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For my assessment brief I have chosen to use the ethical principle of Beneficence. Beneficence being the principle that expresses the concept that professionals have a duty to act for the benefit of others. I have chosen to use Roper, Logan and Tierney’s The Elements of Nursing (1980). I have chosen to discuss Assessing the need for Nursing intervention in the elderly. The ward that I am on is a short stay observation ward for the Elderly. I will be discussing the case of a patient I will refer to as Mr Jones as to protect patient confidentiality. Mr Jones is 80 years old and has arrived on our ward for assessment. Mr Jones lives on his own and has no family and it is a neighbour who regularly checks on him that has contacted Mr Jones’s GP as they have become concerned about his welfare as he has not been seen for a few days and has not attended his usual weekly meetings. The neighbours regularly visit Mr Jones and have reported that he appears to be becoming slightly confused, bathing at unusual times of day and repeating activities that he has only just completed. The General Practitioner has contacted Social Services who have then arranged for him to be admitted onto the ward. Mr Jones appears physically well, he has bathed and is wearing clean clothes although once arriving on the ward has become agitated and attempts are made to leave the ward. The wards objective is to establish whether or not the patient is able to stay at home or if they need to be placed in accommodation that will be able to accommodate their care needs. It has been agreed that it would be advisable to observe Mr Jones on the ward for a short period of time to make relevant observations on his behaviour in order to establish the appropriate care that Mr Jones requires. Firstly it was a matter of looking through Mr Jones’s past notes and from them being able to establish what his life had been like for the past ten years or so. Mr Jones’s had been married but had no children. His wife had died five years previously. Mr Jones has appeared to have coped well since the death of his wife and had maintained a reasonable social life including visits to the library and social club. Mr Jones rarely went to the doctors and appeared in good health. Whilst speaking to Mr Jones and asking him what would he prefer, it is clear his preference would be to go home. Whilst his assessments are being carried out it does become obvious that although he manages most tasks well, his forgetfulness is a concern. Therefore the problem that is now faced is that Mr Jones wants to go home, he thinks he can manage and is becoming withdrawn and agitated as he is unable to leave the ward.
Approximate Word count = 1869
Approximate Pages = 7.5
(250 words per page double spaced)
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