Assessment is a systematic process using a rational method of planning to identify a patient’s health and any actual or potential problems that need to be met and to provide interventions to meet those needs. (Berman et al, 2010) A comprehensive assessment establishes a database of information relating to the patient including visual observations during initial interview including, skin condition, cloths, hair, hygiene, demeanor and presence of pain etc. During the interview the nurse should gather family history and both subjective and objective data to establish baseline data as a reference point and an indicator to the effectiveness of interventions. (Berman et al, 2010) Subjective data is what the patient thinks, feels and believes and can also be referred to as the symptoms including itching, pain and worry or anxiety. Objective data is measured during the physical examination; it can be seen, heard, smelt, felt, observed, tested or measured against an excepted standard, including: skin color, bowel sounds, blood pressure, temperature, level of pain, urine analysis etc.
Her main purpose of her theory stated, nurses have to care for patients who are not able to take care of themselves. Providing assistance in self care needs and having the patients understand and learn ways of taking care of themselves the best way possible. She described the need of the patients by three titles: Universal Self Care Requisites meant the basic needs of everyone ( maintenance of air, water, food having enough rest, activity, etc.). Developmental Self Care Requisites meant more toward the mental understanding of the patient ( level of the maturation the individual obtain). The last one, Health Deviation, which meant the needs of the patient that related to their health condition.
Hence, nurses have the responsibility to advocate patients and help them out. Nurses engaged in professional activities should have the manner that protects patients’ autonomy in order to advocate for patients. According to Mahlin’s article, “Individual Patient Advocacy, Collective Responsibility and Activism Within Professional Nursing Associations”, “Patient autonomy is an essential part of patient advocacy” (Mahlin, 2010). Every patient has the right to choose whether to be involved in planning their health plan or not, because patients have autonomy to make the decision. As nurses, we should seek available resources to help patients to formulate decisions to utilize their rights and achieve their expectations if they confront a dilemma or they have inadequate health knowledge.
This essay will explore aspects that foster clinical judgement and the provision of care. The relationship between evidence-based practice and clinical effectiveness will be discussed, along with how clinical governance can influence the quality of healthcare for patients. Finally this essay will consider the contribution of reflection to nursing practice, including a personal reflection using the Gibbs cycle. Evidence-based practice has been described as a systematic process for 'finding, appraising and using research findings as the basis for clinical decisions' (Long and Harrison, 1996 cited in McSherry et al, 2002, p7). It occurs when decisions about the care of a patient are made with respect to all the information available (Chambers and Boath, 2001).
Assessment Tool Analysis Paper Assessment tools are used to evaluate and help with the intervention of a patient’s physical, mental, and emotional well-being. They enable medical practitioners to help the vulnerable make informed and appropriate choices for a normal life. Assessment tools can be useful in improving family dynamics, building more cohesive relationships, and promoting healthier lifestyles. There are many different types of assessment tools, some are more effective than others and it is the responsibility of the practitioner to determine the tool that best fits the dynamics of their patient's particular situation. Jean Watson is recognized for her theories on human caring and the way nurses give care.
In both, Henderson’s Need Theory and Orem’s Self Care Theory, the ‘role of nursing’ is the core concept. Henderson considered her definition of nursing her ‘concept.’ She defined nursing as, “assisting individuals to gain independence in relation to the performance of activities contributing to health or its recovery,” according to (“Current Nursing: Virginia Henderson’s Need Theory”, 2012). Orem defined nursing as, “actions deliberately selected and performed by nurses to help individuals or groups under their care to maintain or change conditions in themselves or their environments,” (Current Nursing: “Dorothea Orem’s Self Care Theory,” 2012). For both theories, the major assumption is that the nurse will care for the patient until the patient or his or her family can care for the patient. According to the Free Dictionary (2013), a metaparadigm is, “a set of concepts and propositions that sets for the phenomena with which a discipline is concerned.” In both theories, there are metaparadigms that have developed the framework for nursing practice.
Goals need to be measurable, attainable, client centred, realistic, outcome written and short. When planning care evidence based research should be used to support the planning process. (Holland et al, 2008) Implementation is the carrying out of the nursing interventions using theoretical and experiential knowledge, skills and clinical expertise based on evidence based practice. (Holland et al, 2008) When evaluating the care given a number of questions must be considered. Was appropriate data collected?, Were appropriate problems
Therefore, this is why I am choosing to major in nursing. The reason I want to be a Registered Nurse is so I can help people. The job duties of a nurse are to assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Also, Registered Nurses administer nursing care to the ill, injured convalescent, or disabled patients. Lastly, they may advise patients on health maintenance and disease prevention or provide case management.
A. Advance Quality Patient Care Patient quality of care can be advanced throughout the hospital by active participation of staff with the use of nursing-sensitive indicators. It can be accomplished by educating staff of what nursing sensitive indicators are, how they help improve the quality of care, and how they impact nursing care. For example, pressure ulcer incidence is one of the indicators, and it involves the amount of ulcers that develop during patient hospital stay (Agency for Healthcare Research and Quality, n.d.). The staff should know that it is an indicator and needs to be reported to the appropriate personnel so that it can be tracked.
Through the use of the nursing process all professional standards can be adhered to and patient care can be safely tended to. This essay will discuss planning and delegation of a nursing shift. The registered nurse has responsibility for delegating nursing intervention and remains accountable for those interventions delegated. Appropriate delegation will occur when the registered nurse is aware of professional standards and individual scope of practice of their co-workers. Additionally, the paper will highlight critical thinking and decision making which are important attributes the registered nurse will need to develop along with the ability to provide a suitable handover to appropriately delegate nursing