Roper_Logan_Tierney

Introduction The patient I am choosing to base this assignment on is a woman whom I shall refer to as Beverley. Beverley is a fifty year old female of White British origin. She belongs to the Church of England but does not practice. Beverley worked as a teaching assistant up until her illness. She lives in a two storey house with her partner and two children (15years and 12years). Prior to her illness, her only medical past history was hypertension for which she was on medication for. She has no known drug allergies. Beverley was diagnosed just over a year ago with a Grade 2 invasive ductal carcinoma of the left breast which has metastasised to the spine and as a result has spinal cord compression. She has intermittent back pain and left upper limb paraesthesia. Beverley is on a course of radiotherapy to the breast to shrink the tumour. She is seen by the physiotherapy team during the weekdays where she sits out for two hours and about once/twice a week will walk 50yards with assistance. I have chosen Beverley as she has being a patient during my six week duration on the ward. I have gotten to know Beverley really well and have met her family and friends too. I have listened to her when she is upset and she feels confident to confide in me. She is a remarkable lady and is copying so well with her illness. I also have an interest in Beverley’s condition, breast cancer, as it is the number one cancer affecting women. It is stated about one in every eight women will be affected by it at some time in their life. Roper-logan-tierney framework I will be using the Roper-Logan-Tierney framework which was used on my placement. It is one of the most widely used nursing models in the United Kingdom and is also referred to as a Human Needs Model. This model of nursing care has five components to the model: 1. Activities of living (AL’s) 2. Lifespan 3. Dependence/independence 4. Factors influencing the activities of living 5. Individuality in living There are twelve activities of living that have been identified and implemented in this model. They are as follows: 1. Breathing 2. Communicating 3. Controlling body temperature 4. Dying 5. Eating and drinking 6. Eliminating 7. Expressing sexuality 8. Maintaining a safe environment 9. Mobilising 10. Personal cleansing and dressing 11. Sleeping 12. Working and playing Lifespan ''' Dependence/independence This needs to be evaluated in all 12 activities of living for a patient. Factors influencing the activities of living Physical, psychological, socio-cultural, environmental and politico-economic factors all influence the way in which any patient performs the activities of living. Each activity of living can be influenced by a greater or lesser extent by any of these factors Individuality Individuality is dependent on all other components and the extent to which the patient can carry out the activities of living independently. It also takes into account the knowledge, beliefs and attitudes on the patient. Applying the RLT model to pt’s current health status Mobility – constipation, pain relief, physio, repositioning, sliding sheets, hoist Personal cleansing and dressing – rx no soap on upper part of body Eating and drinking should also be aware of body image especially when carrying out any aspects of personal hygiene ensuring that privacy and dignity is maintained at all times. to move or turn every 2 hours to prevent pressure sores and should also take this opportunity to mobilise his limbs.