This essay will focus on a patient in the community environment. It will first provide an overview of factors such as social, psychological and physiological from the past and present will be demonstrated and how nursing intervention were implemented. It will provide a comprehensive assessment of care to identify the patient’s needs and make plans on how to provide good quality care to the patient, as it is emphasised by the Nursing and Midwifery Code of conduct (NMC, 2015) ‘Make the care of people your first concern, treating them as individual and respecting their dignity’. Furthermore, it will discuss how the role of a nurse promotes autonomy, independence and self-care which encourages and empower the patient to share decision about their treatment and care (NMC, 2015).
Also, this essay will reflect through making a reference from practise placement experience the importance of nursing values upon which care is based on and it will collaborate with the module content which include a holistic approach toward the care, 6Cs, person-centred care and NHS values. In addition to this, active listening, building therapeutic relationship and gain consent between
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She lives alone in a bungalow and she has carers coming in three times a day to assist her with her personal care and her daily living. Grace has a history of high blood pressure and she was diagnosed with depression at the age of 40. The blood pressure is under controlled she takes amlodipine. She is a Christian, she goes to church every Sunday. During her spare time, she enjoys going to meal with her family and friends. She is a retired teacher due to her medical condition. Recently she suffered a stroke resulting in right side weakness and dysphagia. Stroke it is the disruption of blood supply to the brain. There are two types of stroke haemorrhagic and Ischemic stroke. Grace had Ischemic stroke, it occurs when blood vessels carrying blood to the brain is blocked by a blood
This reflective assignment will focus on one of the 6C’s related to nursing practice, personal experiences and how I have improved in confidence and gained further development in the different fields of nursing as my role of a student nurse. Jane Cummings introduced the 6C’s values as care, courage, compassion, competence, communication, courage and commitment. These are an implementation of the vision and strategy for Nurses, Midwives and Care staff, set out in the national nursing strategy (Department of Health 2012). The 6C’s came into practice in 2012 as part of England’s national nursing strategy, however there have been mixed responses, as to whether the 6C’s have actually focused on nursing care or an individual’s nurses ability to provide good quality patient care (Merrifield, 2015).
This assignment will explore and critically evaluate the role of the registered nurse in the development of a plan of care that is patient centred. This will involve examining and critically analysing the chosen nursing model in a holistic assessment of the patient and the use of the nursing framework ASPIRE (Barrett, Wilson and Wollands, 2012).
The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.
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
Setting the Stage: Patient 1 is an 87 year old retired man who arrived by ambulance. His last admittance to the hospital (from the nursing home that he lived at) was 2 months ago. According to his medical records, he had a history of peripheral arterial occlusive disease and deep vein thrombosis, and came in due to leg pain and a urinary tract infection. While the patient did not have a diagnosed neurocognitive disorder, the patient appeared delusional, and told the occupational therapist that he (the patient) was a retired occupational therapist, but had told the physical therapist the previous day that he was a carpenter. The patient was being treated for depression and anxiety with medications.
As a Registered Nurse is a crucial component to ensure that there is effective communication between the nurse and patient. As well as being respectful to the person’s dignity, culture, values, beliefs and rights. This is because everyone is different, and due to this it is important that I am being cautious to each person’s individual needs.
After establishing the community goals, resources and constraints, two public health nursing interventions were identified. The first intervention includes a one-hour mental health education class held for school-aged children at the local Boys and Girls Clubs. This class will be provided by nursing students from the University of Arizona. The students will then facilitate a cognitive-behavioral therapy activity that will address mental health, and emphasize different coping skills and how to deal with bullying. Therapy will include an art project where the participants will write negative thoughts or feelings on a drop sheet. The drop sheet will then be hung as a target and the participants will throw water balloons filled with paint at the
Nurses are responsible for promoting and enhancing client health by implementing interventions that prevent illnesses and minimize deterioration (Watson, 2008). In order to assist Mr. X with ventilation, I implemented several interventions that assisted with the accomplishment of this human need. This comprised of the usage of comfort measures to assist with ventilation which included repositioning my client into a semi-fowler position by elevating the head of the bed 45 degrees with the arms supported by pillows. This allows the diaphragm to expand with some ease while stabilizing the chest and reducing breathing efforts. Also, I encouraged breathing techniques, such as pursed-lips, which assisted in reducing respirations while improving the laminar flow of the expired air (Loring et al., 2009).
The purpose of this essay is to reflect on a challenging situation I experienced during clinical practice as a student nurse. The essay will discuss my thoughts and feelings surrounding the situation and analyse the coping strategies I used in managing the situation, linking to relevant theory throughout in order to provide evidence for practice. The essay will also consider person-centred care and whether this was delivered to the patient. To conclude, the essay will discuss what I have learnt from the experience and how this experience will improve my future
Good evening class, the assessment tool that I was given to learn about was Fulmer SPICES acronym. This is useful for common syndrome of the elderly that will require nursing interventions. As to the article and video that I watch, it was about a 70-year-old female African American. Medical history of sickle cell anemia, congestive heart failure and total hip replacement.
In year 2000 and 2010, an estimated 1 million hospitalizations for Congestive Heart Failure (CHF), of which most of these hospitalizations were for those aged 65 and over, the share of CHF hospitalizations for those under age 65 increased from 23% to 29% over this time period (Hall, Levant, & DeFrances, 2012). According to Held (2009), acute decompensated heart failure (ADHF) ensues when cardiac output fails to meet the demand of the body’s metabolic needs. The fluid volume overload makes the unstable condition necessitates instant treatment for the reason that it impairs perfusion to systemic organs, endangering their function.
That is another great post from you. Your nursing intervention is very interesting. It is always prudent to do the non-invasive and non-pharmalogical interventions before trying the other alternatives, however how effective is the non-pharmacological intervention in managing pain in patients experiencing severe pains from trauma or major injury? As you said this intervention will take a longer time compare to push meds. Thanks for
The NHS have 6 core nursing values, launched by England’s chief nursing officer, Jane Cummings, after the Mid-Staffordshire disaster. These 6C’s were put into place to reinforce holistic nursing (Delves-Yates, C. 2015), ensure that everybody within the National Health Service is doing everything possible to ensure the best possible service for the patients, and to ensure that patients were put at the heart of everything healthcare professionals do (Watterson, L. 2013). The 6 C’s include care, compassion, competence, commitment, courage and communication. All six of the 6C’S are all fundamental values when it comes to healthcare, however out of these six, the three that I have chosen to write about are communication, compassion and courage. I have chosen these three as I believe that they are the most imperative when it comes to delivering high-quality care for the patients or service users.
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.
The role of a nurse is viewed as stressful, so nurses need to be emotionally ready and be physically fit to participate in delivering care. Acts of kindness, trustworthiness, promoting privacy, ensuring dignity, being engrossed into the artistry of caring and engaging in anti-discriminatory practice (Baughan & Smith 2008) by respecting everyone, irrespective of age, culture, gender, socio-economic class, sexual orientation, religious beliefs and the condition from which they are afflicted, are caring indicators of a nurse.