Yvette Garrett Life Span March 22, 2010 Case Study by Yvette Garrett Introduction: The subject of my case is James he’s a black male that was removed from his Mother’s home due to the lack of her not being able to care for him properly, he was basically taking care of both of them ,cooking, and cleaning. James now lives in a group home and works at the local workshop for persons with disability. James is thirty nine and lives with five other males in this home and shares the responsibility of the chores and any other obligation he has in the home. I have been working with this individual for approximately three years. I have had the opportunity to observe the individual on Saturday and Sunday for twelve hours.
If all the principles are met on a regular basis with each person then it would mean they would be able to make the most of their lives. If we look at the Somebody Cares programme we can see it is tailored to suit individuals needs. Brian is a double amputee and he has two carers come in daily to get him washed, dressed and his breakfast made for him. Both the carers, Elvis and Kevin have had to learn how to work the equipment that is required to care for him and how to lift and move him correctly. Brian also talks about how he is a Double-Handler which means because of his disability there needs to be 2 carers per visit.
Reflective Account: Communication Mr Johnson is a 70 year old male who has mental health issues and parkinsons disease. He has a very strong interest in his motorbike he used to ride and wildlife books. He became mentally unwell in his mid twenties , his mother looked after him until she became unwell then he was admitted to a private residential home. When his mental health is good he is able to speak clearly and I can understand him well. When he is mentally unwell his content of conversation is difficult to understand and he tends to whisper or not speak at all.
11/12/2012 Components of a Nursing Care Plan A nursing care plan is a set of guidelines that directs nursing activities for a patient. It details the entire steps needed from beginning to end of a patient’s care. The nursing care plan is also a framework that allows for evaluation of the effectiveness of the plan and it promotes continuity after the patient has left the healthcare facility. The four main components of a nursing care plan are: nursing diagnosis; expected outcomes; interventions; and evaluations. Documentation of the nursing care plan is important in order for the patient to receive proper care.
Su-Jen’s father, Hing-Wun, sacrifices everything for his family, and he struggles at the same time; these struggles continue in his whole life. Hing-Wun works so hard in the Dragon café to make money for his family, and he does not spend a single penny on himself; but his great efforts do not acquire a better future for himself. Even though he keeps working like a horse in his seventies for his family, his wife still complains about him and does not appreciate his attitudes towards life. Hing-Wun is such a kind man who always considers about his wife and he tells Su-Jen to think of and understand her mother’s situation. Therefore, Hing-Wun’s struggle against his hard work for his family is in vain.
At Hafan-Y-Waun our end of life policy is developed in line with our mission statement to meet the changing needs of the people in our care. This means that through the persons final days they live as comfortably, dignified and peaceful as possible. In our agreed ways of working our end of life care begins as soon as the person is admitted. If this is to be their last home we must do what we can to make it a place the person wants to live. This means decorating their bedroom to their liking and surrounding them with their own belongings where possible.
The nurse must execute this process through selection, performance, management and evaluation of nursing actions. The nurse is responsible for assessing the health status of the patients. The RN is a provider for health counseling and teaching patients. The nurse is responsible for administering medications, treatments, and other health regimens that are ordered by a licensed provider. With the practice of the scope of RN, there are also standards that every RN needs to follow.
Re-evaluate and record the patient care needs of the acutely ill and/or chronically ill at each home visit and obtain necessary revisions from the patient’s physician as needed. Communicate with and regularly update the patient and/or family regarding his/her plan of care. Provide skilled nursing services, treatments and procedures, and administer medications as appropriate for the patient’s care and safety, in compliance with productivity standards. Maintain a safe therapeutic environment for the patient. Coordinate discharge planning and prepare discharge summaries and instructions.
Conrad, their son, faces depression because his brother Jordan drowned in a boating accident. Conrad must recover from his depression through frequent visits to the hospital and to his psychiatrist. Calvin, Con's father, is a responsible and determined man, he looks forward to his to everything including having a busy day at work
The NAON recommended that patients and their families should be provided with education about pin site care before discharge and that this should be supported by the provision of written instructions (Holmes ei a/2005). Information should be available in written, oral and visual formats and should be consistent (Lee-Smith et al 2001 ). In terms of risk, if it is considered that the patient and/or carer is not able to achieve the required competency to care for the pin site, then healthcare professionals with particular responsibility for pin site care should liaise with community nurses to maintain consistency and provide support (Lee-Smith et al 2001 ). Nursing accountability Medical staff often indicate their preference for carrying out pin site care. Healthcare professionals may include the pin site care regimen in the patient's notes.