The goal of Orem’s Self-Care Deficit Theory is to decrease the self-care deficit. When patients are ill, they need assistance with care. As nurses we are there to provide the care needed while allowing the patient to perform as many tasks as they can for themselves. By allowing patients to provide care for themselves, they develop a sense of confidence and can assist them in overcoming obstacles in care. Per Meleis (2012), “Orem’s theory is categorized as a theory whose primary focus provides a framework for assessing needs of clients and developing intervention in enhancing peoples’ abilities to manage daily care for themselves and their dependents, and conserve their energy, and
Patients have benefited greatly from individualised care plan based on the activities of daily living. Using this model has helped to assess independence and potential in activities of daily living , it helps to determine what intervention should be taken out to increase independence as well as ongoing support needs for any dependency that still exists for the patient. When assessing a patient, nurses assess how much their life has changed due to the illness, injury or admission of care, later plan a way of increasing independence and quality of life. This leads to interventions that support independence in areas that may be difficult for the patients to address alone, it helps to promote maximum independence for the patient. This model helps approach and organise care of patients.
The patients will trust the nurse when they know that they can be reliable. The nurse can gain clients trust by being caring, showing an interest in them, being honest and showing the client that they are listening to them. In nursing it is important to be empathetic. The nurse ensure that they are being empathic towards the client and not sympathetic. Empathy allows the nurse to relate to the client’s pain or distress.
This step allows the nurse to determine whether the application of the nursing process was effective. It also helps the nurse to know whether the condition of the patient will improve because every nursing diagnostic has got its desired results (Fischbach, F, 2004). Through evaluation the nurse can therefore know whether the expected results have been achieved. In the care plan the nurse is also required to document whether he/she believes whether the diagnoses,assessment, planning and the implementation were correct. In addition to support his/her position the nurse will also have to include
I learned that nurses need to be familiar with patient’s rehabilitation by knowing therapies that are indispensable and beneficial for their recoveries; and that active involvement in the prevention of deteriorations and complications in physical health and function is important for the patient (p. 22). 3. The article changed the way I think and understand that knowledge is power hence educating patients on best practice to get them back to health or functioning normally is of the essence. 4. In my future practice, I will frequently update self of therapies and pay more attention to details that the patient identifies as essential for recovery to better help them regain their well-being and ability to perform their daily activities.
The results of these studies strengthened the author’s belief that the community benefits from the implementation of this public health program. The author is currently a pediatric cardiothoracic operating room nurse and is knowledgeable on the complications and mortality due to the late detection and delayed surgical treatment of CCHD in newborns. The author believes that changes in normal newborn screening routine is beneficial and should be implemented in nationwide. The author will use her analytic philosophy to conduct more studies that will yield new recommendations to improve patient outcomes. Moreover, the author plans to evaluate multiple evidenced-based practices that are being implemented in her facility and publish articles in the
The first step in achieving recovery through WRAP is to develop a wellness toolbox, which is a list of skills and tools to help the patient cope. The nurse will have a big role in helping the patient identify their strength or weaknesses, as well as helping them identify their support system. Some patient respond better to alone time, so the nurse might suggest journaling, listening to music, exercising, others need social interaction, so suggesting their join a peer group, team sport, or talking to a support person might be better for them. In order to help keep the patient’s autonomy during times of crises, the WRAP has 5 other steps on the road to recovery, including a daily maintenance list, which is a three-part list describing the patient’s feelings, listing a set of tools from the wellness toolbox they are going to utilize that day to maintain their wellness, and then a simple to do list. This type of strategy helps to keep the patient accountable, and as nurses, it is our responsibility to encourage the patients to follow and maintain certain standard to ensure they are compliant to their recovery model.
A nurse practitioner is an advanced practice registered nurse who have received advance training and knowledge to provide health promotion and maintenance through the diagnosis and treatment of physical and mental acute and chronic illiness. Their role focuses on individualized care of a patient 's medical issue and the effects of the illness on the patient and the family. Informing patients about their healthcare and getting them active in decisions is important to care provided by nurse practitioners and this could mean fewer prescriptions and less expensive treatment. A nurse practitioner is qualified to diagnose and treat medical problems like
Robinson et al. (2002) mentioned that APN with wide knowledge in disease progress, research, health promotion and prevention of major illness who are keen to share knowledge to patients will help patients to understand more about their conditions. Koh and Ang (2005) states that with comparison to the doctors, the APNs are more likely to spend extra time to educate patients on health promotion and life style changes and are proven with better compliance with treatments. Karnusammy (2006) also mention that in addition to educating the patient and nurse, the APN also actively involve with patients family and initiating discharge. Nurses will also gain more knowledge and build a positive relationship with the APNs.
I think that this will give me a more objective point of view. However, I will bring this experience forward into my nursing career. Family dynamics are worth understanding whether the whole family is being cared for or not because the family plays a major role in patient care and support. Therefore, it is crucial to know as much about the family dynamics as possible. I think that the ecomap will also be a quick and practical tool that I can use to determine the best discharge care planning for a patient.