Case Study of a Care Plan for a Patient suffering multiple health problems

Case Study of a Care Plan for a Patient suffering multiple health problems In this assignment it will define and discuss a nursing intervention for a client with a long enduring mental health illness. A systematic approach will be used the nursing process and the role of the mental health nurse will be clearly identified in providing care for the client. The nursing process consists of four stages, the assessment, planning, implementing and evaluation. This problem solving approach will be adopted to structure, organise, and present the nursing intervention. A fully detailed client’s profile will be given. The â€Å"mental health assessment and plan† process will also be addressed. The client will be involved in the whole process as far as possible in order to empower him / her, a plan that is person centred and interventions that are evidence based will be displayed in the assignment. In this profile a pseudonym (James) will be used in accordance with the Nursing and Midwifery Council, (NMC, 2002) to maintain confidentiality. The need of the Multi – Displinary Team (MDT) for collaboration will be discussed in order to safe guard the patient to share skills and knowledge and to improve the quality of care. James is a 65 year old man with a diagnosis of severely depression and excessive alcohol intake. He was detained under section 3 of the mental health act (1983) at a low secure unit. James was admitted into the unit 12 months ago his index offence being physical assault and attempted suicide through an overdose with his prescribed medication for his depression and insomnia. He shares the house with four other men in the unit. James is potentially active and usually manages his day to day living activities as well as attending day care sessions without much prompting. However, he had recently become very reluctant to attend to his personal hygiene. This became worse when James started going for days without washing or bathing himself. His room was never cleaned hence having a bad odour because of his leg ulcer a nd he refuses the Tissue Viability Nurse (TV) to change the dressings regularly. Care Programme Approach (1991) which aims to improve the co-ordination of services and collaboration between the various agencies, carers and service user. The introduction of the CPA in (1991) was to provide shape, coherence to what had often been haphazard, uncoordinated attempts to provide support in the care for people with severe mental illnesses (DOH1991). CPA is a statutory framework within which bio-psycho-social needs assessments is carried out (Norman and Ryrie 2004). This odour was because James would not change allowing the TV nurse to dress his leg ulcer for days. At his previous review meeting, issues around his hygiene had been viewed as hazardous to his health and also the health of staff since there were times when they would have to go into his room now and again. If James had no day care sessions to attend to he would sit and watch television. James also had a fairly huge appetite, he was observed to be frequently asking for more food at meal times. The other factor that proved he had a huge appetite was that he always asked for tea and biscuits several times between meals. This could be seen as poor eating patterns as Henderson (2001) implied that frequent binging is a factor behind poor eating patterns. Concerns about his weight gain had recently been discussed in his review meeting. James had of late become very withdrawn, wanting to be alone all the time. In an interview with him, he expressed how he felt useless and not having any faith in himself.

Current Business Themes Dissertation Example | Topics and Well Written Essays - 5250 words

Current Business Themes - Dissertation Example According to the paper the two major natural disasters caused by these firms have been discussed here. Also the report states the corrective measures undertaken by these firms. It can be concluded from the study that the occurrence of oil spillage is fundamentally a subject highly dependent on probability. A probabilistic occurrence like oil spill incident or oil spill spreading and affecting the marine ecology as well as the human lives is a matter that can’t be anticipated; only an estimation of its possibility can be made.   When an organization takes steps for sustainability practices, it becomes essential for it to know the probable causes of risk. Thus considering the environment prior to the business objectives should be the main aim of every firm related to this industry.From this study it is clear that in the present corporate era, all the firms strive to gain the trust of its stakeholders so that a long term business relationship can grow between them. A long term relationship in business depends on product quality, customer service, and good reputation. Reputation is the concept that many successful firms fail to achieve. Business reputation is considered as an asset that is intangible which distinguishes a company from other firms and draws consumers to make them buy things again and again from the same company and at the same at time the consumers readily pay a top price for the goods and services.... Business reputation is considered as an asset that is intangible which distinguishes a company from other firms and draws consumers to make them buy things again and again from the same company and at the same at time the consumers readily pay a top price for the goods and services. However, in spite of the discerning involvement between financial performance and reputation, pragmatic studies account for questionable findings. Reputation is an exclusive element of a business that can be achieved by it through its good work and goodwill (Lee & Roh, 2012). One of the greatest sources of reputation is the sustainability framework practiced by the firm. Sustainability can be attained by the means of numerous activities that comprises of the reputation of the management. These activities comprises of the formation of the environment-friendly goods, motivating and retaining employees, saving energy etc. which aids the business to preserve value via return and growth on capital. The aim of the present study is to focus on the various facets of the oil exploration and production industry and the corporate social responsibility practice followed by the firms of this sector to maintain sustainability. The two main firms that will be covered in our study are BP and Shell. It will be a comparative analysis between the environmental policies of both the firms that will further discuss about the various measures taken by these firms to repair the damages. For the present study the research question happens to be, how do the oil exploration and production plants deal with the issues of environmental pollution and what are their approach to a sustainable environment? The topic in hand will be studied by the conduction

What's a terpene Essay Example | Topics and Well Written Essays - 500 words

What's a terpene - Essay Example Terpene is usually built up from an isoprene which is a type of a hydrocarbon that has five carbon atoms which are attached to the eight hydrogen atoms with the formula C5 H8 (Stewart 258). Terpenes usually occur after a biological formation of a combination of two molecules of acetic acid and mevalonic acid (C6 H12 O4) which is converted to isopentenyl pyrophosphate that latter transforms to isopentenyl compound that leads to occurrence of terpenes and terpenoids (which are oxygenated derivatives of the hydrocarbons that make up the terpene). Terpenes that are considered to be the true ones are those that are grouped according to the number of isoprene units in the molecules which usually includes two units of monoterpenes (C10 H16), six units of triterpenes (C30 H48), three units of sesquiterpene (C15 H24), eight units of tetraterpenes (C40 H64) and four units of diterpenes (C20 H32). Terpenes are used to make turpentine (that comes from the name terpene) which has several monoterpenes, resin (consisting of rosin acid and diterpenes), and even steroids (which are made from conversion of triterpene squalene that is usually obtained in the liver oil of sharks). Since terpene (diterpenes, monoterpenes and even sesquterpenes) is a constituent of the essential oils that are in many plants and animals, it is used to make fragrances used in perfumes and even the natural food additives. Other examples of terpene in its different form other than those mentioned above include vitamin A, hops (used to make some brands of beer), contribute to making of insecticides and recent research by biochemists in Norwich, England discovered that terpene through its bioactive cyclic molecule iridoid is a building block to potential anticancer agents (monoterpene indole alkaloids). Since plants that produce terpenes are aromatic, they are used in cooking. Terpenes are also an important ingredient in making of medicine such as marinol, tetrahydrocannabinol (THC) and