Principles and practice of adult nursing

Essay by orlandobabeUniversity, Master'sC+, April 2006

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The aim of this assignment is to demonstrate an understanding of the relationship between two problems of a patient and the care planned to alleviate these problems. A further purpose is to develop an understanding of implementing a holistic approach to planning care and to evaluate its effectiveness. I shall justify the selection of problems, intervention the patient received, and relevant physiology and psychology.

The details for this assignment come from a recent clinical placement on a surgical ward, which deals with Hepato-Biliary surgery. The patient will be referred to as Gill to ensure Nursing and Midwifery Council (2002) confidentiality guidelines are concurred.


Gill is a 50-year-old insulin dependant Diabetic. She was admitted to the ward via Acute Medical Assessment Unit (AMAU). Gill was found on the floor after a fall, feeling drowsy, vague and confused and complaining of abdo pain. After nursing hand-over, a multi-disciplinary team embarked on a strategy to assess, monitor and resolve Gill's issues.

Multi-disciplinary working is encouraged within the NHS Plan (2000) and is concerned with professional healthcare providers working together for the well-being of the patient. (Castledine 1996) Gill was then admitted to the ward where a full nursing assessment took place and from here a plan of care was prescribed and implemented.

Further information was obtained from previous medical records. This revealed in 1998 Gill had a cerebral vascular accident (CVA) and recovered well. She was also diagnosed with alcohol liver disease (ALD) in April 2000 and diabetes 15 years ago. Gill's observations on admission where taken so to provide a basis for any later comparisons. Her blood sugar glucose reading was 32.4 millimols per litre. The normal reading should be between 4-7 mmol/l before meals rising to no higher than 10 mmol/l two hours after meals ( A ward test...