How effective was my choice of nursing model in carrying out a holistic assessment of a patient?

MY CHOICE OF MODEL –
The ‘Activities of Living’ Model – Roper et al (1980)
Summative Assignment Guidelines: NURS4011 Foundations of nursing Word limit 3000
words
Assignment title –
How effective was my choice of nursing model in carrying out a holistic assessment of a
patient?
Scenario –
Evelyn
Evelyn is an 87-year-old woman with hypertension and rheumatoid arthritis. She lives at home on
her own in a semi-detached four bedroom house in a residential part of a city in the South East of
England. She is an owner-occupier. Evelyn is a retired secondary school (English) teacher and her
husband James died (from bowel cancer) 5 years ago. They had been married for sixty two years.
Evelyn takes pride in her appearance and she likes to dress neatly and keep her hair well tended. She
enjoys reading, doing crossword puzzles and talking with her good friend Gladys on the phone a
couple of times a week. She used to like gardening outdoors but can no longer do that. However, she
can still tend to her impressive range of indoor plants which she thoroughly enjoys.
Evelyn’s daughter (Matilda) works full time and lives 35 miles away (in the countryside) and visits her
mum weekly (travelling by car) on Saturdays. Matilda helps her mum with shopping and laundry
when she visits. Evelyn also receives daily support from a care worker to help with activities of daily
living. Evelyn manages to put on her clothes with dressing aids that the domiciliary Occupational
Therapist (OT) provided her with, but she needs help with washing her back and legs (which the
carer does for her). Evelyn also has a hairdresser who visits to wash and set her hair once a week.
She is currently prescribed the following medication:
· Bendroflumethiazide 2.5 mg daily
· Lisinopril 10 mg daily
· Simvastatin 40 mg at night
· Methotrexate 20 mg once weekly on a Wednesday
· Folic acid 5 mg daily except on Wednesday
· Paracetamol 1 g four times daily when needed.
On Friday evening, an on-call (out-of-hours) GP visits Evelyn because she has been feeling unwell
with symptoms of urinary frequency, dysuria and urge incontinence for a few days. The GP diagnoses
a urinary tract infection (UTI) and prescribes Trimethoprim 200 mg twice daily for 3 days. During her
weekly visit the next day ( Saturday), Matilda picks up the Trimethoprim from the chemist for her