A case study evaluating the role and functions with the nurse plus the effectiveness of nursing attention within a therapy context
Lately there have been an increasing number of people necessitating rehabilitation in britain (Jester, 2007). Rehabilitation can be explained as " the process which usually seeks to lessen the effects of disease (in the broadest sense) on daily life” (Greenwood et al, 1993. mentioned by Davis & O'Connor, 2001, s. 4). Rehabilitation nursing may be identified as a philosophy of care: a technique for any individual who needs assistance with their ability to function in every area of your life (Tracey, 2001). With the help of a advisor, on a latest continuing and supportive proper care placement, the right patient was selected where to basic this case analyze. To ensure that moral and legal responsibilities of confidentiality are taken care of, any personal details have already been altered to make certain anonymity, and consent from the patient (Nursing & Midwifery Council, NMC, 2008). A brief introduction to the patient and the treatment setting follows. The pathophysiology of pressure ulcer creation will initial be considered, accompanied by a discussion for the discharge process from a hospital to a community environment. The roles and features of the rns involved in the treatment of the patient will then be discovered, before findings drawn as to the effectiveness with the care provided.
Mary was an eighty-nine year old woman encountered whilst on an prolonged practice position, based in a community nursing crew. She lived in a local non commercial care residence, which all of us visited on a regular basis to provide medical support for the carers. Mary had been beneath the care of the district nursing jobs team while she had developed a grade I pressure ulcer on her sacrum (European Pressure Ulcer Advisory Panel, EPUAP, 2010). The nurses offered advice about pressure area care and ordered pressure relieving products, to help prevent further deterioration of her skin integrity. Mary after that developed an important chest disease, requiring hospital admission. The girl remained in hospital to get eighteen days, undergoing two courses of intravenous (IV) antibiotics, before staying discharged to the care home. The community nursing team had not been informed of her discharge and received a telephone call from the carers, concerned about Mary's pressure location. On inspection, the sacral wound acquired deteriorated by a grade I to a grade III pressure ulcer (EPUAP, 2010) and was causing Jane a great deal of discomfort. It was also noted that her mobility had drastically reduced and she got very little power to be able to keep her self-reliance in satisfying her Actions of Everyday living (Roper ainsi que al, 2000). The relieve letter from your hospital built no reference to Mary's pores and skin integrity and stated that she was self-caring. The district doctor discussed with all the patient and carers the advantages of regular shower changes to the wound and in addition recommended therapy to help Mary regain power and freedom. With their contract, a affiliate was made towards the intermediate care team (ICT) to assess Mary's needs and take over her care; an ICT nurse conducted a thorough, holistic analysis of Mary. With patient and carer involvement, a number of goals were set to recognize healthcare demands, address just how these would be met and the expected time scale. Martha underwent physiotherapy to strengthen her muscles and improve freedom; she also received input from your occupational specialist (OT) who also supplied products to enable Martha to maintain as much independence as is possible; the rns visited 2 times weekly to evaluate her twisted and change the dressing; Mary's general practitioner (GP) was likewise involved in her care and prescribed ease.
The skin is the major organ in the body and executes essential homeostatic, sensory and protective tasks (Pedley, 2006). The ageing process causes changes to epidermis function and integrity; a decrease in elastic and collagen...
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