It can mean that tasks such as making a cup of tea, or a sandwich can no longer be completed. Mobility is often affected in advanced dementia, which may mean individuals, can no longer physically, hold or lift items needed to eat and drink. People can often become withdrawn and depressed within dementia, and often this causes issues around eating, as emotional mood can greatly affect appetite. It can sometimes mean that people do not want to eat, have no will to and lack the function to have, or prepare a meal. However, Dementia can have the opposite effect.
This causes frustration and reduce the willingness to eat. Muscle tone disintegrates in accordance to this condition. Slowed digestion in the stomach can delay stomach emptying and build fullness and increased risk for ulcers. Other major negative effects are the process of intestinal absorption slows down effecting the absorption/breakdown of proteins, fats, minerals, vitamins, carbohydrates, lactose, calcium, constipation, the person pancreatic function diminishes and the liver becomes smaller in size and weight (Bernstein; Luggen). 2.
It is also important to know where and how theories can best apply to current nursing practice. Compare and Analyze a Common Core Concept A common core concept among Virginia Henderson’s need theory and Dorothea Orem’s self-care deficit nursing theory is nursing. Both theorists use the nursing concept in their theory to define the role of nursing. Henderson defines nursing as the unique function of a nurse to help a person sick or well in the performance of activities contributing to health or its recovery that the person would perform unaided if he or she had the necessary strength, will, or knowledge. Nursing can also consist of assisting an individual to a peaceful death.
In this paper I will apply the Ida Jean Orlando’s Nursing Deliberate Nursing Process Theory to patient boarding in the Emergency Department (ED), a current issue at the facility I am employed. Orlando's Deliberate Nursing Process Theory emphasizes the shared relationship between patient and nurse. It describes the responsibility of the nurse is to find out and meet the patient's immediate needs for assistance. Nurses have to use their discernment, thoughts about perception, and the feelings produced from their ideas to explore the meaning of the patient's behavior. This method assist the nurse in discovery out the root of the patient's suffering and offer the aid they require.
Question 5: How do you facilitate patient-centered care in your practice? I will incorporate the information attained by utilizing the mission statement of the facility I work in to give me direction as to how I will treat my patients. I as a staff nurse can provide patient-centered care in my practice by participating in activities such as bedside reporting and utilizing the knowledge I have been taught by SBAR training and utilizing medication reconciliation to deliver concise, accurate communication between other interdisciplinary team members. These are several of the the tools I have at my disposal to focus on and deliver patient- centered care. Question 6: How is cost containment addressed
As dementia progresses, the person is likely to need more support to meet their needs. 1.3 OUTLINE HOW OTHER HEALTH AND EMOTIONAL CONDITION MAY AFFECT THE NUTRITIONAL NEEDS… There are many reasons why a person may turn down food and drink. Loss of appetite can be a sign of depression. Depression is common in people with dementia. Social isolation can also be a big factor for loss of appetite Forgetfulness Illness and medications can result in reduced appetite and difficulties with shopping, preparing and eating food.
Nursing Theorist Grid Use grid below to complete the Week 4-Nursing Theorists assignment. Please see the “Nursing Theorists’ Grading Criteria” document, located on the Materials page of the student Web site. Theorist Selected: Florence Nightingale Description of Theory: Nightingales theory encourages that maintaining the environment can directly and indirectly restore a patient’s health. Nightingale’s theory is explained as the environment, patient and the nurse interact with one another. She believed that the environment can in-directly and directly effect a patients health and it has great benefit on the healing process when controlled and managed to patient recovery Her theory encouraged collaboration and cooperation as the focus of the nurse-patient relationship.
Understanding this weakness through the perception of the nurses can improve patient outcomes; this is the research problem in the study. The study highlights the attitudes and values of the selected nurses and also ways to increase knowledge and preserve their dedication to pressure ulcer prevention. The authors established the significance of the study by highlighting the role of the nurse in the prevention of the pressure ulcers and how the break in care contributes to the development and progression of pressure ulcers. Purpose and Research Questions “The study aimed at describing contributing factors for the progression or regression of pressure ulcers in the care trajectory as they were understood by nurses working in hospitals or community care” (Athlin et al., 2010, p. 2252). The authors did not specifically develop research questions, however some appropriate
Additionally, “The health belief model and social learning theory assist the nurse in formulating an action plan that meets the needs and capabilities of the individual making health behavior changes” (Edelman & Mandle, 2010, p. 248). This model states important points that serve as guidelines for nurses to help enable them to determine an individuals’’ willingness to change health behaviors and to understand the factors that contribute to their state of health (Edleman & Mandle, 2010). They are as follows: • Individual perceptions or readiness for change • The value of health to the individual compared with other aspects of living • Perceived susceptibility to a health problem, disease, or complications • Perceived seriousness of the disease level threatening the achievement of certain goals or aims • Risk factors to a disease attributed to heredity, race or culture, medical history, or other causes • Perceived benefits of health action • Perceived barriers to promotion action As nurses, we must always act on the opportunity to educate and recognize those opportunities as they arise. We must be able to evaluate the willingness of individuals to learn and to accept new ways that they can improve their health. We do have such a large amount of face-to-face contact with people that it is only in our benefit to take advantage of educational situations.
Dr. Nola Pender’s, Revised Health Promotion model was developed “To assist nurses in understanding the major determinants of health behaviors as a basis for behavioral counseling to promote healthy lifestyles” (Pender, 2011, p. 3). By learning what issues contribute to a patient’s health behavior choice, I can be more effective in helping the patient develop healthy choices. According to Pender (Pender, 2011), the set of variables for behavioral specific knowledge and affect have important motivational significance and these variables can be modified through nursing actions. The goal of the health promotion model is for patients to adopt health promoting behaviors. Pender theorizes that health promoting behaviors should result in improved health, enhanced functional ability and better quality of life at all stages of development (Pender, Murdaugh and Parsons,