{"id":10737,"date":"2021-10-01T23:10:13","date_gmt":"2021-10-01T23:10:13","guid":{"rendered":"https:\/\/nurs.essaybishops.com\/case-study-patient-needs-assessments\/"},"modified":"2021-10-01T23:10:13","modified_gmt":"2021-10-01T23:10:13","slug":"case-study-patient-needs-assessments","status":"publish","type":"post","link":"https:\/\/homeworkacetutors.com\/nursing\/case-study-patient-needs-assessments\/","title":{"rendered":"Case Study: Patient Needs Assessments"},"content":{"rendered":"<div class=\"content position-relative mb-4\">\n<p><strong>Introduction<\/strong><\/p>\n<p>As part of the FETAC Level 5 Major Award in Healthcare Support the author was asked to do this assignment on Care Skills covering all aspects of caring for a confused person. The model of nursing assessment -Logan, Tierney and Roper will be used to assess the client\u2019s needs.<\/p>\n<ul>\n<li>Physical<\/li>\n<li>Intellectual<\/li>\n<li>Emotional<\/li>\n<li>Social\/Spiritual<\/li>\n<\/ul>\n<p>Methodology will include class and tutor notes along with independent research conducted on the Internet and information from Creative Training\u2019s Module learner book.<\/p>\n<p>The client used for this assignment is Peggy, living in her own home with mild stage of Alzheimer\u2019s disease. The client\u2019s name has been changed to maintain confidentiality.<\/p>\n<p>Peggy is a very outgoing person who enjoys horse racing, bingo and Irish music. Peggy is a roman catholic and attends mass every Sunday morning.<\/p>\n<p><strong>Alzheimer\u2019s Disease (AD)<\/strong><\/p>\n<p>\u2018Alzheimer\u2019s is a type of dementia that causes problems with memory, thinking and behaviour. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks\u2019(Alz.org, 2014)<\/p>\n<p>AD starts off gradual but gets worse and worse overtime it is classed as having 3 Stages<\/p>\n<p>Mild \u2013 Moderate \u2013 Severe<\/p>\n<p>Peggy is in the mild\/early stages of Alzheimer\u2019s which means it is possible for her to continue to do lots of things under supervision bearing in mind this will change over time.<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Mild stage AD<\/span><\/strong><\/p>\n<p>Gets confused in new places<\/p>\n<p>Finds it hard to make decisions when rushed<\/p>\n<p>Poor judgement<\/p>\n<p>Repeats things a lot<\/p>\n<p>Forgets things easily<\/p>\n<p>Lack of interest in activities<\/p>\n<p>Mood changes<\/p>\n<p>Gets frustrated and angry easier<\/p>\n<p>(Alzheimer Society of Ireland, 2014)<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Question 1 Development of a client profile and assessment of individual client needs.<\/span><\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Client Profile<\/span><\/strong><\/p>\n<p>Peggy is a 75 year old female with mild stages of Alzheimer disease living in her own home because of AD she is very confused. Family has assigned a Nurse and a Healthcare Assistant to help with her needs as well as rostering set days and nights that they will partake in her care alongside a multidisciplinary team (Patient, family, GP, nurse and a healthcare assistant). From meetings with Peggy and her family and MDT \u2013 it has been decided that she needs a holistic, person-centred approach for her care plan.<\/p>\n<p><span style=\"text-decoration: underline;\">INDIVIDUAL CLIENT NEEDS ASSESSMENT<\/span><\/p>\n<p>A holistic approach to care is always advised for Alzheimer\u2019s patients after a thorough PIES analysis \u2013 for Peggy it shows:<\/p>\n<p><span style=\"text-decoration: underline;\">Physically<\/span><\/p>\n<p>Assessment of clients home \u2013 safety measures that need to be put in place<\/p>\n<p>M.U.S.T analysis is performed \u2013 diet adjustments made and food intake monitored<\/p>\n<p>Regular exercise and activities with the client completed<\/p>\n<p>Try to create a regular sleep pattern<\/p>\n<p>Ensure client has the correct non slip footwear when leaving the house<\/p>\n<p><span style=\"text-decoration: underline;\">Intellectually<\/span><\/p>\n<p>Assessing client at home \u2013 seeing what they can do for themselves and encourage the client to do as much as they can to ensure not to in still helplessness.<\/p>\n<p>Try to find topics to talk about that interest the client and create a reminiscence book or other photo book with them.<\/p>\n<p>Puzzles and other problem solving activities can be played when the client is confused \u2013 it can help to focus the mind.<\/p>\n<p><span style=\"text-decoration: underline;\">Emotionally<\/span><\/p>\n<p>Talking to the client \u2013 regardless of the topic<\/p>\n<p>Ensure they feel safe and secure and gain their trust<\/p>\n<p>Assign small tasks for them around the house and ask them to assist you in doing chores \u2013 such as folding tea towels or sorting socks \u2013 helps to make them feel useful and wanted<\/p>\n<p>Allow the client to lead in decision making regardless of the task \u2013 such as picking out clothing, hair style, makeup etc<\/p>\n<p>Note any personality changes as this can be a sign of the disease progressing<\/p>\n<p><span style=\"text-decoration: underline;\">Socially\/Spiritually<\/span><\/p>\n<p>Encourage family members to visit regularly<\/p>\n<p>Try to get the client to attend day care centres and research any activities they are interested in to see if they would like to attend \u2013 such as bingo or card games, horse racing meetings etc<\/p>\n<p>The client is very religious \u2013 determine whether she would like to attend mass and if so on what day.<\/p>\n<p>Prayers may be said throughout the day in the home \u2013 such as the rosary<\/p>\n<p>(Sorrentino, 2008)<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Question 2<\/span><\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Determine the level of assistance required to complete activities of daily living<\/span><\/strong><\/p>\n<p>Feeding \u2013 Can feed herself \u2013 food and fluids documented (intake and out-take chart)<\/p>\n<p>Toileting \u2013 Manages toileting \u2013 any changes monitored as can change if AD progress\u2019s<\/p>\n<p>Selecting appropriate clothing (attire) shoes slippers etc \u2013 assistance needed<\/p>\n<p>Grooming \u2013 help with hair curling<\/p>\n<p>Continence maintenance \u2013 Monitored as can change if AD progress\u2019s<\/p>\n<p>Putting on clothes \u2013 can get confused needs some assistance clothes laid out in order helps<\/p>\n<p>Showering \u2013 some assistance needed<\/p>\n<p>Walking \u2013 mobility good Morse fall scale 0<\/p>\n<p>Finance management \u2013 needs assistance gets a little confused with counting money (old money)<\/p>\n<p>Transport \u2013 individual not allowed drive roster done out to bring individual places by family and close friends<\/p>\n<p>Shopping \u2013 supervision needed as gets confused unless guidance given in shop and gets lost easily<\/p>\n<p>Meal preparation \u2013supervision needed<\/p>\n<p>Telephone and other communication devices \u2013 Assistance needed<\/p>\n<p>Medications management \u2013 supervised and documented by nurse at all times<\/p>\n<p>Housework and basic home maintenance \u2013assistance with housework \u2013 home maintenance directed by Peggy done by family<\/p>\n<p>Sleeping and resting \u2013 very confused when she wakes up especially during the night one of the team stays over and night light left on during night<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Question 3<\/span><\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Maintaining a safe environment<\/span><\/strong><\/p>\n<p>Medications in a locked safe place as Peggy sometimes forgets she has taken her medication nurse allotted to give out medication when needed.<\/p>\n<p>Lighters in a safe place<\/p>\n<p>Supervised smoking<\/p>\n<p>No lock on bathroom door<\/p>\n<p>Good housekeeping no clutter or loose cables minimising slips trips and falls<\/p>\n<p>Handrails in bathroom<\/p>\n<p>Non slip mat in bath<\/p>\n<p>Radiator covers to prevents burns<\/p>\n<p>Supervise individual when cooking to minimise burns\/scalds<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Question 4<\/span><\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Promote client involvement in social events and therapies<\/span><\/strong><\/p>\n<p>Telly bingo with family and friends<\/p>\n<p>Individual loves horse racing days out to local racecourse with family<\/p>\n<p>Day care centre Portlaoise where Peggy has attended for a number of years offers one day a week sessions with loads of different things to do ie hairdresser on site, make and do, chiropodist on site.<\/p>\n<p>Old folks Christmas party annually<\/p>\n<p>Creating a reminisance book of past photos of family and friends gatherings and events<\/p>\n<p>When weather is good peggy likes to help out with gardening(weeding and potting plants)<\/p>\n<p>Peggy\u2019s cd collection is played for her daily as it always brings a smile to her face<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Question 5<\/span><\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Mobility including falls and pressure area care<\/span><\/strong><\/p>\n<p>Individual mobility good at moment but watched closely as can deteriorate in Alzheimer\u2019s patients as disease progress\u2019s<\/p>\n<p>Morse Falls Scale result 0 at present.<\/p>\n<p><strong><span style=\"text-decoration: underline;\">To minimize pressure sores<\/span><\/strong><\/p>\n<p>Good nutritious diet using the food pyramid<\/p>\n<p><strong><span style=\"text-decoration: underline;\">If individual mobility deteriorates check all pressure areas every day for redness<\/span><\/strong><\/p>\n<p><img decoding=\"async\" alt=\"Pressure Areas\" src=\"https:\/\/s3-eu-west-1.amazonaws.com\/aaimagestore\/essays\/1456872.004.jpg\"\/ loading=\"lazy\"><\/p>\n<p>(Search.yahoo.com, 2014)<\/p>\n<p>Use of air mattress to help prevent pressure area sores<\/p>\n<p>Gel cushions in chair<\/p>\n<p>If client becomes bed bound to be turned every 4 hours<\/p>\n<p>Constantly checking pressure areas<\/p>\n<p><strong>Preventing falls<\/strong><\/p>\n<p>Risk assessment done on house to minimize falls<\/p>\n<p>Individual supervised<\/p>\n<p>Good housekeeping to prevent slips trips and falls<\/p>\n<p>Floors not polished<\/p>\n<p>Non slip floors in bathroom<\/p>\n<p>Spills cleaned up as they happen<\/p>\n<p>If any falls occur they are documented and individual checked out by nurse \/GP(Morse fall scale form updated<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Question 6<\/span><\/strong><\/p>\n<p><strong>Effective verbal and written communication with client and Health care team<\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Client<\/span><\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Speaking<\/span><\/strong><\/p>\n<p>Always use their name when talking to them and say who you are<\/p>\n<p>Get down to eye level with client and keep good eye contact as this helps them focus<\/p>\n<p>Speak clearly and one idea at a time as to not confuse them more<\/p>\n<p>Do not speak to them like a child<\/p>\n<p>Short sentences<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Listening<\/span><\/strong><\/p>\n<p>Listen carefully to client without interrupting<\/p>\n<p>Listen for clues when client is trying to tell you something<\/p>\n<p>Don\u2019t rush client when they are trying to say something<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Body movements<\/span><\/strong><\/p>\n<p>Use body movements tactfully to try explain things to them by pointing to things or acting out what you are going to do with them<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Tips<\/span><\/strong><\/p>\n<p>Include patient in conversation and decision making(may change overtime)<\/p>\n<p>Don\u2019t treat client as a child<\/p>\n<p>Try keep their sense of humour going by having a laugh with them<\/p>\n<p>Always hold their hand if they are feeling sad as the touch connects them to you emotionally without invading their personal space<\/p>\n<p>Make sure their glasses and hearing aids are working for them correctly as this will play havoc with communication<\/p>\n<p>(Alzheimer Society of Ireland, 2014)<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Healthcare Team<\/span><\/strong><\/p>\n<p>Handovers done on person change over<\/p>\n<p>All healthcare team have been told of all changes to care plan promptly<\/p>\n<p>24 hour diary kept and handed over at handover<\/p>\n<p>Appointments for Peggy kept in diary<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Question 7<\/span><\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Assist clients with activities of daily living<\/span><\/strong><\/p>\n<p>Give a choice with clothes Peggy would like to wear<\/p>\n<p>Assist with shower but let Peggy do as much as she is able keeping her dignity by covering parts of her that are washed as you go<\/p>\n<p>Assist with meal preparations and cooking<\/p>\n<p>Nurse assists Peggy with medication<\/p>\n<p>Assist with housework and laundry<\/p>\n<p>Assist with shopping<\/p>\n<p>Curl clients hair the way they like it promoting positive self image<\/p>\n<p><strong><span style=\"text-decoration: underline;\">When assisting with activities of daily living let client do what they are able to handle and it gives them a sense of independence and self worth<\/span><\/strong><\/p>\n<p>(Alzheimer Society of Ireland, 2014)<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Question 8<\/span><\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Promote the rights of the clients to dignity, privacy, independence and positive self image<\/span><\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Dignity<\/span><\/strong><\/p>\n<p>Making sure client is dressed appropriately<\/p>\n<p>If client is getting washed make sure no one walks in on them<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Privacy<\/span><\/strong><\/p>\n<p>Always knock on clients bedroom door and wait for a response before entering<\/p>\n<p>Privacy and confidentiality contained at all times<\/p>\n<p>Personal information not disclosed to public<\/p>\n<p>When family call over give them some space and time alone with client<\/p>\n<p>Always inform client of what the agenda is for the day and let them make their own decisions<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Independence<\/span><\/strong><\/p>\n<p>Let client do as much as they can even if it means it is time consuming<\/p>\n<p>Let client help out with light house work if they are willing<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Positive self image<\/span><\/strong><\/p>\n<p>Hair curled the way they like it<\/p>\n<p>Let them pick out their clothes<\/p>\n<p>Compliment them when they look nice<\/p>\n<p>Let them use their soaps, shampoos etc that they like ie imperial leather is a personal choice for peggy<\/p>\n<p>If they like their nails painted help them do them<\/p>\n<p>Always make sure they have their false teeth in during the day<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Reference List<\/span><\/strong><\/p>\n<p><strong>BOOKS<\/strong><\/p>\n<p>Sorrentino, S. (2008). Mosby\u2019s textbook for nursing assistants. St. Louis, Mo.: Mosby\/Elsevier.<\/p>\n<p><strong>E-BOOKS<\/strong><\/p>\n<p><strong>WEBSITES<\/strong><\/p>\n<p>Search.yahoo.com, (2014). food pyramid \u2013 Yahoo Search Results. [online] Available at: <a href=\"https:\/\/search.yahoo.com\/search?fr=mcafee&amp;type=B211IE662D20140712&amp;p=food+pyramid\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">https:\/\/search.yahoo.com\/search?fr=mcafee&amp;type=B211IE662D20140712&amp;p=food+pyramid<\/a> [Accessed 27 Nov. 2014].<\/p>\n<p>Search.yahoo.com, (2014). pressure areas \u2013 Yahoo Search Results. [online] Available at: <a href=\"https:\/\/search.yahoo.com\/search?fr=mcafee&amp;type=B211IE662D20140712&amp;p=pressure+areas\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">https:\/\/search.yahoo.com\/search?fr=mcafee&amp;type=B211IE662D20140712&amp;p=pressure+areas<\/a> [Accessed 27 Nov. 2014].<\/p>\n<p>Alz.org, (2014). Alzheimer\u2019s Disease &amp; Dementia | Alzheimer\u2019s Association. [online] Available at: <a href=\"https:\/\/www.alz.org\/alzheimers_disease_what_is_alzheimers.asp\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">http:\/\/www.alz.org\/alzheimers_disease_what_is_alzheimers.asp<\/a> [Accessed 14 Dec. 2014].<\/p>\n<p>Alzheimer Society of Ireland, (2014). About Dementia \u2013 Alzheimer Society of Ireland. [online] Available at: <a href=\"http:\/\/www.alzheimer.ie\/about-dementia.aspx\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">http:\/\/www.alzheimer.ie\/about-dementia.aspx<\/a> [Accessed 14 Dec. 2014].<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Introduction As part of the FETAC Level 5 Major Award in Healthcare Support the author was asked to do this assignment on Care Skills covering\u2026<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2469,90,3568,3178,3567],"tags":[3573,3569,3570,1998,3572,2490,3574,3571],"class_list":["post-10737","post","type-post","status-publish","format-standard","hentry","category-health-care-essays","category-healthcare","category-nurscribe","category-nursing-discussion-post-example-essay","category-us","tag-healthcare-essay-service","tag-help-with-nursing-discussion-board","tag-i-need-help-writing-a-nursing-essay","tag-nursing-paper","tag-nursing-study-bay","tag-online-nursing-papers","tag-research-essay-pro-writers","tag-superior-nursing-papers"],"_links":{"self":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts\/10737","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/comments?post=10737"}],"version-history":[{"count":0,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts\/10737\/revisions"}],"wp:attachment":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/media?parent=10737"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/categories?post=10737"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/tags?post=10737"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}