Kora's Care Model

The evaluation of the nursing process is demonstrating the understanding of how to asses a patients overall life by using the 6 holistic approaches towards nursing which are; social, cultural, spiritual, developmental, physical and psychological. The 6 holistic approaches towards nursing are used for the nursing assessment phase within the nursing process to identify all key aspects of assessment and the skill of not just assessing someone on their physical wounds but also their wounds you as a healthcare worker may be unable to identify visually. The National Board of Nursing and Midwifery explains that all nurses and midwives are responsible for a patient’s level of care whether it be physically or any other 5 of the holistic approach to the nursing assessment (NMBA, 2006). Using the holistic approach towards nursing assessment doesn’t necessarily mean that the health care worker has to formally write down a nursing assessment it can simply be done when a healthcare worker is washing a patient, feeding a patient, giving medication and more, this is why a nursing assessment using the holistic approach is the most effective way to conduct a nursing assessment.

Nursing process is a systematic process that involves a continuous cycle of five interrelated phases: holistic assessment of a client, nursing diagnoses, nursing care planning, implementation, and evaluation (Wilkinson et al. 2015). It enables nurses to assess the person’s health status and health care needs, to create plans to meet the identified needs, and to provide and evaluate individualised nursing interventions according to the person’s needs (Luxford 2015). The holistic assessment is the first step of the nursing process that includes the collection of subjective and objective data related to the physical, psychological, social, developmental, cultural, and spiritual status of a client (Wilkinson et al. 2015). This comprehensive approach to nursing assessment is essential because it allows nurses to comprehend not only clients’ health status, but also their routines and needs in order to incorporate their life-styles into the care interventions (Luxford 2015). It ultimately enables nurses to provide appropriate quality person-centred care rather than nurse-initiated care (Luxford 2015). Responsibility for holistic nursing assessment is supported by the Registered nurse standards for practice (2016), ‘Standard 4.1: The registered nurse conducts assessments that are holistic as well as culturally appropriate’ (Nursing and Midwifery Board of Australia [NMBA] 2016, p. 4). This essay will discuss the elements and the importance of holistic assessment in nursing.

COPD is one of the many preventable diseases that health care providers deal with. Nurses needs to familiarize themselves with this disease process and how it affects the body, preventative methods, and treatment plans, so that they can be well informed when it comes to patient education. Education is a big part of nursing and considering COPD is the third leading cause of death, nurses will be in frequent contact with

In the first step of the Tanner (2006) model nurses use their personal knowledge and experience to notice whether the patient requires attentions based on their expectations and looking at environment of the patient. Therefore, for an experience nurse it is easier for them responding to the similar situation if she or he revisit because the knowledge is already there through experience. In the case of Mr Devi, assessment will perform using systematic assessment based on the ABCDE approach (Airway, Breathing, circulation, Disability and Exposure). The ABCDE approach is an evidence-based practice widely accepted and used by all the members of a multidisciplinary team (MDT) to assess an acutely ill patient (Harrison and Daly 2011). First, life-threatening

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;

This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will be discussed in-depth explaining the pathophysiology, social, cultural and ethical issues where appropriate in the care planning and decision making process. Any vulnerability that the patient may experience will be discussed and dealt with in the care planning and decision making process. The supporting evidence based literature will be analysed and

The goal of this assignment is to define the diverse forms of integrated care and to provide evidence on their impact both on the patient and also the future of the registered nurse. An integrated care pathway contains many elements in order to make it function. There must be a clear declaration of the aims, objectives and key elements of care founded by evidence, the best practice available and a consideration of patient expectations. The records, 24-hour care and assessment of changes and outcomes must be monitored. The assistance of communication, good organisation of people’s roles and sequencing the actions of the relatives, multidisciplinary team, and most importantly the patients. For an integrated care pathway to be truly multidisciplinary, it should never be developed by one staff group. At the outset, all staff groups involved in the patient journey should be identified. A typical working group should include doctors, nurses and allied health professionals, with input from administrative and managerial staff where it is necessary. If the pathway exceeds boundaries of care, such as, discharging patients to services outside the hospital or healthcare setting, reps of these groups should be involved with their integrated care plan. It is the integration of health care, social care, and other external agencies such as voluntary groups and private sectors that impact on the patients care and health professional’s quality of care giving. It does not need all

The aim of this essay is to explore evidence based nursing intervention in the care and management of chronic obstructive pulmonary disease (COPD) in an acutely ill patient. The acutely ill patient involved in this essay was admitted to hospital due to cerebrovascular accident and had a past medical history of myocardial Infarction, left Ventricular failure, peripheral vascular disease and duodenal ulcer as well as chronic obstructive pulmonary disease. This essay will provide a rationale for the chosen aspect of care (COPD) and reason will be given why it is a priority. In particular the essay will examine the significance of the underlying pathophysiology of the disease relating to the acutely ill patient other

Chronic conditions are associated with aging as concluded by (Niccoli & Partridge, 2012). As growth occurs, the body cells tend to decrease in function and become susceptible to diseases. However, individual lifestyle and comorbidity, such as smoking and obesity could lead to early chronic diseases such as Hypertension, Diabetes Mellitus (DM), Respiratory failure, and bone diseases (Fabbri, Luppi, Beghe, & Rabe, 2008). Caring for patients with such complex conditions could be challenging for nurses as well as other healthcare professional and could lead to poor care coordination, having to prioritize the care and consider the consequences of their actions and inactions (Schoen, Osborn, Squires, Doty, Pierson, & Applebaum, 2011). The complexity identified in Rowena’s case presentation is her comorbid obesity and her history of heavy smoking which could be linked to her past medical diagnosis; hypertension, DM, mild emphysema, as well as her current diagnosis of Respiratory failure (Fabbri et al., 2008).

“Teaching patients about promoting, maintaining, and restoring their health is a required nursing skill that most often results in a positive outcome, enhancing the patient 's quality of life” (Lewis et al., 2014, p.52). The intent of this analysis is to educate patients with chronic obstructive pulmonary disease on means that can enhance their quality of life and avert the progression of their disease. More specifically, it will focus on the aspect of teaching Mrs. N, a patient, how to effectively handle certain symptoms experienced with techniques like pursed-lip breathing and also, to upsurge the client’s awareness on preventative measures to abate the possibility of acute exacerbations. Mrs. N is a 100-years-old woman of Canadian and Arabic background. In mid-September, she was rushed to the hospital after experiencing worsening dyspnea and a fever. The doctors deduced a diagnosis of pneumonia and therefore, she was transferred to the medical unit at the Lakeshore hospital in order to be treated with intravenous antibiotics. Mrs. N has a past medical history of chronic obstructive pulmonary disease, hypertension, anemia, deep vein thrombosis and mixed dementia. Mrs. N is a retired widow with two daughters, who come and visit her on a daily basis at the hospital and encourage her to mobilize and eat because she has an extremely poor appetite on most days. She’s well cared for by a team of care workers in the nursing home where she lives and her daughters and

Pneumonia is a significant factor that leads to morbidity as well as mortality in nursing home residents. It has a one-month mortality rate that range from 15-35%. Nursing home residents are frequently referred to hospitals for diagnostic tests. They may as well be provided with acute health care services. In our qualitative study, we shall examine residents and family members’ perspective on pneumonia prevention. The study design that we shall use is qualitative descriptive in nature. The subjects will be residents and relatives who have received pneumonia treatment. We shall derive them from a randomized controlled trial. In total, we shall conduct 15 in-depth interviews. We shall then analyze the collected data editing style. The style was described by Crabtree to establish important themes. Both residents and relatives prefer pneumonia treatment to take place in nursing homes where applicable. Caring and attention crucial during provision of care and they can only be attained in a nursing home context. Interventions to control hospitalizations of nursing home residents suffering from pneumonia are congruent to residents and relative preferences.

The RLT model is considered a holistic approach (Holland et al 2003) to provide individualised care to a client. It features interlinked components that look at the complexities of living and the relationship the AL’s have with each other. ‘Lifespan’ is an important concept of the model because as the person moves along the line representing the lifespan continuum there is dynamic change on all aspects of living influenced by biological, psychosocial, sociocultural, environmental, and politicoeconomic circumstance relative to the individual. These factors of the model are outside the scope of this assignment, however, it is noted that as the influence the AL’s they in turn contribute to individuality. Individuality is the primary

how the patients are managing. Inquiring about their life style, previous medical history, smoking habit and current problems are essential. It is important to care for patients in a holistic, patient-centred way. Treatment should take into account people’s preferences and they should be allowed to make informed decisions. Patients with heart failure require close monitoring while in hospital, furthermore all through discharge patient’s preferences have to be taken into account. During discharge, patients are routinely referred to other parties such as palliative care team, occupational health, and physio therapy and district nurses, therefore it is essential that all health care professionals are aware of other organisations and their roles

Breathing is the priority that I will be addressing and “...must be considered of prime importance because it essential for all other activities” (Roper et al 1996). In Mays case the main problems identified in the nursing assessment were shortness of breath (SOB), cyanosis and a non productive cough. Because of the complexity of illnesses of the respiratory system and the potential systemic effects if not managed appropriately the initial assessment was very important. Part of the assessment is to document any history of chronic lung problems which in Mays case is diagnosed asthma and any medications she is taking for this. The purpose of the assessment is to discover the individuals’ normal breathing habits and comparing to the physical reality of the situation. This assessment also included taking a smoking history to plan for smoking cessation if the patient wished to do so which at the time she did not, and to evaluate Mays psychological condition as anxiety can have a huge biological effect on breathing (Roper et al 2001, Holland et al 2003)

Throughout this essay, the chosen nursing model of assessing a patient’s social needs and medical history; Roper, Logan and Tierney (R-L-T model) Activities of living (AL) will be outlined (Holland et al, 2008). Through the use of substantial and relevant theoretical literature, AL will be highlighted i.e. biological, psychological, political economic, environmental and social-cultural issues. This will include theoretical highlights of care given to a patient admitted in hospital holistically. Basically by assessing and examining the importance of model and framework in nursing practice will help to understand the patient and rationale. A framework of Assessment, Diagnosis, Planning, Implementation and Evaluation (A. D. P.I.E) will be