Holistic Care Nurse

The name and other identifying information about the diligent included indoors this piece of work sire been changed to protect confidentiality, as required by The label of Professional Conduct (Nursing and Midwifery Council, 2008). For this reason, the patient included in this case study will be given the pseudonym of Sam Jones. The purpose of this assignment is to identify one client problem and give an evidence-based plan of c atomic number 18 for the individual. The purpose of care planning is to show a logical and systematic melt of ideas through from the initial assessment to the final evaluation (Mooney and OBrien, 2006).The nurse model that will be collective in this care plan will be the Roper, Logan and Tierneys model (2000). This model was elect because is it extremely preponderant in the United Kingdom and is the most widely used model familiar to nurses. The model of nursing specifies 12 activities of daily living which are related to basic human needs and incorp orates five dimensions of holistic care, physiological, psychological, sociocultural, politicoeconomical and environmental (Roper, Logan and Tierneys model, 2000).Care plans are based on evidence-based practice, allowing the nurse to determine the est possible care and rationale for the chosen nursing interventions (Roper, Logan and Tierney, 2000). They take into account the psychological, biological and sociological needs of the person and therefore tolerate a holistic approach to care (Roper, Logan and Tierney, 2000). The main activity of living that will be affected within this care plan will be maintaining a safe environment as Mr. Jones may have a potential problem of death, due to hypovolemic and/or metabolic shock caused by diabetic acidosis.Diabetic ketoacidosis (DKA) usually occurs in people with type 1 iabetes mellitus, but diabetic ketoacidosis can acquire in any person with diabetes (Diabetes I-JK, 2013). DKA results from dehydration during a state of relative insulin deficiency, associated with high blood levels of plunder level and ketones (Diabetes I-JK, 2013). This happens because there is not enough insulin to allow glucose to enter the cells where it can be used as energy so the body begins to use stores of fat as an alternative source of energy, and this in turn back produces an acidic by-product known as ketones (Diabetes I-JK, 2013).It is evident that DKA is associated with significant isturbances of the bodys chemistry, which should resolve with appropriate therapy (Diabetes I-JK, 2013). Severe metabolic acidosis can lead to shock or death (Dugdale, 2011). The specific problem was chosen because there are measures that can significantly reduce the take a chance of metabolic and hypovolemic shock which can be caused by severe metabolic acidosis (Dugdale, ) Within the care plan relevant care interventions will be identify to prevent the possible development of shock for Mr.Jones. In practice the interventions would happen contemporane ously. The interventions involve identifying the potential risk factors for the development of hock by using specific assessments. This will be done by quest an assessment which includes planning, assessing, implementing and evaluating the care that will be provided to Mr Jones and to evaluate its effectiveness (Mooney & OBrien, 2006). Once the diagnosis was made, specific, achievable, measurable, realistic and conviction limited goals of care for Mr.Jones were made. The NHS foundation trust specific guidelines for adult diabetic ketoacidosis suggest a series of immediate actions and assessments for suspected DKA which will allow for appropriate interventions to be ade and will provide a baseline which will provide a measure of the effectiveness of the treatment (The Joint British Diabetes Societies Inpatient Care Group, JBDS, 2012). Mr Jones will need fluid and electrolyte management to clear ketones and correct electrolyte imbalance (Nazario, 2011).