Highlights
Introduction
Within the health care system, Enrolled Nurses (ENs) work as part of a collaborative, multidisciplinary health care team. An essential role of the EN is to ensure that the individual health care needs of their clients are identified, and a plan of holistic care is established early on during the admission process. The client’s
individual needs should be reassessed frequently, to mitigate the risk of adverse outcomes and evaluate treatments, for as long as they need care.
Accurately assessing the physical, mental and emotional health status of your client can prevent adverse outcomes occurring, and can assist to identify any specific individual needs that will impact their admission.
This assessment provides an opportunity to demonstrate how knowledge of a client’s health status and individual needs can ensure their treatment is appropriate, holistic and that person-centred care is provided.
Summary
Assessment 1, Part B, will require you to answer a number of short answer questions, amend the nursing care plan you completed previously in Assessment 1 Part A, and complete clinical documentation. The case study is based on Mr McFarlane, who was admitted to your ward in Assessment 1: Part A.
To complete Assessment 1: Part B, you will need to consider the following from the case study:
• The overall health status of Mr McFarlane;
• What is needed to support him to make informed decisions relating to his care; and
• How to best plan and implement person centred care.
In your answers, you should apply an understanding of nursing diagnosis, nursing assessments, analytical thinking and nursing intervention implementation. Utilise medical terminology where appropriate, and apply directional terms when referring to nursing interventions.
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