This is the primary concern of Lily. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper. When Rose was admitted to the ward, in line with NMC (2010) Code of Conduct to ensure privacy and dignity is maintained, the assessment took place in a cubicle, with the door closed thus creating a quiet environment. An example of this would be when conducting assessments the nurse sat facing Rose, kept an open posture and maintained regular eye contact. Physician Dismisses Nursing Assessments, Question of Nurse Advocacy. To remedy this, the nurse utalised her commuication skills by asking open ended questions to asscertain the reasons behind the familys anxieties. You can view our. Person is the recipient of nursing care, the main center focus of the nursing practice. This essay, using case study 4, will explore the holistic nursing process, and also the biological, sociological, psychological and ethical issues regarding the prevention of pressure ulcers. A thorough health and medical history are important so that we can implement the best care designed specifically for that patient. Functional patterns represent a healthy set of behaviours while dysfunctional represent a disease or at risk of disease (Berman et al, 2012). Finally the essay will summarise the experience of using the assessment tool and how it will help in future learning. Kearney (2001) argues however, that the care Rose receives maybe jeopardised using this model, due to its inflexibility and complex structure. School of Nursing The patient would return soon after with worsening symptoms that would require emergency surgery. The brightest students know that the best way to learn is by example! According to one of recent studies, “Nurses are responsible for comprehensive health assessment of patients, and now more than ever, expected to provide timely assessment and deliver high quality, A nursing assessment is defined as a systematic and dynamic process to collect and examine data about a patient. Person is all the aspects that create an individual from their family structure and their role in that structure to their life knowledge and their beliefs in all the aspects of their world. Recently however, there has been some criticism against MGCS regarding the tools ease of use (Mattar, et al., 2013). In order to treat Roses’ symptoms the doctor prescribed antibiotics, providing treatment under the biomedical model. In addition, the nurse was also able to quickly access Roses neurologial state using the Modifed Glasgow Coma Scale (MGCS) (Jennett & Teasdale, 1977). Assessment involves various issues such as physiological, psychological, spiritual, socio-cultural, life-style, and economic factors. Lily’s body mass index (BMI) will be calculated to obtain her overall risk of malnutrition. These interations are considered by Egan (2002), to be fundamental elements of non verbal exchanges, in order to achieve optimum levels of communication. It is the first and most important step in the nursing process. There are all stages of health and even in a dying patient or chronically ill patient there are various stages of health. To rule out a urinary tract infection, a urine dip stick test on a midstream urine sample was conducted. These steps are known as the “ADPIE”. Assessment of need is fundamental to the care process and has received much attention in correspondence to the establishment of eligibility criteria for long-term care (RCN, 2004). The tissues die when deprived of oxygen and nutrients for too long (Harris, 2009). EssaySauce.com has thousands of great essay examples for students to use as inspiration when writing their own essays. It is therefore considered that a combination of the two is thus required (NMC, 2010). From the assessment tools selected, one will be prioritised and applied in relation to the service user's condition. The holistic assessment is the, High-quality nursing is a right way to patient’s correct diagnostics, treatment and recovery. The concept assessment simply refers to an act of appraisal, evaluation and judgment (Dossey, Keegan, & Barrere, 2015, 469). According to Dr. Ishmael (2004) asses, plan, implement and evaluate are the four stages in the nursing process. Peate (2010, p.53) suggest that implementation is carrying out the care that is set out for the service user and reassessing the services users health and wellbeing. It focuses on the patient’s needs at that moment in time and possible needs that may need to be addressed in the future. Jean Watson’s theory of caring is the blueprint of the nursing profession. EssaySauce.com is a completely free resource for students. The physician when notified chose to dismiss this fact and discharge the patient. This step incorporates... ...Running Head: NURSING KNOWLEDGE THROUGH THE NURSING PROCESS These outcomes are continously evaulated by the nurse, in order to moniter Roses’ progress and where nessescary clincal judgement will be used to adjust these outcomes to suit the needs of Rose (Estes & Ellen, 2013). The nurse will have a better understanding of the patient’s psychological, physiological, sociological, and spiritual status. Past research has shown discrepancies can often occur between the nurses understanding and that of Rose during assessments (Lauri, et al., 1997). Upon admission to A&E, Roses’ medical notes stated Rose had recently been diagnosed with Dry Macular degeneration, which is an age related chronic eye disease, causing loss of vision in the centre field (Samuel, 2008, Watkinson, 2010). Nursing Roles I For the purpose of this assignment, the enablers of assessment and communication in relation to the care that Rose received will be discussed. Trusting environments enable Rose to feel safe and supported and provide a platform where Rose will feel comfortable and confident in sharing information with the multi-disciplinary team (The Royal Marsden NHS Foundation Trust, 2011). However, despite displaying clear terms on our sites, sometimes users scan work that is not their own and this can result in content being uploaded that should not have been. However, in order to provide truly effective care the biomedical model alone is simply not enough. ADL’s is a systematic framework, which recognises Roses individuality and beliefs. Person defines what is real and to the client and how they see themselves and the world. Assessment of Non-acute Health and Social Services in Ponchatoula, Louisiana Comparative study of musical theatre genre between 1910 to 1943 and 1943 to 1957. Health is the optimal... ...Health Assessment You can view our terms of use here. How has social media impacted the fashion industry? It is considered by many professionals that a holistic viewpoint should be taken (The Royal Marsden NHS Foundation Trust, 2011). This cannot be fully completed however, without effective communication skills, concise documentation and decision making. Health To alleviate this, The Royal Marsden (2011) therefore advises that the nurse should use a pragmatic approach, and use the ADL framework as a guideline for professional decision making. Person is not only how someone lives, its how they adapt and adjust to changes in their life, their self concept and their view and interpretation of the world around them. Lily will be assessed for her risk of developing a pressure ulcer. To identify the risk of Rose deteriorating further, as per Nursing and Midwifery Council (2008) guidelines, each quantitive result was charted correctly, concisely and legiblibly by the nurse and given a score using a modified early warning score (MEWS) (Department of Health, 2000). It will also identify and explore the use of appropriate tools that are required for the service user in the scenario. It will identify a service users needs base on a scenario and the appropriate assessment tools required for his care. Background Rose Swift is a retired teacher, a widower and is a mother of two sons. Students can use our free essays as examples to write their own. Assessment Tool Analysis Paper By talking to Lily and consulting her medical notes, the nurse can establish Lily’s weight loss over the last 3-6 months (BAPEN, 2009). According to Pillay (2013), MGCS provides a tangible way of noting the concious state of Rose, it is a widely recognised and accepted standarised practical assessment tool, designed for ease of use (Jennett & Teasdale, 1977) which has been used for many years at both a national and international level. Assessment in nursing has been influenced by the problem-solving framework of the nursing process and nursing models. By conducting nursing assessments, key information is obtained to aid the improvement of Roses’ health and develop a plan of care, which will ultimatly enable Rose to establish control of her own health (The Royal College of Nursing (RCN), 2004). During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived, Assessment of Non-acute Health and Social Services in Ponchatoula, Louisiana The aim of, Losing weight, combined with sleeping in a chair, may have contributed to Lily having a suspected pressure ulcer. Acting as an advocate, the nurse conveyed the wishes of Rose to return to her home against her sons wishes. 07/05/2013 The Royal Marsden (2011) states a quiet environment during assessments is essential to enable Rose to maintain optimum concentration and remain complicit in her responses. As part of the Fundamentals of Nursing (FON) skills assessment, I had to attend a test on week seven. College of Nursing and Health Sciences Jean Watson’s theory of human caring focused on establishing a caring relationship with patients. There are many ways this data can be collected. The Malnutrition Advisory Group of BAPEN (British Association for Parenteral and Enteral Nutrition) developed the Malnutrition Universal Screening Tool (MUST), (Perry, 2009). They occur in 4-10% of patients admitted to hospital (Ward et al, 2010). Communication Effective communication is an essential skill which enables the expert nurse to build a therapeutic relationship with Rose (Chapelhowe, et al., 2005). The MUST is a 5 step screening tool to identify adults who are malnourished, at risk of malnourishment or obese. Jean Watson believed in treating the patient as a holistic being ("Jean Watson’s Philosophy of Nursing", 2012). The Royal Marsden (2011), regards initial nursing assessments as a step to providing an individualised patient centered nursing care plan. However, as cited by Chapelhowe et al (2005) nursing assessments are far from static. This essay will discuss the information that should be gathered during an assessment, and the possible interventions that may be, Rural Nursing in Bowen The health of the population will be looked at and how the profile of Bowen relates directly to the health impacts of Bowen’s residents. ...nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). All of our essays are donated in exchange for a free plagiarism scan on one of our partner sites. This essay sets out to discuss the importance of comprehensive and accurate assessment on a registered nurses’ ability to make excellent clinical decisions. Nurses play a crucial role in the health care field, and one of the most important aspects of their daily obligations is to assess patients, and to continuously reassess patients. This step can be viewed as an interview process in which the nurse is gathering information from the patient. The Nursing Process is a patient centered method of caring, that provides a framework to nursing care. When the nurses assessing the patient could not detect a pulse in that leg, an ominous sign of circulatory failure. Nursing Assessment (ADPIE) is the first step in the nursing process. He had one daughter, who took care of him before he was admitted to the ECF in August of 2009.
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