1
Essay COMPLEXCARE
Cour
se Adul
tNur
sing
Student XXXXXXXXXX
I
.d
Wr
it
te
nbyb
lac
kdo
ll
ar
, 2
Su
mma
ry
Th
iss
tud
yai
mst
osh
owt
hea
bil
i
tyt
ous
ingn
urs
inga
ssu
mpt
iont
ogi
vea
nid
eat
het
ypeofc
area
p
ati
entr
ece
ive
dwi
thc
omp
lexn
eed
sdu
rin
gth
eirp
lac
eme
nt.Th
epa
tie
nth
ass
omemi
xt
ureof
n
ume
rou
sdi
sea
sesofp
syc
hol
ogi
calp
rob
lem,c
hron
icc
ond
iti
on,i
ssu
esl
i
nke
d wi
ths
oci
al
s
usc
ept
ibi
l
it
ysi
tua
tion
,an
dme
dic
ati
oni
sid
ent
if
iedt
obeac
omp
li
cat
edn
eedp
ati
entRos
enR
(
201
8).Ac
cor
din
gtoNu
rsi
nga
ndmi
dwi
fer
ycou
nci
l(NMC,
201
5),Mi
ddl
et
onL
,Ll
ewe
ll
ynD(
201
6),
r
esi
st
edn
urs
esa
nst
ude
ntn
urs
esa
remot
iv
ate
dtor
efl
ectt
hrou
ghou
tth
eirp
rac
ti
cet
ohe
lp
p
rog
res
sth
eirs
kil
l
eda
ndp
ers
ona
limp
rov
eme
ntt
osu
ppor
tus
efu
lan
dsa
fet
rai
ni
ng.Th
ise
ssa
ywi
l
l
a
lsoe
val
uat
epa
tie
ntme
dic
ati
onma
nag
eme
nt,c
arep
lan
nin
gan
das
ses
sme
nt.Al
so,t
hep
ati
ent
'
s
r
esu
ltwi
l
lbei
nve
sti
gat
eda
ndmu
lti
di
sci
pl
in
aryc
ont
ri
but
iona
sne
ces
sar
yase
xtr
eme
lyi
mpor
tan
tof
me
eti
ngt
hep
ati
ent
sre
qui
re.Th
iss
tudywi
l
lbea
nev
ide
ncec
ent
redb
ase
dpr
act
is
eEBP.E
BPi
san
i
nte
gra
tionofr
ese
arc
hev
ide
nce
,cl
i
nic
ale
xpe
rti
sea
ndap
ati
ent
'
spr
efe
ren
ces
.Th
isp
rob
lem-
s
olv
inga
ppr
oac
htoc
li
ni
calp
rac
ti
cee
ncou
rag
esn
urs
est
ogi
vei
ndi
vi
dua
li
zedp
ati
entc
are
.Inl
i
ne
wi
thNMC(
201
5)a
ndDa
taPr
ote
cti
onAc
t(2
018
),t
hep
ati
entn
amewi
l
lbema
dea
non
ymou
sto
a
dhe
ret
oNMCc
ode(
201
5),
wit
hth
epu
rpos
eoft
hiss
tud
y,t
hep
ati
enth
asg
ive
nhe
rcon
sen
ttou
se
h
erc
li
ni
cal
inf
orma
tion
.
, 3
Ta
bleo
fCo
nte
nt
I
ntr
odu
cti
on 4
Pa
stMe
dic
ala
ndSoc
ial
His
tor
y 4
I
ni
ti
alAs
ses
sme
nt 4
Th
ere
sul
tsofi
nve
sti
gat
ion 8
Pa
tie
nta
irwa
y 1
0
Ca
rePl
anNo.
1 1
0
I
nte
rve
nti
ons 1
0
Ca
rePl
anNo.
02 1
2
Nu
rsi
ngI
nte
rve
nti
on 1
2
Ca
rep
lann
o.0
3 1
4
I
nte
rve
nti
ons 1
4
Ca
rePl
anNo.
04 1
6
I
nte
rve
nti
ons 1
6
Ca
rePl
anNo.
05 1
7
Nu
rsi
ngI
nte
rve
nti
on 1
7
E
val
uat
ion of1
8
Con
clu
sion 1
9
Re
fer
enc
e 2
0
Ap
pen
dix 2
3
, 4
I
ntr
odu
cti
on
Th
isp
ape
rwi
l
lfoc
usont
hec
areg
ive
ntoKe
ll
y,a5
0ye
ar’
sol
ddi
vor
ceda
ndu
nemp
loy
ed
f
ema
le.Ke
ll
yfe
ltn
aus
ead
uet
owh
ichs
hewa
sad
mit
tedi
nth
ehos
pit
al,a
ndl
ate
rdi
agn
ose
d
wi
thot
herp
rob
lemss
ucha
sab
domi
nalp
ain
,fa
tig
ue,
diz
zin
ess
,it
chys
kin
,sh
ort
nes
sofb
rea
th
a
ndl
et
har
gy.
Pa
stMe
dic
ala
nds
oci
alHi
sto
ry
Ke
ll
ywa
sdi
agn
ose
dwi
tht
hea
lcoh
ol-
rel
ate
dli
verp
rob
lem(
ARL
D)s
omey
ear
sag
oan
dwa
sad
vis
ed
t
ore
duc
ehe
rin
tak
eors
topt
hec
ons
ump
tionofa
lcoh
ol,b
uts
hed
idn
otl
i
ste
ntot
hea
dvi
ce.Sh
e
h
asap
astme
dic
alh
ist
oryofh
ighb
loodp
res
sur
eIna
ddi
ti
ont
oot
herh
eal
thc
ond
iti
onwh
ichs
hei
s
n
otc
apa
bleoft
heh
and
leb
eca
useofh
erwa
yofl
i
fea
ndmu
chd
epr
ess
ion
.Ke
ll
ywa
sma
rri
eda
nd
h
adt
woc
hil
dre
nth
oug
hsh
ewa
sawor
ki
ngwoma
n,b
utd
uet
ohe
rad
dic
ti
on,
sheg
otdi
vor
ceda
nd
l
osth
erj
ob.
Kel
l
yha
snoc
ont
actwi
thh
erh
usb
anda
ndc
hil
dre
n,a
nds
hec
urr
ent
lyl
i
vesb
yhe
rse
lf.
I
nit
ial
Ass
ess
men
t
I
nth
enu
rsi
ngp
roc
ess
,th
eas
ses
sme
nti
sth
efi
rs
tst
aget
ocon
side
r.I
tin
vol
vesa
uth
ent
ici
nfor
mat
ion
a
ndc
ri
ti
calj
udg
men
t,a
ndi
tga
the
redt
hen
eedf
ort
hep
ati
ent
'
sHe
alt
h.Th
epos
sib
lei
nfor
mat
ionc
oul
d
b
eba
sedonob
jec
ti
ve(
mea
sur
abl
eda
tal
i
kep
hys
ica
lsi
gns
,sy
mpt
oms
,he
igh
tan
dwe
igh
t,ou
tpu
tan
d
i
nta
keors
ubj
ect
iv
e(v
erb
alda
tac
oll
ect
edf
romt
hep
ati
entonh
ows
her
ecog
niz
eth
epr
obl
em.F
ort
his
r
eas
on,
obj
ect
iv
ean
dsu
bje
cti
vede
tai
l
sofKe
ll
y'
swe
rec
oll
ect
ed,
whi
cha
ssi
st
edi
nth
eor
gan
iza
tiona
nd
d
eli
ver
yofa
nap
prop
ria
tel
yin
div
idu
alp
ack
ageofc
are
,pl
ann
eda
rou
ndh
erp
art
ic
ula
rca
rer
equ
ire
men
ts
(
BMJ
,20
19)
.Ke
ll
y'
sme
dic
alh
ist
oryof(
ARL
D)wa
sob
ser
vedt
hrou
ghou
tth
eas
ses
sme
ntp
rac
ti
ce,
whi
ch
a
ll
owst
het
eamofau
sef
uld
eci
si
on-
mak
ingp
roc
essonwh
ichp
ati
ent
-ce
ntr
edc
arewa
s
Essay COMPLEXCARE
Cour
se Adul
tNur
sing
Student XXXXXXXXXX
I
.d
Wr
it
te
nbyb
lac
kdo
ll
ar
, 2
Su
mma
ry
Th
iss
tud
yai
mst
osh
owt
hea
bil
i
tyt
ous
ingn
urs
inga
ssu
mpt
iont
ogi
vea
nid
eat
het
ypeofc
area
p
ati
entr
ece
ive
dwi
thc
omp
lexn
eed
sdu
rin
gth
eirp
lac
eme
nt.Th
epa
tie
nth
ass
omemi
xt
ureof
n
ume
rou
sdi
sea
sesofp
syc
hol
ogi
calp
rob
lem,c
hron
icc
ond
iti
on,i
ssu
esl
i
nke
d wi
ths
oci
al
s
usc
ept
ibi
l
it
ysi
tua
tion
,an
dme
dic
ati
oni
sid
ent
if
iedt
obeac
omp
li
cat
edn
eedp
ati
entRos
enR
(
201
8).Ac
cor
din
gtoNu
rsi
nga
ndmi
dwi
fer
ycou
nci
l(NMC,
201
5),Mi
ddl
et
onL
,Ll
ewe
ll
ynD(
201
6),
r
esi
st
edn
urs
esa
nst
ude
ntn
urs
esa
remot
iv
ate
dtor
efl
ectt
hrou
ghou
tth
eirp
rac
ti
cet
ohe
lp
p
rog
res
sth
eirs
kil
l
eda
ndp
ers
ona
limp
rov
eme
ntt
osu
ppor
tus
efu
lan
dsa
fet
rai
ni
ng.Th
ise
ssa
ywi
l
l
a
lsoe
val
uat
epa
tie
ntme
dic
ati
onma
nag
eme
nt,c
arep
lan
nin
gan
das
ses
sme
nt.Al
so,t
hep
ati
ent
'
s
r
esu
ltwi
l
lbei
nve
sti
gat
eda
ndmu
lti
di
sci
pl
in
aryc
ont
ri
but
iona
sne
ces
sar
yase
xtr
eme
lyi
mpor
tan
tof
me
eti
ngt
hep
ati
ent
sre
qui
re.Th
iss
tudywi
l
lbea
nev
ide
ncec
ent
redb
ase
dpr
act
is
eEBP.E
BPi
san
i
nte
gra
tionofr
ese
arc
hev
ide
nce
,cl
i
nic
ale
xpe
rti
sea
ndap
ati
ent
'
spr
efe
ren
ces
.Th
isp
rob
lem-
s
olv
inga
ppr
oac
htoc
li
ni
calp
rac
ti
cee
ncou
rag
esn
urs
est
ogi
vei
ndi
vi
dua
li
zedp
ati
entc
are
.Inl
i
ne
wi
thNMC(
201
5)a
ndDa
taPr
ote
cti
onAc
t(2
018
),t
hep
ati
entn
amewi
l
lbema
dea
non
ymou
sto
a
dhe
ret
oNMCc
ode(
201
5),
wit
hth
epu
rpos
eoft
hiss
tud
y,t
hep
ati
enth
asg
ive
nhe
rcon
sen
ttou
se
h
erc
li
ni
cal
inf
orma
tion
.
, 3
Ta
bleo
fCo
nte
nt
I
ntr
odu
cti
on 4
Pa
stMe
dic
ala
ndSoc
ial
His
tor
y 4
I
ni
ti
alAs
ses
sme
nt 4
Th
ere
sul
tsofi
nve
sti
gat
ion 8
Pa
tie
nta
irwa
y 1
0
Ca
rePl
anNo.
1 1
0
I
nte
rve
nti
ons 1
0
Ca
rePl
anNo.
02 1
2
Nu
rsi
ngI
nte
rve
nti
on 1
2
Ca
rep
lann
o.0
3 1
4
I
nte
rve
nti
ons 1
4
Ca
rePl
anNo.
04 1
6
I
nte
rve
nti
ons 1
6
Ca
rePl
anNo.
05 1
7
Nu
rsi
ngI
nte
rve
nti
on 1
7
E
val
uat
ion of1
8
Con
clu
sion 1
9
Re
fer
enc
e 2
0
Ap
pen
dix 2
3
, 4
I
ntr
odu
cti
on
Th
isp
ape
rwi
l
lfoc
usont
hec
areg
ive
ntoKe
ll
y,a5
0ye
ar’
sol
ddi
vor
ceda
ndu
nemp
loy
ed
f
ema
le.Ke
ll
yfe
ltn
aus
ead
uet
owh
ichs
hewa
sad
mit
tedi
nth
ehos
pit
al,a
ndl
ate
rdi
agn
ose
d
wi
thot
herp
rob
lemss
ucha
sab
domi
nalp
ain
,fa
tig
ue,
diz
zin
ess
,it
chys
kin
,sh
ort
nes
sofb
rea
th
a
ndl
et
har
gy.
Pa
stMe
dic
ala
nds
oci
alHi
sto
ry
Ke
ll
ywa
sdi
agn
ose
dwi
tht
hea
lcoh
ol-
rel
ate
dli
verp
rob
lem(
ARL
D)s
omey
ear
sag
oan
dwa
sad
vis
ed
t
ore
duc
ehe
rin
tak
eors
topt
hec
ons
ump
tionofa
lcoh
ol,b
uts
hed
idn
otl
i
ste
ntot
hea
dvi
ce.Sh
e
h
asap
astme
dic
alh
ist
oryofh
ighb
loodp
res
sur
eIna
ddi
ti
ont
oot
herh
eal
thc
ond
iti
onwh
ichs
hei
s
n
otc
apa
bleoft
heh
and
leb
eca
useofh
erwa
yofl
i
fea
ndmu
chd
epr
ess
ion
.Ke
ll
ywa
sma
rri
eda
nd
h
adt
woc
hil
dre
nth
oug
hsh
ewa
sawor
ki
ngwoma
n,b
utd
uet
ohe
rad
dic
ti
on,
sheg
otdi
vor
ceda
nd
l
osth
erj
ob.
Kel
l
yha
snoc
ont
actwi
thh
erh
usb
anda
ndc
hil
dre
n,a
nds
hec
urr
ent
lyl
i
vesb
yhe
rse
lf.
I
nit
ial
Ass
ess
men
t
I
nth
enu
rsi
ngp
roc
ess
,th
eas
ses
sme
nti
sth
efi
rs
tst
aget
ocon
side
r.I
tin
vol
vesa
uth
ent
ici
nfor
mat
ion
a
ndc
ri
ti
calj
udg
men
t,a
ndi
tga
the
redt
hen
eedf
ort
hep
ati
ent
'
sHe
alt
h.Th
epos
sib
lei
nfor
mat
ionc
oul
d
b
eba
sedonob
jec
ti
ve(
mea
sur
abl
eda
tal
i
kep
hys
ica
lsi
gns
,sy
mpt
oms
,he
igh
tan
dwe
igh
t,ou
tpu
tan
d
i
nta
keors
ubj
ect
iv
e(v
erb
alda
tac
oll
ect
edf
romt
hep
ati
entonh
ows
her
ecog
niz
eth
epr
obl
em.F
ort
his
r
eas
on,
obj
ect
iv
ean
dsu
bje
cti
vede
tai
l
sofKe
ll
y'
swe
rec
oll
ect
ed,
whi
cha
ssi
st
edi
nth
eor
gan
iza
tiona
nd
d
eli
ver
yofa
nap
prop
ria
tel
yin
div
idu
alp
ack
ageofc
are
,pl
ann
eda
rou
ndh
erp
art
ic
ula
rca
rer
equ
ire
men
ts
(
BMJ
,20
19)
.Ke
ll
y'
sme
dic
alh
ist
oryof(
ARL
D)wa
sob
ser
vedt
hrou
ghou
tth
eas
ses
sme
ntp
rac
ti
ce,
whi
ch
a
ll
owst
het
eamofau
sef
uld
eci
si
on-
mak
ingp
roc
essonwh
ichp
ati
ent
-ce
ntr
edc
arewa
s
