Roper Logan Tierney Model Activities Of Daily Living

Roper Logan Tierney Model Activities, In this assignment I will present a patient I have cared for during one shift on my placement ward. Using the Holland et al (2008) Roper Logan Tierney model of care which focuses on the activities of daily living a description of care received by the patient will be outlined. Any reference made to the patient is under pseudonym and referred to as Mrs Oni to protect the patient confidentiality according NMC Code of conduct (2008). To comply with guidelines set out by Department of Health (2009) full verbal consent was first obtained from the patient before any information was used in this assignment.

My placement was in abdominal and orthopaedics surgical ward were patients were routinely admitted from accident and emergency and prepared for surgery and admitted after surgery. I have chosen a 33 year old female patient admitted to accident and emergency department and then to the ward with acute lower abdominal pain and later had non elective surgery for appendicitis.

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It was my duty under the supervision of my mentor, during this shift to monitor and maintain internal and safe environment, communicate and encourage patient to mobilise and wound management. The assessment tools utilised to create a care plan according to priority are those implemented and used by the trust. All activities discussed will be reflected upon as part of personal and professional development.
CASE STUDY

Mrs Oni is a married mother with two children under the age of ten. She is a health support worker and is employed full time. Mrs Oni complained that the pain started at the umbilicus region and then later the pain intensified at her right lower abdominal quadrant. When she was admitted upon examination by the general surgical team it was reported that her abdomen was tender and gardening. Other symptoms presented included constipation, nausea, fever and loss of appetite which all common to the condition.

Patient had past medical history of being treated for urinary tract infection to rule out this as a possible reoccurring cause a urine analysis was performed and sent to microbiology testing and further analysis. Bloods were also taken to check for raised neutrophil (white blood cell) count. No previous history of abdominal pain, aggravating factors, patient felt relief when lying down with knees pulled up, presented no urinary symptoms, no alcohol consumption, and patient is not on any medication. On observing Mrs Oni she appeared anxious and was tired due to pain.

When the patient was assessed using interview skills and attempting to form a therapeutic relationship with the patient it was revealed that Mrs Oni wanted to maintain a traditional African diet rich in fibre with lots fruit and vegetables, but found it hard to find time to prepare the meals and replaced it with unhealthy snacks while at work and didn’t eat at regular meal times. She also revealed that she did not get much exercise and weight gained plummeted after her second child.

Oxford dictionary for nurses state that the appendix is ‘the short thin blind ended tube, 7 – 10 long and is attached to the end of the caecum’. The caecum is the first part of the large intestine according to Clancy & McVicar (2002) appendicitis occurs when this tube becomes filled with faecal matter and or with other debris. It can also occur if the caecum is ob