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Discharge Process

In: Other Topics

Submitted By sarahs83
Words 2515
Pages 11
The purpose of this essay is to critically explore and discuss the holistic care and management of a chosen patient from a recent clinical placement. The patient which has been chosen has had an exacerbation of a chronic problem. Management options which are or have been available to the designated nurse will be critically discussed alongside the justification of the plan of care which will or has been implemented. The role of the registered nurse in relation to safe and effective decision making will be explored. A discussion of the decision making process which has been chosen for the patient will be noted and this will be related to known theoretical models of clinical decision making. It will also critically examine the importance of managing risk in health care to enhance the patient care and outcomes and this will be related to the chosen patient and clinical scenario. Finally it will also critically appraise the evidence base that supports the discussion.

The chosen patient is a 42 year old male who has been admitted to the current clinical placement, which is the local spinal injuries centre, after numerous complaints of recurrent urinary tract infections. All patient identifiable information has been changed to protect the patients’ identity in accordance with the Nursing and Midwifery (NMC) guidelines regarding confidentiality (NMC, 2004). Mr Scott had previously been an inpatient to the Spinal Unit following a road traffic accident in September 2004, the outcome was that Mr Scott is now a wheelchair user after obtaining a spinal cord injury at the thoracic levels of 6 and 7 of the spine. Mr Scott has been previously performing his own intermittent catheters due to the effects of the spinal injury on the bladder. In a spinal care bundle which was produced in 2009 by the Midlands centre for Spinal Injuries, it is recommended that all patients should be

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