Chapter 31 Nursing Management Hematologic Problems

this scenario to provide rich discussion of “how to” practically incorporate this into the nurse’s practice.

This assignment will discuss the nurse's role in devising of a care plan for a patient, including the rationale upon which this care plan has been based, evaluating that the goals intended are met or amended. The patient's identity will be protected using a pseudonym of Kora in keeping with the standards of maintaining confidentiality set by Nursing and Midwifery (NMC, 2015). The patient has Chronic Obstructive Pulmonary Disease (COPD) which is a long-term health condition which is slowly progressive, cause’s obstruction to airway that cannot be reversed, alterations in breathing with exacerbation often suggesting worsening of the disease (Currie, 2007). Kora is 63 years has three young grandchildren permanently in her care, Kora being in

A problem solving approach is a process of planning care for a patient (McFerran and Martin, 2003) using ASPIRE, based on APIE (Yura and Walsh, 1988); Assessment, Plan, Implementation and Evaluation. ASPIRE is a nursing process which includes six stages: assess, a systematic nursing diagnosis, plan, implement, recheck and evaluate (Barrett et al, 2012). Using a range of assessment tools, some potential risks can be identified although, these tools should be used as guidance for treatment and not used in the decision making process as to who and who does not receive treatment, (National Institute for Health and Care Excellence (NICE), 2011) but through gaining consent during each process, as it should be before any care or treatment (NMC, 2008).

The purpose of this assignment is to explore a needs orientated approach to care planning, through the use of a problem solving approach to care, and a nursing model. It aims to show an understanding of what both a problem solving approach to care, and a nursing model are; and to establish how various key elements of both are implemented in practice. The following citation by the Department of Health (DH) (2009) identifies what is intended by the process of care planning;

Problems 1 - 3 with defining characteristics, expected outcomes, nursing interventions, evaluations of interventions and evaluation of overall goal attainment. (Met, not met, partial/Continue plan/revise). Be sure to use the AAMT format for each problem: A = Assess/ Monitor for problem; A = Actions/Nursing Interventions for problem; M = Medications for problem/why useful/source/See TACTIS; T = Teach what to the patient/family about the problem?/Why? Source.

nursing supervisor for the clinic can aid the FNP to identify her role in the best utilization

So it is extremely important that the RN and other team member have a two-way open dialog to ensure that the necessary information is obtained. When team members come together in such a collaborative way, it promotes an atmosphere that allows discussions that can solve complex client health care problems, prevent errors, and allows the RN to act as an advocate for the client. In the plan of care when the RN is continuously reviewing the chart and client status, this collaboration is critical. It allows the RN to ensure that all disciplines involved in the clients care are up to date and doing their part to contribute to the expected goals. In most situations it is the responsibility of the RN to organize these collaborations when they believe a client could benefit from

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

When doing this, they become part of the interdisciplinary team, which consists of the nurses and all the other professionals providing care to the patient. It is an “approach in which two or more disciplines collaborate in the learning process with the goal of fostering interprofessional interactions that enhance the practice of each discipline.” (American Association of Colleges of Nursing, 2014, p. 1) Each healthcare member involved evaluates and develops a specific plan of care related to their field. When they communicate that plan, discuss thoughts and ideas, and continually reassess their plans with each other, a successful interdisciplinary team has been developed. Both teams are important to the patient and play huge roles in nursing.

- Design a plan of care by collecting the patient data and by assessing the problems.

Question 3: Care Provider work as a team to ensure that patient care plan reflects the assessed need documented upon admission, reassessment changes, lab results and other diagnostic tests.

For the nurses to help their patients, it is necessary to set the health goals with them and work mutually to achieve those goals. And if we have a closer look at King’s nursing process, it has a logical sequence. For instance, when a patient arrives, the first job of the nurse is to assess him/her and gather all the possible information about the patient including his/her health history, current health status and all. And in return the patient delivers the data for the asked questions. This is how interaction between the nurse- patient takes place. In the next phase of the diagnosis, the nurse analyzes the problem by utilizing the data collected from the assessment. Further, going to the next step, planning takes place. In this phase, the nurse and patient work together in setting the goals and making mutual decision to achieve the set objective. After setting a certain goal, they will implement those plans to work on with. And finally, the nurse evaluates the patient determining whether the set goal is achieved or not (Wayne, 2014). To better understand this concept lets consider an example:

For the appropriate care to be planned for a patient it should be looked at in a holistic manner (NMC

B. Explore how nursing (caring) is expressed in Christensen's (1990) nursing partnership model. I will include

The nursing process is a five stage systematic framework, and based on the problem solving approach; it forms the foundation for nursing practice to facilitate focussed, individualised care planning for patients (Yildirim and Ozkahraman 2011). This assignment will serve to identify the five stages of the nursing process: Assessment, Nursing Diagnosis, Planning, Implementation and Evaluation. The skills: Communication, Observation, Critical Thinking and Reflection involved within the nursing process in partnership with the patient will also be highlighted.