Geri-FITT Model In Nursing

As a provider of care, professional nurses depend on research, theories, and evidence based practice to guide the care they provide to patients. Nurses deliver care to their patients based on information they have learned through many years of school and training. Training for nurses and other providers of care is founded on theories, research, and evidence based practice in the healthcare field. Theories, research, and evidence based practice are all important for providing care to patients and each can be used in a different manner depending on the situation. Clinicians often use research based evidence to design and implement care that is high-quality and cost effective for patients. Evidence based practice can be used to provide care to patients in a steadily changing clinical environment. (PDF page 8-9). Nursing theories are frequently used as frameworks for establishing nursing care interventions and assessing

Improving the quality of discharge planning in acute care include addressing the lack of appropriate staff and patient education about appropriate planning for discharge (4). This includes implementing proper discharge teaching regarding signs and symptoms to seek medical attention, management and care of medical equipment, and access to community resources (4, 5). Other challenges are patients with complex comorbidities too difficult to discharge as well as lack of community supports and equipment for newly discharge patients and lack of rehabilitation and nursing home beds (4). Consequently, acute care units are pressured to vacate hospital beds in response to the growing elderly population. Hospital professionals tend to focus discharge teaching and preparation on medical areas such as diet, activity, treatments, and medications (5). Community referrals to appropriate services at the time of hospital discharge does not often happen contributing to poorer patient outcomes and re-hospitalizations

As people’s life expectancy increases, the nursing field needs to keep pace with the rapid changes. There’s increased needs for nurses in many different field as well such as nursing home, hospitals, ambulatory cares, palliative care, and hospices. Therefore, an expectation of a role as a nurse has been rise. Nursing skills and knowledge cannot remain limited, but need to utilize in more various setting. In order to provide better care in various nursing field, continuing education is essential. For example, as population and their lifespan increases there’s also new diseases and new treatment has been developed. A competence nurse must embrace old and new skills and thorough knowledge to achieve best quality of care and optimum patient’s overall outcome. The quality of patient care heavily depends on nurses’ level of education. One research proves that nurses who received higher level of education showed lower mortality rate, less medical errors, and higher patient satisfaction. This outcome is related to higher education which prepared nurses to handle various circumstances with appropriate answers. Nurses are people who spend most of time with ill individuals at the bed side. Nursing education will provide new demanding roles of nurses’ requirement such as seeing the patient as a whole, providing appropriate response to patient’s condition, and integrating knowledge and skills accordingly.

The nurse would identify if this was a community acquired problem, a lack of knowledge of disease process and prevention, or perhaps the result of poor socioeconomic standards. The nurse would then focus on educating the patient on proper health promotion and disease prevention so that he/she could help to prevent the patient from returning after discharge. The BSN’s advanced education that focuses on community health, advanced assessment skills, health promotion, and evidence based practice, gives the nurse the skills and confidence needed to treat the whole person in and out of the hospital setting These skills allow them to be leaders in the community and amongst their peers.

I chose a learning plan topic that would increase my nursing practice competency as a senior nursing student, would be relevant to my placement setting, would build on my knowledge obtained from completing NSE417 – Nursing Practice IV class and NSE407 – Nursing: Professional Issues and Trends class, and was approved by my Primary Preceptor and Faculty Advisor (FA). With a global trend of an increasing senior population and having a placement in a nursing home, it was important to choose a learning plan that focused on the challenges and trends in senior safety. My Overarching goal for my learning plan was to expand my knowledge and critical thinking skills related to expertly assessing and managing elder frailty in a long-term care setting by Tuesday, March 1, 2016. By completing this learning plan, I have fulfilled and demonstrated the College of Nurses of Ontario (CNO)’s Continuing Competency Standard by performing a self-assessment of my knowledge, developing and implementing a learning plan, and evaluating the outcomes of the plan (CNO, 2002). Ultimately, the goal is to enhance geriatric care at my placement setting and advance my competency in delivering safe, ethical, competent client-centred care.

Ineffective discharge teaching often leads to unnecessary admissions to the hospital resulting in negative patient outcomes and decreased patient satisfaction. This negatively impacts the well-being of the patient and creates a financial burden on institutions. As a result, this universal practice issue requires a call to action on the part of the nursing profession. Nurses can proactively assist in assuring incidents of readmission do not occur. Nurses as educators play a critical role in the successful transition of patients from hospital to home. The overall goal of discharge education is to ensure there is an exchange of critical information between the patient and nurse in which plans of care are understood and followed. The research

Nursing care is focused on the assessment, nursing diagnoses, planning, implementation, and evaluation of patients. This nursing process can also be implemented in aspects outside of nursing and on the nursing field as a collective group. The nursing role is evolving, following the process the outcomes have to be evaluated and put into perspective. Research is being completed the conclusions are all the same, the higher education of nursing care the better the patient outcomes.

CNA Code of Ethics for Registered Nurses (2008) provides guidance in dealing with cases like this by explaining the core nursing values and responsibilities involved which are: a) providing safe, compassionate, competent and ethical care; b) promoting health and well-being; c) promoting and respecting informed decision-making, and d) Preserving dignity; e) maintaining confidentiality, f) promoting justice and g) being accountable. The first nursing value is always expected to be upheld in any case because it is their duty to provide care using appropriate safety precautions and preventing/minimizing all forms of violence (CNA, 2008). The collaboration of the nurses between the physician and Mr. C’s family has been evident since then. This therefore calls Mr. C’s nurses to be more compassionate about his situation and try to recognize where he is coming from as they build a trust-worthy relationship before judging him or jumping into conclusions like he does not want to live anymore. Even if he decides to withdraw from these potentially life-sustaining treatments, health care providers are still obliged to give him the care he need the best way they can up until the end of his life. The second nursing value, just like the first one, still calls nurses to still aim to promote or at least maintain Mr. C’s health and well-being to the highest possible level regardless of the path he had chosen for his life. This can be achieved by continuing to collaborate well with other

The AICU is full and the discharge planner is under pressure from his supervisor to free up beds, which are needed for other critical patients (Belhaven University, 2015). The hospital’s business office requests if the patient can be discharged from AICU due to the cost being the responsibility of the hospital, in the amount of $9,000 per day, or if the family will agree to disconnect the ventilator. Unfortunately, “the attending physician is new on the

Therefore, he promotes his idea about integrated delivery system to the board, and he forms a group called “The Geriatric assessment and Care Planning Team” which gather medical, rehabilitation, social services, nursing staffs to work together on resident health assessment. But his plan bristled with difficulties.

A student, in the practical nursing program, giving the best care by using and applying skills, principles, and guidelines is the main concern. Seventy-five percent of patients in hospital are elderly simply because of their fragility and decrease in their immune system which would cause mature adult to develop a health problem. Every week is about meeting new patients with different type of diagnosis so skills can develop and one of the patients has caught a particular attention.

The Rhythm Model in Current Nursing Practice There are many nursing theories and models to choose from when establishing a career as a nurse. Nursing practice can be stemmed from numerous theories and models; many times, nurses choosing parts from several. Nurses are viewed as being compassionate, empathetic and advocates for healthy lifestyles. A main focus is put on patient education and building a relationship of trust, tailoring a continuum of care to the patients demographic and their environment.

Case reviewed with the patient's daughter who is present at the patient's bedside. The daughter states that she would like the patient to go to Life care for rehab when discharge. All question answered. No concerns reported.

As an administrator I would need to take into consideration the patient’s autonomy, autonomy is recognizing an individual’s right to make his/her own decisions about what is best for them regarding their health care (Pozgar, 2012). The patient’s rights always should be considered before any decisions are made by any other family members. In this scenario it is clear that the patient is unable to make any decisions, the patient has suffered a serious brain damage, and although it is not complete brain death, we must determine how to proceed.

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.