Element: Avoidance of pressure ulcers

This kind of essay is likely to explore the nursing procedure with regard to preventing pressure ulcers. Pressure ulcers are a popular and often undervalued health problem in the united kingdom. They result from 4-10% of patients admitted to medical center (Ward ou al, 2010). This essay, using case study 4, is going to explore the holistic nursing process, and also the biological, sociological, psychological and ethical concerns regarding the reduction of pressure ulcers. Lily is anxious due to her shortness of breath (dyspnoea), and as prone exasperates her ability to breath of air effectively, have been sleeping within a chair. This is the primary concern of Lily. There has also been the latest weight loss. The purpose of any nursing jobs interventions will be to improve Lily's breathing and nutritional status; allowing her to mobilize more effectively and relieve pressure on her sacral area. Dyspnoea is a common and debilitating regarding heart inability. Patients frequently become distressed and terrified by their breathlessness, which can worsen their symptoms (Currow ou al, 2009). Any nursing jobs interventions to further improve Lily's health insurance and well-being should take into account the individuals perspective of her into the what goals she really wants to achieve. Cooperation and negotiation with the affected person will help these people identify their particular problems and/or goals (Field & Cruz, 2008).

The nursing procedure is a organized, systematic method of care, based on evidence as well as the individual needs with the patient (Holland K. 2008). There are four main levels to this method; assessment, preparing, implementation and evaluation. When ever Lily is usually admitted to hospital she could be assessed to identify her health and cultural needs. The primary aim of the assessment method is to identify problems then design a realistic plan of nursing proper care to meet the consumer needs in the patient and improve their health status (RCN, 2004). This kind of individualised evaluation examines the patients' current medical condition and identifies potential and genuine problems impacting the patient (Hall & Ritchie, 2009). Through discussions with Lily, a comprehension of her perspectives and wishes will be gained. The primary method to obtain information should come from Lily, and any other data would have been a secondary supply e. g. Lily's GP. The registered nurse will also observe Lily to collect data during the assessment. Physical signs and a patients' appearance can be observed. Contact can also supply the nurse information. Temperature of skin, level of pulse and indications of dehydration may be gained through touch (Brooker & Waugh, 2007). To ensure that the examination is organized and does not miss out nearly anything, nursing frameworks (models) tend to be used. Versions lead nurses to focus on a holistic assessment from the patients' demands from the patients' perspective, leading the doctor towards getting together with the demands of the individual in a systematic and arranged manner (Pridmore et ing, 2010). The Roper-Logan-Tierney version is substantially used within the UK like a framework intended for nursing attention and practice (Holland K, 2008). The model has become criticised to be too simplified (Girot, 1990), although it could be argued the fact that simplicity provides contributed to the popularity of the model (O'Connor, 2002). The nurse will use this construction to establish Lily's ability to fulfil the Activities of Living (ALs) (Roper ain al 2002), these include inhaling, eating and drinking, mobilising and sleeping. Many aspects of ALs interlink. Lily's deteriorating heart failing and dyspnoea are stopping Lily coming from sleeping in her understructure, and may produce it difficult for her to eat, drink and mobilize effectively. Cardiovascular system failure is known as a complex problem that can derive from any strength or useful cardiac disorder that affects the ability of the heart to operate as a pump to support a physiological circulation (NICE, 2003). Causes of dyspnoea in cardiovascular failure range from the inability from the weakened ventricle to...

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