The five phase nursing process is a cyclical process which allows nurses to recognise the patient’s nursing diagnosis in order to plot appropriate care. These phases involve assessment, diagnosis, planning, implementation and evaluation (ADPIE). The assessment phase forms the foundation for appropriate diagnosis, planning and intervention (Ackley & Ladwig, 2014 p. 3). Evaluation of nursing care allows for reassessments, restructuring of priorities and continuing review of care plan if the needs of the patient are not met (Davies and Janosik, 1991 p99; Brooker and Waugh, 2013 p304). Nurses need to be able to document a complete, systematic, and precise
London: Churchill Livingstone. Newman, A. (2003) ‘Self-Concept in the Nurse-Client Relationship’, in Arnold, E. and Underman Boggs, K. (eds.) Interpersonal Relationships: Professional Communication Skills for Nurses.
Use a minimum of three peer-reviewed resources, and create an APA formatted reference page. Nursing Diagnosis 1: Acute pain r/t surgical intervention for cervical cancer as evidenced by a subjective pain scale rating of 8/10 Desired Outcome 1 Desired Outcome 2 Patient will state a decreased level of pain as evidenced by verbalizing a pain level less than 3 on a 1-10 pain scale within 6 hours of initial assessment (American Nurse) Patient will perform activities of recovery with an acceptable level of discomfort by end of shift, day two of intervention action. Nursing Intervention 1 Ensure the patient receives appropriate analgesic care. Evaluation method Utilize a 1-10 pain intensity scale. Observe patient
Vernon T (2002) Nutrition for Healing: everyone’s responsibility. British Journal of Community Nursing, (7) 9, pp. 245-266. Wadensten C, Swenne C, Torsten G and Gunningberg L (2011) Why is pain still not being addressed adequately? Results of a pain prevalence study in a university hospital in Sweden, Journal of Clinical Nursing, 20 (5), pp.
Change theory will be utilized to implement the plan. A failure mode and effects analysis (FMEA) will project the likelihood that the process improvement plan suggested will not fail. Additionally the role of the professional nurse in functioning as a leader in promoting quality care and influencing quality improvement activities will be discussed. A.Root Cause Analysis A root cause analysis (RCA) is “a process for identifying the basic or causal factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event” (Cherry & Jacob, 2011, p. 442). The people involved in the RCA should be the people involved in the scenario: the RN (Nurse J), the LPN, the physician (Dr. T.), the emergency room manager, and a figure from administration (Chief Nursing Officer?).
After gathering all the needed information a recommendation of discharge placement will to be made. Healthcare Issues Three healthcare issues identified in the case study are fall risk, depression and poly pharmacy. The case manager works with an interdisciplinary team to determine the most appropriate discharge placement for Mr. Trosack. Fall risk needs to be assessed since Mr. Trosack will be ambulating with the assistance of a walker; his apartment is on the second floor and no elevator available. Mr. Trosack was diagnosed with hypertension and diabetes and will be discharged home with new medications.
Services and employees 1) Discussion of the services provided and how these services fit into the continuum of care a. What services are provided by home health care b. How these services fit into the continuum of care as a whole c. the role in transitioning patients from one level of care to another in the health care continuum 2) Description of the health care delivery component's role in providing services d. Who provides these services e. How are these services delivered IV. Current and future of home health care 1) The overall current and potential future trends of health care a. Current trends and how they are changing b.
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.
In this phase, evidence of the problem and risks for problems are being examined. Through assessment, nurses develop a database of the patient’s
2005; Spouse: 2001). Several teaching methods are part of the nursing curriculum and two pedagogical models, behaviorism and constructivis, are included; Handwreker suggests a greater emphases on clinical training to bridge the aforementioned gap. Behaviorism involves the belief that human behavior can be modified based on stimulus and response. In the learning process reinforcement for desired behavior and accomplishment is presented in different methods like high test score, performing a specific skill, or a passing grade for the assignment. Accredited organizations for schools of nursing including Board of Nursing and entities such as the National League for Nurses Accrediting Commission help to maintain the behaviorist approach by setting standards for nursing programs.