Orem affirms the theory of nursing systems defines exactly how the patient 's self-care essentials will be resolved or met by the patient or nurse (Self Care Deficit Theory, 2014). Orem classifies three classifications of nursing systems to encounter the self-care conditions of the patient. They are categorized as wholly compensatory system, partly compensatory system, and supportive-educative system (Self Care Deficit Theory, 2014). Nursing systems are a “sequence and structures of measured applied engagements of nurses to protect any disease processes, detect any abnormalities and to bring that patient back to equilibrium (Self Care Deficit Theory, 2014). A good example of this theory would be the nursing process.
The 14 fundamental needs are what guide the nursing process which nursing use to guide their care plan. Virginia Henderson theory separated the nursing care from the medical care because she wanted to focus on the patient as a whole (Blais& Hayes, 2016). The nurse who is caring for a patient with dementia will determine if the patient is capable of doing any of the needs on his or her own, will need the nurse to guide them with these needs or to take full responsibility for the patient to reach all of the 14 fundamental needs. The nurse is coming up with a plan of care for the patient and basing it on what Virginia Henderson believes a nurse’s role for the nurse should be. Which is the nurse will take full responsibility for the patient needs, or offering assistance to the patient while they are no longer able to do independently and working with the patient to promote independence (Ahtisham& Jacoline,
Individuals are trying to live within a changing environment in which the individual need to cope with it. (Andrews and Roy, 1991) This model includes the four space ideas of individual, wellbeing, environment, and nursing; it additionally includes a six-stage nursing procedure. Andrews and Roy (1991) state that the individual can be a
The Peplua model of nursing theory is used to develop a trusting and working relationship where by the patient engages in the self-care due to The nurse and patient work together so both become mature and knowledgeable in the process (Peplau, n.d.). As outlined in the health belief model, the patient perceives the susceptibility and threat to the life of untreated diabetic condition (As cited in Peplau, n.d). The psychiatric patient who has established interest in engaging in self-care through a program provided for psychiatric patients with diabetes. To explore provisions and resource provided by various interdisciplinary members of the community. Innitial period of two to three weeks is advocated with supervision ,to implement change on a diet to nursing theories approach, is given opputnity to in the community (Hultsjö, & Hjelm, 2012).
Dorothea Orem’s self-care deficit nursing theory is one such nursing theory that has been reworked to take into account the changes in our world, while still maintaining the initial framework (Taylor & Renpenning, 2011). Purpose of Self-Care Deficit Nursing Theory Dorothea Orem (as cited in Taylor & Renpenning, 2011) described her purpose in formalizing the Self-Care Deficit Nursing Theory as a way of defining the structure of nursing and explaining knowledge, rules and roles of nursing. Orem was attempting to answer the question of why, when and how a nurse is needed in the care of a patient (Smith & Parker, 2015). According to Younas (2017), self-care deficit nursing theory is also a practical effort to delineate the patient role along with that of the nurse. The purpose of this theory, being to define both nurse and patient roles and nursing as a profession, is seen as a strength of the self-care deficit nursing theory.
“Peplau applies principles of human relations to problems that arise at all levels. Throughout the nurse-patient relationship, the nurse, and patient work together to become more knowledgeable in the care process” (Deane and Fain, 2016, p. 36). Peplau described nursing roles in seven different ways as a counselor, resource, teacher, counseling, surrogate, leader, and technical expert. As a home health nurse, my major nursing role was teacher focused on patient teaching. For example, educating patient who has high blood pressure about DASH diet which stands for Dietary Approaches to Stop Hypertension.
Nursing handover also known as end-of-shift report is a complex and patient specific process that involves transferring patients’ information and plan of care to ensure safety and continuation of optimal care. As noted by Caruso (2007), change of shift report signifies a time of careful communication in order to promote patient safety and best practice. There are many different ways nurses can give a shift report. Written report, phone recording, or verbal reports in a designated room, nurses’ station, or at the patient’s bedside are all possible ways to give shift report (Caruso, 2007). “Potential adverse events associated with inaccurate or untimely clinical handover has been established...Handoff that is erroneous may include
I will ensure my growth towards these competency areas by seeking consultation from more experienced colleagues when clinical data do not support my working diagnoses. To ensure safe clinical outcomes, I will act on the clinical intuition that I developed as an ICU nurse to rule out worst case scenarios, refine my 12-lead electrocardiogram interpretation skills as a bedside nurse, listen carefully to patients while charting accurately on electronic health records, and remaining cognizant of time pressures and increased susceptibility to errors in these situations. To proactively prevent future ethical dilemmas, I plan to address end-of-life directives with all appropriate patients in a sensitive manner while in the primary care setting. Reflective practice is a learning method that consists of exploring both positive and negative experiences to elicit meaning and analyze critically in order to improve practice.6 I plan to apply this skill in my future practice, especially as a novice, by keeping a personal journal of my experiences in this new role, verbally reflecting with my NP colleagues and mentors, and analyzing how my own inherent assumptions and worldview influence my
Yet, their roles in regards to EHR have generally been largely overlooked, regardless of the fact that several tasks fall under their supervision (Pine et. al., 2015). This may have been due to the notion that physician support is crucial for successful implementation (Palvia et al., 2015). Nonetheless, their participation is equally significant due to their personal nature with patients. To elaborate, the constant documentation that EHR entails may either improve or interfere with the relationship between nurses and patients, thus impacting the success rate of EHR implementation.
If the patient knows the information and the facts, the patient is more comfortable and is less anxious. Surgery is a scary thing, so knowing information is very beneficial. Sally told us about her medications and we asked her about them, but failed to ask when she last
The importance of medication therapy adherence is an important subject. The current recommendations for treatment of those with symptomatic heart failure are a combination of ACE inhibitors, beta-blockers and diuretics to control blood pressure (Chojnowski, 2006, 38). Upon discharge and at follow-up appointments, the nurse should interview the patient about these medications. The discussion should include generic and trade names, times of administration, side effects of each medication and reasons for taking each one. If the nurse finds these medications are not ordered, she should discuss her findings with the health care provider promptly.
My concept definition of the Fawcett (1984) four metaparadigm in nursing is a reflection of the totality paradigm approach by Parse (1987). That a person is a unified whole, that consist of different parts which are interrelated to each other. The four concept of the metaparadigm was defined based on my understanding and knowledge, as well as through my past experiences as a patient, a nurse, and an individual. Looking back and critically reflect on my past experiences has helped me in making this reflective paper that has changed my meaning perspective (Mezirow, 1990) of what constitutes the person, the environment, health, and nursing. Most importantly it made me aware of my nursing practice that will help me to provide a better quality
Since multiple sclerosis is one of the primary risk factors for trigeminal neuralgia, it is key for the nurse to get a thorough medical history assessment. When a patient first presents with neuropathic pain symptoms, the nurse should gather a thorough history and physical examination. To provide better patient care, nurses should be familiar with neuropathic pain clinical assessment tools.(Cite/nurse). The nurse should assess if and how often a patient experiences tingling, a burning sensation, electric shocks, numbness, or pain evoked by light touch or freezing pain. (Nurse).