Planning Patient Care Essay -- Nursing Essays

Introduction: According to The Department of Health (2009) care planning is essentially about addressing an individual’s full range of needs. It takes into account their personal, social, economic, educational, cultural and mental health needs. After initially discussing this assignment with John (patient) and the Clinical Nurse Manager both parties agreed that the author could proceed. All information will be kept confidential and no names will appear on this assignment that could be traced back to the client or hospital. As a student nurse this will comply with the guidelines set out by An Bord Altranais (2009). All nurses should be able to account for the care they give, why they give the care and also an evaluation of the care they have given. Barett et al (2009) maintain that this is a core part of care planning.The Department of Health and Children (2001) has shown its commitment to organising care plans and the importance of them as was evident in the 'Primary Care A new Direction' health strategy.This identified the importance of discharge planning and and the development of individualised care plans following discharge. This assignment will cover a full assessment of a person whose care the author has managed in the clinical setting. Based on this assessment the author will compile a care plan focusing on two key nursing diagnoses derived from the nursing assessment. The author will list all nursing diagnosis related to this patient and give a rationale for each. John Reynolds is a 56 year old gentleman admitted to the ward through the emergency department. He fell off a ladder at home whilst cleaning his chimney. He fell approximately 8-10 feet onto concrete. He had sudden pain to his left leg and this remained the... ...tein, G. and Stubhaug, A. (2008). Assessment of pain. British Journal of Anaesthesia. 101 (1), pp 17-24. Gulanick, M. and Myres, J. L. (2007) Nursing Care Plans. Nursing diagnosis and interventions (6th Edition). London: Mosby Elsvier. Pudner, R. (2000) Nursing the Surgical Patient. Edinburgh: Bailiere Tindall. Schatzker, J. and Tile, M. (2005) The Rationale of Operative Fracture Care (3rd Edition).New York: Springer. Manley, K. and Bellman, L. (2000) Surgical Nursing. Advance practice. Edinburgh: Churchill Livingstone. Ackley, B. J. and Ladwig, G. B. (2010) Nursing Diagnosis Handbook. An evidence based guide to planning care (9th Edition). Philadelphia: Mosby Elsevier. An Bord Altranais (2007) Guidance to Nurses and Midwives on Medication Management. (http://www.nursingboard.ie/en/policies-guidelines.aspx) (accessed 15th October, 2011) (Internet).