Case Study Using the following American Heart Association (AHA) resources on blood lipids and heart disease, determine the risk of heart disease for the following three people and make recommendations on what they need to do to modify their blood lipids and lower their risk. * Diet and Lifestyle Recommendations Revision 2006: A Scientific Statement from the American Heart Association Nutrition Committee: http://circ.ahajournals.org/cgi/content/full/114/1/82 * Go to this link and do a search on blood lipids: http://americanheart.org * Scientific Statement on Managing Abnormal Blood Lipids: http://circ.ahajournals.org/cgi/content/full/112/20/3184#TBLU13 * Executive Summary of the Scientific Statement on Diagnosis and
Concept Comparison and Analysis across Theories Lori Hamilton NUR/513 October 14, 2013 Georgia Swank Concept Comparison and Analysis across Theories As a profession, nursing theorists have come up with different theories that support and guide nursing practice. This paper will discuss the role of nursing in both Virginia Henderson’s Need Theory and Dorothea Orem’s Self Care Theory. The premise of each theory is the nurse will care for the patient until the patient can care for his or her self. By comparing and analyzing each theory, one will be able to get a better understanding of how to best apply the nursing theory in practice. In both, Henderson’s Need Theory and Orem’s Self Care Theory, the ‘role of nursing’ is the core concept.
A failure mode and effects analysis will be used to project the likelihood that the process improvement plan suggested would not fail. I will also discuss the key role nurses would play in improving the quality of care in the situation of Mr. B. Root Cause Analysis According to Root Cause Analysis for Beginners, “root cause analysis (RCA) is a process designed for use in investigating and categorizing the root causes of events with safety, health, environmental…impacts” (Rooney, 2004). The first step in doing a RCA is defining the problem. In the scenario of Mr. B’s sentinel event the problem is the untimely death of Mr. B, which could have turned out differently. The second step of a RCA is gathering information or the facts.
The definition of nursing as put forward by the American Nurses Association is: Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities and populations. (Published in The Nursing Scope and Standards of Practice 2004 edition page 7) To determine how it addresses the metaparadigm of theories of nursing, I needed to find out what a metaparadigm is. By definition, a metaparadigm is a model that explains the linkages of science, philosophy and theory accepted and applied by the discipline. According to our textbook, “ A Nursing Theory is composed of a set of concepts and propositions that claims to account for the central phenomena of interest to the discipline of nursing. “These are: peson, environment, health/illness, and nursing put forward by the American Nurses Association.
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.
Nursing Theory Grid Camille Delos Santos NUR/403 December 20, 2011 Nursing Theorist Grid Use grid below to complete the Week 4-Nursing Theorists assignment. Please see the “Nursing Theorists’ Grading Criteria” document, located on the Materials page of the student Web site. Name: Camille Delos Santos Theorist Selected: Ida Jean Orlando Description of Theory: Ida Orlando’s “Deliberative Nursing Process Theory focuses on the interaction between the nurse and patient, perception validation, and the use of the nursing process to produce positive outcomes or patient improvement”(Faust, 2002, para. 1). It is a process that involves nurse-patient collaboration where in the nurse’s intervention “depends upon the patient’s active involvement in determining both the cause of the distress and also an action which may reduce the distress”(Potter & Bockenhauer, 2000, para.
This informs nurses’ practice from different types of evidence by professional expertises that collect and interpret the evidence for a valid outcome for clinical practices in supporting patients’ health and treatment. The ‘evidence’ in EBP requires a blending of research involving patient experience and clinical professions expertise as part of the evidence (Gerrish
FROM http://www.ukessays.com/essays/nursing/application-of-leadership-knowledge-and-health-visitors-practice-nursing-essay.php Application of leadership knowledge and health visitors practice 1.1This report will provide evidence of the application of leadership knowledge to the role of the Health visitor’s practice. The report will look at my leadership style and skills in relation to developing and implementing an evening well baby clinic. When implementing this clinic I will aim to address and discuss past leadership experience and how I will use this within my team to achieve the best outcomes for families within my practice area. Attention will be made on relating this to improving the quality of care as highlighted in the Nursing and Midwifery Council (NMC) Standards of proficiency for specialist community public health nurses, 2004. The standards also state that I, as a Specialist Community Public Health Nurses (SCPHN) must work in partnership with all team members and clients.
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.
The Nursing Process works in conjunction with a nursing model, models of nursing are used to provide frameworks of care. (Holland et al, 2008) Holistic assessment of the patient identifies all of the patients individual needs in order to identify their problems, needs may be actual or potential. (Holland et al, 2008) Collecting data using objective and subjective information, objective data is observations or measurements made by the collector for example blood pressure. Subjective data is obtained from the patient, family and significant others or health records. (Holland et al, 2008) This is a nursing diagnosis as opposed to a medical one.