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Nursing Essays - Knowledge and Skills for Nursing
 

Nursing Essays - Knowledge and Skills for Nursing

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Nursing Essays - Knowledge and Skills for Nursing - The atient was admitted due to diarrhoea and vomiting as a result of alcoholism and malnutrition.

Nursing Essays - Knowledge and Skills for Nursing - The atient was admitted due to diarrhoea and vomiting as a result of alcoholism and malnutrition.

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    Nursing Essays - Knowledge and Skills for Nursing Nursing Essays - Knowledge and Skills for Nursing Document Transcript

    • The UK’s original provider of custom essays www.ukessays.comIf you are using this resource in your work please remember to reference and cite the original work found here:http://www.ukessays.com/essays/nursing/knowledge-skills-patient.phpSubject Area - NursingKnowledge and Skills for NursingThe SettingThe setting is a medical ward; patient was admitted due to diarrhoea and vomiting as a result of alcoholism andmalnutrition. Hospital medical ward consists of patient that needs proper approach and nursing care to shorten theirstay in the hospital. The patient will be treated not only physically and physiologically but also mentally since the patientwas having such difficulties because of depression. The patient started to become depressed when her husband dies. Shebecame an alcohol dependent and her health started to deteriorate due to malnutrition.The ApproachThe patient was brought to the hospital with diarrhoea and vomiting. The patient is physically not well, pale and has apoor hygiene. Based on the background check patient had suffered severe depression because her husband died and livealone. The patient became alcoholic and her health deteriorated because of malnutrition. The patient looks underweightbut can survive by giving proper medication and patient care.The nursing process can best be described as a framework for planning individualized care for patient with intellectualdisabilities. Since the care for patient is a process it does not conclude into anything but rather it changes constantlyand it is the nurses’ responsibility to respond to these changing needs whenever necessary. The nursing processusually comprises four or five stages depending on the resources available and work setting, and includes: diagnosis,assessment, planning, implementing and evaluation. The nursing process should be undertaken using a collaborativeand participative approach with other professionals, gathering and implementing resources, in order to improve thecare process (Department of Health 2000b; Department of Health 2001). The focus of this study will be on the designcare plan for our patient on study.AssessmentAssessment is the most important part of care planning and delivery. It includes areas such as health and health needs,daily living skills, activity programmes, mobility, mental health, risks to the client, finance, respite, social events/outings,support requirements, spiritual needs and, possibly, accommodation issues (Department of Health, 2000b;Sox, 2004a).As a start, a background check is needed to be able to assess the situation of the patient. Our patient is conscious but wasnot able to respond properly because of her condition. So we need someone close to the patient or a relative to answerquestions needed for the care plan. Data such as previous hospitalization, medication taken and others related to thepatient condition is important.DiagnosisThe patient was brought in the hospital because of diarrhoea and vomiting. The initial diagnosis is that the patient isdehydrated base on the physical appearance of the patient. Diarrhoea usually gets better on their own, often withouttreatment. If the diarrhoea continue within several days it is best to check patient’s medical history and physical exam.Find more free essays like this one...We have a large reference library of essays that you can use as research materials to help with your own writing - check out our free nursing essays.Share this resource with your friends...We hope you found this information in this free pdf useful. Please spread the word and tell your friends how this information has helped you with yourstudies and feel free to share this pdf with others, so it can help them too. Keep up to date with the latest essay writing hints, tips and free research materials to help you with your assignments - simply subscribe to our RSS feed or join us on Page 1 of 5 Facebook now! Copyright © 2003 - 2011 UKEssays & All Answers Ltd
    • The UK’s original provider of custom essays www.ukessays.comIf you are using this resource in your work please remember to reference and cite the original work found here:http://www.ukessays.com/essays/nursing/knowledge-skills-patient.phpYou can get expert help with your essays right now. Find out more...PlanningIn planning, the nurse plays an important role in the recovery and stay of the patient in the hospital. The patient uponadmission was given attention on the main complain which is diarrhoea and vomiting. However further diagnosisand assessment of the medical team discovered that the patient is suffering from malnutrition. Our plan focuses onmalnutrition; the reasons why the patient is having this kind of condition, and the treatment and the protocol that thenurses should follow for the welfare of the patient.ImplementationImplementation of a care plan is the most challenging part of the nursing process. The patient is pale and has lost a lotof weight. The patient also lacks proper hygiene as a result of her appearance upon admission. The implementation ofthe care plan will begin upon admission. The patient will be forwarded and referred to the nursing staff on duty in themedical ward and will be given the care plan as agreed upon by the medical team and the patients relative. MalnutritionEvaluation will assess the effectiveness of the care plan and the implementation of the care. It is important to evaluatethe point for care to be able to reach its desirable care plan. An updated review should be done to correct and improvedthe plan.The ModelIn simple language, a model is described by Pearson and Vaughan (1993) as a descriptive picture of practice whichadequately represents the real thing. Riehl and Roy (1980:11) cited in Roper et al (1990) provide a more elaboratedefinition of a model as “a systematically constructed, scientifically based and logically related set of concepts whichidentify the essential components of nursing practice, together with the theoretical bases of these concepts and thevalues required for their use by the practitioner.”Choosing an appropriate model is important to help the care planning effective. In UK, the model of nursing usedmost predominantly is that of Roper et al, 1980 that bases its principals on a model for living. It provides a holisticcare approach and involving the important component of the daily activities of a person. The model is made up of fivecomponents: Activities of daily living (ADLs), Lifespan, Dependence/Independence continuum, Factors influencingADLs, and Individuality in living. (Roper, Logan, Tierney, 2002). The case of our patient needs to be assessed physically,physiologically but also mentally. The effect of losing a husband has led our patient to become ill. The Roper, Logan andTierney are believed to be a useful approach in dealing with our patient since it involves a holistic approach.The model was named after the author of the model, Nancy Roper, Logan and Tierney. It was first developed in 1980based upon the work by Nancy Roper in 1976. The model is based on the 12 activities of living in order to live. Themodel has been revised several times 1985, 1990 and the latest version 1998. The 12 activities involve the following:maintaining a safe environment, communication, breathing, eating and drinking, elimination, washing and dressing,thermoregulation, mobilisation, working and playing, expressing sexuality, sleeping, and death and dying. Each of theactivities might be seen to be conceptualised as lying on a continuum from dependence to independence. There areFind more free essays like this one...We have a large reference library of essays that you can use as research materials to help with your own writing - check out our free nursing essays.Share this resource with your friends...We hope you found this information in this free pdf useful. Please spread the word and tell your friends how this information has helped you with yourstudies and feel free to share this pdf with others, so it can help them too. Keep up to date with the latest essay writing hints, tips and free research materials to help you with your assignments - simply subscribe to our RSS feed or join us on Page 2 of 5 Facebook now! Copyright © 2003 - 2011 UKEssays & All Answers Ltd
    • The UK’s original provider of custom essays www.ukessays.comIf you are using this resource in your work please remember to reference and cite the original work found here:http://www.ukessays.com/essays/nursing/knowledge-skills-patient.phptimes in our life that we may be more dependent on others to meet our needs. The role of the nurse is to help peoplemove towards independence in all activities of daily living. Biological, physiological, socio-cultural, environmental andpolitico-economic variables are factors that impact on the individual and affect their levels of dependence /independence.Advantages and Disadvantages of Roper, Logan and TierneyBased on the study done by Pearson and Vaughan (1993) model of nursing is important in hospital ward or department.One of the advantages of the Roper, Logan and Tierney model is that it leads to consistency in the style of care receivedby patients and thus to a continuity of care patterns and treatments. The Roper, et.al. Model will give rise to less conflictwithin the team of nurses as a whole. Because of the rationale and definition behind the model other healthcare involvedwill understand better the logic of care. Roper, et. al model is said to be self explanatory or not too complicated ascompared to others. It is said to be done this way in order “to assist learners to develop a way of thinking about nursingin general terms.” It is mentioned above that main concept of the Roper, Logan and Tierney model is based mainly ontwelve activities of living which is the main elements of nursing and is referred to as “basic human needs”. Accordingto Roper, Logan and Tierney the activities of living have an advantage for nursing model since they are observable,describable, and in some instances, objectively measured.The model is mainly focused on the twelve activities while the theory is built on ‘living’ and addresses the nursingactivities as a deliberative approach to meet the twelve components of nursing care. It conceptualises the Person as abiological being with inseparable mind and body and Health as the ability to function independently in relation to thetwelve components (Fitzpatrick and Whall 1989).The Care PlanThe initial diagnosis on the patient under study is diarrhoea, alcoholism and malnutrition. However as the process ofidentifying the cause of the patient’s condition, nurse attending to her needs found out about the death of her husband.After background check they have found out that the patients’ husband died and became depressed because of thesituation. During assessment on the patient’s health it has been noticed that the patient has mental health problem. Thehealth needs of a patient is also important and the nurse involve should be aware of these needs. To help the patient,nursing process and nursing model should be working hand in hand to help the patient survive. Assessing the needof the patient is important. The Roper, Logan and Tierney model will ensure that the patient should be able to have asafe environment, should be communicating with her nurse attending to her, breathing, eating and drinking, working.Because of its holistic approached, Rogan. Logan and Tierney model is widely used. To evaluate the situation of ourpatient, the alcoholism of our patient might lead to liver disease and will be affecting the daily activities of life. Thepatient should trust her nurse and they should have a good relationship to have an effective care plan. The chosen modelRoper et al have described the course of life as something that starts at conception and lasts until death. The modelinvolves maintaining a safe environment; our patient should be living in an environment that she will be comfortableand clean. The patient upon admission has seen to have poor hygiene. In identifying the activities of living the individualshould be engage in personal cleansing and dressing. As described in the admission of the patient, the patient has poorhygiene. The patient may have pressure sore due to her stay in the hospital. This should be treated and approached verywell by the nurse handling her. Pressure sore is the result of being immobile of the patient. The length of stay of thepatient in the hospital should be shortening to avoid such condition. The nurse must assess how to help the patient toFind more free essays like this one...We have a large reference library of essays that you can use as research materials to help with your own writing - check out our free nursing essays.Share this resource with your friends...We hope you found this information in this free pdf useful. Please spread the word and tell your friends how this information has helped you with yourstudies and feel free to share this pdf with others, so it can help them too. Keep up to date with the latest essay writing hints, tips and free research materials to help you with your assignments - simply subscribe to our RSS feed or join us on Page 3 of 5 Facebook now! Copyright © 2003 - 2011 UKEssays & All Answers Ltd
    • The UK’s original provider of custom essays www.ukessays.comIf you are using this resource in your work please remember to reference and cite the original work found here:http://www.ukessays.com/essays/nursing/knowledge-skills-patient.phpcooperate on the agreed care plan.Implementing the care plan will need the cooperation of the patient. It is important to help the patient to overcomethe depression that she is experiencing. In this case the patient may not cooperate at the start of the plan but will beeventually cooperate as the process continues. The success of the plan depends on the cooperation of the patient andthe nurses.Throughout life, our ability to perform ADLs will move from one extreme and possibly back again. This aspect of themodel of living, therefore, interlinks with the model of nursing with effectively, each reliant on the other. The patient willhave a chance in recovering from the health problem that she is encountering. The Roper, Logan and Tierney model isappropriate to approach the case of the patient in a holistic way.Struggling with your nursing essay(s)?Did you know that we can help you with your knowledge and skills nursing essay and any other nursing essays?We can help you! Place an order with us and you’ll get:An exact, 100% original answer to your essay questionFrom a graduate writer, qualified in your subject areaDelivered confidentially by email, in 3 hours - 10 days (you choose)Stop struggling and get the help you need from the UK’s favourite student support company, right now.ConclusionThe nursing process includes stages that should be completed to help the patient overcome the disease she is in. Bymeans of this we will be able to identify which factors should be given enough attention to prevent the occurrence of suchdisease. The study includes the nature of care planning, person centred are planning, care management, health actionplanning and the care program approach. This study also introduced some relevant actions that need to be taken. Theuse of the Roper, Logan and Tierney model are described to help the nursing process to become successful and effective.The Roper Logan and Tierney is a holistic approach and are important to work with the nursing process. This study hasalso advocated the need for robust, professionally prepared care plans based on a systematic nursing assessment.Proper planning is important in dealing with the patient especially on those that are in admitted in the hospital becauseof different illnesses which can be cured and overcome if proper nursing process and model will be used. A nursingprocess is important to evaluate, assess, cure and eliminated illnesses of person. Our patient became sick because ofdepression and problem, which needs to have a proper attention on different aspect. She must be treated physiologically,physically and psychologically. Nursing model should be holistic if this is the case. The patient’s daily living activityis affected and she needs to understand why such activity such is done for her wellness. Patient should be very welleducated or informed on the benefits that she will be having if she will cooperate on the agreed care plan.ReferenceFind more free essays like this one...We have a large reference library of essays that you can use as research materials to help with your own writing - check out our free nursing essays.Share this resource with your friends...We hope you found this information in this free pdf useful. Please spread the word and tell your friends how this information has helped you with yourstudies and feel free to share this pdf with others, so it can help them too. Keep up to date with the latest essay writing hints, tips and free research materials to help you with your assignments - simply subscribe to our RSS feed or join us on Page 4 of 5 Facebook now! Copyright © 2003 - 2011 UKEssays & All Answers Ltd
    • The UK’s original provider of custom essays www.ukessays.comIf you are using this resource in your work please remember to reference and cite the original work found here:http://www.ukessays.com/essays/nursing/knowledge-skills-patient.phpRoper, N; Logan, W; Tierney, A; 2002 The Elements of Nursing 4th edition. Churchill Livingstone, EdinburghDepartment of Health (2000a), Nurses, Midwives and Health Visitors (training) Amendment, London Department ofHealth.Department of Health (2000b) The NHS Plan. www.nhs.com.ukGoddard M, McDonagh MS & Smith DH (2000) Measuring appropriate use of acute beds: a systematic review ofmethods and results. Health Policy 53 157-84.Coast J, Inglis A & Frankel S (1996) Alternatives to hospital care: what are they and who should decide? British MedicalJournal 312 162-6.Pearson A. and Vaughan B.(1993) Nursing Models for Practice. Oxford. Butterworth Heinemann.Riehl J. and Roy C.(1980) Conceptual Models for Nursing Practice (2nd. Ed.) New York. Appleton Century Crofts. InRoper N., Logan W., and Tierney A.(1990) The Elements of Nursing (3rd. Ed.) London. Churchill Livingstone.Fitzpatrick J. and Whall A.(1989) Conceptual Models of Nursing: Analysis and Application (2nd.Ed.) London. PrenticeHall Int.This essay was written by a student and then submitted to us to help other students. You should not hand in this essay as your own work - we do not condone plagiarism! If you need custom essay help, then check out our essay writing service.Find more free essays like this one...We have a large reference library of essays that you can use as research materials to help with your own writing - check out our free nursing essays.Share this resource with your friends...We hope you found this information in this free pdf useful. Please spread the word and tell your friends how this information has helped you with yourstudies and feel free to share this pdf with others, so it can help them too. Keep up to date with the latest essay writing hints, tips and free research materials to help you with your assignments - simply subscribe to our RSS feed or join us on Page 5 of 5 Facebook now! Copyright © 2003 - 2011 UKEssays & All Answers Ltd