Personal Goals and the Care Plan When planning the course of action to be taken in order to improve Jack and Jacqueline overall health, there were many aspects that had to be considered. These aspects included, but were not limited to examining how the nurse could get Charles involved in this caring process despite his limited acknowledgement of Jack and his health, as well as what actions could be created to improve and benefit Jack and Jacqueline’s health, while also not creating more stress in their home environment. By considering these aspects, an action plan was developed in order to reach the established goals, which were to treat Jack’s respiratory illness, correcting Charles’ and Jacqueline’s potential false knowledge of Downs Syndrome, …show more content…
One of these norms that helped to guide care was the development of the therapeutic nurse-client relationship. Creating this relationship would have allowed for the establishment of trust and respect between the nurse, Jacqueline, and Jack, thereby fostering care and the improvement of personal health. Despite this nursing norm being implemented within the assessment as well as the care plans of both Canadian and Rwandan perspectives, there were also aspects that varied between the practices and norms implemented by the two perspectives. One norm in particular that was apparent in the Canadian, but not the Rwandan perspective was the utilization of community supports. Community supports can help to improve the health of individual(s) by employing various resources that can assist in reaching of the most desirable outcome(s) for said individual(s). As nursing in Canada is thought to be a practice that involves large amounts of collaboration, community supports are a common resource that many nurses rely on and incorporate into care. Moreover, although the Rwandan perspective did not suggest the use of community supports in Jack and Jacqueline’s care, this viewpoint still worked to address their goals, but in a way that solely involved the nurse providing …show more content…
One goal in particular that was showcased as possibly being greatly impacted by the health system was the goal to foster and improve Jack’s cognitive development. From the Canadian perspective, Jack’s cognitive development can be immensely supported through various government-funded health programs that are offered throughout various communities to children with disabilities. Also, public schools can provide the assistance children like Jack require through the use of Educational Assistants and individualized learning; regardless of this particular action occurring within the education system, it is shaped by the practices within the health system to ensure that each child’s individual cognitive health needs are being met. These health-based actions are a fantastic way to improve Jack’s development and are easily accessible as there would be no out of pocket cost to Jacqueline and Charles. From a Rwandan perspective, this goal of fostering Jack’s cognitive development may be more difficult to reach as the services required for further his cognitive improvement may not be available and/or they may be available but at a large expense to the family, one in which they may not be able to afford. In spite of both perspectives having the same objective of improving Jack’s development
Clients are assessed in a holistic way to identify the needs and therefore to provide individualised care plan. For instance, people unsteady on feet might need minimum support in personal care under the provision of safety as well as maintain their independence. Some with poor vision accuracy might require assistance in medication management due to the high risk of error in medication administration. Besides, chronic conditions have profound negative impact on individual’s life such socialisation (Carrier & Newbury 2016). Social isolation could further impact on physical and mental health. Nurses can address this issue by teaching clients to understand their conditions and work with them to set goals for long-term management. Nurses could also empower them to participate in the community programs such as craft workshop and bus trip. Individual’s socioeconomic position, employment, education, housing and other resources influence one’s health and wellbeing (Marmot 2005). I have come across clients from various cultural backgrounds. As a community nurse, I also need to understand client’s culture needs, family structure, and cultural norm, by addressing their preference and the language barriers. These barriers may prevent clients from seeking relevant services if they do not
Studies show, that dynamic nursing participation in conjunction with their patients is vital to attain at culturally consistent care, and to achieve patient care needs in their specific environmental frameworks (Smith & Parker, 2015) Based on the knowledge that an individual is made up of their own culturally diverse environment, nurse Hernandez sets up a culturally sensitive plan of care at discharge. Mrs. Franklin-Jones is from a Jamaican culture. Her shared story tells the nurse her values and ideas about health-related self-care. The theory of culture care diversity is significant in the care of Mrs. Franklin-Jones and other patients. It suggests the value of culture, and its promotion in the plan of care is the key to recovery. When the patient feels comfortable in his or her skin, the willingness to learn how to advance health is
Effective nursing practice is in need of on an effective therapeutic relationship between the nurse and the client. This instruction addresses the qualities and capacities of an effective therapeutic relationship, the state of knowledge, and the information needed to be effective. To implement a therapeutic relationship effectively, hospitals characteristics must be supportive. The therapeutic relationship is also known as the helping alliance and it refers to the bond between a healthcare professional and a client. It is the means of professional hopes to involve with, so as to change the outcome result of the client. This relationship is significant to the client’s orientation
This is because the nurse had already provided Jack with a referral to the local hospital so that a physician could further assess his symptoms and possibly prescribe him one or more medications that could assist in controlling his symptoms. I also believe that this goal will be easy to achieve because despite Charles having recently begun smoking inside the family’s home, he will likely be able to make the transition to smoking outdoors without much difficulty, which will thereby prevent Jack’s illness from progressing further and protect his daughters from falling ill as well. Moreover, when reviewing which of the health practices within the care plan will need to be better accommodated to Jack and Jacqueline’s health needs, it is evident that the nurse may have to adapt how he or she works to improve upon Jacqueline and Charles’ current knowledge of Down Syndrome. As Charles has difficulty accepting Jack and his disorder, providing him with accurate information regarding his son’s diagnosis may be ineffective as he could decide that what he is being told is not important or that it is of no use to him. Therefore, the nurse must work with Charles to, at the very least provide him with some general information about Down Syndrome. If he or she then notices that Charles has decided not to listen to what is being conveyed, this relay of knowledge must cease. From here, all of the crucial information regarding Down Syndrome that the nurse has gathered for both Charles and Jacqueline must only be relayed to Jacqueline. This will thereby prevent any further fuelling of Charles’ rejection of Jack while also ensuring that at least one of Jack’s parents is accurately informed about his
St. Paul's L'Amoreaux Centre provides programs and services for older adults from all backgrounds. Most of these clients have children living nearby or in the GTA area. The clients at SPLC are all independent and can live on their own. Some of the important determinants of health that are relevant to this client group is income and social status, social support networks, education and literacy, social and physical environments, personal health practices, coping skills, biology and genetic endowment, health services, gender, and culture. All these social determinants of health will affect each individual in a different way, so as a nursing student we have to pay attention to how one determinant of health may be a concern for one specific client.
Who is the person the nurse is caring for? Where is that person from? Does this person speak English, or understand what the caregiver is saying? What is this person’s cultural background? What are the health beliefs of this person, what are their illness beliefs and practices? These questions are answered differently depending upon the person and their heritage. As healthcare providers it is important to have a broad knowledge base in regards to different cultures and people’s practices to deliver effective health care. In 2006, the population of
Nurse and patient relationships are referred to therapeutic relationships, they are a person-centred approach to care (Berman Et al 2012). For a therapeutic relationship to be effective in meeting the client/patient goals the nurse needs to ‘earn the person’s trust and respect.’ Berman Et al (2012) suggests that the trust and respect of a patient can be earned through ‘sound nursing knowledge and use of effective communication.’ This is reflected in the Nursing and Midwifery Board of Australia’s competency standards. These national standards that are regulated and followed by all nurses, they are updated regularly to remain contemporary and
Think back to when you were a child and you became ill. All you wanted was the protection and guidance of your mother to take care of you. If you had older siblings, maybe they were the ones that helped make you feel better. Even as we grow older, we rely on our family for support when we are not well. When a family member is ill, it is not just that one person that suffers. When an illness strikes a family member, it oftentimes includes the whole family to deal with the illness also. There are different approaches that a nurse can utilize when dealing with family nursing. Approaches include family as context, as a client, system and a component of society. In this paper, I will discuss where and how these approaches are utilized.
The United States is constantly changing and with it there are bound to be changes in how we care for our patients. Nurses must be diligent and learn about their patients and the individual’s cultural values. The Health Assessment tool is important in learning about a patients way of life and preferences on how the want to be treated. According to Leininger (1991), “health refers to a state of well-being that is culturally defined, valued, and practiced, and which reflects the ability of individuals (or groups) to perform their daily role activities in culturally expressed, beneficial, and patterned lifeways” (Creasia & Friberg, p. 109). This is essential to avoid conflict and stereotyping, and help with increasing dialog that can help the healing process.
This essay will discuss the role of the adult nurse in a recovery setting, within the specific context of Nurse Joy and her patient Linda. It will explore the professional values and attitudes of the recovery nurse. Also, it will demonstrate how effective, holistic and evidence-based nursing can impact on patient experience and care. To explore these topics, this essay will discuss the episode of care given by Nurse Joy to Linda. It will show that her practice adhered to the expected standards of nursing while showing compassion respect and dignity of the patient. A reflection will conclude the essay, explaining what impact the experience of observing Nurse Joy’s practice had on the author of this essay. In accordance with the Nursing and Midwifery council’s code of conduct 2015, all patients and healthcare professionals have pseudonyms to protect their confidentiality and anonymity.
Moxie, 2007. Maureen Leahey & Lorraine Wright. Family Nursing Resources. Retrieved February 3, 2008 from http://www.familynursingresources.com/aboutus.htmPerry, A & Potter, P. ( 2006) Canadian fundamentals of nursing. (J.Ross-Kerr &
Using College of Nursing of Ontario (CNO) documents, Registered Nurses Association of Ontario (RNAO) documents and four nursing articles the outline of a nurse-client therapeutic relationship will be defined through a John’s Model (Johns, 1995) and Carper’s ways of knowing (Carper, 1978).
A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.
The therapeutic relationship between a nurse and (SU) impacts on the health and wellbeing of the SU. Elements of the nurse SU relationship include trust, respect, empathy and professional intimacy these elements need proper use of the characteristics of the
Nursing theory is foundational to nursing practice; however, there exists a reciprocal relationship between practice and theory. Through examining nursing theory, the nurse can make better-informed decisions about the patient’s care. In addition, the theory will influence the care for future patients as well. One theorist that changed the landscape of nursing is Madeleine Leininger. Her culture care theory changed the dialogue of healthcare regarding care. This paper will discuss the importance of theory in nursing theory. Next, a summary of Leininger’s theory will precede a discussion about how the theory will be applied in a nursing context. Finally, the correlation between Leininger’s theory and the practice of a nurse practitioner will ensue. Her culture care theory will inform the practice of a nurse practitioner and how culturally competent care will be given.