1. The individuals’ expectation of learning and learning needs
Clients have the ability to identify learning needs in response to the implication of living with their illness. To meet these learn, the nurse assesses and identifies what information clients perceive as necessary in many ways. The client is likely to be more receptive to any information presented to them when they have a need to know something.
Nurses also use assessment tools to determine the perceived learning needs of clients. Assessment tools are available within healthcare environments to assist the nurse to ask specific questions to measure needs, such as the distinguishing the perceived learning needs of the clients and the perceived importance of each need. Using an assessment tool provides an efficient way for nurses to determine appropriate information to share with their clients.
The nurse also determines the information that is critical for the client to learn. Learning needs change, depending on the client’s current health status. Because a client’s health status is dynamic, assessment is an ongoing activity. The nurse assesses the
The client’s level of understanding of current health status, implications of illness, types of therapy, and prognosis – including the source of information. This information helps determine a client’s perception of the threat of illness and its effect on lifestyle.
The information or skills needed by the client to perform self-care and to understand the implications
Assessment is the first step in the nursing process. There are four steps in assessment of a patient these include, collection of subjective data, collection of objective data, validation of data and the documentation of data. These four steps are incorporated in holistic health assessment because the patients needs to tell the nurse what their problems are and how they feel, medical history, symptoms and physiological factors. The nurse also needs
Nurses need to consider a client’s overall situation and take into account their past, present, and future to be able to provide the client with overall comprehensive care. Myra
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.
Enabling clients to choose appropriate strategies ~ As unbiased information would be provided which could include coping strategies, enough coping
Nursing generally is something external that is done to the client to restore health. It is an interpersonal, interactional or partnering process between the nurse and the client with the objective of promoting wellness, preventing illness and giving the client the tools to be able to function at an optimal level of wellness. However modern nursing can be defined as an art, science and a profession by which we render, service to human beings to help him to regain or to keep a normal state of body and mind and when it cannot accomplish this, it help him for the relief from physical pain, mental anxiety or spiritual discomfort (Mike and Alison, 2007).
Assessments provide insight into a nurse’s ability to perform, discover and create new knowledge, adapt to changes and improve performance levels. Assessments intend to protect patients through identifying incompetent nurses, optimizing the capability of each nurse by providing incentives and a path for future learning. In addition, assessments can assist a healthcare administrator with choosing an applicant for advanced training.
Orlando’s theories assert that the client is a unique individual whose behavior is a cry for help. Behavior may be verbal or non-verbal. The nurse investigates the behavior and explores the meaning of the behavior. A caveat is that the client’s behavior may not clearly demonstrate the nature of the distress but must be considered as a plea for help (Schmieding, 1990). It is the nurse’s responsibility to engage the client to determine the needs and verify that the actions are helpful (Schmieding, 1990). Searching for meaning in the patient’s action is critical to the nursing process and practice.
For example, let’s say I am assigned to a client who has just been extubated. This can be a very scary moment for an individual when they realize they are in an unknown place and have been unconscious for days to weeks. I would begin the orientation phase by approaching the client and introducing myself. During this time, I would focus on creating a trusting relationship by getting to know the client as it is important to understand the client’s background before planning occurs. The hope is that through this interaction the client will have an understanding of their diagnosis and will feel comfortable to move forward with care. Once we have reached the identification phase, the client will be fully involved in the planning process. I will encourage the client to address personal goals that they would like to meet. Perhaps the client’s goal is to be able to walk. My role is to offer supportive by providing the resources that would enable to client meet this goal. Once the goals have been established, we move into the exploitation phase. This is when I would give the client the autonomy to use the resources I provide them. I will obtain the order for physical therapy but it will be up to the client if they choose to use it. I feel that this is where nursing care often fails because the client’s mental status is not assessed. If the client refuses such treatments, it is necessary to understand what is holding them back. Perhaps the client is anxious to participate in physical therapy because they recently had a fall and do not think they can do it. This may be an embarrassing fear to admit to a stranger which is why it is so important to establish a relationship before beginning the interventions. I would address this fear by listening thoughtfully and providing encouragement to boost the
The five steps of the nursing process are: assessment, diagnosis, outcome identification and planning, implementation, and evaluation. The nursing process has been around since the late 1950’s and was developed by Ida Jean Orlando, however this process was not institutionalized until 1973 when the American Nurses Association Congress for Nursing Practice established Standards of Practice for direct nursing performance. The assessment process is the first of 5 steps in the nursing process and is very important and significant. Not only does assessment give you a baseline for your patient, it also helps you to understand any underlying issues that the patient may be having. Assessment provides an introduction into the next step of the nursing process: planning and diagnosing, without assessing a patient first we would not be able to plan and organize concepts to come up with a diagnosis.
Understand the client’s situation and consequences of their disorders/issues; and determine level of care. Example: How Frank’s PTSD is related to the stress resulting from his job; and determine the level or intensity of care he may need.
Furthermore, through these assessments, they can formulate relevant treatment plans for service users based on the necessary information gathered (Orrell et al., 2013; Yuan et al., 2011). The implementation of a more holistic assessment through which patients would be seen in their own homes and where nurses can have a look at service users’ facilities and living conditions as they can be quite often be part of the issue is an effective strategy for promoting continence (Orrel et al., 2013). Moreover, the National Institute of Health and care Excellence (NICE, 2014) has implemented guidelines on the importance of assessing the nursing needs of service users when making decisions on patient care. There exists however discrepancies around patient assessments which range from bypassing the assessment process to mistrust regarding the accuracy of assessments provided by district nurses to the elderly who are in nursing homes or housebound (Peters et al., 2004; Yuan et al., 2011, Orrell et al., 2013). They usually just perform rapid assessments of products without
A nursing assessment is defined as a systematic and dynamic process to collect and examine data about a patient. Nurses play a crucial role in the health care field, and one of the most important aspects of their daily obligations is to assess patients, and to continuously reassess patients. The reason assessments are so significant is- in case of any changes in their patients condition whether it effects their health positively or negatively. Some of the most vital information can be gathered in a nursing assessment, you cannot always go off of what the patient says. As a nurse you must use all of your senses to complete this responsibility. A sufficient level of intelligence and adequate skills are required by the registered nurse to be
Care is the used to help clients with and actual or potential problems to increase a sense of and overall well-being or provide support for those nearing
The WHO definition of Health is, “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”(WHO, 2015) Many clients I work with have common diagnoses, but knowing that each individual client needs are different a holistic approach is necessary to achieve desired goals. With my new gained knowledge from our recent studies, I understand that my role as a nurse is not about just following a ‘current’ plan of care, but also continually to assess the client and changing goals or implementing new goals that could improve my client’s health. According to the AHNA, “nursing practice involves the “whole body, mind, emotion, spirit, social/cultural, relationship, context, and environment.” (Thornton, L., 2015)
I realized during the briefing today that I do not need to directly ask the clients to figure out their assets and needs. The staff of the centre were talking about their encounters and listed the issues they identified throughout the day. They were able to recognize clients’ needs and demands just by conversing with them through simple conversations, or just by carefully observing the clients. They can also deduce how the clients are feeling overall based on their mood coming in and out of the centre. I will keep this in mind and apply it to my practice when I need to assess patients/clients. I understand that applying this skill gets easier as you get more acquainted with them and get to know their individual situations. From my interactions with the participants/clients, I can see firsthand, how the determinants of health applies to individual situations. While working on the workshop project, I realized that we need to cater our ideas as to what is appropriate for our audience. One of the activities that we will be doing in the workshop