A holistic health care team

A holistic health care teamIntroductionWhen a patient is admitted into hospital a holistic health care team approach is essential to attend the right measures are established for a successful recovery. This paper follows a case study of an senior woman named Mrs. earn, who is post operative Laparoscopic Cholecystectomy. The paper result explore her pervious medical taradiddle and the feign that it whitethorn devour on her current health. Possible nursing problems post mathematical process will be explored, with focus on cardinal key issue. Through collaboration with allied health services these complications keister be addressed holistically. A nursing care plan will be constructed in consistency to the case study in regards to giving the patient the highest quality of care whilst in hospital and by and by discharge. Body of assignmentMrs attract is a 66 year old female patient who is vacation around Australia in a caravan with her husband. The patient has a medical his tory of hypertension which is outlined as having a persistent high blood pressure, as well as osteoarthritis which is the partition of cartilage in joints causing agony on movement (Berman, et al., 2008). Both conditions she self medicates with Atenolol, Paracetamol and Glucosamine. Mrs promote has just at one time undergone a Laparoscopic Cholecystectomy which is a procedure that involves the removal of the gallbladder through micro mental process. Using advanced laparoscopic technology it is now possible to remove the gallbladder through a tiny incision in the stomach, this has numerous advantages for the patients welfare opposed to the traditional open abdominal surgery. The patient may start out had her gallbladder removed for some(prenominal) reasons, these may include cholelithiasis (gallstones), acute and chronic cholecystitis (inflammation of the gallbladder) or gallbladder gougecer (Herbert et al., 2007). Post surgery Mrs Win has mode range pain, with respirations above the normal limits, her blood pressure is still consistently high however her pulsation and oxygen saturation are regular (Berman, et al., 2008).After Mrs Win Laparoscopic Cholecystectomy there are several skills expect of nursing staff to implement so the patient avoids potential problems post operative and furthermore to supervise current issues that may be associated with the surgery. Pain management is paramount to the care of a patient. Mrs Win is experiencing pain 3/10 in her abdomen and 5/10 at her right shoulder tip. It is pivotal that pain is managed effectively as it place have a detrimental effect on her physiological and psychological state, which will impact on her daily functions (St Marie, 2002).Mobility may also become an issue for Mrs Win post procedure due to a variety of reasons which will be discussed in detail aft(prenominal)wards in the paper.Nutrition and hydration are essential to fuelling the body with life force. Mrs Win is complaining of naus ea and is only tolerating microscopical sips of water which is inadequate to sustaining normal daily function. Lack of nutrition impacts on her activities of daily living, hampers wound healing, the cognitive content to fight infection and her general recovery (Dudek, 2001).Mrs Win is also at a risk of stricken skin integrity due to poor nutrition, restricted mobility and her age. Without proper nursing frequent many factors could exert against the patient and begin to breakdown her skin. It is essential pressure area care is performed every few hours to celebrate decubitus ulcers (Berman, et al., 2008).Impaired respiratory function is also a key nursing issue as complications sack up arise with Mrs Wins breathing. Mrs Win is on oxygen therapy of 3L per minute via nasal cannula and currently has a respiratory rate of 22 breathes per minute which is above the normal range 20 breaths per minute (Berman, et al., 2008).Other potential breathing problems can be initiated by the na rcotics she is taking for pain management this includes morphine as it can suppress the respiratory system (Bullock Manias, 2011).Wound care is a crucial nursing issue for Mrs Win post surgery as she has four incisions in her abdomen with Verivac drains insitu. Maintaining clean wound come outs is essential to help guarantee the site heals effectively without the invasion of micro organisms which can cause infection that may lead to further complications (Bowler, Duerdun, Armstrong, 2001). disablement with Mrs Win can become a potential nursing issue whilst in hospital and after discharge. This implication can arise due to the gastro Intestinal track being lethargic after surgery because of general anaesthetic or the trauma received to stomach during the operation. Peristalsis may also be delayed as constant lying on the back can inhibit this movement of the bowel( Mattson Porth, Matfin, 2009) This would betray Mrs Win olfaction uncomfortable and can be medicated with oral la xatives or suppositories (Bullock Manias, 2011).Mobility would be a major(ip) issue for Mrs Win during her hospital stay and furthermore after her discharge because she is travelling around the field by caravan. Mobility is defined as the ability of a person to move efficiently and effectively from one place to a nonher with comfort and ease (Crepeau, Cohn Schell, 2003). A person being immobile can poorly impacts on their activities of daily living and take away their independence, which can become detrimental to the persons mental wellbeing (Crisp Taylor, 2005).Post surgery from Mrs Win Laparoscopic Cholecystectomy her mobility would be significantly affected for various reasons. She is experiencing pain which will put finish any movement as it would be uncomfortable furthermore she is nauseous and may not feel confident getting out of bed. Mrs Win may be dizzy and fatigued from the pain medical specialty which may also restrict her movements. Additionally the patient is on oxygen therapy, an intravenous line and Verivac drains insitu these factors may discourage movement. Anxiety of these restricting factors may also deter Mrs Win to ambulate. Impaired mobility can have detrimental affects the body physically and mentally. Without movement venous circulation slows down and the coagulation of blood increases causing thrombus and embolus ( nursing fundamentals the effects of indifference, 2007) The respiratory system can be notably affected as hypostatic pneumonia may develop because immobile patients have pooling of chest secretions in the lungs and this congestion predispose the respiratory tract to infections (breast feeding fundamentals the effects of immobility, 2007). Other consequences from immobility include muscle atrophy due to lack of usance and the formation of pressure sores if left in the same position for a prolonged time (breast feeding fundamentals the effects of immobility, 2007). Impaired mobility can hinder Mrs Win personal hygien e which can psychologically affect her if she feels she is losing her independence (Crisp Taylor, 2005).Allied health services would be of great assistance to help Mrs Win recuperate after her operation. Holistic care can be provided to the patient to help with her issue of immobility, the professionals that can help include an Occupational Therapist, a Physiotherapist, Dietician and a Social Worker.An Occupational Therapist would be beneficial for Mrs Win to help her re adjudicate the issues which hamper her undertaking activities of daily living. An Occupational Therapist considers the persons surround and implements strategies or equipment to help clients increase their independence with daily tasks including washing, dressing and getting in/out of caravan(Crepeau, Cohn Schell, 2003).The occupational therapist could asses her caravan and see if it is suitable for a person recovering from surgery who also has a history of osteoarthritis and if needed make changes to help Mrs Win cope with immobility (e.g. a plain to help her step up into the caravan).Physiotherapists endeavour to develop functional ability of physically impaired clients which will improve their quality of life. A Physiotherapist develops plans based on individual needs to help their clients ambulate with reduced pain and to restore the normal functions of body movement (Herbert et al., 2007). Mrs Win would profit from the help of a Physiotherapist because she is in pain and has decreased mobility following surgery, furthermore her osteoarthritis is contributing to her condition. Mrs Win would have problems with carrying out daily tasks so she can take benefit from care planning and exercises to assist the tabulator of strength, normal function and mobility.An essential element to recovery from surgery is the consumption of a nutritional and honorable diet which is why a dietician would help Mrs Win recuperate post surgery. Dieticians have skills to individualise healthy diets and init iate individuals on good nutrition (Dudek, 2001). Mrs Win would benefit from this service as she is not eating hence her meals need to be designed to give maximum nutrition to create the energy needed to facilitate a recovery and fuel mobility. A dietician can additionally educate Mrs Win on foods which stimulate the action of bile needed to break down foods. Bile production is crucial for Mrs Win as she no longer can store bile in her gallbladder so she may need to produce more to help with the digestion process.Incorporated into Mrs Wins care planning could be a Social Worker whose role is to improve the quality of living by assisting them to handle and solve issues with daily life (Payne, 2005). Travelling around the country in a caravan, Mrs Win is away from her support networks and may struggle to deal with daily tasks due to poor mobility. The social worker can mastermind coping mechanisms to help her deal with the immobility or alternatively arrange accommodation close by u ntil Mrs Win is healthy enough to travel again. ConclusionThis paper explored the case study of Mrs Win a 66 year old female post operative from a Laparoscopic Cholecystectomy. We explored her pervious medical history and defined the implications it can have on her current health and furthermore discussed the patients medical diagnosis. In parity to her medical diagnosis several nursing issues where identified with the emphasis on the key problem of immobility and what impact this has on Mrs Win. The paper proposed which allied health services could be beneficial to Mrs Wins recovery. Finally a care plan was constructed with the intent to better the patients health by setting health goals and plans to achieve them. An paygrade was made to determine whether these plans where effective in improving Mrs Win quality of living with all sustenance supported with relevant and reputable information.