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Essay Therapeutic nursing (AHH2096-N)

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This was an assignment where I had to pick a patient and a condition or multiple co morbidities and write about it










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Uploaded on
January 22, 2025
Number of pages
14
Written in
2023/2024
Type
Essay
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Unknown
Grade
B

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The criteria for presentation and referencing, confidentiality, and consent will all be
followed in this assignment by the School of Health and Social Care. The NMC code
of conduct (NMC,2008) shall be adhered to, and anonymity for their protection will be
guaranteed throughout by using the pseudonym, Colin. The patient has granted
consent, which the practice assessor has confirmed. The therapeutic nursing
procedure during a placement shift will be the main topic of this assignment.

A patient arrived at A&E presenting with symptoms of pyrexia, diarrhoea, headache
and vomiting along with abdominal pain. After being assessed and diagnosed in A&E
with Campylobacter the patient was moved to the ward for treatment as he was
severely dehydrated. The World Health Organisation (2020) reports that the most
typical clinical signs of Campylobacter infections include diarrhoea (sometimes
bloody), abdominal pain, Pyrexia, headache, nausea, and/or vomiting. Usually, the
symptoms continue for three to six days. The patient was admitted for rehydration as
he was hypovolemia due to Campylobacter. Colin felt unwell after being admitted to
the ward, exhibiting signs and symptoms of a suspected cerebrovascular accident
(CVA), however, he was assessed, and doctors did further tests, including a
neurological examination, lumbar puncture, and Electromyography (EMG) (World
Health Organisation, 2016). Secondary to the Campylobacter Colin was diagnosed

1

, with Guillain barre syndrome (GBS) due to a sudden onset of paralysis. The (NHS,
2019) definition of (GBS) is a rare and serious condition affecting the nerves. It
causes numbness and pain in the limbs and leaves the person in a state of paralysis.
(NHS, 2019) states that GBS can be a life-threatening condition and should be
admitted into hospital to ensure close monitoring. (World Health Organisation,2016)
states that Gillian-barre syndrome is more common in adults and males however
anyone can be affected by the condition. Colin, a 56-year-old male, was then
admitted to the medical/rehabilitation ward, the Nurse introduced herself using the
Hello my Name is… which is a campaign that was founded by Dr Kate Granger
(Granger, 2013). (British Journal of Nursing, 2021) says the ‘Hello my name is …’
campaign emphasises the importance of compassionate care and focuses on health
professionals introducing themselves to patients. Research has found that using
names is key to providing individuals with a sense of belonging and can be vital in
ensuring patient safety.

The Nurse who was placed in charge of Colins care orientated him to the ward.
Nurses are the patients' primary point of contact. This frontline job allows them to
form therapeutic relationships. Building a strong rapport with the patient allows for a
better knowledge of their requirements and preferences. This shift towards (PPC)
person-centred care is supported by research linking lower hospitalisation rates and
better chronic illness management. The Picker/Commonwealth patient-centred care
initiative introduced the notion of (PPC) in 1986 (Beatrice, Thomas, & Biles, 1998).
However, Moore et al. (2017) conducted a study that revealed there are challenges
and limitations to person-centred care, including time constraints, professional
attitudes, and ward layouts.

On admission, the Nurse performed baseline observations on colin using the News
two assessment tool (National Health Service England, 2021) this comprised of

 respiration rate (22)
 oxygen saturation (92-94)
 systolic blood pressure (89/55)
 pulse rate (96)
 level of consciousness or new confusion (A)
 temperature (36.1)


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