AMENDMENT OF NURSING CARE PLAN FOR PARTIALLY MET OR UNMET OUTCOME CRITERIA
Upon careful evaluation of the nursing care rendered to Mrs. Akosua Naa and her family, all goals and objectives set were fully met. Therefore, there was no need for amendment of any of the objectives set during the care of the patient
TERMINATION OF CARE GIVEN
The termination of care is the last phase of the interaction of the nurse, patient and relative. Terminating the care given to Miss Akosua Naa and their family was very successful since I informed them on the day of admission about my interaction with them being temporal and the care will be terminated after her discharge and also on my second home visit.
Consequently, during my third home visit, I made them aware that it was my last official visit to them. The Community Health nurse of Ejura, Mrs. Prempeh Abigail took charge of the care over all the important facts and documents about Miss Akosua Naa.
SUMMARY AND CONCLUSION
Miss Akosua Naa, a 24-year-old seamstress apprentice was admitted to the accident and emergency department of KomfoAnokye Teaching Hospital (KATH) on the 4th January 2010 with a provisional diagnosis of generalizing peritonitis as a referred case from Mampong Government Hospital.
Upon various laboratory investigations, it was later diagnosed as Typhoid fever with perforation. She was sent to the theatre on the second day of admission for laparotomy to be done. The client complained of severe abdominal pain and pyrexia. Nursing diagnoses were made and interventions were implemented to ensure client recovery.
Vital signs were oriented and checked ordered. The drugs prescribed for the client included; antibiotics, analgesics, anti-inflammatory, and intravenous fluid. Some of those drugs were Ciprofloxacin, injection Pethidine, Diclofenac, IV Metronidazole, and Normal saline. They were administered as prescribed.
Nursing problems were managed through the use of a nursing care plan. The goals set for the management of the patients’ problems were fully met.
The client was discharged after being declared medically fit by DrAitpilla on the 14th of January 2010, client was asked to come for review on 21st January 2010. She was advised to take her medications regularly throughout hospitalization and after discharge.
The client and mother were given health education on the client’s condition, good personal and environmental hygiene, and good nutrition. Interaction with client and family lasted for twenty-eight (28) days after which the care was terminated. There were three subsequent home visits to the client’s house to know how the client was fairing in her environment and whether all the education given was being implemented.
Last but not least, my study on Miss Akosua Naa has been very successful and smooth. The period has been useful because the client and mother have learned about typhoid fever, its causes, clinical features, management, complications, and prevention.
In conclusion, I wish to say that choosing Miss AkosuaNaa as my client has made me understand how to apply the nursing process to render holistic care to patients.
This has also allowed me to put the knowledge I have acquired in the three (3) year training in nursing into practice. I have also been enlightened on the disease condition typhoid fever.
Again, I have established a good nurse-client/family relationship and I hope this knowledge will help me in my practice as a nurse.
I, therefore, suggest that all patients should have access to equal opportunities to individualized nursing care to promote early recovery and to reduce the incidence of mortality and recurrence of diseases.