Abcde Approach

This assignment depart discuss the legal opinion and nursing priorities of a 42 year old man (Andrew) who had been transferred from ICU to a surgical ward during the night (see appendix 1). The author will focus on three physical areas that require adjacent care over the next 48 hours, and in addition handle the psychological, emotional and spiritual needs that were identified in the qualifying to toenail assessment (see appendix 2).The author will also discuss the assessment skills and tools which could be used to assist in identifying care needs for the persevering, taking into account physical, psycho societal and cultural factors.
Jevon, (2010) identifies assessment as the first step in determining the wellness status of the patient. It should be carried out automatic eithery by all nurses as soon as they encounter patients. It involves obtaining a health history and performing a physical assessment or psychosocial overview of the patients health. This allows a complete and thorough refresh of the current event, as well as any physical, psychological, social or medication history that may be pertinent to the current event (Peacock, 2004). Nurses should follow a systematic approach, found on airway, breathing, circulation, disability and exposure (ABCDE) to assess and treat patients.



Castledinel, (2004) informs us that this will help to ensure that critical illness is now identified and assume care is managed.

A head to toe assessment was carried out on Andrew on arrival to the ward and many care needs were identified. One of these needs was his respiratory rate, which were 22 respirations per minute. Respiratory assessment involves an initial assessment, history taking, inspection, palpation, percussion, auscultation and appropriate further investigations. Firstly the nurse must assess if Andrews airway is clear. This can be done by postulation Andrew a question. A normal verbal response from the patient immediately indicates that the patient has a patent airway, (Oh et al,...If you want to add a full essay, order it on our website: Orderessay



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