How Dynamic And Vital The Nurse Client Relationship Essay

Case managers working in the theoretical framework of the strengths model work to identify, secure and sustain resources that are both external (i.e., social relations, opportunities, resources) and

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

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

In this essay we are going to explore the connection between professional nursing practice and professional caring. I will outline the terms of professional nursing practice and what makes nursing a profession? I will describe the term of professional caring and the connection to the nursing practice and discuss the dilemma of care and cure. And also determine the importance of both in professional nursing practice.

The hand over process of communication between nurses to nurses is done with the intention of transferring essential information for safe, and patient centered care. Traditionally, this shift report has been done away from the patient’s bedside, at the nurse’s station, or other place like staff’s room. In addition, the shift report used to be delivered through audio recording of the patient’s information. These reporting mechanisms did not include face-to-face reporting of the patient information, nor involvement of patient. Therefore, information regarding the patient’s care was not shared with the patient, leaving them out of his/her own care plan. Recent studies and development of Patient Centered Care Philosophy have challenged this belief of giving a report away from the patient. Tan (2015) said, “Shift report must not only be restricted in nurse to nurse communication, but it must involve patients as the recipients of care” (p. 1). Incorporating the patient into the end of shift report is essential for providing patient centered care and patient satisfaction. Nurses at the St Jude Medical center in the acute in-patient rehabilitation unit are not exceptional. Most of the end of the shift report between nurses are still done away from the patient. Aim of this paper is to make a change in the work place, which is the process of giving end of shift report at the bedside incorporating patient and families in the acute in-patient rehabilitation unit at St Jude Medical

Regarding the treatment of mental illness, there are two effective forms that have caused considerable debates in the field of psychology: the medical and the recovery models. While there are significant differences between these two models, they are both effective when used concurrently. The efficacy of the medical model alone is diminishing as it focuses too narrowly on treatment goals, and may ignore the needs of the client. On the other hand, the recovery model focuses on the client and allows them to take control of their treatment and rehabilitation, which helps promote positive change. Recovery is often seen as a lifelong journey that requires the client to be wholly involved in the recovery process. This is why the recovery model values

In an inpatient setting, patients admit with a mental health crisis and are especially sensitive to interactions with others. Often the first levels of engagement are challenging due to medications that are first given to stabilize each patient. During the engagement with Mark, it was important to encourage the sense of wellbeing towards recovery and placing a focus on his strengths. Engaging a client with their challenges and goals are suggested to be of focus instead of an individual’s mental health status or symptoms (Novotná, Urbanoski, & Rush, 2011).

The theory contained four major concepts that can be considered theoretically simple. Although the theory can be considered simple, it does not fit the idea of parsimony because it mainly accounts for psychiatric nurses specifically. However, the theory can still be applied generally to relationships with clients and any healthcare profession. Another consideration is that the client has to be able to perceive difficulties and therefore an infant or young child, comatose client, or mentally disabled client limits the generality to whom it is applied. The accessibility of Peplau’s theory can be validated through the indicators of an effective interpersonal relationship with empathic linkages and progression through the stages. Being able to assess behaviors is an ability accessible to most, which can be accessible to nursing practice whether it is in the community setting or hospital setting. The importance of Peplau’s theory contributes to the valued nursing goal of wellness by improving relationships that strengthen self-worth, provide a sense of connectedness with others, and support self-confidence.

The recovery principles address that, this will be achieved by promoting a culture of hope, promoting self-autonomy and self-determination. Collaborative partnerships and engagement, focus on strength. Holistic and personalised care, engaging family, carers, supporting people and significant others, responsiveness to diversity, lastly, reflection and learning. (Cockram, 2011).

The author will also discuss the principles of the Mental Capacity Act (2005) and the Mental Health Act (1983) and how it protect an adult who is vulnerable and lacks capacity. Likewise, the author will discuss ranges of nursing interventions, person-centred care, and ethical dilemmas.

In this essay I will discuss a service user I encountered on recent practice placement who was referred to the hospital after she has been deteriorating in mental health and she has bipolar disorder. I am going to discuss the assessment and development of the care plan of the service user. The essay will also consist of a brief biography of the patient’s contributing factors towards her present mental health circumstances. The relevant culturally sensitive engagement and assessment skills used by the nurse in their relationships with the service user will be discussed. I will also explore legislative and nursing frameworks that influence and contribute to positive and hopeful service user’s care. The assignment will also explore the

Analyzing the journey of a hospitalized patient is imperative in nursing practice in order to produce holistic, strengths based care (Gottlieb, 2014). When examining the patient and his or her journey, it is crucial for the nurse to explore many factors including the patient’s personal history leading up to admission, the unique and individualized care plan, impacting strengths and gaps within the healthcare system, as well as the factors affecting discharge care and planning. For the purpose of this paper, a patient by the name of Anna will be explored in order to highlight essential aspects associated with providing holistic care.

During my work placement I noticed that nurses work in a variety of services and are in an ideal position to promote patients’ mental health and wellbeing by helping and empowering them to realise their abilities rather than focusing on their disability or illness (Ruddick,2013).

The first stage of this framework is coming to know the client, which requires the nurse to understand that the personal meaning of health and healing is individualized and the context of this area is highly subjective. Gillespie and Paterson (2009) state that “clinical decision-making processes are triggered by recognition of a cue from a patient” (p. 167). In the case of this patient, the decision was based off a cue; a change

Alternatively, often families and patients particular those with long-term health conditions become experts with regards to their health (Humphris, 2000). One role of the nurse is to promote autonomy and empowerment??? After being informed, Susan can move into the contemplation stage. This is when the individual is thinking about making a change in their behaviour. David is already in this stage, however, the nurse must assess his mental capacity before moving forward.