Knowledge required for decision making in Adult Nursing Essay

Knowledge required for decision making in Adult Nursing - Essay Example Gill is a 50-year-old insulin dependant Diabetic. She was admitted to the ward via Acute Medical Assessment Unit (AMAU). Gill was found on the floor after a fall, feeling drowsy, vague and confused and complaining ÃŽ ¿f abdo pain. After nursing hand-over, a multi-disciplinary team embarked on a strategy to assess, monitor and resolve Gills issues. Multi-disciplinary working is encouraged within the NHS Plan (2000) and is concerned with professional healthcare providers working together for the well-being ÃŽ ¿f the patient. (Castledine 1996) Gill was then admitted to the ward where a full nursing assessment took place and from here a plan ÃŽ ¿f care was prescribed and implemented. Further information was obtained from previous medical records. This revealed in 1998 Gill had a cerebral vascular accident (CVA) and recovered well. She was also diagnosed with alcohol liver disease (ALD) in April 2000 and diabetes 15 years ago. Gills observations on admission where taken so to provide a basis for any later comparisons. Her blood sugar glucose reading was 32.4 millimols per litre. The normal reading should be between 4-7 mmol/l before meals rising to no higher than 10 mmol/l two hours after meals (http://www.diabetes.org.uk/) A ward test urine was taken which showed glucose and protein were present. 1.Maintaining a safe environment - Gill had a nurse call bell and a patient identification wrist band. She was shown around the ward but increasing confusion and previous falls made it a priority to monitor Gill closely. 11. Eating and drinking - Gill explained that she drinks a lot ÃŽ ¿f tea and cola throughout they day but is often left still trying to quench her thirst, her favourite foods are chocolate and sweets. She tries to eat regular meals but often has little appetite. After the identification ÃŽ ¿f issues a plan ÃŽ ¿f care was documented. This is a