Posted: September 5th, 2023

Identify The Information Needed To Care For The Client And Structure Assessment

Please see the instruction which I will upload later.

1600 words essay
Using the third person writing (no such as “I”, “you” please)
APA style, academic reference from 2010-2015, Australian reference only
You are a community nurse (There are some different roles compare to other nurses)
The writing structure of care plan has been given. This essay will follow these orders: instruction, assessment, care plan, implementation, evaluation and reassessment, and conclusion. The major parts would be the “assessment”, and “care plan”
This essay is written for show the ability of comprehensive identifying, discussion, and create care plan for comprehensive conditions (6 domains of health). Please writing it base on this principle
The boldfaced words are the instruction of teacher, the smaller words following are my personal explanation for some details. Please follow both of them, they should not be conflicting.

Introduction

Assessment

Identify the information needed to care for the client and structure assessment to provide you with the information required to plan care for this particular client’s specific problems
Identify all the domains of health to be assessed
Identify the tools needed to perform the assessments in each domain
Identify additional information needed and method to collect the required data, e.g. urine tests

Brief introduce the domains of health: physical, psychological, social, cultural, spiritual, intellectual
Brief introduce the conditions from the 6 domains of health – such as from physical domain, the patient is experiencing chronic pain, decreasing the level of daily activities, overweight, blisters, ect. , and the structure assessments need to be done for the 6 domains as a community nurse.
Please mention the side effects of medications need to be awar, for example, Ibuprofen may cause hypertension, Baclofen may cause headache, Diazepam may cause hypotension. ect.

What are the nursing assessments need to do for the each domain (and brief reasons) as a community nurse at the patient’s home? – You are a community nurse

Additional assessments and why(something must do in hospital, such as urine tests)

Care Plan

Identify care needs in order of priority
Construct a plan of care that meets the needs of the client.
Consider care planning across all domains of health: physical, psychological, social, cultural, spiritual, intellectual and other domains you may identify
Include method of evaluation in the care planning
Review care planning from ethical perspective to include client consent, autonomy and adherence to nurses’ code of conduct, legal requirements etc

In this case, the two priorities are pain and depression. Explain why these two would be the priorities, other words – why you think the pain and depression should be focused firstly in this case?
Explain the reason and results of chronic pain (Pathology and process of spinal stenosis, other additional reasons such as his occupation, and what are caused by pain, such as depression, serious influence his level of function such as daily activities ect.)
Create the care plan part 1 for pain as a community nurse from the 6 domains of health.
Eg.

Physical – ongoing assessments? Medication? More experts involved? The method to reduce or delay the process of illness? The home environmental hazard assessment?

Psychological – Ongoing assessments? Medication? Social work involved because his children are living far away?

To sum up, indicate the reason of pain, and the influences of his pain from 6 domains. Indicate the interaction of these influences, and create a plan for his pain from 6 domains

How to evaluate the care plan part 1– eg, pain assessment …
Explain the reason and results of depression (the results such as medication adherence, stopping work with physiotherapist, cause the symptoms more serious…)
Create the care plan part 2 for depression as a community nurse from the 6 domains of health.
To sum up, indicate the reason of depression, and the influences of his depression from 6 domains. Indicate the interaction of these influences, and create a plan for his depression from 6 domains

How to evaluate the care plan part 2
Review care planning from ethical perspective to include client consent, autonomy and adherence to nurses’ code of conduct, legal requirements etc
Implementation

Identify possible obstacles to implementation and how you could address it

Possible obstacles such as his emotion, irreversible symptoms of chronic pain and illness, etc. Brief explain why
The possible method to fix it, such as how to give an appropriate education such as the correct position during bed time. Brief explain the expecting result

Evaluation and reassessment

How to evaluation and reassessment the care plan
Identify tracking of progress of long term care goals

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