A Holistic Approach to Nursing Care Case Study Sample

Introduction To A Holistic Approach, For One Lata's

The assignment has been focused on the comprehensive nursing care required for managing complex health conditions. The case study has been focused on the perspectives related to patients who have been facing different health issues such as dementia, diabetes and others. Furthermore, this case study has also been focusing on the different aspects related to nursing practices that are required for effective care planning. On the other hand, the practices of nursing are adequate for delivering personalised and holistic care. Furthermore, it has also been stated that through taking different kinds of approaches, the patient's needs and challenges can be identified. Furthermore, it has also been stated that care planning has been involving the perspectives related to effective patient care, and it has also been ensuring the comprehensive approaches related to proper patient care. The Nursing and Midwifery Council (NMC) code of 2018 has been promoting the patient's needs, preserving safety, and promoting professionalism through which appropriate nursing practices can be promoted. These principles are not just guidelines but form the core of nursing ethics and practice. There is a unique needs and deserves care that is respectful, empathetic, and evidence-based.

Assessment and diagnosis

Identification of Needs from the Case Study

Older adults with diabetes are at a higher risk of cognitive decline and dementia. It has also been including Alzheimer's disease and vascular dementia (alzheimer's association, 2021). It can hinder the patient's ability to perform self-care tasks such as glucose monitoring and diet management. It is necessary to simplify treatment regimens and involve caregivers in care management. Simple assessment tools such as the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) can be used to identify patients needs and requirements (Wang et al., 2022). Through identifying the neuropsychological evaluation of Lata can help to identify those suspected of having dementia.

Poor glycemic control is related to the decline in cognitive function and the duration of diabetes can worsen cognitive impairment (Lin et al., 2023). Therefore, assessment of cognitive functions has been helping to identify the patient's needs with diabetes for older adults. The treatment of older adults with diabetes needs to consider the patient's overall health. It is also necessary to give those with cognitive impairment or complex health needs. It is also identified that the cognitive function of diabetes patients is necessary as it helps to recover from such challenges (Zilliox et al., 2016). Furthermore, it is also necessary to focus on the perspectives related to the different kinds of aspects such as managing the requirements and needs of the patients. Managing diabetes patients with dementia has been addressing a critical health need and supporting the overall well-being and quality of life of the patient.

Holistic Assessment of Needs

It is also identified that by focusing on the holistic assessment adequate support can be promoted through the aspects related to the safety of elderly patients to diabetes and dementia. It is also to be stated that through focusing on the physiological and cognitive testing adequate support can be provided through the dementia-related cognitive decline (Emmady and Tadi, 2022). On the other hand, by focusing on the different kinds of tools adequate access of cognitive performance can be possible. Therefore, it is also to be stated that the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) are effective in promoting the perspectives related to the neuropsychological testing of the patients (Jia et al., 2021). It is also identified that through focusing on the perspectives related to dementia, it is necessary to focus on the aspects that affect the patients. Adequate dosages and glucose monitoring have also been helping the patients. Furthermore, it is also to be stated that through detecting the diabetes-related perspectives proper support can be provided and it can also be possible through the physical health assessment (Galaviz et al., 2019). It is identified that there is a decline observed in cognitive function due to poor glycemic control.

It has also been a need to focus on the patient's ability to perform daily duties and maintain their independence. It has also been focusing on the ability to perform daily tasks such as food preparation, personal hygiene and medication administration (Edemekong, Bomgaars and Levy, 2023). Social and environmental factors of the patient's have been promoted through the ease of access to medical care (National Academies of Sciences, 2019). It has also been observed that a substantial impact on their general well-being.

Use of Nursing Assessment Tools and Impact of These Needs

Appropriate utilisation under the nursing assessment has also been needed in terms of promoting the delivery of person and patient-centred care (Kwame and Petrucka, 2021). Different tools have also been encompassing a wide range of evaluations from initial health assessments to specific screenings such as pain, mental health and risk evaluations. It has also allowed a systematic and comprehensive understanding of a patient's health status. The impact of these tools on patient care has been promoted (Smailhodzic et al., 2016). Therefore, different health issues have been leading to prompt and appropriate interventions.

Moreover, holistic evaluation of patients can be promoted through the physical aspects of health and social factors (Jasemi et al., 2018). Through improving communication within healthcare teams adequate clear patient data can be identified. It is also necessary to focusing on the perspectives related to the team members that has a consistent understanding of the patient's condition.

Different tools have been promoting the assessment process and it has also been reducing the likelihood of overlooking critical health information (World Health Organization, 2022). They have further been serving an important role in documentation and legal compliance. However, it has also been providing organized and trustworthy patient evaluation records. It has also made it easier to modify care plans as needed (Dash et al., 2019). Additionally, by using specific techniques to involve patients in the evaluation process, their comprehension of their health issues has improved. However, these tools were developed using research and clinical data, and they are likewise rooted in evidence-based practice.

Justification of Focus

In terms of Lata's case, it is necessary to focus on the perspectives related to different kinds of perspectives related to patients centred care. Therefore, it is also necessary to focus on the perspectives related to special diagnosis through which adequate support can be provided to the Lata.

Planning

Developing Individualized Care Plans

Elderly patients with dementia and diabetes can be possible through assessment of the patient's physical, mental, emotional, and social well-being (Livingston et al., 2020). It is also identified that through focusing on cognitive function appropriate control related to the risk of hypoglycemia and appropriate maintenance of the stable glucose levels can be ensured. The physicians, nurses, dietitians, and therapists must work adequately in terms of managing the perspectives related to managing an adequate team (Taberna, 2020). It is also to be stated that team members of the medical perspectives have been focusing on the promotion of the health of the patients. Furthermore, it is identified that dementia care is so difficult that caregivers and family members need to be involved in this perspective. Their support is adequate to the patient's day-to-day care and it needs to be incorporated into the care plan. It is critical for good care delivery to educate them on disease management and how to support the patient.

Customizing therapies have also been implemented for the perspectives related to the care plan. Therefore, it is also to be stated that managing diabetic medications, making dietary modifications, and monitoring blood sugar levels are useful for the Lata in terms of managing the perspectives of the dementia and diabetes issues. Interventions for dementia patients has been focusing on cognitive stimulation (Taberna, 2020). It has also been making safe changes to the home environment and establishing routines that has provided comfort and security. The patient's health has beenn chaning, however, care plan must be evaluated and changed adequately through which appropriate support can be provided. The care procedures have been ensuring their continuing efficacy and applicability through the adoption of multidimensional approaches.

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Interventions and Prioritization

Prioritization has been helping the arrangement of interventions for an elderly patients with dementia and diabetes in order to address the most pressing needs (LeRoith et al., 2019). Glycemic management is critical for maintaining stable blood sugar levels and avoiding problems (Corsino, Dhatariya and Umpierrez, 2020). Medication administration has also been helping to monitor the perspectives related to different kinds of approaches such as invention of patients. Furthermore, through considering the impact of dementia on self-care abilities, it is identifed that the cognitive function has been supporting the perspectives related to the care plan perspectives for Lata. Cognitive therapy, memory aids, and activities have also been focusing on the adoption of the enhancement of social contract through which appropriate care plan can be ensured (Barman, Chatterjee and Bhide, 2016).

Medication administration has also been addressed in order to reduce errors. Medicine regimen simplification under the medicine administration has been promoting the different kinds of beneficial methods (racgp, 2022). Another crucial component is nutrition and it has also been identifying the needs of a dietitian to create a diabetes-appropriate dietary plan that is both healthy and compatible with the patient's preferences.

Personalized physical exercise assists patients in managing diabetes and maintaining overall physical health (Abushamat et al., 2019). Taking care of one's emotional and psychological health is also important; this can include going to therapy, joining support groups, or engaging in pleasurable and gratifying activities. It is vital to offer safety in the living environment for patients with cognitive impairments in order to prevent accidents. Interventions include home safety assessments and the use of assistive technologies. Because caregivers play such an important part in the patient's care, their support has been critical (Akyurek et al., 2017). Resources, education, and respite care opportunities are critical for their well-being and the quality of care they provide.

Engaging Family and Caregivers and Regular Monitoring and Reassessment

Family members and caregivers must be included in order to provide effective and comprehensive care to an elderly patient with dementia and diabetes (Culberson et al., 2023). The participation is critical because they frequently provide primary assistance to the patient and have intimate knowledge of the patient's preferences, routines and medical history. It is critical to educate these caregivers about the patient's diseases, treatment strategies and daily needs in order to ensure consistent and efficient care. It has also been monitoring the blood glucose levels, and idenfying the signs of cognitive decline, and manage daily responsibilities.

Safety and Environment Considerations

Managing the care of elderly patients with dementia and diabetes has been creating a secure and encouraging home environment. The necessitate has been promoting an adequate plan to lower risks and enhance the patient's ability to move around their environment securely.

Fall prevention is crucial for the elderly patients who are more vulnerable. Additionally, it has been highlighting the perspectives of diabetics who may experience neuropathy or visual problems. ensuring that the house is free of trip hazards (Culberson et al., 2023). Therefore, it has also been installing grab bars in key areas like the bathroom. Furthermore, it has been demonstrated that having enough lighting significantly reduces the risk of falling. Using appliances with automatic shut-off mechanisms and keeping hazardous items have been reaching to prevent accidents. It has also been essential to consider the safe storage and labelling of drugs; pill organizers and straightforward labelling are useful strategies to avoid confusion or potential overdosing.

Implementation

Implementation and documentation Strategy

Implementing and documenting a care plan for an elderly patient with dementia and diabetes requires a structured and coordinated approach (Pandya, Hames and Sandhu, 2020). The implementation strategy has been promoted with the defined roles for each healthcare team member. It has also been promoting the expertise and the specific needs of the patient. It has also been assigning tasks related to medication management, physical therapy and cognitive care. Caregiver and family involvement have been playing an enhanced role in this and it has further been focusing on the providence with the necessary training and support for day-to-day care activities (Pandya, Hames and Sandhu, 2020). Regular meetings and open communication channels are necessary for the promotion of effective communication through which adequate promotion can be promoted for the healthcare team, caregivers and the patient. These meetings have been serving platform to discuss the patient's progress and make necessary adjustments to the care plan.

Evidence-Based Nursing Interventions

In the care of elderly patients with dementia and diabetes, it is also necessary to promote the evidence-based nursing interventions. Key interventions in terms of diabetes management has been including strict medication adherence, regular blood glucose monitoring and dietary modifications. Regular monitoring of blood glucose levels is vital. For that, caregivers needs to be educated on how to correctly perform these checks and interpret the results. Collaborating with a dietitian to develop a diabetes-friendly diet plan has also been essential (Steinke, O'Callahan and York, 2017). Therefore, it is also necessary to take into account the patient's preferences and dietary needs.

Cognitive stimulation activities have beenn promoting cognitive decline in terms of dementia care. Establishing a consistent daily routine is beneficial in reducing confusion and agitation in patients with dementia. Physical activity in terms of the patient perspective is important for managing diabetes and maintaining health. It has also been focusing on gentle exercises and physiotherapy sessions that are aimed at improving balance and strength. Mental health support has also been critical with interventions including access to counselling and support groups to help address feelings of isolation or depression that may arise from managing chronic conditions.

Person-Centred Care

Under this perspective, the person-centred approach has been promoting the care of elderly patients with dementia and diabetes. It is required to identify the individual's preferences, values and history (Steinke, O'Callahan and York, 2017). Patient in decision-making about their care has beenn adopting the communication and strategies to meet their cognitive abilities.

Different tasks have also been helping the patient's sense of dignity and self-worth. Care plans have been related to the individual's unique health needs. Therefore, it has also been ensuring a more personalized and effective approach to treatment and care. On the other hand, it has also been ensuring consistent and comprehensive care across different settings. Emotional and psychological support has been promoted as an integral part of person-centred care. Furthermore, it has also been recognizing the importance of mental well-being alongside physical health. It has also been including mental health support, counselling and facilitating regular social interactions.

Evaluation

Under the nursing process, it is necessary to focus on the perspectives related to elderly patients with dementia and they can also focus on the perspectives related to the promotion of care plan for the elderly people. Furthermore, it is also to be demonstrated that the development of ADPIE that is assessment, planning, evaluation, implementation and evaluation can be use for the identified identification of issues for the patients (Smailhodzic et al., 2016). Furthermore, it is also to be demonstrated that through focusing on the aspects related to the systematic evaluation appropriate care strategies can be implemented.

Therefore, it is also necessary to ensure they are meeting the patient's individual needs and leading to the desired health outcomes. The purpose of evaluating the care plan is to focus on setting goals related to the patients (Toney-Butler and Thayer, 2023). In terms of this, it is also identified that Lata's perspectives such as the health requirememts can be promoted through this. Blood glucose levels for diabetes management have been promoting to identify the issues related to dementia such as the MMSE or MoCA. Qualitative evaluation has also been helping in gathering feedback from the patient. It has also been providing aspects into the patient's well-being, comfort and satisfaction with the care received.

The timing depends on the nature of the interventions and the patient's condition. Routine evaluations have also been promoting immediate care decisions for the routine glucose perspectives.

Furthermore, these tests need to be done on a monthly or quarterly basis. It has also been depending on the patient's health status and the complexity of the care plan. A multidisciplinary approach has also been enhancing the perspectives related to nursing practices and ethical consideration (Toney-Butler and Thayer, 2023). It is also necessary to focus on the perspectives of physicians, dietitians, therapists and other specialists. It has also been promoting the expertise to assess different aspects of the care plan. On the other hand, it also needed to focus on the perspectives of care givers and family members through which appropriate needs of the patients can also be promoted. Therefore, the care plan has also been promoting the perspectives related to the care plan perspectives (Smailhodzic et al., 2016). The importance of evaluation in nursing care has been promoting the different nursing theories and models. It has also been focusing on the patient-centred care though this, adequate health assessment needs can be promoted. These theories advocate for continuous monitoring and reassessment of care plans to ensure they are responsive to the changing needs of the patient.

Conclusion

It can be concluded that nursing care for elderly people and patients has been facing different kinds of health issues such as diabetes, and dementia. Therefore, it has also been to be stated that multi-dimensional approaches have also been focusing on the nature of the nursing practices through which role in the nursing practices can be promoted. The Nursing and Midwifery Council (NMC) Code of 2018 also focuses on the aspects related to holistic, evidence-based care, patients' safety needs and appropriate professionalism can be promoted. It has also been identified that the patient's cognitive, emotional, and social needs are also essential for the promotion of adequate social needs. It has also been identified that through the approaches related to the MMSE, MoCA has also been related to cognitive assessment and identification of the individual needs are also crucial. Furthermore, it has also been to be demonstrated that managing the perspectives related to health conditions such as diabetes and dementia under the elderly patients' needs can be identified properly. It has also been stated that through the processes related to different assessment tools, different aspects such as effective nursing care are promoted.

References

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