Developing a plan of care using the Roper, Logan and Tierney model

Area of Science:

• Nursing Care
• Infectious Diseases
• Hepatology

Background:

• Patient presented with a history of drug misuse, infective endocarditis, and hepatitis C.
• Nursing care focused on activities of daily living: maintaining a safe environment, communication, and breathing, utilizing the Roper, Logan, and Tierney Model.
• Identified inadequate pain management as a significant concern during patient care.

Purpose of the Study:

• To examine the presentation and care of a patient with complex co-morbidities including drug misuse, infective endocarditis, and hepatitis C.
• To explore the challenges in pain management for patients with a history of substance misuse within a nursing context.

Main Methods:

• Case study approach utilizing the Roper, Logan, and Tierney Model of Nursing.
• Focused analysis on three specific activities of daily living: maintaining a safe environment, communication, and breathing.
• Review of patient's medical history, including drug misuse, infective endocarditis, and hepatitis C.

Main Results:

• The patient experienced inadequate pain management.
• Healthcare professionals' fear of addiction may contribute to undertreatment of pain.
• The patient's history of drug misuse potentially exacerbated the inadequate pain control.

Conclusions:

• Effective pain management in patients with a history of drug misuse requires careful consideration and proactive strategies.
• Further research is needed to address the barriers to adequate pain relief in vulnerable patient populations.
• Nursing interventions must address not only physical needs but also psychological factors influencing treatment adherence and outcomes.