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How to Write a Summary of an Article? Holistic Care Nurse Essay The name and other identifying information about the patient included within this piece of work have Holistic nursing approach essay changed to protect confidentiality, as required by The Code of Professional Conduct Nursing and Midwifery Council, For this reason, the patient included in this case study will be given the pseudonym of Sam Jones.
The purpose of this assignment is to identify one client problem and provide an evidence-based plan of care for the individual. This model was chosen because is it extremely prevalent in the United Kingdom and is the most widely used model familiar to nurses.
Care plans are based on evidence-based practice, allowing the nurse to determine the best possible care and rationale for the chosen nursing interventions Roper, Logan and Tierney, They take into account the psychological, biological and sociological needs of the person and therefore provide a holistic approach to care Roper, Logan and Tierney, The main activity of living that will be affected within this care plan will be maintaining a safe environment as Mr.
Diabetic ketoacidosis DKA usually occurs in people with type 1 diabetes mellitus, but diabetic ketoacidosis can develop in any person with diabetes Diabetes UK, DKA results from dehydration during a state of relative insulin deficiency, associated with high blood levels of sugar level and ketones Diabetes UK, This happens because there is not enough insulin to allow glucose to enter the cells where it can be used as energy so the body begins to use stores of fat as an alternative source of energy, and this in turn produces an acidic by-product known as ketones Diabetes UK, Severe metabolic acidosis can lead to shock or death Dugdale, The Holistic nursing approach essay problem was chosen because there are measures that can significantly reduce the risk of metabolic and hypovolemic shock which can be caused by severe metabolic acidosis Dugdale, Within the care plan relevant care interventions will be identified to prevent the possible development of shock for Mr.
In practice the interventions would happen contemporaneously.
The interventions involve identifying the potential risk factors for the development of shock by using specific assessments. Once the diagnosis was made, specific, achievable, measurable, realistic and time limited goals of care for Mr.
The NHS foundation trust specific guidelines for adult diabetic ketoacidosis suggest a series of immediate actions and assessments for suspected DKA which will allow for appropriate interventions to be made and will provide a baseline which will provide a measure of the effectiveness of the treatment The Joint British Diabetes Societies Inpatient Care Group, [JBDS], Mr Jones will need fluid and electrolyte management to clear ketones and correct electrolyte imbalance Nazario, He will also require pharmacological involvement which will include administrating medication that is needed to reverse the acidosis, raised blood glucose and pH levels Nazario, Psychological intervention is also necessary to reduce his anxiety and therefore reduce potential shock Nazario, The goal of treatment for Mr Jones is to lower his high blood sugar level with insulin an hour after the insulin infusion is administrated with the expected outcome of maintaining a blood glucose level in the range of 8.
Another goal is to replace his lost body fluids; intravenous fluids will be given to treat dehydration and dehydration status will be assessed every hour by monitoring intake and output, skin turgor and vital signs JBDS, Fluid and Electrolyte Management According to The Joint British Diabetes Society the usual cause of shock in DKA is severe fluid depletion secondary to osmotic diuresis leading to intravascular volume depletion.
Diabetes Daily justify this by stating that dehydration can become severe enough to cause shock.
Holistic Nursing Approach November 21, Holistic nursing application is the focusing on all the aspects of the patient, and their extended . Lawrence Technological University's Bachelor of Science in Nursing (BSN), offered through a unique partnership with St. John Providence health system, is a four-year, qualified applicants program starting in the Fall of The Rife Handbook of Frequency Therapy and Holistic Health 5th Edition an integrated approach for cancer and other diseases by Nenah Sylver, PhD.
So once a diagnosis of DKA has been established, fluid replacement should be commenced immediately Park, According to Oaks and Cole the development of total body dehydration and sodium depletion is the result of increased urinary output and electrolyte losses.
They state that insulin deficiency can also contribute to renal losses of water and electrolytes Oaks and Cole, The Joint British Diabetes Society suggests that the most important initial therapeutic intervention when treating a patient with DKA is fluid replacement followed by insulin initiation.
They also state an adult weighing 70kg or above presenting with DKA may be up to 7 litres in fluid deficit with associated electrolyte disturbances JBDS, Rhoda, Porter and Quintini propose that a fluid and electrolyte management plan developed by a multidisciplinary team is advantageous in promoting continuity of care and producing safe outcomes.
The development of a plan for managing fluid and electrolyte abnormalities should start with correcting the underlying condition Rhoda, Porter and Quintini, In most cases, this is followed by an assessment of fluid balance with the goal of achieving euvolemia state of normal body fluid volume Rhoda, Porter and Quintini, The Joint British Diabetes Society propose the main aims for the first few litres of fluid replacement are to clear ketones and correct electrolyte imbalance.
The guidelines state that intravenous fluids should be commenced via an intravenous cannula JBDS, Park clarifies this by stating that slower rates have been associated with a more rapid correction of plasma bicarbonate and it is recommended that mls is to be infused in the first hour.
To correct dehydration and achieve the goal of rehydrating Mr Jones, several assessments will need to be completed.
Rhoda, Porter and Quintini suggest that after a plan is developed, frequent monitoring is vital to regain homeostasis. Also, to assess the degree of dehydration a variety of specific observations will need to be carried out including observing neck veins, skin turgor, mucous membranes, tachycardia, hypotension, capillary refill and urine output JBDS, A strict fluid balance chart will need to be in place to monitor input and output Mooney, To continue with gradual rehydration and restoration of depleted electrolytes after the first ml bag of 0.
Following these two hourly bags of fluid another two bags of sodium chloride will follow at a rate of four hours and then another two bags will be commenced over six hours consecutively to ensure complete rehydration JBDS, Pharmacology Intervention The medication that was needed to resolve Mr.
An intravenous insulin infusion via a pump should contain 50 units of actrapid insulin in 50mls 0. If you are unable to weigh the patient an estimated weight will need to be made to calculate the units per kg per hour JBDS, Digital Impact LLC produces large format, high-resolution, semi-permanent corrugated/mixed material POP & POS displays, product packaging and specialized permanent displays for companies of all backgrounds.
Our clients know us for our reliability, speed to market, and long-standing razor sharp focus on customer service. Utilizing state of the art digital printing, we produce product packaging. The Importance of Holistic Nursing Care: How to Completely Care for your Patients The American Holistic Nurses Association defines holistic nursing as “all nursing practice that has healing the whole person as its goal.”.
For RN bridge programs visit: RN to BSN Programs in Oregon; RN to MSN Programs in Oregon; ADN Programs in Oregon. An excellent first step to take if you are considering becoming a registered nurse is to look into an Associate's Degree in Nursing ().This program lasts roughly 2 years, and is commonly offered at junior and technical colleges throughout the state.
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By using the Roper, Logan and Tierney’s nursing model () a holistic approach to care was able to be implemented for Mr. Jones by taking into account his biological, psychological and social needs. By establishing a holistic care plan three interventions were.
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Print and education and contribute significantly to the formalization and credibility of this work and in integrating a more holistic approach in nursing practice and health care. If you are the original writer of this essay and no longer wish to have the essay published on the UK Essays.
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