How Do You Communicate With A Patient After A Laryngectomy?

How Do Laryngectomy Patients Eat?

Having a clear liquid diet means that you no longer can eat normally after a liquid diet that is going towards a full liquid diet in favor of a soft diet. It generally takes 1 to 2 months for it to be completed. It is typically a soft diet for patients leaving the hospital. Your doctor will provide you with information on what you can eat based on your health history.

How Often Should Laryngectomy Stoma Be Cleaned?

You may need to clean your stoma four or five times a day until you are free of the sores. By keeping your stoma clean, you are protecting itself from forming scar tissue. This might result in a narrower stoma because of scarring tissue. A stoma can be cleaned round a healed skin by washing it with soap and water.

Can You Eat And Drink After A Laryngectomy?

Surgery for the entire throat allows you to eat. There is no loss of continuity between the throat and food pipe during this process, despite removal of the larynx. It is therefore possible to eat and swallow foods normally as a human being.

How Do You Ventilate A Patient With A Laryngectomy And Stoma?

Avoid these procedures in patients whose throat is or have large tumors that occluding their airway as alaryngectomy or a laryngectomy. In an attempt to ventilate using upper airway techniques like mouth, nasal, and chest cavity closures, you can use these options. A gently pressurized stoma can also be opened in this way. If you need an laryngectomy, skip it.

Can You Talk After Total Laryngectomy?

In order to speak normally again after a total laryngectomy, you will need to remove your larynx (voice box). Your vocal cords will have to be used instead. Your windpipe (trachea) becomes detached after you have a laryngectomy, thus you no longer have access to the air your lungs supply through your mouth.

What Is Alaryngeal Communication?

It uses voiceless features other than the glottis instead of just voice to express itself via an airstream mechanism. Eschar, bladder, and pharyngeal speakers are all types. There are several alternative phonation methods to be used in order to substitute vocal cords in a larynx without the presence of vocal cords.

Can You Talk After A Partial Laryngectomy?

In the event of a total laryngectomy, your ability to speak will be lost. Having a partial laryngectomy allows you to speak normally.

What Happens After A Laryngectomy?

Prior to a laryngectomy, the esophagus and the trachea had the same common space but no longer share it. Changing this way of swallowing will require you to learn a new method. Your neck’s stoma will open up into a small hole which will let you breathe. This type of stoma is normally used to replace the normal airways for minimally performing surgery techniques.

How Soon Can You Eat After Laryngectomy?

you had surgery to remove your larynx (laryng) you probably will need to stay in an intensive care unit for a couple of days until you’re able to return home. The rest of the time you will not be able to eat is about 1 or 2 weeks until your throat is able to heal.

Can Laryngectomy Patients Taste?

It’s possible that nose flow can transfer to the tracheostoma in total laryngectomy. This would result in a lessened sense of smell and taste perceived from the nose.

How Do You Eat With A Voice Box?

Laminitis is characterized by an opening in the laryngoscopic tract protected by flaps of cartilage called epiglottis. The larynx grows by an inch every time you eat. A feeling of motion is observed in the hand when you swallow a Adam’s apple.

How Often Do You Change A Larytube?

The lary tube should be thoroughly removed and cleaned by your physician every so often, to prevent infections. Approximately two to three times per day is required. It might be necessary to clean the mucus more often if it’s thick or sticky.

How Do You Care For A Laryngectomy Patient?

Do You Have A Stoma With A Laryngectomy?

Having your entire voice box removed allows you to breathe more easily. As this hole is in a totally different shape than a tracheostomy, you clinicians might be called laryngectomy stomas. The only problem with this stoma is the connection of your windpipe to your mouth has been broken.

When Can Patient Eat After Laryngectomy?

Diet. After you gain a large number of calories, your diet changes from clear liquid into an unrestricted full liquid diet, until your diet turns soft to serve before a normal meal can be eaten. The process usually takes one to two months. They are more likely to stick to a soft diet even after their release from the hospital.

Can Laryngectomy Patients Swallow?

In the same way that it was before your surgery, swallowing is usually similar after a total laryngectomy. In some cases, it may be easier to swallow after surgery if you experienced difficulty swallowing prior to the surgery.

Can You Taste Food After A Laryngectomy?

Those who breathe with their mouths and noses do not experience its automatic absence due to your mouth and nose being cut off. While you recovered from an operation, your sense of smell probably improved, and you could use techniques to improve it.

How Long Does It Take To Heal From A Laryngectomy?

Approximately two to three weeks after being hit with a hammer. About a month after surgery, you should begin to recover. A larynx is sometimes removed and its cancer or injury is gone. It is learned how to make a life without one’s voice box and make a change in lifestyle.

What Should Not Eat In Kidney Stone?

Eat a non-stone-forming food first: Beets, chocolate, spinach, rhubarb, tea, and almost all nuts contain oxalate, the main ingredient for kidney stones. It may be recommended by your doctor that you avoid eating this food or consume it less frequently if you are affected by stones.

How Do You Take Care Of Kidney Stones?

What Is The Most Common Treatment For A Kidney Stone?

A peripheral cryotherapy method, i.e., percutaneous phonopuncture or PCNL, is often better suited for large kidney stones.

What Should You Eat With Kidney Stones?

Can I Eat Egg If I Have Kidney Stones?

A wide range of foods are likely to cause kidney stones, including beef, pork, eggs, cheese, and fish. It is important to have enough vitamin C. oxalate is produced in excessive amounts by your body. This means no more than 500 mg per day should be taken.

Does Eating Make Kidney Stones Worse?

You will be able to raise your calcium levels in urine if you consume a lot of sodium, an ingredient in salt. Your kidneys then will start to absorb any additional oxalate you throw away after you finish eating. These kinds of stones can occur from those activities. You will be able to reduce intake of canned foods, packaged meats, fast foods, condiments, and dry fruits.

What Foods Destroy Kidney Stones?

What Should You Eat When You Have Kidney Stones?

What Is The Fastest Way To Dissolve A Kidney Stone?

The enzymes found in apple cider vinegar stimulate the gastric function and helps dissolve kidney stones within seconds. Along with flushing out the kidneys, apple cider vinegar can also improve any symptoms of gout. Further, drinking water and lemon juice can flush and prevent kidney stones as well.

How Do You Clear Up Kidney Stones?

A urologist can either remove the kidney stone and break it into little pieces by using a shock wave machine or he will use a surgical excision method. If a doctor wishes to blast small chunks off the kidney stone with shock wave lithotripsy, he can do this. After that, the kidney stones are broken down into smaller pieces and excreted from your body.

Which Treatment Is Best To Remove Kidney Stones?

The percutaneous nephrolithotomy is a procedure in which your physician inserts a small, thin wire-like endoscope into your back in order to remove the stone and break it up. Large stones can often be effectively removed using this method. About three hours are required for this procedure, which is under general anesthesia.

What Are Different Treatments For Kidney Stones?

Depending on the cause, kidney stones may be treated with shock waves, shockwaves,uterscopies, or a combination of both. A calcium oxalate, a uric acid, or a sevite, are among the most common types of kidney stones.

How Can I Help A Cancer Patient Caregiver?

How Do You Care For Someone With Cancer?

How Do You Deal With Difficult Cancer Patients?

What Is It Called When You Take Care Of Cancer Patients?

In addition to physical symptoms and side effects of cancer treatment, there can also be emotional reactions. The negative impact they have on one’s emotional well-being, social well-being, and financial well-being can affect the whole family. This is referred to as palliative care or supportive care for treating these effects. An important part of cancer care is bringing together all forms of therapy including palliative care to slow, stop, or cure an aggressive cancer.

Can Chemo Affect Caregivers?

If you manage the side effects of chemotherapy with the help of your family, you can feel better. As well as worrying for those with cancer, the burden of chemotherapy can ence for loved ones too, especially caregivers, spouses, and children.

How Can I Help A Cancer Caregiver?

How Can Relatives Be A Support For The Cancer Patient?

You might need our services. For some practical tasks, like taking you to and from appointments, doing the laundry, grocery shopping, making meals, or doing some grocery shopping, relatives and friends can help. Scheduling appointments or handling insurance claims may be handled by an employee.

What Can You Do For Cancer Patients At Home?

How Can I Help A Caregiver?

What Kind Of Care Is Needed For Cancer Patients?

How Do You Take Care Of Yourself When You Have Cancer?

How Can I Help A Family Member With Cancer?

Do Cancer Patients Become Mean?

Cancer patients have long-standing feelings of anger, and these feelings can spring up no matter what they have been diagnosed with. Cancer doctors and patients alike describe anger as the most common emotion at first. It is also commonly evident when diagnosed, though relapse is also common as well.

How Do You Calm Someone With Cancer?

How Do You Emotionally Support A Cancer Patient?

What Are The Common Emotional Problems For A Cancer Patient?

Having cancer can have an impact on the emotional well-being of loved ones, particularly patients and caregivers. These life-changing experiences leave participants with anxiety, distress, and depression as part of their reactions. Schools, homes, and work can be affected by these changes. Get assistance if needed, as this is important to recognize.

What Are The General Principles Of Geriatric Care?

According to the basic principle of geriatric care, the aim is to assist the elderly to develop functional skills through identification of potential impairments.

Why Geriatric Care Is Important?

Elderly care is important for many reasons. Learning how to face arising conditions that can affect the health of loved ones and their loved ones has no panacea to prevent aging, but I believe that can help us. Elderly people suffer from dementia, Alzheimer’s disease, and other health problems more commonly than other people.

How Do You Care For A Geriatric Patient?

What Is Geriatric Health Care?

A geriatricist takes a focused approach to providing the most up-to-date health care possible for older people, regardless of their needs. An older person’s health, independence, and quality of life are improved by “high-quality care”. Health, care, and quality of life are much more relevant for geriatricians today than they were 20 years ago.

What Is The Importance Of Geriatric Care?

In addition to caring for patient symptoms and assisting in daily living activities such as eating, participating in health meetings and socializing with others, emotional health contributes to that of senior citizens. It can provide direct assistance to families under these circumstances as well as referrals and support plans in addition to care.

What Are The Principles Of Geriatric Assessment?

Study of Geriatrics: An introduction Among these are social, psychological, and other health characteristics, such as environmental factors. As well as considering functional status, a geriatric assessment involves assessing how useful a patient’s health is; it is evaluated objectively along functional status as well as how improved their health will be.

What Is The Purpose Of Geriatric Care?

Those who treat geriatrics are interested in improving health quality for the elderly. An important part of the work is preventing and treating disease and disability associated with aging so older adults can enjoy healthier lives.

What Is Geriatric Care Give An Example?

refers to providing healthcare to an aging person using specialized methods. Healthcare products don’t just include medical services, but includes non-medical or personal care services as well. Health professionals are often called upon to offer medical services such as occupational therapies, physical therapy, dialysis, and IV therapy for old people.

How Would You Interact With A Patient From A Different Culture?

How Do You Provide Care For This Patient That Is Culturally Competent?

How Do You Approach Cultural Differences In Healthcare?

When Caring For Patients From Different Cultures You Should?

How Do You Work With Patients Of Different Cultures?

Why Is It Important To Consider Cultural Differences When Caring For A Patient?

The Becker’s Hospital Review proposes a variety of culturally sensitive treatments for those with compromised health care, among them reducing medical errors, expanding data collection and improving preventive care. Contributing to a healthier society is that better healthcare reduces patient trust, promotes more patient care and enables more patients to have

Why Is It Important For Different Culture To Interact With Each Other?

Traveling can allow you to get a first-hand experience of life in other cultures than your own. Being exposed to others with differing beliefs is helpful in eliminating cultural barriers while interacting with people of a different cultural background.

What Is Communication Between Individuals Who Have Different Cultures?

Intercultural communication is also devoted to linguistic attributes, social identities, patterns, and cultural influences of different groups. In addition to knowing how a nation’s culture, languages and customs are different, it also requires a broader knowledge of how a group of people live in that other place.

How Do You Give Culturally Appropriate Care?

Which Is An Example Of Culturally Competent Care?

The role of the nursing assistant should be to educate, help the patient follow, and understand their preferences without judging or disrespecting their beliefs or religious opinions. Not to ignore their wants and needs or to limit what their preferences are. Recognizing and empathizing with each patient at all times.

What Does It Mean To Be Culturally Competent When Care Is Involved?

Among characteristics of cultural competency in health care, this criterion reflects the capabilities of organizations to provide patient care with diverse values, beliefs, behaviors. It also indicates how health care should be tailored to meet patients’ personal needs, as well as the linguistic, cultural, and other needs of the community

What Is Culturally Competent Care In Nursing?

Being culturally competent, however, requires a certain level of competence. The characteristics of culturally competent care include knowing, appreciating, and utilizing the skills needed for caring for someone of a variety of languages and cultures. The culture that is based on health practices impacts illness perception as well as treatments for people.

How Do You Approach Cultural Differences?

How Do You Deal With Cultural Diversity In Healthcare?

How Do You Approach Cultural Differences In The Workplace?

How Does Cultural Differences Affect Nurses?

NIJ found that nurses without a clear sense of cultural differences are prone to stressful work and to frustrating work when dealing with ence Nurse An NIJ study found that nurses who lack a firm grasp of cultural differences can experience stress and frustration when working with culturally diverse patients and their families.

How Does Culture Influence Nursing Care?

Health care workers who demonstrate cultural competence in nursing demonstrate the ability to provide compassionate care while ts care to patients while demonstrating cultural awareness for their beliefs, race, and values. Inculturation education prepares nurses to empathize more, be more responsive, and visit patients in an emotional manner.

How Nurses Should Be Competent In Cultural Differences While Providing Nursing Care?

Do And Don’Ts For Vertigo?

Dos and don’ts related to managing vestibular problems: DO not ignore other symptoms that may accompany this condition. It is not recommended to take very many aspirin pills at once. Use of aspirin in quantities above 10 milliliters might cause dizziness. If you or your family consume any drugs such as over-the-counter medications or herbal products, do not forget to let the health care provider know.

How Can I Permanently Cure Vertigo At Home?

How Do You Take Care Of Someone With Vertigo?

What Should You Not Do With Vertigo?

What Can Make Vertigo Worse?

A person’s anxiety is increased in extreme levels as a result of eating and drinking too much. A condition such as vertigo is not caused by anxiety by itself. Yet, in some circumstances involving vertigo that results, anxiety is associated with even more issues. vertigo can, in some instances, also occur among people with anxiety disorders like panic attacks.

What Foods Can Trigger Vertigo?

In migraine attacks characterized by vestibular movement, removal of triggers foods can relieve pain, though symptoms can be extremely uncomfortable. Certain foods, including cheese, cheese board, processed meats, chocolate, coffee, rbs, MSG, and alcoholic beverages such as red wine and beer, are known to cause dietary deficits.

Which Food Is Good For Vertigo?

How Do I Get Rid Of Vertigo Permanently?

In some cases, canalith repositioning (or Epley maneuver) may be enough to get rid of benign paroxysmal positional vertigo, regardless of when it manifests. An audiologist or your doctor can put a pressure band around your head and then measure how much you need.

Can Vertigo Be Fixed Permanently?

Although some cases of vestibular disorders do not respond to standard medications, they often show improvement. Many people have recurring episodes for months or even years, such as those who have Ménire’s disease. Villusor originates in certain parts of the body and treatments can help. Treatment of BPPV using a series of simple head movements known as the Epley maneuver is commonly administered.

Will My Vertigo Ever Go Away?

It is more common to get better without any treatment for vertigo. There is no universal cause for these conditions, so treatment will vary based on your situation. An infection can cause a GP to prescribe antibiotics. In addition, special exercises could be taken to correct your balance if you feel you are not doing enough.

What Is The Fastest Home Remedy For Vertigo?

How Do You Take Care Of A Ventilator Patient?

Can You Live At Home With A Ventilator?

In the event of an emergency, specialized treatment teams, funding, and technology were available outside the hospital to treat ventilator dependent patients. Now that chronic respiratory conditions such as respiratory distress may be treated at home, many patients, including children and adults, can live as comfortably.

How Long Can A Patient Safely Stay On A Ventilator?

In general, how long does someone who on a ventilator? A few hours may be prescribed for people on a respiratory system, while others need at least 2 weeks to come. The tracheostomy can allow patients to remain on a ventilator longer if necessary.

Can I Get A Ventilator At Home?

Many causes of chronic respiratory failure occur after a child’s respiratory reserve has diminished, but technology makes mechanical ventilation easier to manage at home for long-term disease control. Ventilators for home use give continuous ventilation over a long period of time, with machines rated as small as two-seat baby. 5 kg.

Do You Need To Be In Icu To Be On A Ventilator?

Ventilators are usually used in hospital emergency rooms (Es), though they may be needed for a longer period at nursing homes, rehabilitation centers, or more directly in hospitals. General anesthesia is typically put into the room before you place a patient on a ventilator.

What Is Ventilator Care?

As a breathing device, a ventilator pumps air into a patient’s lungs so that breathing can take place. The use of a ventilator by ICU patients is usually necessary. Those who are suffering from severe COVID-19 symptoms are included here.

Can People Live On A Ventilator At Home?

You can use a ventilator when you wish since some people need one for the long run and the condition is stable for them to stay on it. This can be helpful if you plan to stay in the hospital for too long and improve your quality of life in some ways. A breathing apparatus with a trachea or face mask is most likely used when it is an option.

Can You Live On A Ventilator Long Term?

An estimated 15% of ICU patients who require mechanical ventilation for 5 days or more die within the hospital. Furthermore, many patients who live are treated in a facility for weeks or months before being discharged.

Can You Care For Someone On A Ventilator At Home?

Families of spinal cord patients are now required to learn about ventilator-compatible living conditions. It was once difficult to teach them about ventilators used safely at home since ventilators typically have long, healthy lives. Nursing skills at home allow every member of the household to handle a Ventilator with only a little training and practice.

How Do You Take Care Of An Intubated Patient?

Conduct necessary assessments of critical signs and revive them. Subconscious or analgesia require vasopressors as it is especially important for patients during the hypotensive state. To align the head of a patient at approximately 45 degrees, align your eye. Ventilator settings can be adjusted as soon as they are set.

What Position Should A Ventilated Patient Be In?

If you’re prone when ventilation has a problem (such as ARDS grade C), you’ll achieve better oxygenation. Due to the low risk and absence of complications that accompany the prone position, the position is relatively safe.

What Is Ventilator Care?

Ventilators are devices for supporting and/or enhancing the breathing process so that oxygen enters the lung. Intensive care units (ICUs) may require that patients be given respiratory care. Those who exhibit severe COVID-19 symptoms are included in this category.

How Long Can You Be On A Ventilator With Covid?

What percentage of people go on a respirator the time he typically stay on a ventilator? For a few hours, some people may need to be on ventilators, while for longer periods, a patient may have to remain on it for three weeks or more. In cases where a patient has to remain on a ventilation device for a prolonged period, a tracheostomy may also be required.

Can I Get A Ventilator At Home?

The recent development of technology allows children’s ventilated rooms to manage respiratory disease secondary to many contributing factors in the home more effectively over the long term. Ventilators for home use are used for long-term mechanical ventilation by infants under 2 years old. 5 kg.

Do You Need To Be In Icu To Be On A Ventilator?

Ventilators can be used in an intensive care unit (ICU) or a hospital unit, but they are sometimes also used in nursing homes, rehabilitation centers, or at home instead of in hospitals. A general anesthetic is required when a patient on a ventilator is first put on.

What Would Be Your Nursing Responsibilities When A Patient Is To Be Intubated?

To ensure a comfortable patient placement, nurses will need to check for good monitoring equipment, such as electrocardiograms and an arterial line erotic line and saturation probe – and this should be checked and available. Vacuum pumps are often preferred over regular vacuum pumps by some anaesthetists. Patent IV access should be provided to the patient.

Can You Talk To Someone Who Is Intubated?

Through an ET, the patient has access to oxygen to help them breathe. In order to receive the tube, it should first be placed into the mouth or nose. A patient must be intubated before receiving an ET tube. During this operation, the ET tube passes through the vocal cords, preventing the patient from speaking.

When A Patient Is On A Ventilator What Angle Should The Head Be Positioned?

MV patients should be maintained between 30 and 45, as this position is at high risk of bronchoaspiration since the risk of bronchoconiosis from mechanical ventilation can be lower.

Why Does Prone Positioning Improve Oxygenation?

As long as there are several mechanisms which boost V′′/Q′ effectively, and thereby help to reduce physiological shunts, this may have a positive influence on respiratory oxygenation. Various factors affect the distribution of ventilation, such as higher lung volume, redistribution of perfusion, recruitment of the dorsal lung regions, or increased pulmonary blood flow.

How Does Positioning Help Breathing?

During respiratory physiotherapy, positioning is important so that PHLX can move into their larger airways from their bases up in order to breathe. PHLX has become so accustomed to its position that it cannot miss out on that.

How Do You Treat A Patient Without Insurance?

What Happens If A Person Needs Health Care But Does Not Have Insurance?

Having no health insurance at all may result in poor credit or even bankruptcy if you get injured, go to the hospital, or have to budget for expensive treatment.

What Happens If A Patient Doesn’T Have Insurance?

It is possible, however, that, if you do not have health insurance, you may be billed for all medical services, which could include doctor fees, medical expenses, and medical specialists’ fees.

Will Hospitals Treat You Without Insurance?

Can hospitals require nsideration without insurance? Federal Emergency Medical Treatment and Labor Act (EMTALA) is a law that guarantees one’s right to receive emergency treatment, regardless of financial limitations.

Do Doctors Treat Uninsured Patients?

Around 90 percent of physicians who make clinical decisions claim to make adjustments to them based on factors such as patient insurance (or no insurance) and type of treatment offered.

How Should Hospitals Treat Patients Who Can’T Pay For Health Care?

How Will You Take Care Of Your Patient?

What Strategies Can Nurses Implement To Assist Families?

Several family members outlined five nursing approaches; Demonstrating concern, being on point, being proactive, being professionalism, as well as helping individuals make decisions.

What Are The 5 Sequential Steps Of Your Nursing Process?

In case of a nursing process, five sequential steps constitute a systematic guide to client-centered care. Assessments, diagnoses, plans, implementations, and evaluations are all parts of the process.

How Do You Provide Safe Care To A Patient?

How Do You Deal With Challenging Patients?

What Are The 5 C’S Of Caring?

Care involves learning, skills, and experience – that is, the FiveCs (Compassion, Competence, Integrity, Conscience, and Commitment) was developed by Roach 1993. In order to extend Roach’s work, we must consider three further Cs (Courage, Culture, and Communication).

What Are The 5 Principles Of Palliative Care?

What Is Priorities For Care?

Healthcare institutions such as hospitals in England and Wales use the Preferred Priorities for Care (PPC) that allows citizens to clearly specify what their ideal conditions would require for care when they are no longer alive. Some hospitals have also adapted their own forms to accommodate this request.

What Are Priorities Of Care In Nursing?

In terms of nursing interventions, priority can be established depending on where an individual suffers a multitude of problems, and direction can be provided through a plan of care (Royle & Walsh 1992, Carpenito 1997, Walsh 1997).

Who Should Take Care Of Patients?

Defining, monitoring, and addressing the needs of patients are the tasks that physicians take on. In order for patients to get the best possible care, those who provide care must ensure it. The physicians and nurses are highly skilled at taking care of patients in hospitals and other medical institutions.

Who Takes Care Of Patients In A Hospital?

A number of people are responsible for helping you during your stay in the hospital. In order to treat you, your doctor evaluates and manages your medical problems. The care provided by nurses continues as needed. A specialist in Allied Health provides diagnosis and treatment services as well as recovery assistance during a recovery process.

What Does It Mean To Care For Patients?

in health care refers to prevention, treatment, and management of illness; however, health professionals also ensure good mental and physical wellbeing.

What Is The Nurse’S Role In Assisting The Family In This Critical Situation?

The effectiveness of home visits by nurses as stress-management measures for family caregivers has been well-established. Family caregivers are encouraged to take rest periods, eat a healthy diet, exercise regularly, keep up with preventative care, etc., so as to ensure better health outcomes.

What Are Some Ways That Nurses Can Assist Their Patients With Preventative Care?

The purpose of nurses in preventive health care is to improve the health of patients using an evidence-based recommendation, er to improve the health of patients through evidence-based recommendations while encouraging individuals to receive preventative services such as screenings, counseling and medications.

What Are The Nursing Strategies?

What Are The 5 Stages Of The Nursing Process Quizlet?

What Are The 5 Main Components Of A Care Plan?

Assessment, diagnosis, outcomes, planning, implementation, and evaluation are all integral parts of care plans.

What Are The 5 Stages Of The Nursing Process Uk?

Assessment, diagnosis, planning, implementation, and evaluation are the five phases of nursing.

What Are The Steps In The Nursing Process In Order Of Occurrence?

During the nursing process, assessment, nursing diagnosis, planning, and intervention are all essential steps. Each step is cyclical, consistent, and repeated during the care of the patient. In order to address the needs of the patient, Morris, 2006, a long-term sequence must be followed from beginning to end.