As a health care professional trained in different approach, I assessed my client based on the theory and learning experience that I have had. The client was been diagnosed with dementia, limited mobility, and inadequate verbal communication. I undertook a full assessment to a client with a sacral pressure sore. Assessment using observation was been completed to the sacral area, and graded the level of pressure ulcer using the Braden scale. The nurse mentor was been informed about the type of dressing and intervention that should be provided to the client, along with the explanation with the rationale to the procedure that I have decided to use.
MI with Co-Occurring Disorders Courtney Cheatham Mandel School of Applied Social Sciences SASS 500 Motivational Interviewing Jeremy Evenden March 7, 2012 Abstract Motivational Interviewing (MI) is a client-centered, yet goal-directed counseling method for helping people to resolve ambivalence about health behavior change by building intrinsic motivation and strengthening commitment (Miller & Rollnick, 2002). It is an evidence-based treatment intervention founded on principles from humanistic psychology; it seeks to increase motivation for change through resolution of ambivalence and an increase in perceived self-efficacy. MI focuses on the relationship between the therapist and the patient. It is an intervention developed by
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). The key objective of praxis is through reflection to incorporate theory, practice and art to aid in the recognition and valuing of diverse types of knowledge (Kilpatrick, 2008). Praxis plays an integral role for the APN and there should be a solid foundation of understanding. There are several benefits for APN’s use of nursing praxis; it influences the relationship the practitioner develops with patients, their families and colleagues. Moreover, it provides the opportunity for change, personal nursing theory and knowledge development through self-reflection.
The theorist’s background and perspectives will be explained and lastly the theory will be discussed as to how it can serve as an underpinning and improve nursing practice. Concepts for the Grand Theory When comparing a grand theory to a middle range theory, a grand theory is much more abstract that uses a wide scope to explain and define broad issues. A middle range theory is more specific, focused and concrete (Eldridge, 2014). Watsons’s theory of human caring is a good example of a grand theory. Watson’s theory takes on a holistic approach to providing care for the patients all around wellbeing.
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.
Discuss two psychological therapies of depression. (24 Marks) One psychological therapy of depression in Psychodynamic Interpersonal Therapy. This therapy was developed by Hobson, and focuses mainly on the relationship between the therapist and patient. When a comfortable relationship is established, past events that could be the cause of depression are relived and resolved to try and relieve the pressures that they may be putting on the individual. Hobson believes that because problems in our life are usually through interpersonal relationships, we should resolve these problems through a therapeutic relationship.
I would do the Beck’s Depression Inventory with her to determine the severity of the problem. I would do a mental exam on her to determine the severity of the Alzheimer’s. - Clinician Characteristics To be best able to work with Mrs. Sanders I would have to show her that I cared, show empathy, as well as a desire to help her. I would have to be able to motivate her and promote her continued independence. I would need to be structured, creative, and positive to help her find ways to deal with the Alzheimer’s.
Self Evaluation of Critical Thinking Susan R. Bolte The Ohio State University College of Nursing Graduate School Self Evaluation of Critical Thinking “Critical thinking in nursing is an essential component of professional accountability and quality nursing care” (Rubenfeld & Sheffer, 2010, p. 31). Nurses that use effective critical thinking must use certain habits of the mind, as well as, specific cognitive skills. According to Rubenfeld and Sheffer (2010), critical thinking is not only important to clinicians and educators, but also, it is important to patients and their significant others as it has a direct impact on the quality of patient outcomes. Quality patient outcomes require multiple levels of thinking (p. 9). By performing a self-assessment of my own critical thinking skills, I have revealed both strengths, as well as, weaknesses which have provided a basis for this paper.
Introduction The purpose of research is to answer questions that exist around a subject or to develop a solution. It aims to add to the existing knowledge of a topic. The goal of nursing research is to contribute to the evidence to support best clinical practise and education in the nursing profession (REF). This assignment will focus on the subject of the effects of post thrombotic syndrome following lower extremity dvt. This subject was chosen as..............
According to Bulman and Schutz (2008) the art of reflection can help students and nurses learn from experiences and improve their own practice. To do this they need a self-awareness that enables them to describe honestly how a particular exposure affected them (Bulman and Schutz 2008). In order for practitioners to reflect there are different theoretical models used as a framework for reflective practice. Gibbs (1988) developed a reflective framework involving six stages which aim to guide the practitioner by asking a series of cue questions. The first stage sets the scene of the reflection by asking for a description of the event, the second stage looks at what the practitioner was thinking and feeling thirdly