Part B I found this particular portfolio more challenging than previous ones. The main reason for this was the fact that I was the required to actively take part in the assessment, planning, implementation and evaluation of a patients care within the service. Doing this came with responsibility that I had not had in previous placements. My preceptor had explained to me the process involved in care planning for a patient on the unit, the doctor will do the majority of the assessment, the nurse carries out the risk assessment and completes Roper Logan and Tierney nursing assessment which is the nursing model used by the Louth/Meath services. The nurse also carries out an admission checklist. When the patient has been admitted and the …show more content…
Roper, Logan and Tierney’s model has been criticised in the past; it has been seen as a checklist and a very simple nursing model (Townsend, 2008). I found that a lot of the information had already been gathered throughout the assessment stage. My preceptor told me that the nurse usually fills in as much of the Roper, Logan and Tierney assessment as possible not wanting to agitate the patient any further by asking the same questions over again. John was far too paranoid to start questioning him again, the Roper, Logan and Tierney assessment was completed by information gathered during assessment. John was orientated to the unit and shown to his sleeping area, I then carried out a property checklist. I felt very uncomfortable doing this as I was going through his personal belongings. I explained to him that this was routine with every new patient. John did sign his consent to admission which surprised me. To be honest I felt that so far the nurse had little intervention with the patient, to me it seemed like the doctor was doing the communication. I voiced this to my preceptor; she explained that this is the case within this service. The nurse’s input is predominantly around complying a care plan for the patient. This leads into the planning stage where the care plan is developed to meet the patient’s needs. Government policy ‘A Vision for Change’
Care plans are developed by the service users, and when needed with help and assistance from friends and family. These plans are then to be agreed by a social worker or senior care manager e.g. the nurse or senior care worker depending on if the person is nursing or a residential client. The planning system allows the individual’s to:
This assignment focuses on my practice as a Senior Care Assistant within the hospital. The aim of this essay is to carefully reflect on the Roper-Logan Tierney model and evaluate its efficiency in regards to patient admission. In terms of upholding patient confidentiality as stated in the Nursing and Midwifery Code of Conduct (2015), the name of my patient will be changed to Mr. George Matthew. In addition the code also states that a patient must be aware about information being used and thus I have also obtained permission from Mr. George for this reason. Reflecting and analysing on this topic has enhanced my learning and knowledge as a whole. The model that I will be using to reflect on patient care and admission will be Gibbs reflective cycle (1988).
7. Which collaborative problem will the nurse include in a care plan for a patient admitted to the
This assignment will investigate a needs orientated approach to care, critically discussing the nursing process. It aims to show an understanding of what a nursing model and the nursing process is, looking in detail at the relationship between this nursing process and the Roper, Logan and Tierney (RLT) model of nursing. This essay will explore how the nursing model and process is implemented in practice, considering how the RLT model assists nurses to adapt a problem-solving technique when developing care plans for individuals. Strengths and limitations of the RLT model and the nursing process, in relation to developing care plans, will be critiqued along with the effectiveness of
circumstances can be taken into account when planning care that will empower individuals. I will use a variety of examples from health and social care. I will also extend these examples by assessing the potential difficulties in taking individual circumstances into account when planning care that will empower an individual, and make suggestions for improvement.
Care plan meeting was held for initial review. Resident is alert and oriented x3. Resident is able to make all needs known. Resident was present and was able to participate in care plan meeting. No issues or concerns were voiced at this time. Advanced Directives were reviewed, MOLST-CPR remains in effect at this time. Resident was admitted to the facility for short term rehabilitative care. Upon completion of rehabilitation, resident will be discharged to the community. Resident is stable at this time. All disciplines will continue to monitor the resident for any changes in his overall status.
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.
This essay will discus a decision that was made on a local male acute ward. Using this example, an analysis of the decision making process has been made and a reflective model has been used in order to generate personal knowledge that will inform further practice (Rolfe, 2011a). A pseudonym of Tim has been used for the discussed patient to maintain confidentiality in accordance with the NMC code of conduct (2010a).
This assignment will critically discuss the nurse’s role in assessment and care planning for a patient in a case study. Confidentiality which is required by the NMC (Nursing Midwifery Council, 2008) and the Data protection Act (1998) will not be broken through out the assignment because the case study used is a scenario not a fictional character. The care plan will focus on Jean’s incontinence needs using The Roper, Logan and Tierney model (2000).
In this assignment I will be exploring the issues around communication and assessment in relation to the care given to the patient. I will look at how care was delivered and how successful it was. The NMC (2008) states that healthcare professionals must respect a person’s right to confidentiality; to ensure this I will be using pseudonyms for the service users mentioned in this assignment. I will be referring to the patient as ‘John’ and his wife as ‘Brenda’. I have gained consent from Brenda to talk about her husband’s situation in this assignment, as he did not have capacity to grant consent himself due to dementia.
In the professional setting, knowing the patient through his or her diagnosis, name, history of present illness, laboratory results or reason for staying in the hospital only contributes to the manner of physical care of the patient. However, recognizing the patient 's spiritual needs such as emotional support, mental positivity, and intellectual understanding of his or her situation gives a better assessment, as well as a trusting relationship between the nurse and the patient, as per personal experience. In the ward, it is evident that most of the staff nurses spend their time doing documentations, preparing medications, following-up laboratory requests, as well as reading through the patients ' charts to affirm the physician 's order. Throughout the duration of our shifts as student nurses, I see that the most that the staff nurses get to be conversant with the patient is when certain procedures (such as feeding through nasogastric tube, taking
Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The
This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.
As individuals age changes occur physiologically that are part of normal aging. These changes occur in all organ systems and can impact an individual’s quality of life. The changes related to aging can be attributed to an individual’s genetic make up, lifestyle, physical activity, and dietary lifestyle. Being able to differentiate between normal changes in aging against disease process is important because it can help clinicians develop a plan of care (Boltz, Capezuti, Fulmer, & Zwicker, 2012). Creating an accurate plan of care for older adults will greatly impact their quality of life.
At the beginning of group we went over caregiver’s action plan from last week. We encouraged caregivers to discuss what their plan was and whether or not they were able to complete it. Then, we went straight into this week’s topic on positive and negative self-talk and ways to reduce stress before it occurs. Lastly, we had a planned breathing exercise at the end of today’s group session.