Paranoid schizophrenia, what must the nurse assess? How do they go about assessing? Upon assessing, how will the nurse manage the outcomes of the assessment? These important questions are what this paper will resolve. Through review of recent literature into the assessment and management of individuals affected by paranoid schizophrenia, this paper will discuss in detail how the nurse goes about assessing the patient, why assessment is vital, common outcomes of the assessment and finally go into detail on how the nurse manages a patient with paranoid schizophrenia.
In this paper I will discuss the importance of a framework of praxis, it’s application to the APN, what influences the framework and employing the framework into context. Praxis Overview Praxis has been defined in a number of ways for different disciplines. For the discipline of nursing it has been described as the art of the coming together of science and practice and linking practice and theory (Kilpatrick, 2008). Praxis can arise at an individual or a group level. At the individual level it is recognizing and reflecting on an issue that restricts one’s abilities and experiences, then taking action to change the issue for themselves and others affected (Chinn & Kramer, 2011).
Elements of a recognised framework by Cormack (2000) will be used as a guideline through the critique process. Critique is defined by Polit et al (2000) as a careful critical appraisal of the strengths and limitations of a piece of research. They state that a written critique should serve as a guide to researchers and practitioners, and should help to advance a particular area of knowledge. The critique should also help those who are practising nursing, to decide how the findings from a study can be best incorporated into practice (Nieswiadomy, 2002). Knapp (1998) points out that if research is to provide convincing evidence on which to base practice, it must be capable of withstanding scrutiny regarding the quality and relevance of the researchers work.
Nursing Sensitive Indicators 1 Western Governor’s University Nursing Sensitive Indicators 2 Identifying Issues Using Nursing Sensitive Indicators Nursing sensitive indicators are key in recognizing problems that interfere with patient care. In this scenario, nursing sensitive indicators may have been utilized to avoid such issues. Nursing indicators are used in evaluating patient care quality. Multiple issues in this scenario have outcomes which are directly affected by nursing care, thus classifying them as nursing “sensitive”. Mr. J was in restraints in this case.
The way in which a nurse practices can greatly affect the outcome of the patient (Potter & Perry, 2006). For this reason, nursing practices based on theories and concepts should be researched. The process of using concepts, theories, research and practices to form rationales usually begins with a concept or theory and is cyclic in nature, as each component may lead to the other (see Appendix A). In the nursing profession, several concept-directed theories guide both research and practice. The purpose of this paper is to select and analyze one of the many nursing theories that exist.
Structure is measured by the staff: amount, skill-level, and education or certification. Process indicators measure the facets of nursing care, such as assessment and intervention. Outcome indicators refer to patient outcomes that are affected by nursing care and are considered nursing-sensitive if directly affected by the quantity or quality of the nursing care (ANA, 2013). Through understanding of nursing-sensitive indicators and integration into daily practice, the staff caring for Mr. J could have been more aware of potential issues that interfere with patient care. Knowledge of the increased risk for pressure ulcers and the need for frequent turning and off-loading of pressure points could have allowed the staff to prevent the one forming along Mr. J’s spine.
Research Article Analysis Paper Abstract The abstract is a detailed description including the study problem, the particular patient population studied, the method of study used and a brief description of the results. The authors present the question and significant results of that question within the abstract. The abstract would have been strengthened by clearly stating the sample size and conclusion of the research. Introduction The authors of the research article found it important to educate nurses directly working with renal disease on end-of-life issues. They felt these patients were not getting proper education and assistance ensuring the wishes were being carried out.
xv). According to the Journal of Clinical Psychology successful crisis intervention depends upon accurately assessing the crisis and initiating the appropriate treatment. Issues needing to be addressed include finding what resources are available to the client; what approach might be effectively initiated; is hospitalization indicated; are there family or community agencies that are available to the client; and is the client in danger of hurting themselves or others. Myer and Conte (2006) state, “Answering these questions requires that assessment of clients in crisis be ongoing and that reactions be monitored in order to adjust the interventions as needed” (Myer and Conte). They also believe that standardized test can be misleading.
Dual Relationships, boundaries, standards of care, and termination Syreeta Swann Liberty University Abstract The paper will address the many practical problems and dilemmas that arise in the professional practice of mental health treatment providers. This paper gives a review of some examples of situations that question the legal and ethical issues that involves the dual relationships and boundaries that include bartering and sexual relationships between practitioners and clients. Along with these dual relationships the topics of gift giving by clients and touch by practitioner are addressed. In addition, this paper addresses the standards of care meaning what happens in the introductory phase of treatment and the ending phases of treatment and examples of reason that would involve termination of treatment to a client. Summary Dual Relationship In this example they talk about a type of dual relationship that is bartering between a counselor and a client.
Compassion Fatigue and its Affect on Nursing Kelly Kramer Drexel On-Line Compassion Fatigue and its Affects on Nursing Compassion fatigue is a rising issue for nurses working in all specialties of nursing, mainly in critical care. In this paper I will be discussing compassion fatigue, it’s symptoms, how it affects the nursing profession and individual nurses, as well as the hospitals and what untreated compassion fatigue can mean for the future of nursing. Compassion fatigue, also referred to as secondary traumatic stress syndrome, has been defined by Charles Figley as the “natural consequent behaviors and emotions resulting from knowing about a traumatizing event experienced by a significant other – the stress resulting from helping, or wanting to help, a traumatized or suffering person”(Figley, 1995, p. 7). Although compassion fatigue has been studied more in the past 20 years in regards to nursing, there have not been many tools developed to measure the presence of it. There is a general consensus among all the articles that I read regarding the need for more studies, tools to assess and programs at hospitals for nurses.