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Analysis of care with regards to patient admission into a high tech area within a medical high dependency unit

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  1. Introduction
  2. Definition of illness
  3. Chronic illness and lingering disease
  4. The nursing process
  5. The focal point of the activities of living model
  6. Nursing and Midwifery Council's Code of Professional Conduct (2002)
  7. Conclusion
  8. References

The aim of this essay is to discuss the nature of illness and dependence in relation to the issues that the nurse should take into account when providing evidence-based care. The issues that will be analyzed are the nursing process and nursing models, the implications of nursing technology on the nurse, the patient and their family, the psychological issues for the patient and their family, the consequences of disability and chronic illness and the importance of patient-centered nursing. These issues will be discussed, for the most part, in relation to the patient care received by patients admitted to a ?high tech' area. The ?high tech' area will be, on the whole, focused in a medical high dependency unit in a local general hospital.

The medical high dependency unit concerned is part of the medical assessment unit. Admissions to the medical assessment unit are taken from either the Accident and Emergency department or from General Practitioners (GPs) when patients need assessment and/or investigations before they are discharged home or transferred to other wards in the hospital. The medical high dependency unit is a four-bedded bay with two side rooms. Two of these beds are classed as high dependency beds and the other four are medical assessment beds.

[...] Critical Care Nursing. Caring for the Critically Ill Adult. London: Baillière Tindall. Farmer, E.S. (2000). The Older Person. In M.F. Alexander, J.N. Fawcett, and P.J. Runciman. (Eds.) (2000). Nursing Practice Hospital and Home. The Adult. 2nd Edition. London: Churchill Livingstone. Fraser, M. (1996). Conceptual Nursing in Practice. A Research-Based Approach. 2nd Edition. London: Chapman and Hall. Gelling, L. (1999). The role of hope for relatives of critically ill patients: a review of the literature. Nursing Standard. 33-38. Gerrish, K. (2000). [...]

[...] (2002). Code of professional conduct. London: Nursing and Midwifery Council. Parsons, E.P. (1994). Technology and the Nursing Dilemma. In B. Millar, and P. Burnard. (Eds.) (1994). Critical Care Nursing. Caring for the Critically Ill Adult. London: Baillière Tindall. Phoenix5. (2002a). Phoenix5's Prostate Cancer Glossary. Phoenix5. (2002b). Phoenix5's Prostate Cancer Glossary. Quinn, C. (2000). Infusion Devices: risks, functions and management. Nursing Standard. 14(26), 35-41. Turnock, C. (1994). [...]

[...] Weller (1997) defines dependency as a ?state of relying on another for love, affection mothering, comfort, security, food, warmth, shelter, protection, therefore high dependency is where the patient is reliant upon the nurse, doctor, machine and so on to fulfill their needs. Newton (1991, cited in Farmer, 2000) argues that the assessment of dependence is founded on biased preconceptions, which are established by the nurses' perception of the patient's abilities compared with clinical, developmental and social standards. Assessment of dependence will occur in the first part of the nursing process. [...]

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