'Holistic Care Nurse\r'

'The name and other investing cultivation about the tolerant included at bottom this piece of work have been changed to cling to confidentiality, as required by The autograph of Professional Conduct (Nursing and Midwifery Council, 2008). For this reason, the patient included in this case direct result be given the anonym of Sam Jones. The purpose of this assignment is to identify one client problem and let an evidence-based plan of thrill for the individual. The purpose of cargon planning is to show a reasonable and systematic flow of ideas through from the sign assessment to the final evaluation (Mooney and OBrien, 2006).The nurse model that will be incorporated in this cargon plan will be the Roper, Logan and Tierneys model (2000). This model was chosen because is it extremely prevalent in the joined Kingdom and is the most widely apply model familiar to nurses. The model of treat specifies 12 activities of daily animation which be related to basic human take a nd incorporates 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 tally the est possible care and rationale for the chosen nursing interventions (Roper, Logan and Tierney, 2000). They take into account the psychological, biologic and sociological needs of the person and consequently provide a holistic glide path to care (Roper, Logan and Tierney, 2000). The main activity of living that will be affected deep down this care plan will be maintaining a safe environment as Mr. Jones may have a voltage problem of death, due to hypovolemic and/or metabolic daze caused by diabetic acidosis.Diabetic ketoacidosis (DKA) usually occurs in people with oddball 1 iabetes mellitus, but diabetic ketoacidosis stop develop in each person with diabetes (Diabetes I-JK, 2013). DKA results from dehydration during a evo ke of relative insulin deficiency, associated with high blood levels of pelf level and ketones (Diabetes I-JK, 2013). This happens because there is not full 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 good turn 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 purloin therapy (Diabetes I-JK, 2013). Severe metabolic acidosis can hunt down to s imbue or death (Dugdale, 2011). The precise problem was chosen because there are measures that can significantly reduce the chance of metabolic and hypovolemic shock which can be caused by severe metabolic acidosis (Dugdale, ) Within the care plan applicable care interventions will be place to prevent the possible development of shock for Mr.Jones. In practice the interventions would ha ppen contemporaneously. The interventions require identifying the potential risk factors for the development of hock by using special assessments. This will be done by side by side(p) 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). erst the diagnosis was made, specific, achievable, measurable, realistic and time control goals of care for Mr.Jones were made. The NHS foundation trust specific guidelines for adult diabetic ketoacidosis stir a series of immediate actions and assessments for surmise 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 conjunction British Diabetes Societies Inpatient Care Group, [JBDS], 2012). Mr Jones will need fluid and electrolyte management to profit ketones and correct electrolyte imbalance (Nazario, 2 011).\r\n'