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1. Nursing Practice in Long Term Health Care Sample Paper
Nursing Practice in Long Term Health Care Sample PaperThis paper seeks to analyze two
research articles by identifying their purpose, type of framework, methods and findings
relation to limitations, barriers/implications for the nursing practice. The first article
Exploring Faecal Incontinence (FI) in Nursing Home (NH) Patients was researched because
over 50% of patients in nursing homes are at risk for a decline in the quality of their life and
their morbidity. This was a pilot study to test a new instrument interRAI LTCF with the
prevalence and association of FI. The second article Nurse Assessment of residents' pain in
a long-term care facility, was investigated to identify the at-risk residents for chronic pain
and bring to our awareness the desperate need for nursing assessment, nursing diagnosis
and management of pain. It was noted that perception of the elderly has a direct effect on
intention to perform pain assessment and makes recommendation no how organizations
can rectify this phenomenon. I will then relate the findings and how I can use them to guide
my practice as a nursing student in the long-term care.Nursing Practice in Long Term
Health Care Sample PaperDescription of Articles According, to Blekken, et al. (2016) the
aim of the research was to "explore prevalence and associations of FI among NH patients, to
examine the effect of clustering of observations and variation of NH units and individual
patients" (p. 1579). Ethical guidelines were met and a cross-sectional design was used for
collection of data from a sample of 261 patients in 20 different NH. Findings showed that
differences in patient's comorbidities explained most of the variations in quantity of fecal
incontinence.Nursing Practice in Long Term Health Care Sample PaperPossible limitations
related to the small sample size therefore, correlation between new medical diagnosis and
FI were not identified. Data collection was delegated to the nurses who were trained, this
limited the patient perspective and further the generalization of the study (cognitive
impairment would have limited use of the tool). This research had validity and reliability for
the patients who needed help with ADLs'. This pilot study was effective in proving that is
was feasible and the interRAI LTFC instrument is useful for exploring and tracking FI in NH
patients. Finally, it was stressed that there is need for increased fecal incontinence
awareness among nurses as being potentially avoidable and treatable condition and
recommended further studies on individualized continence care plans.ORDER A
PLAGIARISM- FREE PAPER NOWIdentifying factors predicting nurses' performance of pain
assessment among LTC residents, examining the relationship between ageist attitudes and
practices and attitudes about pain assessment was the purpose of this research (Natan,
Ataneli, Admenko & Har Noy, 2013). A descriptive correlational method was used to

2. positively identify that nurse assessment is correlated with pre-service knowledge and
positive non-ageist attitudes indicates an understanding of performing pain assessments.
Implications for practice was identified as more need for pre-service training and a keen
awareness for pain assessment.Nursing Practice in Long Term Health Care Sample
PaperPreferred PaperBoth subjects are equally important for promoting and maintain
quality of life for the elderly resident in a nursing home; and both speak to maintaining
human dignity of the resident. My preferred article is Nurse Assessment of pain in the
Elderly. My choice was based on readability and relatability; the presentation of the
research was key to this, the researcher referenced ageism frequently to point out
importance of their theory "Nurses with a positive, non-ageist attitude towards older adults
more likely have higher levels of awareness to perform pain assessment". (Natan, et al.,
2013). The strength of the article lies in the cited words and were more effective than the
actual numbers showing the correlation between the two variables. Being able to recognize
my belief in the literature is important to me; I identify as being positively biased in relation
to ageism and this is a direct influence from being raised in a household that believed in
treating everyone with respect and dignity. Furthermore, this personal belief translates.
Furthermore, this personal belief translates into my professional belief as nurse to provide
care with respect and human dignity.Nursing Practice in Long Term Health Care Sample
PaperGuiding my PracticeBeing able to approach my resident in a non-biased way allows
me to have an empathetic dialogue and effectively do a thorough assessment and
specifically ask of the existence of pain. According toKostas, Paquin, and Rudolph (2013),
"The most important screening question is about the presence of pain and intensity of the
pain " ( p. 582). Reaching a nursing diagnosis related to pain can be done with the use of
tools for assessing pain such as numeric rating, verbal descriptor, facial and visual analog
scales to help me bring to forefront the true intensity and location of the pain. Using these
tools will along with a positive attitude will guide my effectively in my practice in relation to
pain management.Nursing Practice in Long Term Health Care Sample
PaperImplementationAs a front-line worker, I am unable to implement departmental
changes and the recommendations for pre-service nursing education to improve nursing
attitudes towards the elder residents; this must be recognized as a mandatory part of
training by management. However, can I identify nurses with a negative bias of ageism
through observation of their behaviors when interacting with the resident. Knowing who
they are I can informally share my positive bias of ageism and the importance for assessing
pain in the elderly. I can also lead by example and let my practice reflect my belief by finding
tools to share that are evidence based that will help the elder patient assess their pain.
Additionally, I can directly effect change through practice by documenting and verbally
notifying other nurses of my findings, treatment and follow up plan. This will again give me
an opportunity to share my knowledge on pain management.Nursing Practice in Long Term
Health Care Sample PaperConclusionAs a nursing community, we need to find and
implement way to protect the dignity, morbidity, and quality of life of our elderly population
in nursing homes. Many researches were done and the effectiveness of nurse's perception of
their patients and how it affects their quality of care of that patient. The time has come for
implementation. We cannot wait for organizations to implement new policy and procedures

3. we must begin at the front lines using researches like the ones discussed to guide our
practice.Nursing Practice in Long Term Health Care Sample PaperReferences Blekken, L. E.,
Vinsnes, A. G., Gjeilo, K. H., Norton, C., Mørkved, S., Salvesen, Ø., & Nakrem, S. (2016).
Exploring fecal incontinence in nursing home patients: a crossâ€Â•sectional study of
prevalence and associations derived from the Residents Assessment Instrument for
Longâ€Â•Term Care Facilities. Journal of Advanced Nursing, 72(7), 1579-1591. doi:
10.1111/jan.12932Ben Natan, M., Ataneli, M., Admenko, A., & Har Noy, R. (2013). Nurse
assessment of residents' pain in a longâ€Â•term care facility. International Nursing Review,
60(2), 251-257.Kostas, T., Paquin, A., & Rudolph, J. L. (2013). Practical geriatric assessment.
Aging Health, 9(6), 579-591. doi:http://dx.doi.org.proxy.bib.uottawa.ca/10.2217/ahe.13.51.
Nursing Practice in Long Term Health Care Sample Paper