Assignent Solutionnurs

An exploration of the theoretical principles of person-centred care as applied to the nursing process. Use the case study of MICK. Consider how the theoretical principles of person centred care might be applied in order to develop an appropriate plan of care for MICK. Contemporary evidence, guidance, policy, and theoretical concepts should be applied, and answers should include critical discussion of the following:
Key findings from assessment information provided and consideration of additional information that might be gathered.
The issues that might impact on the therapeutic relationship with the patient/carer, and how they might be addressed.
The goals and interventions that might be included in a plan of care.
Consideration of how the effectiveness of the planned care might be evaluated.
CASE STUDY;
MICK. mick is 59 yrs. old, lives with his wife Kay, and 10 year old granddaughter Ella. Mick and his wife are legal guardians for Ella, as their daughter Charlotte, was deemed unfit to care for her as a result of a persistent and significant issue with alcohol.
Current Diagnosis: First presented to services in early 50s with depression and anxiety. Mick was later given a diagnosis of Schizophrenia
History: Presented to services later in life, after a number of life stressors saw him decline into a significant depression. He had lost his business in the 2008 crash, and had to sell his home. At around this time, ongoing issues with his only daughter’s health began to escalate.
When discussing his mood with a Psychiatrist, Mick mentioned that he also had occurrences when he saw and heard people that no one else could see. He often assumed that they were real, but then realised that his wife could not see them.
Mick has recently recovered from cancer of the Oesophagus. He was initially told that it was terminal as surgery was not indicated- he demanded a second opinion and is now in full remission after major surgery. He has lost six stone.
Social Circumstances: Mick and his wife are close; however, they do have issues. They have differing relationships with their daughter- Kay also finds Mick’s symptoms bewildering.
”Hello, my name is Mick. I struggle with my mood, and I get really anxious at times. I tend to save the emotional stuff for my appointments, because I feel I need to be strong at home. Often ,I come into the clinic and feel fine , but the moment I start talking I just break down. Life has been so hard for the last 10 years, before that everything was perfect. The ‘visitations’ as I call them, can happen any time, I’ve had them since I was a kid. I might have a week where I have loads, other times, I might not have any for ages, then another one will pop up .I didn’t realise that it was only me that could see them, until I saw this guy walk past in the pub, he was really smart, in a suit. He nodded to me, and I said hello there, and my wife said – who are you talking to? I’ve read up on Psychosis, but it doesn’t sit right. Although sometimes I wake up in the night, and someone will just be standing over my bed , then I think I might be going mad”.