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.
Health care communication is essential in coordinating activities within the health care team to manage the care of each individual patient. This paper will discuss the importance of health care communication, in relation to theories and concepts in communication and the relevancy of effective personal health care communication between health care professionals and patients. “Communication is a two- way process where meaning is stimulated in the mind of others using verbal and nonverbal messages.” (Grover, 2005). Participating in giving and receiving of information that produces a mutual understanding is essential to effective communication. Health care communication is any communication between health care professionals that deals with the assessment, delivery, or evaluation of health care using interpersonal communication, small group communication, or mass communication (Northouse & Northouse, 1998).
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.
Physician Collaboration Perform assessment of the patient’s current health status to address health promotion needs, functional status, developmental and lifestyle issues to maximize health outcomes. Implement specific therapeutic modalities to facilitate individualized care to the oncology patient in collaboration with multidisciplinary team and document plan in EMR. Patient Advocacy The Oncology Nurse Navigator will guide and direct the patient through a collaborative environment of health care disciplines to maintain dignity and autonomy of the individual patient. Assessment of patient’s ability to navigate through the healthcare system and identify potential barriers (such as continuity, coordination of care and communication with providers and health care team). a) Appropriate referrals to insurance case manager / patient navigator to assist patient with insurance barriers.
A reflection on the facilitators and barriers to the provision of optimal supportive and palliative care in the clinical setting. This essay shall critically engage with the issue surrounding supportive and palliative care. We shall begin with evaluating the philosophies, history and definitions within the supportive and palliative care, including concepts such as; quality of life, health and wellbeing, communication and the conflicts between the medical and nursing models. Following this introduction to the key areas, we shall then evaluate some facilitators and barriers as they are perceived in practice. This evaluation will engage with reflections on practise in my own experience, and vignettes are offered as a means to facilitate the discussion about the complex nature of supportive and palliative (S&PC) care and the disparities found between theory and practice.
In this paper, I will discuss a definition of health care communication, the relevancy of effective personal health care communication with other health care professionals, clients, and patients, the relevancy of effective professional health care communication to health outcomes, how the lack of effective personal and professional health care communications contributes to poor health outcomes, the theories and principles of therapeutic communication in health care settings for the health care professional. Definition of Health Care Communication According to Northhouse and Northhouse (1998), health communication is a subset of human communication that is concerned with how individuals deal with health-related issues. Health care communication can be a transaction of information between health care professionals and clients related to health issues. It improves patient satisfaction scores and outcomes if communication is using appropriately. Relevancy of Effective Personal Health Care Communication with Other Health Care Professionals, Clients, and Patients PERSONAL AND PROFESSIONAL HEALTH CARE COMMUNICATION 3
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.
The article promotes safety, delegation, prioritization, and care by focusing on the hierarchy in the nursing system and how the appropriate nurse should be following the required role. This is important in the initial assessment of the patient. Only RNs and their superiors should be assessing patient’s immediate needs in order to ensure the overall care of the patient. The patient’s safety is paramount and having a qualified professional assessing their needs is of utmost importance. After this step, the RN can then delegate the care plan to other nurses that are able to follow through with their care.
Prevention of illness and injury, refers to metaparadigm of health and illness, which describes the client’s state of well-being. Alleviation of suffering through the diagnosis and treatment of human response, describes the metaparadigm of nursing, which refers to the actions taken when providing care to the patient. Advocacy in the care of individuals, families, communities and populations, describes the metaparadigm of person which refers to recipients of nursing care which includes individuals, families and