Preview

Case Study Health and Society

Powerful Essays
Open Document
Open Document
3052 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Case Study Health and Society
Case Study NU1505
For the purpose of this assignment I am going to do a case study on an individual patient/client which focuses on the nursing health model used in care, the socially and/or culturally specific components of care. I will also look at Health promotion and patient education and Inter/Multidisciplinary team approach to care provision. For the purpose of the assignment and to ensure I adhere to NMC Code of Conduct (2004) I must guard against breaches of confidentiality by protecting information from improper disclosure at all times. I will therefore change all the names of people and places in the assignment where relevant in line with these guidelines. The individual patient I choose is Mrs A, Mrs A is an 87 year old lady who is retired and currently at home with her husband. Mrs A’s nationality is white/Irish; she was born in Ireland and moved to England around 60 years ago. Mrs A has four children and before retiring enjoyed the lifestyle she led with an occupation in hotel work and a social life which included singing and dancing.
Earlier in the year Mrs A suffered a stroke which resulted in a number of health problems. Mrs A’s speech was affected by the stroke and now she often gets her words mixed up when communicating and finds it difficult to find the right words to express herself . Often she uses yes instead of no and vice versa. Her mobility has also deteriorated resulting now in using a walking frame and wheel chair for distances. Mrs A’s medical history includes having a total hip replacement, Spondylosis, Cognitive impairment, pseudo bulbar palsy, cerebral atrophy and a speech and language impairment. Previously Mrs A has no known history of Mental illness yet as a result of age is becoming increasingly more forgetful and experiencing memory problems both short and long term. Mrs A was admitted to the service (my placement area) after being referred by a speech and language therapists. Mrs A has been attending these therapies for

You May Also Find These Documents Helpful

  • Satisfactory Essays

    I am currently on a Mental Health placement at a local hospital. Mr Burns is a 75 year old man to protect the client the name has been changed under the data Protection Act 1998 that has been on the all-male dementia ward since 2007. Mr Burns has Alzheimer’s disease, stomach ulcers, prone to seizures and Dysphasia. Using Rober, Logan and Tierney’s model the 13 activities of daily living the priorities for Mr Burns are personal cleaning and dressing, mobilizing and eating and drinking. Using the Maslow hierarchy of human needs, Biological needs I feel Mr Burns will not manage to take the next step as he is unable to do basic needs for himself. (L.Swiatczak and S Benson 1993).Using Eric Erikson. Mr Burns was a miner for many years…

    • 349 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Hltap501A

    • 3110 Words
    • 13 Pages

    The following assignment will discuss essential nursing processes to obtain information from a client to identify health problems or potential health problems and to gather and document information to use in the contribution of care planning for a client in a variety of health care settings. The case study involves Mrs Blow, an elderly patient who has a variety of health issues and requirements, that need to be implemented in hospital and on her return home for optimal health and…

    • 3110 Words
    • 13 Pages
    Powerful Essays
  • Good Essays

    Mrs. Shirley Uber Caretaker came into our office to discuss her potential disability claim. Mrs. Caretaker is a 56 year old widow, and has a steady work history of 40 years. She was married for 37 years before her husband passed away from a massive heart attack. After her husband’s passing she went into a deep depression. She states that she often feels suicidal and there are days when she will not even get out of her bed. (Kucourses.com, 2016) Dr. Prime, her primary care physician spends fifteen minutes, of her monthly doctor visits, to discuss her mental health issues. He also prescribes her anti-depressant medication and has filled out the necessary paperwork for her to receive a handicap sticker. Mrs. Caretaker was also instructed to use a walker or cane to aide her in walking. (Id.) At the age of 49, she started having significant pain in her knees and was advised that she needed two total knee replacements. When she was 55 and…

    • 715 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    This practice analysis will critically evaluate the work undertaken with Mrs S who was 89, suffered from hypertension, age related frailties and dementia, which had caused her to wander out of her house on two occasions. She experienced a fall and was admitted into hospital. While in hospital she received a formal diagnosis of dementia and was prone to short term memory problems. Following discharge from hospital, she received Reablement for a short period, Mrs S was deemed unsuitable as she did not engage with the service and declined all support geared at maximising her safety and independence at home. Mrs S lived alone and she has a daughter who lived fifty miles away from her and was not able to offer much support due to distance and maintain…

    • 2266 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care, medication and meals. Mrs Gale has a history of weight fluctuation owing to lifestyle but is currently at risk of malnutrition due to Parkinson’s disease. Mrs Gale shows signs of early dementia and suffers from poor mobility and pain caused by arthritis. Mrs Gale also has mild depression triggered by loss and has become socially isolated. All names have been changed as per the Nursing and Midwifery Council confidentiality guidelines (2008).…

    • 2416 Words
    • 10 Pages
    Good Essays
  • Powerful Essays

    Nurses are entrusted with very private information from patients and along with this the patient expects and the law requires this to be kept confidential The patient gives this information assuming and trusting that the information will be kept private and only used for medical treatment. A breach of confidentiality comes in when the patients’ information has been disclosed to a third party that is not directly involved in the patients care or given without appropriate consent from the patient. (American Medical Association, 2013). Confidentiality should always be maintained except in cases that the law requires reporting or where more harm may come to the patient by respecting this commitment. Some ethical…

    • 1385 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    The practitioner and nursing staff must assure they are implementing practice changes to improve quality of care for their patients. Well supported and researched standards should only be implemented. The patient population of the clinic should not be uses as a test group or population without prior knowledge or informed consent. During the process of informed consent, all risks must be explained to the patient and family. Patients must be educated by the practitioners and nursing staff regarding the implementation of a new practice. The staff must be aware of credible resources for data collection and applications to practice. Reassurance of protecting patient privacy should be discussed with patients and parents. The nurses must continue to advocate for human rights during the research process by identifying vulnerable populations. These populations may include children, pregnant woman, elderly, and cultural differences. If any language barriers exist, the nursing staff should be prepared to have alternate communication methods. State and federal guidelines must be followed during any research process and advocate for those who cannot advocate for…

    • 1231 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    health and social

    • 1632 Words
    • 6 Pages

    3) Explain how an individual’s personal beliefs and values may affect the management of continence.…

    • 1632 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    Mrs A is 65 years of age and has Dementia with Lewy Bodies. Most mornings she wakes up in pain and requires a lot of support with her personal care now as she is unsteady on her feet. She requires a rota-stand for standing and transfers and at times struggles to keep her eyes open and concentrate. Mrs A is aware of her dementia and seems low in herself at moments in time and at 65 years old she says that she feels this is no quality of life. Being aware of this means that she feels low in herself at times and cannot see a positive future ahead.…

    • 423 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Hospitalisation has a big impact on a person’s life. When dealing with people in hospital health care professions use care planning to make sure that an individual’s needs are met and that there is an on-going personalised plan for the duration of the stay, however long or short this may be (National institute of clinical excellence[NICE], 2010). During this essay I will be following a patient that has been on my clinical placement. I will be discussing the models and theories that underpin nursing in my clinical area. I will be looking more in depth at two needs of my patient and state how we assess these. To abide by the Nursing and midwifery council code of conduct (2008), I will be changing my patients name to Peter and making sure confidentiality is kept at all times.…

    • 3065 Words
    • 13 Pages
    Powerful Essays
  • Powerful Essays

    MEDICAL HISTORY: Includes osteoarthritis, frequent urinary tract infections, hysterectomy 20 years ago, and some TMJ (The temporomandibular joint) problems. There is no history of TBI (traumatic brain injury) or LOC (Level of consciousness) but the patient reported that she had hit her head on the right side creating her TMJ problems. She denies ETOH (Ethanol) intake or smoking. Current medicines include: ibuprofen and Detrol. On admission to the MDC (Memory Diagnostic Center) the patients score on the MMSE was 3-D over 3-D and she was able to recall all three words. Clinical dementia rating was 1. Score on the geriatric depression scale was 12. For further information please refer to patients medical records. Ms. Copeland has a high school education with some college course work. She has worked for about 30-years as an editor. Currently she resides in her own home with her granddaughter with is sixteen. The patient’s granddaughter Jance, moved in about 3-years-ago and has had academic problems and reduced moderation. Ms. Copeland has tried counseling and the Date Counting Learning Center without much success secondary to Jance’s reduced communication and tendencies to sabotage own successes . Ms. Copeland is under considerable stress and does not know for sure if her problems with her memory have worsened. Ms. Copeland indicated that she has noticed memory problems…

    • 1622 Words
    • 7 Pages
    Powerful Essays
  • Powerful Essays

    Mr Y is an elderly man who is now residing at a rest home was diagnosed with hypertension, meningitis, epilepsy, type 2 diabetes and korsakoffs dementia due to prolonged alcohol dependency (Ambrose, 2001). Mr Y is a person with a very delightful personality and is not fussed about anything. However hesitates to be the first one to start conversation. He starts to talk if the second person begins communication. He is independent with almost all activities of daily life however is supervised by staff as Mr Y is susceptible to wandering mostly in the afternoon so more care is provided accordingly. The client has no nutritional complications and has three medium sized meals in a day. He has no bladder and bowel difficulties and therefore needs no incontinence products, neither in the day nor during the night. Mr Y has no sleep disturbances nevertheless exhibits some degree of anxiety and agitation at some point which is when he wants to be with his family. Mr Y has no family support as his sister who was the only support has moved abroad. The clients change in behaviour is controlled by diversional therapies which includes activities with regards to his strengths and psychosocial activities. The client is well orientated to time people and places.…

    • 2489 Words
    • 10 Pages
    Powerful Essays
  • Satisfactory Essays

    health and social

    • 716 Words
    • 5 Pages

    1.2 Explain why it is important to work in a way that embeds person centred values…

    • 716 Words
    • 5 Pages
    Satisfactory Essays
  • Good Essays

    Service user A Barriers are overcome by care staff having to speak very slowly and facing him when speaking so he can follow lip movement.Staff are too write information down on paper so he can visually understand or stand to the right of him and speak louder so he can hear clearer.In every service users care plan all relevant information such as his preferred methods of communication or his needs wishes or preferances personal details medication ect,this information can be shared with care staff who visit him or district nurses his family where possible . In every service users care plan there are daily reporting sheets that care staff record what they have done on each visit or report any concerns regarding the welfare of the client.These are then collected each month and returned to the office staff and stored in the service users personal file and any concerns are reported and discussed at these weekly meetings with social services any forms of extra support can be discussed and these changes can be implemented and other inter agencies can be introduced and decisions made on how a service users care can deliver better outcomes regarding their care.…

    • 623 Words
    • 3 Pages
    Good Essays
  • Better Essays

    health and social

    • 1523 Words
    • 4 Pages

    When I go into a client’s house on a morning I get out clean clothes for that day for the client to put on, as I get the clothes out I check that the clothes are in good condition and that the clothes are the right size for the client. I recently went to dress the client, I went to put some trousers on the client but the trousers were too small so I explained to the client that these weren’t suitable as she would be uncomfortable all day so I looked for a bigger pair of trousers for the client to wear. I got a bigger pair of trousers out and they fit ok.…

    • 1523 Words
    • 4 Pages
    Better Essays