care provision and practice

Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care, medication and meals. Mrs Gale has a history of weight fluctuation owing to lifestyle but is currently at risk of malnutrition due to Parkinson’s disease. Mrs Gale shows signs of early dementia and suffers from poor mobility and pain caused by arthritis. Mrs Gale also has mild depression triggered by loss and has become socially isolated. All names have been changed as per the Nursing and Midwifery Council confidentiality guidelines (2008).

In this report I will be investigating how care services meet the needs of individuals by firstly analysing the needs of an individual using care services. Then I will go on to explain the roles of the care planning process in identifying needs, and explain the features of a positive care practise. After explaining that, I will analysis positive care environments and evaluate how they meet needs before finally explaining the role of legislation in promoting a positive care environment.

Confidentiality is critical for nursing professional to understand and undertake. If a nurse did not keep a

Assessment tools are used in the care planning process to build up a holistic picture of an individual’s needs. When all the details have been recorded an assessment can be made and suitable care and support can be identified. A few of the assessment tools are information from the individual such as diaries, observations, medical histories and checklists.

Biii Explain why it is important to review care or support plans with an individual, and to monitor their changing needs or preferences. (HSC 036 2.3)

It is necessary to involve the individual in the plan of care and support. Encourage the individual to make choices. This includes their needs, their culture, their means of communication, their likes and dislikes, wishes and feelings, advance directives, beliefs and values, involvement of their family and other professionals. This should be considered and documented. Also, there must be evaluation in assessing effectiveness in the plan of care.

The purpose of this assignment is to explore a needs orientated approach to care planning, through the use of a problem solving approach to care, and a nursing model. It aims to show an understanding of what both a problem solving approach to care, and a nursing model are; and to establish how various key elements of both are implemented in practice. The following citation by the Department of Health (DH) (2009) identifies what is intended by the process of care planning;

• Administer Care Plan in order to ensure that it is delivered in an appropriate, caring and respectful

The first stage of the process is assessment. Roper et al (2001) refer to this process as ‘assessing’ indicating an ongoing activity; this encourages nurses to recognise the on-going nature of this initial phase. The assessing stage includes gathering information about a patient, reviewing this information, identifying actual and potential problems and prioritising (Roper et al 2001). Roper et al (2001) explain the importance for assessing, as early as possible in the patient’s stay. Extensive, in-depth information may not be gathered on an initial assessment, however any information obtained contributes towards individualised care (Roper et al 2001). Ambrose and Wittig (1998) explain that the initial assessment becomes a foundation for ongoing assessing and holistic care. Barrett, Wilson and Woollands (2009) concord with Roper et al and Wittig in that assessing is an ongoing process and elaborate on this explaining that assessment should not be confused with admission. They state “an admission tends to be a one-off process when you first meet the patient, whereas assessment carries on throughout your relationship with the patient” (pg22). Assessment enables the nurse and patient to identify actual and potential problems. Although, some problems can be directly related to biological needs, holistic needs must be considered, i.e. psychological state and cultural/social standing

• Effective—providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and overuse).

Alice needed an assessment of her needs and to have a care plan that is regularly reviewed by professionals. Assessment is the decision making process, based upon the collection of relevant information, using a format set of ethical criteria, that contributes to an overall estimation of a person and her circumstances (Barker, 2004). I was going to get most of the information from Alice. Barker (2009) suggests that wherever possible information should be obtained directly from the person, either in the form of some kind of self report or via observation. Good communication and a systematic approach to data collection are needed for a successful assessment.

In this module’s Assignment, you will draft a formal paper expressing your personal philosophy of nursing paper. In this paper, you will provide a framework for your personal practice of nursing and reflect on why you chose nursing as a profession. Your paper will define how you interact with patients, family members, other nurses, and other health care professionals.

For the appropriate care to be planned for a patient it should be looked at in a holistic manner (NMC

Privacy is one of the fundamental policies and principles that should be adhered to by each professional nurse (Cileska, 2001). In addition, confidentiality is another equally important principle that should be observed by each of the nurses in the nursing profession. The reason for emphasising on confidentiality and privacy is meant to preserve the nursing ethics and to protect the privacy of the patients (Dickenson, 2004). Since most of the diseases are not meant to be exposed to the public, it should be the responsibility of each nurse to ensure that all patient information remains private and confidential this gives hope and trust to the

This paper will discuss the functions of caring within the nursing practice, as well as my own personal views regarding caring. I will review the Benner model of Clinical Nursing and the Dreyfus Model of Skill Acquisition in relationship to my own personal skills. I will identify my competencies within each domain of the Benner Model. I will reflect upon my own personal nursing practice in terms of my strengths and weaknesses. Also included will be a discussion of my own professional goals, areas of improvement needed within my practice and solutions for how I can improve in order to help me achieve these personal goals.