Individualised Nursing Care

982 Words 4 Pages
The purpose of this essay is to demonstrate the ability of a nurse to provide safe and individualised nursing care to Margaret Evans as per the given fictional clinical scenario. She was 45 years old, a single mother and had been working hard to meet the needs of the family. She had a history of smoking. She presented symptoms of cold and cough for more than 72 hours.
The symptoms became worse, as she struggled to breathe and was unable to stand on her feet. Therefore, she was rushed to the Accident and Emergency (A+E) with the help of ambulance staff. On admission to A+E, she was diagnosed with left lower lobe bacterial pneumonia and transferred to a medical ward for further investigation and treatment (Appendix-1). This essay includes three
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It kills 29,000 people a year becoming the third largest cause of death among lung diseases. This research (National Institute for Health and Care Excellence, NICE, 2012) also suggests that most common emergency hospital admissions are due to community-acquired pneumonia (CAP). Furthermore, Dougherty, Lister, and West-Oram, (2015) describe most of the patients in the hospital get infected with pneumococcal infection resulting in hospital-acquired pneumonia (HAP). Therefore, it is crucial for nursing students to learn the information about pneumonia, so that they can provide safe and effective care to people who access healthcare services. To make sure confidentiality maintained all the names and location had been altered (Nursing & Midwifery Council (NMC), …show more content…
Furthermore, Margaret also produced an excess of sputum with a thick consistency and green in colour Brewer (2017) suggests this could be the sign of bacterial infection which can confirm by sending sputum sample for culture and sensitivity test. BREATHING
Secondly, as Adam, Odell, and Welch (2010) recommend looking at Margaret's breathing pattern nurses can assess the severity of her breathlessness. For instance, her respiration rate (RR) was 24 per minute, which is higher than normal rate (12-20/minute) (Jevon, 2010). She was breathing with pursed lips. These signs again indicate that her body was adjusting to get more air and improved her oxygen levels.
Her oxygen saturation (SPO2) was 94% instead of above 96% (Sarkar, Niranjan, & Banyal, 2017). A pulse oximeter is used to detect oxygen levels in peripheral blood capillaries (Doughtry et al., 2015). Therefore, ensuring adequate oxygen is administered, is essential to improve her breathing (Doyle & McCutcheon, 2012). The provision of humidified oxygen administration via nasal spacs provided to Margaret to improve oxygen saturation (SPO2) and different devices is discussed more in detail in the final section.

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