The best evidence base for practice in case of nursing would develop from the integration of research evidence with practical knowledge. Polit and Beck have defined evidence-based practice to be "making clinical decisions on the basis of the best possible evidence. Usually, the best evidence comes from rigorous research but EBP also uses other sources of credible information” (Polit & Beck, 2004, p. The focus of this assignment is on the assessment and care planning of an elderly client who was nursed and cared for by me in the hospital where I had a placement as a student nurse.
This patient was admitted due to (COPD). The patient was a 67-year-old lady with severe COPD. A recent exacerbation resulted in prolonged hospital admission. She was breathless at rest, had a persistent cough and appeared to have some ankle edema. The identity of the patient will remain undisclosed due to the ethical need for confidentiality. The NMC Code of Conduct (2009) in its article 8 indicates the importance on the part of nurses to respect the confidentiality of the client, which is also legislated (NMC, 2009).
However, for this assignment, she will be called Ms. Jenny, which would obviously be a pseudonym. The medical history of the patient is that of a long-suffering with cycles of exacerbations and remissions, which has been accompanied with a history of hypertension, complicating congestive heart failure, and diabetes mellitus. The social history of the patient indicates she had been a smoker, lives alone, with one son staying in the United States with his family. The patient has complicated lung disease, which has characteristic exacerbations and remissions. The patient presented with restlessness, agitation, dyspnoea, disorientation, and confusion.
When asked she also complained of a headache and dizziness. She had a rapid rate of breathing with evident use of accessory muscles of respiration. An individual and person is a whole, which stands in sharp contrast with the fragmented and systemic view of the human body as per the medical model.
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