The concept assessment simply refers to an act of appraisal, evaluation and judgment (Dossey, Keegan, & Barrere, 2015, 469). In nursing care, assessment is the first crucial step that is carried out to be able collect and analyze information about a client. Assessment involves various issues such as physiological, psychological, spiritual, socio-cultural, life-style, and economic factors. This essay explores assessments in nursing practice and their importance in this field. It also covers models such as biopsychosocial, holistic, nursing process, and Ropers’ nursing model of the twelve activities of living. What is assessment? Generally, an assessment in nursing involves an evaluation of an individual’s health. It is a key component of nursing …show more content…
Biopsychosocial model mainly focuses on the biological, psychological, and social factors. According to this model, health and wellness are caused by an association of biological, psychological, and socio-cultural factors. The biological component refers to the pathogens that cause an illness. Psychological component covers the psychological triggers of health complications such as lack of self-control. Lastly, the social component discloses how different social factors like poverty and culture influence health. This model suggests that mind, body and environment interact in causing an illness. Holistic nursing assessment recognizes the totality of human being, that is, it focuses on the whole being. Notably, holistic nursing play a leading role in facilitating the healing process. It enables nurses to honor the clients’ subjective experience about health and beliefs, and so it assists individuals to access their greatest healing potential. It also allows the nurses to integrate self-care and self-responsibility and thus they understand their clients’ situations and relationships. Holistic model enables nurses to provide improved person-centered care to patients since it addresses all the needs of the patient including the physiological, psychological, developmental, and spiritual needs among …show more content…
It is important that nurses acquire skills such as communication skills- both verbal and non-verbal, therapeutic, and clinical decision making among others. The ability of a nurse to communicate well and make appropriate clinical decision, determines the success of holistic assessment in nursing practice. There is no doubt that the capability of a nurse to provide the best and quality care is largely dependent on her or his ability to communicate, judge and make clinical decisions. Nurses needs to have a unique communication style that enable them acquire in-depth information from the clients. For instance, they should be able verbalize appropriate emotions and also communicate with the clients through non-verbal cues such as eye movement and gestures. Communication skills that are applicable in nursing assessment include active listening, observation, reflecting and interpreting (Dossey, Keegan, & Barrere, 2015, 469). Since holistic assessment aims at gathering necessary information about the patient, having knowledge on how to convince the patient to share all information even those they do not wish to disclose will enable the nurses to develop good relationship with client, thereby providing them the best care. More so, the decisions that nurses make are very crucial to the patient’s health because a proper treatment plan is
Individualised approach to care planning essay The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care.
However, the inpatient rehabilitation approach in the patient’s holistic management is
The following is a case study focusing on the assessment and examination of a female patient presenting with symptoms of abdominal pain and vaginal bleeding during pregnancy to an emergency gynaecology and pregnancy assessment clinic. Names have been changed to maintain anonymity in line with the Nursing and Midwifery Council (NMC) (2015). The Calgary-Cambridge model of assessment (Kurtz and Silverman 1996) was used to guide the practitioner through the health assessment process. The guide provides an easy-to-use structure that complements nursing 's traditional holistic assessment approach.
While respecting patients’ right to self-determination. Nursing provides holistic care during health, illness and death. EKU CHS DBGN (2015/2016) Philosophy My philosophy of nursing is that each patient should get the best quality of care while they are in the hospital, no matter what race, age, religion or gender they are.
These viewpoints have importance for medicine as well as for nursing or other health professions. The complete practice of human caring theory is most fully realized in a nursing theory because nursing allows for the constant caring factor that medicine does not have;
Nursing practice requires both critical thinking and clinical reasoning. Critical thinking is the process of deliberate higher level thinking to define a patient’s problem, examine the evidence-based practice in caring for the patient’s, and make options in the delivery of optimal care. Critical thinking involves the demarcation of statements of fact, judgment, and opinion. The progression of critical thinking requires the nurse to think imaginatively, use reflection, and engage in logical thinking (Alfaro-LeFevre, 2013). Critical thinking is a vital skill needed for the recognition of patient’s problems and the execution of interventions to endorse effectual care outcomes (Bittencourt & Crossetti, 2012).
Once understood, start with the assessment, and the planning begins. After the plan is determined, place it into action. The crucial step is to take your findings and apply them to the holistic care of the patient. As nurses, we must treat each patient individually with the best care possible. We are not providing patient-centered care if we do not collect their cultural and spiritual assessments.
Caring for The Individual: An Examination of Personal Nursing Philosophy Arianna Mailloux 400164224 NURSING 2AA3 Ashley Collins Harris February 19, 2018 As a novice nurse, developing and understanding of ones’ own personal feelings about nursing is important to help shape your clinical practice. Within this paper I will examine my personal assumptions, beliefs and values of the four nursing paradigms to develop a personal philosophy of nursing. This philosophy will be aligned with a known nursing theory and the comparisons will be discussed. Section I: Personal Philosophy of Nursing Person
As a nurse, you’ll regularly work one-on-one with patients, and proper communication in such situations means far more than just giving a dose of medicine or starting an IV. Nurses are responsible for talking to patients and helping them understand medical situations, which can be complex and quite scary to the person who 's going through such tribulations. Great nurses are clear communicators who truly listen to patient needs (and make sure to acknowledge that those patients ' concerns are being
(Kitson et al, 2013) Patient care is initial assessment collaborated with commitment for the nurse to care for the patient and build a trusting comfort relationship to meet patients’ fundamental needs (Kitson et al, 2014). Patient-centred care focuses on involving patients’ by allowing choice and decision-making. It takes into consideration patients’ individual physical, psychosocial, cultural and emotional needs (Feo and Kitson,
These factors provide guidelines for nurse-patient relationship, and the goal of nursing to help persons attain a higher level of harmony within the mind-body-spirit, healing and health. The 10 caritas processes include the practice of loving kindness, equanimity, and belief system for oneself and other. She promotes cultivation one’s world spiritual practices, self-awareness, authentic relationship with the patient, and support patient’s expression of feelings. In addition, she encourage to creatively use the nursing knowledge as part of the caring process, engage in genuine teaching-learning experience, and create a healing environment at all levels. Watson believes that the nurse’s assistance with patient’s basic needs potentiate alignment of the mind-body-spirit.
According to Patterson & Krouse (2015), It is important to transfer the message in a good way, for that the communication skills is one of the most important basic skills of nursing leadership. More than that, communication in nursing can make their job efficiently and help them to communicate with a wide range of people, including the patient, patient 's family, and healthcare providers. However, unlike bad communication, which increases nursing staff problem and can lead to worsening the patient health condition, a good communication saves time and reduces the problem of nursing staff in resaving and deliver the right information. Furthermore, communication is not only talking with the patient it’s also listening to what the patient 's family and healthcare providers are saying to collect more information that helps the nurses to save lives. In this paper, I will reflect my communication that goes well with one patient.
A complete assessment is not necessarily carried out each time. A comprehensive assessment is part of a health screening examination. According to Zambas (2010), physical assessment is taking an educated, systematic look at all aspects of an individual’s health status utilizing knowledge, skills, and tools of health history and physical exam. Patient physical assessment is one of the most important nursing interventions. This is the moment a nurse would be able to identify all the negative issues, to collect the data (objective and subjective).
Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.
Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016).