To understand the link between health and illness, the physiological,psychological and social aspects of an individual's life must be taken into account. This project will be based on specific issued relating to nursing practice which I identified during placement. While (2002) states that effective communication is fundamental to effective consultation and appropriate environment which support privacy and confidentiality. Bate (1999) observing patients, allowed me to notice the distressing situation that the patients was which make them feel uncomfortable which have effects on their social, physical and psychological among older adult with mental health illness. During my observation in placement I found it to be more applicable to older adult complaining to the nurses how constipated the feel.
Stress is a reaction given off by the body when any demand/pressure is placed upon it, involving change which requires a physical, mental or emotional adjustment or response (HSE. 2009). Student nurses identified two types of stress that they experienced; Distress; perceived as a negative stress related to the issue and eustress; perceived as a positive stress sending messages to the brain prompting it to apply coping strategies to manage the stress (Rumyantseva, G et al. 2008.) Stress allows a student nurse to identify positive and negative factors within their experience.
Was the hospital up to current practice standards? Followed by an observation of a registered nurse performing the identified procedure and did it deviate from standards. What should the proper response be when you as a registered nurse discovers an unsafe practice. In conclusion reflect on the opportunities and challenges of evidence based nursing practice and implementation into actual bedside nursing practice. A nursing procedure that is commonly used is the incentive spirometer.
The author’s position on this was she being manipulated by the patient, how she felt, and her feelings as she was in the nursing profession during this time. 2) McCaffery, M, & Passero, C. (2000). Pain Control: The Merits of Methadone. The American Journal of Nursing, Vol.100, No. 7, 22-23 McCaffery and Passero’s article discusses the benefits of how Methadone can manage chronic pain.
The Health Belief Model (HBM) is a psychological model that is use in nursing to explain and predict health behaviors of patients diagnosed with chronic disease like MI. In educating the patient using this model, the nurse will focus on the attitudes and beliefs of the patient. The nurse will encourage the patient by educating to recognize and promptly response to signs and symptoms of any complication from the MI. In-depth education opportunities will be planned and evaluated. The overall goal is for the client to return to pre-hospital living condition in an improved state of wellness.
Relationship between Nursing Process and Peplau’s Model Peplau’s key concept focuses around the therapeutic nurse-client relationship which develops through overlapping and interlocking phases of orientation, working, and resolution through which the nurse-client relationship evolves throughout the patient’s healing process (Blais & Hayes, 2011). Peplau’s therapeutic nurse-client relationship phases and the nursing process goes hand in hand. The nursing process of assessing applies to Peplau’s orientation phase of gathering data, actively listening, building trust, and reducing any anxiety (Videbeck, 2011). This takes place in the beginning of the therapeutic relationship and it differs from other patient relationships because it focuses on only the needs of the patient (Videbeck, 2011). The nurse is responsible for setting the parameters of the meetings and then providing the client with direction.
a pilot study by the National Nursing research unit, at King’s College london, has shown that interruptions are contextually dependent on ward layout, patient care, trust or ward protocols and the seniority of the nurses undertaking the tasks involved. interruptions affect staff cognitively by interfering with working memory, causing lack of focus (Potter et al 2005) and invoking feelings of frustration and stress. however, it must be noted that interruptions in healthcare settings may sometimes be essential to good staff communication so that harm and error can be minimised or eradicated. 22 February 2010 | Volume 16 | Number 9 The evidence of the contribution to medication administration errors of interruptions to nurses’ work examined by the authors included systematic
Next to conclude this assignment one will go on to assess the contribution of motivational interviewing to nursing practice. Motivational is defined as “a skillful clinical style for eliciting form patients their own good motivations for making behavior changes in interest of their own health”. (Rollnick et al 2008). Motivational interviewing was developed by professionals working in the area of addiction. Theses specialists were focusing on patients particularly with alcohol addiction.
The purpose of this paper is for the nurse to complete a health assessment of a family by using Gordon’s 11 functional health patterns and the system’s approach. By using open ended questions for the 11 principals, the nurse can predict potential problems in the health perception, nutrition, elimination, activity-exercise, cognitive perception, rest-sleep, self perception/concept, role relationship, sexuality, coping, values and beliefs by evaluating the risk taking and behavioral patterns within the family. A nursing diagnosis and care plan can then be developed by using the data collected during the interview. The nurse can then provide health care interventions which will assist the family in obtaining optimal health (Edelman & Mandle, 2010). The family interviewed consists of five family members.
THERAPEUTIC APPROACHES IN MENTAL HEALTH NURSING CARE. This essay will reflect on my experience whilst on placement. It would show how I engaged, sustained and disengaged from the therapeutic relationship with a service user through the use of appropriate communication and interpersonal skills. Chambers et al (2005, p303) suggest interpersonal and therapeutic relationships are at the centre of nursing work, the relationship that exists between nurse and patient can often provide the energy and be the catalyst, the motivation and the source of strength to continue with treatment or face difficult situations. I felt the need to develop therapeutic relationships with service users so they felt they could put their trust in me that I was there to listen and talk to them not just care for them.