Activities of Living-Case Study

The model is used by the nurse for assessing the relative independence of the patients along with its potential for independence in the daily living activities. The independence of patient is observes at the range of complete dependence to complete independence (Holland, 2008).The daily living activities must not be used as a checklist. Rather Roper, states that they must be views as the cognitive approach towards care and assessment of the patients, instead of just limiting it to list of boxes on paper, but in the approach of nurse to and organisation of her care, the model provides a way for the nurses to deepen their understanding of models along with its practical

Models are the conceptual framework that helps people to understand specific concepts. In examining the three types of models, each presents a unique concept of understanding evidence-based practice.  The John Hopkins model integrates cultural values into evidence-based practice. Furthermore, the main strength of this model is it provides a simple framework for nurses at the bedside and incorporates internal and external factors that may affect research. On the other hand,

In this Assessment nursing course, one of the major things that is taught is the most important part of giving proper care to a patient. Correct patient assessment is needed before any nursing care plan or treatment can be implemented. This post-review of a person’s assessment will demonstrate the proper way to go about assessing a person’s health.

Assessment in the nursing process will establish the patients' ongoing needs and provide a quality of care best suited to the individual, to achieve a desirable health outcome.

Throughout nursing, there are many theories that nurses may come across and use. Calista Roy’s and Betty Neuman are two theorists that use two different types of models to encompasses the health, person, and the environment. Callista Roy uses a theory that promotes adaptation to the stimuli a person may encounter. Betty Neuman uses a theory that promotes equilibrium in a time where a person will encounter stress. These theories allow the nurse to bring a knowledge to learn more about the person and the factors that influence their health. Although with any theory there are different approaches in how the nursing plan is done, but with the patient in mind, it makes the difference in care that is given and allows for better outcomes for the patient.

Over the past 30 years nursing has evolved from a task-oriented to a logical and systematic approach to care, using theories and models to guide practice. According to Jasper (2007, p117) theories of decision making in medicine tend to favour logical, precise analytical models which are held to be testable, unambiguous and repeatable, therefore satisfying scientific principles. These represent important ideas of certainty and rationality that are intended to provide a sense of security and reliability. When used correctly a nursing model should give direction to nurses working in a particular area, as it should help them understand more fully the logic behind their actions. It should also act as a guide in decision-making and so reduce conflict within the team of nurses as a whole. This in turn should lead to continuity and consistency of the nursing care received by patients according to Pearson et al (1999,p ).

The aim of this essay is to demonstrate the assessment process of a patient using the Roper Logan and Tierney (RLT) model of nursing framework and to show how the nursing process works alongside this model. This will be shown by a holistic history of the patient being shown, followed by how the RLT model is applicable to this patient. This is then followed by one nursing intervention being discussed showing how the nursing process is applied to patient care. The patient will be referred to as Mr Frederick Valentine to protect the patient’s anonymity as stated in the Nursing and Midwifery Council Code of Conduct (2008) guidelines.

Despite technological and medical advances today, chronic disease and resultant co-morbidities are prevalent in the Australian Healthcare System. As a result, patients, especially in the acute care setting, have more complex care needs. The management and care of patients with these complex care needs present a challenge for the contemporary nursing professional. Positive patient outcomes will be dependent on a number of factors, such as the assessment of the patient’s condition, the identification of potential risks for the patient, the planning of appropriate care and the management of the subsequent interventions that may be required.

Assessment is described as”The first stage of the nursing process, in which data about the patient’s health status is collected” (Oxford dictionary of nursing, 2003, p23), following this phase a care plan can be devised.

In this situation the patient was awaiting an isolation bed as outlined in part A, it was essential to begin planning Mays’ care as she required complex health planning. Through reading the literature I have observed a common criticism of the model is to do with what conditions fit under which AL and also the use of models in general in nursing practice as taking up time caring for patients (Roper et al 1996). Having only ever used the RLT model I don’t feel I have enough understanding of other models to compare it to but through reflection, I feel that as outlined in the literature, fitting physical conditions under ‘headings’ of care plans can be difficult.

I have found it useful in focusing, organizing, directing nurses thoughts and actions within nursing care to improve overall outcomes of the patient.  I feel this model will lead to better overall quality of care to the patients focusing on them as a whole (Butts & Rich, 2018).  Our job as nurses is to provide overall quality care with the main focus on the patients well being. I feel incorporating all these aspects of the adaptation model we can continue to pay more close attention to the patient and all their needs as a

Nursing is a unique profession which is built upon theories that guide everyday nursing practice. According to Taylor, Lillis, & Lynn (2015), “Nursing theory differentiates nursing from other disciplines and activities in that it serves the purposes of describing, explaining, predicting, and controlling desired outcomes of nursing care practices” (p. 27). Many nurses may unknowingly apply a theory or a combination thereof, along with critical thinking to get the best outcome for a patient. Theories are used in practice today because they have been supported by research and help the profession uphold its boundaries. Most nursing theories consist of four concepts which are the patient, the environment, health, and nursing. Each patient is at the center of focus and they have the right to determine what care will be given to them using informed

By focusing on overall patient care and satisfaction many areas patients are surveyed on can be improved. Once a performance standard is selected staff must develop a plan for improvement. The first step would be to research as many sources as possible to find the best evidence based practices that would work for the specific facility. This can be divided into two the two categories of direct nursing care and indirect nursing care. Direct nursing care would include implementing hourly rounding, adequate nursing staff and SBAR communication. Indirect nursing care includes availability of technology such as wireless communication, real time locating, wireless monitoring, and electronic medical records. The second step would contain education of the staff on what is to be implemented and why. The why is important for nurses to overcome any barriers that might be encountered. While nursing practice has grown based on evidence Vanhook (2009) explains the greatest barriers to evidence based practice, such as difficulty interpreting findings, limited time, and misunderstanding of research itself, and how to overcome these barriers. With phase one and two completed facilities can move forward with implementation and evaluation.

The Decision – Based RTP model consist of three steps. Step one is evaluation of health status and the phase of recovery the patient is in. Step two is participating

This essay will evaluate the extent to which assessment is a fundamental component which adult nurses should adhere to in their everyday practice. In doing so, it will reflect on the bio psychosocial aspects of assessment and in particular the increased emphasis placed on holistic and evidence based-practice. It will give an insight on different types of assessment such as physical, risk and spiritual and various types of assessment tools used to facilitate with this process. It will also analyse why nurses commonly apply a nursing framework or model to organise the data obtained to form a health assessment.