Macro-Level Practice Skill: Needs Assessment

A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”

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.

Thus, the aim of this paper is to assess the determinants of health that affect a specific client by taking into account Gordon’s Functional Health Patterns. Gordon’s Functional Health Patterns provides an effective framework for evaluating the many factors that can affect an individual in his or her day-to-day life. This method was developed by Majory Gordon in 1987, and used as a guideline for establishing a comprehensive nursing assessment. By using these specific categories, health care professionals are able to create a standardized method to collect data in order to determine aspects of health and

I will now talk about each patient needs as they all differ from each other. Nusrat Patel is 19 years old and has learning disability. This means Nusrat has difficulties in keeping knowledge and skills to the expected level of those the same age as her. Nusrat also has epilepsy which is neurological brain disorder when someone has epilepsy, it means they tend to have epileptic seizures, a seizure is a sudden attack of illness. Nusrat has left residential school to receive full time carer from her mum who has stopped working to care for Nusrat. At times this can be stressful so Nusrat attends the community centre on Tuesday and Thursday which allows Nusrat mother to have a break. Maria montanelli is 34 years primary school teacher who is much like Nusrat mother and takes care of her 96 years old mother who has dementia. Dementia is memory loss and difficulties with cognitive development. Being a primary care for her mother Maria feels she not performing at her best ability because of her lack of sleep which occurs when she assists her mother to the toilet several times. The last patient I would like to mention is Alice Fernandez she is 74 years old who recently lost her husband who had lung cancer. Alice doesn't use her pension the right way as she purchases many drinks as an alcoholic and has increased since her husband passed away. She has been prescribed antidepressant tablet by her G.P but made her lethargic this means she's become slow and sluggish.

These days’ different organisations are involved and are influencing the system when dealing with social problems. Firstly, the citizen’s individual’s participation to improve the wellbeing of the community. Secondly, the community they may represent the interest of a group, organisation and / or individuals. Lastly, the government they have the responsibility for legislation, social and economic planning, public policy and program, safety and protection of community members, etc. Government agencies invest and deliver services for the community such as: education and employment opportunities; secure, sustainable housing and infrastructure; and good health and wellbeing across the life course. These diverse services are provided to people across their life span and include: community development; early intervention services; advice and information; crisis support; and ongoing services. (How government works, 2016)

It is important to review care and support plans as people’s needs change. By including the person, their family then everyone knows what is happening and the family can help to monitor mood swings and behaviour. The individual and the family can express their views and preferences and any relevant risk assessments may be done with everyone involved. By monitoring the individual, a decision can be made as to whether the changes are effective and if the best care is being given to encourage independence and promote dignity.

There are many forms I use to assess an individual’s needs. The first bit of the information comes from Derby City Council, which is called a outcome based support assessment. This is what they use to identify someone’s needs and how much care they require. The information on this document is great for Derby City to use, but I also need to do my own and adapt it so it’s easier for a care worker to understand as they are the ones who will be doing the care. It’s important that I read this document before going out to do my own care plan as it gives me a bit of back

The needs assessment relates to an individual’s care and personal needs, the assessment centres on the activity for daily living and the

Due to the lack of data collected in the past, action/participatory research will work the best for this needs assessment. I will have more luck collecting data by participation and interviews. Observation, surveys, and interviews will be the best way to collect information and determined the needs and wants of the target audience.

In this assignment I will select a vulnerable population sub-group and consider how social science contributes to understanding the social problems encountered by this group. I will do this by firstly explaining and identifying and locating the chosen sub group within the broader societal context. Next by explaining why the chosen sub group is considered to be vulnerable with reference to relevant theory and research based evidence. Then I will be identifying and explaining the role of relevant agencies, both non-governmental organisations and governmental in relation to welfare provision for the chosen sub group. Finally I will discussing the role of social science in informing public health and welfare practice in relation to the chosen

In this assignment a nursing assessment was identified and used to get information from the client that painted a broad picture of the client which enables us as health professional to understand what is happening for the service user (SU) and what interventions could be provided to the SU in a holistic manner. Holistic care consists of regarding the patient as a ‘whole person’, that is, with biological, psychological and social needs. This is then supported by the recovery principles which then accounts for the unique needs of individuals in need of health care (Bullington,J &

The mental health intake form I chose from the internet was lacking in multidimensional methodology and lacked significant information about client subsystems. Accordingly, the questions that regarded behavioral functioning did not cover presenting problems thoroughly. Specific questions about coping skills, social skills, and parenting skills were absent. Although, one question was asked regarding the client’s relationship with their children (which could insight into parenting skills), it was too open ended to get any major information. The assessment contained a section on legal history that was also not thorough. The spiritual section lacked crucial information. For instance, it did not ask about supportive relationships (i.e. name of a

Those desires also must be satisfied to avoid “dire consequences.”4 Desires and aspirations for social support, to stay in their own homes, to be understood, to be financially stable, and to return to former function are entailed in the construct of holistic comfort that embodies physical, psychospiritual, social, and environmental needs.2 Because the theory is based on the needs of patients, it is a representation of what patients hope to receive from nurses who are assigned to their care. Two facets of human needs have been identified and described as reflexive. First, needs provide a motivational drive

It is worth stating that to assess the quality of social science research; four criteria of evaluation can be applied: validity, reliability, comprehensiveness (generalization) and coherence (objectivity) (Hugh 2001:49). These criteria have been found to be more applicable to quantitative. However,

The level of assistance required by the client varies depending on their level of ability/disability. Some clients require full, partial or just occasional assistance to maintain and enhance their independence. The client is assessed to identify what they can do, can do with assistance and cannot do at all (Gill and Macmillan 2013). Healthcare assistance (HCA’s) should observe and report and only do for the client what they are unable to do themselves. Examples of assistance that may be required include support and time when