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 If I refer any sources other than my own experience I must properly give credit to original author by identifying who wrote the content and where I found it.this also applies to information obtained from other internet sources,books,magazines,conference material and research papers. I have tried 2points myself........which are below....... 2.Identifies clients’ health care needs in a caring environment that facilitates achieving mutually agreed health outcomes. . While working in healthcare setting my first priority was to gather enough information regarding the service user in order to provide holistic, quality and patient centered care to our service user. Information was obtained during handover from previous shift staff, patients’ needs were then assessed by using look, listen and feel assessment. In order to fulfill Patients basic needs, patients’ personal preferences, values and lifestyle were discussed with patients and assistant provided according to patients wishes and believes for example: while working on morning shift one of my patients ask me to arrange a male nurse to help him with his basic needs as he doesn’t want a female nurse to help him, therefore to maintain patients respect and dignity we ask another ward staff to send their male staff to help in our ward. Patients care plan was then discussed with multidisciplinary team before implementing to the patient. 3. Collaborates with clients’ across the lifespan to perform a holistic nursing assessment. Patient received from emergency department with rigor and chills. Patient was introduced to Ward and staff looking after him. Admission file filled,physical and mental assessment done by asking questions about his activities of daily living, patients mobility status assessed. This male Patient in his 50’s was fully independent with his day to day activities as he works in the fields as a farmer. He was married lives with his wife and had 2 sons who lives and worked in London. On observations (vital signs) patients recorded temperature was 39*c, hyperventilated respiration rate 28/min, tachycardia pulse rate 130/min and hypotensive blood pressure 102/50mm/hg, oxygen saturation was low due to hyperventilation all together patients national early warning score was high according to royal college of physicians (2012). Patients was falling in sepsis criteria, immediate sepsis six protocol was followed and doctors were informed to do arterial blood gas and antibiotics to prevent septic shock using SBAR criteria. All assessment were documented on patient’s report card and advised health care assistant to perform 30mins observations on patients and kept patient in observation.



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