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Case Study: Mario is a 74 year old male that has been admitted to hospital (for an unrelated illness) however he has cracked and sore heels and his wife ‘Angela’ insists that you rub olive oil on his feet that she has bought in from home in an unmarked bottle. However as you are a student nurse all you can do is advised the registered nurse in charge of Mario.

The registered nurse states that as the doctor has not written up (charted)the application of olive oil for Mario therefore it should not be applied. She further states that as the bottle isn’t labelled it could be anything and if in fact it is olive oil it will create a ‘falls risk’ to her patient who is frail and a two (2) assist for mobility.

Part 1. (approx. 1500 words)

Using the nursing Process:

a.Assess (including rationale for this)
b.Plan
c.Implement
d.Evaluate

Complete a nursing care plan for Mario. (Bullet points ARE NOT accepted).
Provide an evidence based care plan for this patient. This is NOT a reflection. Information should be supported with relevant contemporary evidence to support nursing interventions and/or strategies that might assist in future practice. Using the nursing process (of Assess/Plan/Implement/Evaluate)students are required to develop a nursing care plan about this situation identifying appropriate goals and how they would be achieved. Students should also provide a rationale for why the goals are important. This nursing care plan must be the plan of care that would be initiated if a Registered Nurse were looking after this patient again now that there is evidence to support this.

Part 2. (approx. 500 words)

Following on from the evidence based care plan, now suggest how this can impact on learning about Maintaining a Safe Environment for patients. Where have you looked for evidence to support the care you provide? How can this activity assist in providing future nursing care for patients?

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