Establish The Effectiveness Of The Nursing Care Plan

Nursing shortage is a global problem facing all health care system and the impact on nursing professional and patient care outcomes cannot be over emphasized. Despite all effort made by the ANA and health care institutions to address the issue of nursing shortage there seems to be no change and the problem still exist hence there is every need to implement a new plan to address the problem of nursing shortage (ANA, 2014). The project plan is aimed at introducing a policy plan that will help in eradicating nursing shortage. This paper will focused on nursing shortage’s impact on nurses, patients and nursing profession, and a proposed project that will focus on eradicating the problem of nursing shortage through the use of mentoring program for high schools and colleges student.

The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and

Mr McCue says that he is drinking more often in an attempt to get a better night sleep. However Vinson (2010) believes this could hinder the patient’s sleep pattern (Vinson et al, 2010). Furthermore he goes on to say that drink can initially help the person sleep but as the drinking becomes more intense it becomes a dependent, where restless sleep is common and trying to get back to sleep is ineffective (Vinson et al, 2010). Moreover Stein (2005) agrees and says alcohol has a massive effect on sleep and the distribution of sleep. He acknowledges that alcohol can be seen as a sedative to some. However like Vinson (2010) acknowledges the more alcohol that is being consumed insomnia is likely to become a feature in the sleep pattern. Moreover he goes on to say that if the nursing staff is alerted to this in a timely fashion something can be done about it (Stein, 2005). In the care plan it has been shown in the assessment that he drinks alcohol to enhance sleep but nothing has been done to reduce this problem which may be linked to other factors. Moreover in the assessment it has been shown that he does not feel rested on been wakened. Stein (2005) says this can be due to the alcohol it has a greater effect on the brain and causes a dependence on the alcohol which in return disturbs sleep and can leave people to feel un-rested and moody(Stein & Friedmann, 2005). Stein (2005) and Vinson (2010) both

Hospital nursing professionals are faced with many stressful situations in the workplace and at home. Some nurses try to cope with stress by turning to alcohol. In my professional opinion, alcohol should never be used as a coping mechanism. Eventually one or two alcoholics drinks a week turn into daily excessive and uncontrollable use. Impairment at work leads to an inability to critically think and make safe decisions. Alcohol impairment slows reaction time and alters judgement (CDC, 2016). These symptoms lead to a dangerous environment for the patient, other staff members and anyone having contact with the intoxicated nurse (CDC, 2016).

Reflecting on experiences and composing nursing care plans are just two of the many fundamental skills involved in nursing (Day, Trotter, Hill, Haines & Thompson, 2014). This essay will include four nursing care plans, two related to actual nursing problems, and two related to potential nursing problems. Additionally, included within this essay, using Gibbs reflective cycle (Gibbs, 1988), will be a reflection recounting a situation the writer experienced while on practical placement in a local rest home.

This week, I was given the opportunity to care for two female patients – 205(1) and (2). The first patient, 205-1, was admitted with respiratory distress and had a past medical history of hypertension, schizophrenia and bipolar disorder. She was initially put on 2 L/min of oxygen and placed on oxygen titration protocol with orders to maintain O2 saturations between 88-92%. The patient was oriented to person and place, but had difficulty with time. She was also obese (BMI 30) and deemed a moderate assist with ambulation. Her care plan included total assistance with ADLs, smoking cessation and oxygen protocols, limited salt intake (3mg), and chronic pain management. The second patient, 205-2, was admitted with a right pelvic fracture and had

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

The aim of this assignment is to critically discuss the nurse’s role in planning care. The case of care is a 60-year-old lady named Mary. The names in this assignment have been changed in order to remain confidentiality in line with the Nursing and midwifery Council (2015). Mary has a son and lives with her husband of 30 years. Mary was diagnosed with type one diabetes mellitus when she was 18 years old. Mary also has a leg ulcer which is effecting many aspects of her life. Although Mary has other health problems I will be mainly focusing on the leg ulcer.

The national league for 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). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. 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.

Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

Chronic Kidney Disease (CKD) is a disease that is described as a loss of kidney function gradually over time. As kidney function decreases, the waste collection in the body’s blood becomes high and makes the individual feel sick. This disease can lead to other complications in the body such as anemia, poor nutritional health, high blood pressure, and nerve damage. These complications will begin to progress and show as CKD progresses to advanced stages. Early detection of this disease is essential when it comes to treatment. If CKD is diagnosed early enough the disease progression can be slowed down and managed. This disease will eventually lead to failure of the kidneys

Ineffective breathing pattern related to decreased oxygen saturation, poor tissue perfusion, obesity, decreased air entry to bases of both lungs, gout and arthritic pain, decreased cardiac output, disease process of COPD, and stress as evidenced by shortness of breath, BMI > 30 abnormal breathing patterns (rapid, shallow breathing), abnormal skin colour (slightly purplish), excessive diaphoresis, nasal flaring and use of accessory muscles, statement of joint pain, oxygen saturations of 85-95% 2L NP, immobility 95% of the day, and adventitious sounds throughout lungs (crackles) secondary to CHF, hypertension, pain caused by gout and arthritis, and obesity

A nursing diagnosis identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular emphasis will be placed on proposed interventions to achieve Mr. Bertoli’s healthcare goals and the provision of rationales. This is important to justify the significance of the interventions and indicate

Nursing care plans are structured nursing processes that identifyf patients “needs, goals, and progress, and identify current nursing interventions” (Caple, 2016, p. 1). Identification promotes communication with other health professionals providing care to the patient (Caple, 2016, p. 2). Care adapted holistically will meet the patients unique needs promotes positive outcomes (Caple, 2016, p. 1). This assignment introduces Mrs Adams (pseudonym) and briefly discusses her nursing management plan on day nine of admission. Her management plan developed by the nurse included input from a range of health professionals, friends and family. One important aspect of Mrs Adams nursing management plan explored in depth is oral cavity

Every decision-making process requires the basic steps of problem identification, intervention and evaluation. In healthcare, both the nursing process and strategic planning involve proper identification of a problem, gathering of data, formulating a plan, and deciding which intervention is the best to implement. After the intervention, evaluation is necessary. Strategic planning and the nursing process both are essential when developing medical informatics. The goal of this paper to identify the nurse’s role in both strategic planning and the nursing process, describe the differences between them, and how nurses can become more involved in strategic planning in informatics.