This article will discuss the case study of Mrs Bowling, who is 80-year-old female accepted to medical center with continuous diarrhoea, nausea, vomiting and reduced mobility. Mrs Bowling is retired professor and leaves home with her husband. This paper use the case of Mrs Bowling to go over about the factors that are taken into account when obtaining health examination data. Furthermore, risk analysis will prepare yourself relating to Mrs Bowling circumstance including rationale for the particular assessments. Finally, hospitalisation effect on the individual and her family will be analyzed, providing strategies for adaptation to the new circumstances.
A health evaluation is complete and organised study of an individual used to determine potential health issues. The main goal of the diagnosis is to avoid potential medical issues or establish appropriate interventions that can result in enhanced quality of life (Department of Health Australian Authorities, 2014). There are many factors that need to be looked at when collecting health assessment data. Initial step is obtaining consent from the patient in order to undertake the examination and collect the necessary data. Determine the cognitive status of the individual and their ability to provide factual data. If cognition is dropped, guardian should be engaged in the process (Office of the Australian Information Commissioner, 2015). According to Koutoukidis, Stainton and Hughson (2012), data collection includes both subjective and objective data. Where possible primary information need to be obtained through the patient or immediate family member. On the other hand, objective data is accumulated by physical diagnosis in line with the present signs or symptoms. Any potential obstacles in communication, as the vocabulary one, should be addressed at the earliest opportunity. In addition, corresponding to Bickley (2012) apart from physical evaluation, nurses should concentrate on living preparations of the individual, their environment and public needs. All health data collection process should be culturally and religiously appropriate to the individual needs.
Once necessary data is collected, next thing is analysing that data and setting up risk assessments related to the patient condition in order to provide best possible outcome for the individual (Koutoukidis et. Al, 2012). Considering Mrs Bowling current status falls risk evaluation (FRAT) should be undertaken. According to Matarese & Ivziku (2016) there are multiple intrinsic and extrinsic factors to be considered when identifying if patient needs FRAT. A number of the factors include era, ability to move and current health status. In Mrs Bowling case, her advanced age, decreased range of motion and diarrhoea put her in a higher falls risk category. Mrs Bowling should be assessed for potential hazards of dehydration by by using a fluid balance chart (Koutoukidis et al. , 2012). Corresponding to Goldberg et al. (2014) reduced mobility and certain health conditions increased the chance of dehydration. Some of the symptoms of dehydration include: increased heart rate, decreased blood circulation pressure, dry skin area, fever and delayed epidermis turgor. As Mrs Bowling is suffering from continual nausea and diarrhoea, has decreased mobility and displays all the previously listed symptoms she is in risky category for dehydration. Another aspect to consider when carrying out risk assessments on Mrs Bowling is skin area integrity. As per Gump & Schmelzer, (2016) patients suffering from diarrhoea and decreased mobility end up having faecal incontinence which leads to skin area excoriations. For protection nursing personnel should maintain regular skin assessments and use preventive methods.
Patient hospitalisation has significant impact on the individual itself as well as immediate members of the family. Both patient and members of the family can face with stress and anxiety and depression in this challenging time. This may occur anticipated to disruption of familiar day to day routine, fear from the consequences of the illness as well dread about the future. Moreover, there's a risk of cultural isolation for the patient and further drop in medical position while in hospital (Happ, Tate & Davidson, 2015) Mrs Bowling is at risk of producing all the above mentioned. Mr Bowling might develop nervousness and depression as well. Being in times where his partner of 55 years is at hospital in delicate condition with increased health care needs can put extreme pressure on Mrs Bowling. In order to assist Mr and Mrs Bowling Patient Centred Good care (PCC) can be integrated. According to Flagg (2015) PCC is essential in assisting patients and their family to acquire positive clinic experience. PCC features physical, mental and sociable impact of the illness to the individual and their immediate family including them in the decision making processes. For Mrs Browning to get over her current issues and doubts she and her spouse will need more info regarding her current issues and education about management once discharged. Further recommendations to appropriate services that can provide home support will be beneficial and can assist with minimizing their nervousness.
This essay analyzed a research study involving hospital entrance of older patient. Primary concentrate was on importance of appropriate processes set up while obtaining data regarding the health condition of the patient as well as deciding enough health risk evaluation as requirement for providing reliable health care. In addition, writer talked about the negative effects of hospitalisation on patient and significant others as well as the importance of PCC as an effective strategy in overcoming these road blocks.
