Several nursing theories focus on quality of life in or as part of their nursing theories – Roger’s, King, Peplau, Leininger, and Parse (Plummer & Molzahn, 2009). Margaret Newman, Rosemarie Parse, and Jean Watson’s theories all deal with the concept of transcendence. Rogers’, Newman, Watson, and Parse’s theories share common themes and perspectives related to their philosophical views in the development of their theories (Sarter, 1988). Watson’s Theory of Human Caring and Boykin & Schoenhofer’s Theory of Nursing as Caring both view nursing as a discipline and a profession. Both theories view caring as an experience lived moment to moment.
Watson also characterizes nursing as a healing art and science dedicate to the pursuit of harmonious and sacred relationships (George, 2011). Her theory of human caring was first published in 1979 from the vision of theorist Florence Nightingale. “Watson stated that the original intent of her work was to serve as worldwide or ethic by which nursing could explore and understand its tradition and purpose in caring and healing” (George, 2011, p. 455). As a contributing theorist of the developmental model, her human caring theory approach came from Carl Roger’s phenomenological psychology and physiology. She was also influence by several philosophers such as Whitehead, Kirkegaard, and deChardin from a philosophical aspect.
Caring for patients needs is the most important quality that any practical nurse should have. When a patient sees and feels that the nurse cares about him/her immediately the patient starts building a trust relationship with that nurse. By building this trust the patient most likely will discuss its health problems with the nurse. Since the objective part of treatment is held by patient telling its nurse about the symptoms he or she faces, the trust is a must for patient to be able to discuss it with its nurse. In addition a good practical nurse should also be a good listener.
It is very important to remember that hearing and vision loss is normal with aging and that when we perform our assessments we should talk slowly and annunciate clearly so the patient can understand any direction or education that is given (GCU, 2012). While observing the skin, it is most important to check for skin break down and this is most often seen with patients in long term care facilities or in the hospital setting but can be seen in the outpatient side, most likely a patient that does not ambulate very much or is wheelchair bound. Poor wound healing or
Work Based Learning Project NURB 275. The following piece of work adheres to the Nursing Midwifery Council (NMC) (2008) Code of Conduct, with either fictitious names being used or omitted to protect confidentiality. Abstract This report will discuss the implementation of a change related to a cardiovascular ward. The change comes in the form of an information leaflet to raise awareness to the patient and their family about the importance of maintaining a good well balanced nutritional intake and how this affects wound healing. There is evidence to suggest that giving clients written information helps to reduce anxiety and therefore improve healing, give empowerment and increase satisfaction (Little et al, 2004)).
She is diagnosed with pressure ulcers, while also suffering from diabetes and osteoarthritis. The IDT team that was involved in her treatment comprised of medical officer, occupational therapist, speech language pathologist, incontinence and tissue viability nurse, nutritionist and the nurse. The medical officer reaches a medical diagnosis and prescribes the medical treatment necessary. The use of supportive tools to the patient such as walking aides, use of pillows to sleep on and comfortable mattresses should be prioritized by the occupational therapist; depending on the case. This helps to prevent pain and reduce the probability of skin tear.
1. What insights did you take away from the article? That the whole healthcare arena must eventually be guided by the transpersonal human caring theory which honors human caring relationships and not just simply as a practice of a health profession. Healthcare practitioners, including nurses, must have a conscious commitment of protecting the dignity of the patient and take him in his totality which includes not only his body and illness but also his spirit and his deeper human experiences of life. The healthcare profession must slowly cultivate an expanded model of wholeness and healing.
They must have the passion to help others to get back to their everyday lives or for some, help them learn to live with their illness. An aide might find residents with that illness very upset with their current situation. It is the aide’s job to comfort them in their time of need by sitting with them and letting them talk about their problems. Just sitting in the room quietly, consoling the patient and letting them know that the aide cares and that they are not alone is enough to make them feel loved. Additionally, being patient is the one trait a CENA must acquire or learn in order to succeed in this career.
Treatment plan “Approximately 28%–58% of individuals with heart failure (HF) suffer from cognitive impairment, commonly identified as difficulty with concentration and/or memory” (Bauer, Johnson, & Pozehl, 2011 p. 577). Mr. P needs a treatment plan that he will be able to adhere, considering his cognitive decline. His wife should be included in his treatment plan and will have to become a leader from now on. When Mr. P admitted to the emergency department, nurses provide basic care in order to sustain life. Nurses should be recording vital signs, order appropriate laboratory work ups, put Mr. P on oxygen via cannula, put him on I&O, administer prescribed medications, and strict daily weights.
Nurses provide education that will assist clients to understand, comply with cancer management regimens; and cope with the effects of cancer and related treatment. (Brown, D & Edwards, H. (2012, p308). Nursing care plans give guidance and structure on care of the patient, however, care of the dying patient requires an approach that focuses less on the medical intervention of a client and places an emphasis on the uniqueness of each individual and seeks to preserve their own sense of dignity. Affirming a patient’s value by seeing the person as they are or as they were, not just within the illness they have, helps patients to maintain their sense of dignity. Dignity is defined as “the quality or state of being worthy, honoured or esteemed” [Merriam Webster, 2010] Dignity places value on an individual.