Care Plans in Reality: The Nurse's Helping Hand

By Debion White Rn

This book is pocket-sized and compact with personalized nursing care plans. The Roper Logan and Tierney Activities of Daily Living have been used as a guide. The care plans have been developed from scenarios based on fictitious characters. I do apologize if any of the names or dates of birth match anyone reading this book as this would be coincidental. The days can be busy caring for our patients, and I do hope that this book will be regarded as a friend that will be there in times of need. In taking into account the increased workload that nurses face daily, this book aims to become the nurses companion.

• Language: English
• Publisher: AuthorHouse UK
• Release date: Jan 28, 2016
• ISBN: 9781504998635

Debion White Rn

It was approximately seven months after qualifying as a nurse and gaining this time of experience on the wards that I got my first post in a care home. My first care plans took me a while to write, which prompted me to buy a little notebook. After thinking about different needs relating to the activities of daily living, I would write practice care plans using “***” as my patients’ names. As the days and weeks went by, I found writing personalized care plans easier, and I became more efficient at keeping my patients’ care notes up-to-date. It gives me the greatest pleasure sharing this with you, and I do hope that this book will provide some support during care planning.

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© 2016 Debion White RN. All rights reserved.

No part of this book may be reproduced, stored in a retrieval system, or transmitted by any means without the written permission of the author.

Published by AuthorHouse  01/27/2016

ISBN: 978-1-5049-9861-1 (sc)

ISBN: 978-1-5049-9862-8 (hc)

ISBN: 978-1-5049-9863-5 (e)

Any people depicted in stock imagery provided by Thinkstock are models, and such images are being used for illustrative purposes only.

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Contents

Acknowledgements

Care Plans in Reality

Section 1   Maintaining a Safe Environment

Section 2   Communication

Section 3   Breathing and Circulation

Section 4   Eating and drinking

Section 5   Elimination

Section 6   Personal Cleansing and Dressing

Section 7   Controlling Body Temperature

Section 8   Mobilising

Section 9   Working and Playing

Section 10   Expressing sexuality

Section 11   Sleeping

Section 12   Death and dying

About the Author

Acknowledgements

Many thanks to my previous colleagues who offered positive comments about the standard of these care plans and those that have kept samples for their Nursing and Midwifery Council (NMC) Revalidation. I would also like to thank Dona for her ongoing positive feedback and my immediate family members for their ongoing support.

Care Plans in Reality

On most occasions when writing care plans for our patients we would focus on including the twelve activities of daily living, along with other relevant care plans to address the care needs of our patients, if we are using the Roper Logan and Tierney model of nursing. However, for the purpose of this book the care plans are not focused on one patient and they are not signed and dated.

This book is focused on the following patients:

1. Jack Barnes is a gentleman who has been prescribed regular medication.

2. Hilda Vine is a lady whose bedroom is located on the ground floor. She would require assistance to safety in the event of a fire. She is unable to walk but is able to move around independently in her wheelchair. She transfers from bed to chair and vice versa with two staff members’ assistance.

3. Tom has a history of falls, mobilises independently but has an unsteady gait. Tom does not wish to use any mobility aid at present due to his current mental health status. Tom also wears glasses.

4. Heather experiences difficulty expressing her needs. She does not have any hearing problems at present but wears glasses.

5. Edward has a medical history of asthma and is at risk of experiencing shortness of breath.

6. Carol has been prescribed Glyceryl Trinitrate (GTN) for chest pain.

7. Pauletta was found by the postman in an unkempt condition. Pauletta was admitted to hospital and was diagnosed with vascular dementia. Pauletta has been admitted into our care home. Pauletta has no family.

8. James has a past medical history of recurrent seizures.

9. Stan has a history of stroke.

10. Loretta has a medical history of Type 1 diabetes. She has been prescribed insulin.

11. Monica was admitted to the home with a low Body Mass Index (BMI).

12. Thomas’ consultant, after various examinations and follow-up appointments has instructed for Thomas to have a long-term catheter due to Thomas’ urological problems.

13. Velda experiences urine and faecal (double) incontinence and is dependent on staff members to anticipate and maintain these needs.

14. Due to Iris’ current physical and mental health deficits she is dependent on two staff members to anticipate and assist her in maintaining her personal cleansing and dressing needs.

15. Arthur is unable to indicate to staff if he is feeling hot or cold due to his current health conditions.

16. Robert is unable to walk or transfer himself. Robert requires at least two staff members to assist him