Roper Logan and Tierney Care Planning Essay

The assessment process is the back bone to any package of care and it is vital that it is personal and appropriate to the individual concerned. Although studies have found that there is no singular theory or understanding as to what the purpose of assessment is, there are different approaches and forms of assessment carried out in health and social care. These different approaches can sometimes result in different outcomes.

The first step in the nursing process is assessment due to the fact that assessment is seeing the patient and determining what level and type of care needed (Jordan, 1999, p.12). The nursing process is a process used by nurses to integrate all aspects of assessment into one single guideline. There are 5 stages to the

Finally, the patient is evaluated by the nurse to show whether or not goals were met. Evaluation may be done during

The purpose of this paper is to compare and contrast nursing theorists from the four categories which are identified by Meleis as: Needs, Interaction, Outcome and Caring. (Meleis, 2012, Chapter 9) I have chosen Faye Abdellah, Imogene King, Myra Levine and Jean Watson as the grand theorists that I would like to explore for this study in contrast and comparison. This decision was made, in part, due to the fact that all of these theorists were born and educated in the twentieth century and I felt that their theories might be more applicable to my nursing practice. The information contained in the tables was obtained from several sources in an

I chose to do a concept analysis on ‘Self-Care.’ The nursing theory that uses this concept is Orem’s theory of nursing. This theory is a grand theory and consists of three minor interrelated theories; self-care,

In this Assessment nursing course, one of the major things that is taught is the most important part of giving proper care to a patient. Correct patient assessment is needed before any nursing care plan or treatment can be implemented. This post-review of a person’s assessment will demonstrate the proper way to go about assessing a person’s health.

Matthews (2010) claims that by using nursing models it will help deliver consistency in the care provided. Barrett, Wilson and Woollands (2009) highlights that one model will not fit all patients this is because they are individuals with different complex and holistic needs. The care model which was used to assist Marys care plan was ASPIRE (assessment, systematic nursing, diagnoses, planning, implementation, recheck and evaluation. According Barrett, D. Nursing Times (2015) when nurses become more experienced they will be able to develop their own model, based on elements of different theories which best suits their approach and context of care. Barrett also go on to state that nursing models provide a theoretical foundation to develop a philosophy of care and documentation related to their work. According to Barrett, D (2012) the nursing process it a useful source for nurses who finds themselves confronted with a problem

The purpose of this paper is to analyze and summarize the philosophy of nursing and how nursing theory guides this nurse’s practice. Information used to do this paper was retrieved from the online database, Nursing and Allied Health Source and CINAHL through the SJR State Library. Our textbook, The Conceptual Foundations and the Merriam- Webster Dictionary website was also used. Some of the search phrases used were Jean Watson theory of human caring, philosophy of nursing, and Watson’s philosophy and theory of human caring in nursing on the online database. The word philosophy was also searched on the Merriam- Webster Dictionary website. There was an abundance information throughout my research on

Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his chest . Pt is extremely thin with poor skin turgor with a diagnosis of cachexia ( wasting) secondary to malnutrition and infection. Patient is no known allergies to drugs but is allergic to aerosol sprays disinfectants and dust.. Advanced directives on chart. Code status DNR. Primary physician

Holistic patient assessment is a vital component of the nursing process to provide the best possible patient centred care for not only initial care but ongoing as well. A holistic care assessment includes six elements; Physical, social, physiological, cultural, spiritual and developmental. All six elements directly impact how the nurse will make decisions on diagnosis, planning implementation and evaluation. Physical assessment is an ongoing assessment to allow the nurse to recognise the normal and abnormal observations of a patient’s health. Social assessment is applied in order to recognise what support is available for the patient.

This model considers nursing as a self-care model based on the patient's perception of the world, as well as his or her adaptation to stressors (Erickson & Swain, 1982). This practice focus in nursing and its principles characterized by the treatment of the person as a whole, which taking in account mental, and social factors, rather than just the physical symptoms of a disease. Therefore, exemplifies theory-based nursing practice that focuses on the patient's

The first-step in the five-step nursing process, the assessment, allows nurses to assess their patients and determine their need for nursing care. This step focuses on collecting all patient information and data. The RN must collect and validate this data and information to form a plan of holistic care with diagnosis, interventions, and outcome expectancies for each individual patient. This information must include any and all past medical history. A thorough assessment of the patient is vital, along with reviewing the patient’s medical records. If the patient is unable to provide this information then often a family member or medical power of attorney will be consulted. Next the second-step, the analysis or diagnosing stage, focuses on prioritizing a list of all nursing diagnoses relevant to the patient. This includes identifying the patient strengths and weaknesses, and validating all nursing diagnoses that apply. To show an example, for a patient with a pressure ulcer, the RN would list impaired tissue integrity as one of the nursing diagnoses. In the third-step, planning, the focus is for the RN to develop expected measurable patient goals or outcomes that relate to the current nursing diagnosis applied. The plan must be a comprehensive, individualized, and up to-date-plan of care that specifies patient outcomes and nursing orders for each nursing diagnosis which is developed with the

Signs and symptoms on admission: jaundice appearance, lethargic, oriented x 1, vomiting bright red blood, has had black stools.

Nursing theories are organized and systematic articulations of statements concerning several issues in nursing. These theories encompass concepts, propositions, definitions and models principally based on assumptions. In addition, nursing theories are significant for identifying patients’ needs, evaluating the patient conditions based on theoretically explained methods, and establishing effective relations and communication with patients. They offer the values that support practice and help to generate further knowledge in nursing. Nurses rely on theories when choosing a model to apply that meets patient’s needs and use them to resolve patients’ problems as well as evaluate the effectiveness of implemented processes. Orem's Self-Care Deficit

The nursing process is “An organised, systematic and deliberate approach to nursing with the aim of improving standards in nursing care” (Rush S, Fergy S &Weels D, 1996).The five steps of the nursing process are assessment, diagnosis, planning, implementation and evaluating. It was developed by Ida Jean in Florida, USA in 1958 and it was transferred to the UK by 1970.The ‘process ‘is neither a ‘model ‘nor a ‘philosophy’ as it is sometimes defined but merely a method of reasonable discerning and it needs to be used with a clear nursing model. This is foundation for integrating the development into our model for ideal nursing. Throughout the process the patient’s independence should be endured in mind in all the