Nursing Process and Its Clinical Application

As a nurse, an important part of the job is to be caring and helpful for the physical and mental aspects of the patient. The ideas of Jean Watson 's Caritas Processes help define how a nurse can show caring in themselves to their patients. Watson names the eight processes; then define they mean which is key to understanding how a nurse should act to their patients. The book as We Are Now by May Sarton helps show some examples of how these processes work in action and helps to form ideas of how one can improve as a nurse in the future.

Nursing care is focused on the assessment, nursing diagnoses, planning, implementation, and evaluation of patients. This nursing process can also be implemented in aspects outside of nursing and on the nursing field as a collective group. The nursing role is evolving, following the process the outcomes have to be evaluated and put into perspective. Research is being completed the conclusions are all the same, the higher education of nursing care the better the patient outcomes.

This assignment will investigate a needs orientated approach to care, critically discussing the nursing process. It aims to show an understanding of what a nursing model and the nursing process is, looking in detail at the relationship between this nursing process and the Roper, Logan and Tierney (RLT) model of nursing. This essay will explore how the nursing model and process is implemented in practice, considering how the RLT model assists nurses to adapt a problem-solving technique when developing care plans for individuals. Strengths and limitations of the RLT model and the nursing process, in relation to developing care plans, will be critiqued along with the effectiveness of

SW is a 65 year old white female who is 5’8” tall and who weighs 155 lbs. Her IBW is 140 lbs. and she has an IBW % of 110.71. She went to emergency department on February 1, 2015 complaining of shortness of breath and coughing since November, 2014. Her medical diagnosis includes multi-drug resistant organism, diabetes, COPD, and lung cancer. Her laboratory result shows that she has an elevated WBC of 17.4 on February 2nd and it increased to a critical level of 32.2 the next day. An elevated WBC usually means an infection is happening in the body. Her RBC is elevated at 6.19 which could mean hemoconcentration or it could be due to her COPD. Her decreased MCH of 25.0 & 24.8, her Neutrophils of 13.8 and her elevated RDW of 18.2 & 18.4 could mean that she’s having some iron deficiency anemia. Her laboratory also shows that her albumin is low which can be from prolonged immobilization, decreased nutritional status or worse it could be due to her lung cancer. Her low Sodium of 132 and Chloride at 93 may be due to her diet or medication side effects. Her serum glucose at 118 is elevated which can be from her diabetes or from stress of being in the hospital. Her Platelet count of 405 is normal and her BUN of 5 is also within range. Her arterial blood gas is showing compensated imbalances. Her pH is 7.35 which is normal on the low side. Her PaCo2 is 65.2 which is very elevated, her PaO2 is 66.4 which is very low, her HCO3 is also very elevated at 35.3.

During the operation, the patient was put under general anaesthesia and positioned laterally (George et al., 2008). For a lesion in the proximal region of the right femur, the patient initially lying supine was turned to the left lateral position, so that the right lateral side of the patient faced up; this position allowed for a greater view of the lesion area during surgery (Chen et al., 2013). The patient was draped while exposing the intended surgical region between the pelvis and the proximal upper leg (George et al., 2008). The epidermis, dermis, and subcutaneous layers in the region of the lesion were cut away, exposing the deeper tissue layers (Chen et al., 2013). Incisions continued through the deep fascia, exposing the gluteus medius, gluteus minimus, and vastus lateralis muscles (Chen et al., 2013). The right gluteus medius and minimus, lateral abductor muscles of the right thigh, and the right vastus lateralis muscle were cut away while their insertions remained intact (Chen et al., 2013). The surgeon made a lateral incision from a region inferior to the right anterior superior iliac spine toward the right gluteus medius muscle, until the greater trochanter was exposed (Chen et al., 2013). It should be noted that there are vascular structures present within the vicinity of the lesion, such as the medial and lateral femoral circumflexes; great care was taken to avoid such structures to minimize blood loss (Drake et al.,

Kozier, B., Erb, G., Berman A., Snyder, S., Bouchal, D., Hirst, S., Yiu, L., Stamler, L. &

The purpose of this paper is to reflect on my experience with nurse management of patient

Surgery is a unique experience and no two people respond the same to similar operations. No matter how minor or major the surgery it can still be a stress to the patient who can be left feeling anxious and fearful. Dempsey (2014), states perioperative care as the beginning phase of a client’s decision to have surgery and ending with the transfer to the operating theatre. I was able to analyse the clinical situation and plan nursing interventions outlined in FILA table Appendix A.

This theory analysis paper is based on the work of Mrs. Imogene M. King and her Nursing Process Theory. It will show an overview of the model related to person, environment, health and nursing. The paper will also discuss the model and how it relates to the nursing practice. Finally the strengths and limitations will be discussed.

The theoretical ideas give nurses direction and guidance on how to construct nursing practice, education and research. These theoretical ideas help nurses with assessment; provide interventions and evaluation of patients’ outcome. They provide rationale to nurses collecting reliable data about the health status of patients. The reliable data help establish criteria to measure the quality of nursing care. The theoretical ideas help with consisted communication with other healthcare professional.

The nursing process is important because it provides a framework for clinical decision making which helps to guide care and promote critical thinking. It is a systematic and goal oriented framework for problem solving. Critical thinking is used throughout the nursing process to improve patient care. The nursing process is cost efficient and apart of the standard of care. It is required by professional standards. The nursing process also promotes professionalism, enhances the quality of the decisions made, promotes collaboration with the patient and the interdisciplinary team, improves efficiency and timeliness of care, improves communication amongst nurses and with the public since it helps others understand what nurses do, increases client participation and care, promotes patient autonomy and individualized care.

In the United States, the majority of amputations are performed in order to treat complications of peripheral vascular disease; the greater numbers involve the lower limbs (Clawson, 2009). According to Bowker and Michael (1992), disease is the most frequent reason for amputation in adults age 50 or older, while trauma is the usual cause of amputation in younger individuals. Marshall and Stansby (2008) include malignant tumor, uncontrollable acute or chronic infection, congenital deformity, ‘useless’

Nursing process is the basis of how nurses think, organize patient care, formulate rationale for their clinical judgement and ensure overall safety in practice. The process is fluid in

The nursing procedure is a progression of steps that permit the medical professional to assess the patient keeping in mind the end goal to execute the administer to particular wellbeing issues, by additionally actualizing sensible short and long term goals. The nursing procedure has five stages; appraisal, analysis,

The nursing process, upon introduction by North American Nurses Diagnosis Association[NANDA] has proved to be a means of standardizing nursing care and in maintaining professional autonomy. However, despite its benefits, many nurses are yet to fully understand and put to practice the nursing process in care of patients. The nursing process was originally adopted by the North American nursing profession from the general systems theory (GST) and quickly became a symbol of contemporary nursing as well as a professionalism nurse ideology [G. M. C. Mason and M. Attree, 2010].