Compare And Contrast The Roper Logan Tierney Model

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 ).

According to the Joint Commission Resources-JCR (2005), there is no universally accepted definition of a fall. Thus several definitions have been floated over time in an attempt to define the same. One such definition of a fall is "an untoward event that results in the patient or resident coming to rest unintentionally on the ground or another lower surface" (Joint Commission Resources, 2005). Falls are regarded common causes of injury at every age. However, it is important to note that for seniors, falls can have serious consequences. This is more so the case given that a fall can bring about pain, trauma, or even death. With that in mind, the primary purpose of this program remains the reduction of falls and hence the aversion of related injuries amongst the concerned patients. Of key importance remains the identification of patients who appear to be at high risk of falling. This way, appropriate strategies can be developed to reduce the injuries related to inpatient falls.

The Activities of Daily Living have been refined for over 30 by the authors and were first published as part of the publication “The Elements of Nursing” in 1980. Today the model is widely used by students and healthcare professionals from different backgrounds including Occupational Therapists, Physiotherapists, Nurses and others. It is useful for health care professions and others when using parts of the model in direct relation to a person’s healthcare needs in an individual area such as breathlessness, and as mentioned previously allows for the start of an evidence based approach to the patients difficulty.

Method: The study question investigated was; what impact will individualized fall-prevention education, supported by training and feedback for staff reduce have on the number of falls during hospital stays? The study was a pragmatic study of patients admitted to one of 8 rehabilitation units in general hospitals that were over sixty years old, with a projected hospital stay of at least three days, and had basic cognitive functioning. 3,606 patients admitted were admitted to the eight units during the study period, with 1,983 in the control group and 1623 in the intervention group. The pragmatic nature of the study is a strength given the nature of the intervention. However, the investigators do not explain the logic of limiting the study to patients over age 60, with a length of stay of at least three days, and this restricts the extrapolation of the results to these groups.

Older adults have difficulty communicating about their pain condition when they are interrupted. Practitioners should assess every aspect of behavior to optimize pain outcomes for older populations. However, practitioners and patients are often interrupted during communication processes. A study conducted by McDonald & Fedo (2009) explained the effect of interruptions on older populations’ pain communication. The consequences of interrupted osteoarthritis pain examinations during office visits with older populations were tested in this study. 96 older adults were part of this study, and they verbally answered to three questions about their pain condition. These results were evaluated based on 16 criteria from the Guidelines for the Management of Pain in Osteoarthritis, Rheumatoid Arthritis, and

In conclusion, several studies have outlined that falls and fall related injuries are leading cause of mobility and mortality amongst hospitalised patients (Ang, Mordiffi, & Wong, 2011; Sahota et al., 2014; Shuman et al., 2016). According to Ang, Mordiffi, and Wong (2011) targeted multiple strategies focuses on identifying patient’s individualise fall risk such cognitive status, medication of the patient that can contribute to mobility issues and a medical condition that could affect the patient bodily functions. Similarly, Sahota et al. (2014) outline that nurses’ role is to provide health teachings and to develop specific interventions that can minimise patient risk for fall. Additionally, health instructions needs to be provided not limited to the patient but also with the family.As a result, patients will become more educated and play a more active role in their care.

These falls can be fatal as they have led to many deaths especially when it has to do with older patients. Because of this, the American Medical Directors Association (AMDA) is a clinical practice that has been introduced to provide guidelines and principles as well as the role of nurses in fall prevention (Vance, 2011). The clinical practice has been formulated in a manner that gives both the nurses involved and the long-term care staff to have a clear comprehension of the risk factors that are associated with falls among older patients. The systematic approach provided by AMDA ensures patient assessment and choosing of the best interventions and strategies that will see to it that the patients receive the

This essay about 89 year old Mrs Amalie Jones will be a discussion of assessment and care provision identified through the concept map in assessment one.Concepts from Miller’s Functional Consequences Theory of healthy ageing will be used to identify the risk factors which negatively impacts on her function,safety and independence. Focus of this essay will be demonstrating how the dignity of the client/patient can be maintained through dignified nursing care. The main purpose of this assessment will be to protomote both problem solving and care provision including prioritising.According to Miller’s Functional Theory, not all the health issues are due to age related changes, lot of them are a result of risk factors. These can be addressed and even prevented. Nurses play a big role in the prevention of such problems.Amelie Jones has few age related problems such as Macular Degeneration , Arthritis and risk factors due to lifestyle such as Hypothyroidism, risk of fall, weight loss and depression. Nursing interventions will be person-centred and ethical.

Breimaier, Halfens & Lohrmann (2015) described that falls are a very common accident in the hospital, especially in the elder, people are 65year old or over. In addition, the evidence showed approximately 30% of the elder suffer a fall each year (as cited in Breimaier et al., 2014). According to Heinze, Halfens & Dassen (2007), 3.2%- 37% of inpatients fell and it depended on the department. Moreover, not all the fall prevention measure was taken to prevent fall-related injuries. Since all the research-based recommendations are not adopted and carried out, the potential positive effects of fall prevention on patient health outcomes cannot be realized. Inter-/national clinical practice guideline (CPGs) was created with scientific knowledge and one of them is the fall evidence-based guideline (the authors named it as Falls CPG) The Falls CPG was informed and delivered in all hospital setting. However, the fall prevention guideline was not applied in routine nursing practice. Therefore, the authors wanted to assess the effectiveness of implementation of CPG.

Fist of all, as people grow older, several conditions appear. Some of the common conditions that appear in older people are diabetes, hip fracture, osteoporosis and arthritis. These people are frequently seen by PTs, and PTAs. For example, my father with non-insulin-dependent diabetes, diet and exercise are very important for his health. PTs play an important role in developing exercises programs that consider helpful to help people like my father. In hip fractures, there is a combination of osteoporosis and accidental falls. Therefore, a hip fracture is one of the most common problems in older people. PTs are essential in the rehabilitation of patients after hip fracture. PTs teach patients and their families to regain additional skills, such

The acute care hospital selected has experienced many hospital acquired falls that have led to serious injuries and loss of life; therefore, there is a need for an intervention. ARMC has recorded a high number of falls among hospitalized patients. The majority of which, are elderly people 65 years or older. The adverse outcomes are unacceptable and therefore, an AOCD plan must be implemented to minimize hospital falls. An action-oriented plan identified nursing education as the key intervention strategy to drastically reduce the challenges of hospitalized older adults with falls.

The theory sees a person as a system in which its parts interrelate with each other to form a whole to perform its functions. These interrelated and interdependent parts are called subsystem which is analyzed and described in term of structural and functional requirement. There are seven subsystems – attachment, attachment-affiliation, aggressive-protective, dependency, ingestive, eliminative, and sexual with each of them interrelated with the others and its environment for three functional requirements – protection, nurturance, and stimulation. The four structural elements of the subsystem include the following: drive (the ultimate cause of behavior), set (a tendency or predisposition to act in a certain way), choice (behavior to use in a certain situation) and action (behavior of an individual). These requirements must be met through a person’s efforts or with the outside assistance of the nurse to maintain the integrity of the behavioral system.

Anxiety, in response to the uncertain feeling towards surgery, is usually heightened around surgery, altering patient cognition and behaviours of symptoms (Kagan & Bar‐Tal, 2008). Many studies have indicated that high anxiety has negative effects on post-operative outcomes, patients with higher level of anxiety are prone to be more sensitive to pain after surgery (Kagan & Bar‐Tal, 2008; Wilson et al., 2016). Anxiety, as a risk factor of effective pain relief due to inadequate information and unmet expectations of surgery, can be reduced through preoperative education by nurses (Prouty et al., 2006). Nurses can help by educate patients according to the previously mentioned orthopaedic education content, but the specific information may vary from different patients (Ibrahim et al., 2013). Johansson et al. (2005) indicated that nurses may spend less time in patient education because written materials are frequently used to deliver preoperative education. However, it is inadequate to use them alone, many studies emphasised the significance of face-to-face education and verbal guidance,

In the clinical setting, nurses must evaluate their patients in order to better understand their needs. Multiple conceptual models exist in order guide the evaluation process as well as to enhance the nurses’ scope of practice. The focus of this paper will be based on the Roy Adaptation Model developed by Sister Callista Roy, in which the model will be explained, analyzed and discussed through a clinical situation.

The problem statement for this article is alluded to in the background section of the article abstract. The researcher acknowledges that pain continues to be a common problem for the older, hospitalized patient, but little