their current health status and, perhaps even more importantly, prevent health problems before they occur. Moreover, personal health assessments, if used strategically, will aid employers in better understanding the collective health risks of their employee populations – thus allowing them to incorporate important and necessary interventions that will effectively address unhealthy behaviours at the workplace. Health assessment