A patient goes through different stages of recovery. Concepts of recovery are related to the treatment procedure. The different diseases have a unique recovery process (Carroll, 2016). The recovery process defines how the patient will recuperate and what medications are recommended. The recovery from the diseases requires extra care from the nurses and they are taught to use respective tools to diagnose and nursing models to treat the disease (Carroll, 2016). However the recovery period mighty depend on the body ability to responds to treatment. (Reference). Recovery of patient can also be defined as the regaining of health by treatment and care ( reference). The nature of health and wellbeing is very conceptual as it informs the state of mind and aim of a person to achieve a goal. Recovery has positive and negative aspects. (Carroll, 2016). As nurses we play different roles related to the care and need of patients. Mr Smith (pseudonym) aged 66 years admitted with acute kidney infection (AKI) alcohol excess, possible long lie, dehydration he fell at home. Diagnosis was Probable Acute Tabula Nechrosis and worsening AKI electrolyte imbalance and on-going confusion. While Mr Smith being being treated it is important for nurses to involve different healthcare professionals to ensure his social, physical and mental needs are met as defined by (WHO, 1948). As a nurse student, I recommended a professional team meeting for Mr Smith as well monitoring his health and treatment (Cohan, and Goharian, 2018). The extra care was needed for the treatment acute tubular necrosis (ATN). Mr Smith presented low blood pressure, urosepsis, deep vein thrombosis in both legs as well confusion. As nurses we followed the progress of Mr Smith delivering the tailor made care for him. Nurses are responsible for the holistic care of the patient which encompasses the psychological and developmental needs of the patient (Fäulhammer, et al., 2016).Fong, and Wilhite (2017) mentions that Patient advocacy is a key component in patient treatment. It is important to guide the patient throughout the treatment due to lack of patients awareness of the treatment process. Hence the same authors emphasise the importance of extra care and fine advocacy within nursing practice (Fong, and Wilhite, 2017). It was my role to advocate for Mr Smith and represent his best interest when decisions were being made. This was achieved by using the nursing specialist tool which requires the nurse to be accurate in gathering information as well as making relevant observation and judgement in order to have the best package of care. The nursing assessment for Mr smith was to understand his physical, psychological, emotional and social dimensions and even understanding his level of daily living functionality ( Horton 2002). Hyer (2014), highlighted that psychological and sociological perspectives are essential in facilitating a holistic assessment for Mr Smith. This meant that knowing his history admissions, discharges and how he was managing in the community before his illness.The model that was used for Mr Smith is the Roper Logan and Tierney model of nursing. This was necessary as this provides a logical structure for nursing Specialist Assessment Tool Roper et al, (2000). This model facilitates the nursing team to understand and build a clear picture of Mr Smith as an individual. The model promotes an understanding of the patient needs using a detailed nursing assessment tool of Mr Smith physical ability to carry out twelve basic activities of daily living Aggleton Chalmers2000). In the United Kingdom Roper and Logan (2000) is used mainly because it provides a guildline in measuring the patient’s ability to achieve independence and it can be easily used in our daily nursing practices. Furthermore the model can be incorporated with all the multidisciplinary teams involved with Mr Smith. According to health, (2000) the model allows the nurse to make their own opinion about the patient condition bringing a positive while still placing major emphasis on the information collected to help deliver person- centred care. However, the models effectiveness has since been criticised with some as its individuality can be compromised in various ways such as fitting patience into a rigid and intricate structure (Kearney 2001, Tierney 1998). After doing the NSA (2018) and the RLT model based on his living condition several problems were identified and all related to deep vein thrombolysis infection. On admission Mr Smith was unable to mobilise he was being treated while on bed rest due to the weeping and swollen state of legs causing a lot of pain. A sceptic technique and wound dressing had to be commenced to stop the spread of infection as well allocating him into a side room according to the trust policy (Trust guidelines 2018). Mr Smith was also unable to wash and dress himself independently. He appeared under-weight, in order to help regain his weight food supplements were prescribed, food and fluid charts were put in place. IV fluids to help him stabilised his blood pressure which was always low. According to the assessment using the RLT (2000) model of approach the patient was encouraged and supported to walk to and from the toilet even though he had onset confusion due to the urosepsis and was not fully aware of his surroundings. This caused the staff to have enhanced care for him. (Trust 2018). To ensure that Mr Smith received the right treatment collaboration team has to be available. There were nurses, doctors, occupational therapist, physiotherapist and care support workers who were supporting Mr Smith to gain independent while living in the community. As anurse student, I referred him to the dietician to support him with his diet plan. The physiotherapist intervened in supporting Mr Smith on improving his mobility. As a nurse, the basic task is to monitor patients and guide them to manage As the illness (Cohan, and Goharian, 2018). Although it is important to use NSA (2018) as well as RLT (2000) it was apparent that there we some limitation to the care I gave Mr Smith. I feel that the action plan that was implanted on Mr Smith focused mainly physical medical needs rather than psychological needs. When he had recovered from the confusion the patient spent time on his bedside quietly until his brother visited him the staffs was surprised how emotionally he was with joy to see his brother. This has been supported by Jones(1998) expressing his concerns that the nursing profession tend to overlook the whole person focusing mainly on biological complication than the holistic needs. Conversely, I felt that model NSA helped the staff to produce the right care plan for effectiveness of his medical treatment. While working with Mr Smith I learnt the requisite of a comprehensive nursing specialist assessment to identify the sociological and psychological Mr Smith. I am now aware of other services available in making sure the patient welfare is full meant while they are transition for discharge. Mr Smith has recovered, now independent with minimum assistance ready to be discharged back to his community according to his choice. ( Department of Health 2008).
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