Using the general interpersonal skill can perfectly identify patients’ needs and understanding the unmet needs of patients so that the effect of therapy could be better. It simply emphasizes the nurse-patient relationship is important in curing the illness. There are still some shortcomings of this theory, Peplau mentioned interpersonal skill and applied it into patient and nurse’s relationship. I think it could partly apply into nurse-patient relationships. We are now having emergency department in hospital, it only takes us half an hour to see doctor, and not much time will be taken in the communication part.
The nurse must be able to discuss appropriate coping strategies with her patient and provide information in regards to their correct usage. In patients whose body reality has been altered coping strategies have been shown to be extremely effective in relieving immediate stress. (Niven, 2006) The importance of social supports should not be undermined, as active social support can provide an environment which is conducive to the integration of the patient’s new body image in society. The nurse should promote communication with both family and friends, social supports such as these can encourage the patient to view their new body reality in a positive ways. Patients with strong social supports are more liable to make progress in coping with and accepting their new body reality.
This book was essentially written to make sure the patient has the best chance at returning to their optimum health and the nurses who are helping them getting there. In this paper, I will be reviewing noise, personal cleanliness, and observation of the sick. I will be discussing how these
The Comfort Theory by Katherine Kolcaba would address not only pain, but help the nurse understand anxiety levels of the patient and parents, therapeutic interventions such as the use of ice packs, warm blankets, distraction techniques such as blowing bubbles and having parents engaged with the child who may be experiencing pain (McEwen & Wills, 2014). This theory also shows the importance of how families view the operations of the institute and if their child is not having their pain addressed then this may result in a negative connotation of the hospital. The overall goal of this theory looks at the outcomes of comfort and shows that comfort can be measurable, positive, nurse specific, and positive in nature (McEwen & Wills,
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Open ended questions are a good way to obtain fuller information, rather than a closed ended question that requires more than a simple yes or no answer. This therapeutic communication technique is particularly useful when the nurse wants fuller and deeper information from the client and wants to know the patient’s feelings and beliefs about their current health situation. Closed ended questions are useful when the client is cognitively impaired or they are on mechanical ventilation with intubation and not able to speak with the nurse and others. Nontherapeutic communication, like giving false reassurance or sympathy or just asking “why” questions, verbally or nonverbally, can make patients feel defensive. If we try to make assumptions about his/her feelings, we might jump to the wrong conclusions.
The nursing intervention is the information and practices provided for helping the type 2 diabetics to learn about mindfulness-based stress reduction techniques to control the blood glucose, blood pressure and reducing body mass index, stress, depression and increasing mindfulness awareness. Intervening variables include age, gender, marital status, religion, education, occupation, family type, dietary pattern, habits of addiction, co-morbid illness, use of antihypertensive/ anti-diabetes medication, attainment of stress management techniques and awareness of mindfulness meditation. If the MBSR intervention is effective, the type 2 diabetic receive enhanced comfort and is achieved by practicing mindfulness-based stress reduction technique. It reduces the negative effects of stress; depression associated with diabetes and improved health related quality of life. Once the comfort is enhanced, the individual is likely to increase the health seeking behaviors by actively practicing mindfulness based stress reduction for better
It is the alternative method of coaching, where medical staff ask patients to picture particular health outcomes, like the movement of blood out of an area that is about to undergo surgery (Bresler, 2012). Studies have explored how it can be a helpful preparation tool for individuals undergoing invasive surgeries. Essentially, “guided imagery could be used to raise pain tolerance, facilitate restful sleep, elevate mood, increase motivation, reduce dependence, and promote self-management” (Bresler, 2012). Still, the concept of guided imagery tends to stray far from traditional methods of pain management. Pharmaceuticals have long been a major method of treatment for pain but have resulted in major backlashes in regard to patients
Both O’Shea and NEHI are correct in their statements. When non-emergent patients seek care in the emergency departments, waiting increases for those less acute patients. Emergency departments triage patients to determine which patients have the more serve cases. Those patients are brought back to been seen first, and those less urgent patients end up waiting to be seen (NEHI, 2008). All of these excess patients leads to overcrowding in the waiting room, but also in the emergency department (O’Shea, 2007).
Arrange patient details on abnormal results of physical and psycho-social assessment treatment, medications and laboratory results. Then develop goals and outcomes and list what can do to address each problem. Following these steps will help nurses or students to think critically and it will help to improve clinical experience and outcome of the patient. One research article published in pub med in 2010 regarding “Concept mapping” for applying theory to nursing practice. That theory-based practice believe that this will improve clinical outcomes and nurse satisfaction.
As a result, a comprehensive investigation into the influence of the nurse 's individual level of sedation management knowledge needs to be uncovered to promote recommended practices. Research Question Appraisal Why are patients over sedated? Are there tools in place to help monitor a patient 's tolerance and response to sedation? What are the barriers to following recommended best practices? Does the level of individual nurse skill set influence the compliance of sedation weaning?
Although a lengthy advice has been given whist in hospital by the surgeons and nurses, the patient may not be ready to comprehend a load of information at once. We discharge our patients with educational materials they can read and digest at home and contact support groups they can join. According to the New Zealand Guidelines Group (2002), all patients following a coronary bypass graft are recommended to have a comprehensive cardiac rehabilitation. It have been shown to prevent further cardiovascular events by empowering patients to choose a healthy lifestyle, to improve quality of life for the patient and their family and to assist in the patient’s return to full and active life by enabling the development of their own
These questions on the topic of how often Lovenox injections are required to be therapeutic versus how often heparin needs to be injected and the resulting patient satisfaction during the hospital stay. With the emphasis on patient satisfaction and the government guidelines for preventable hospital acquired problems, finding a solution to DVT prevention is important for nursing. One study by Arnold et al. (2010) directly compared the two drugs in question for this project and provided credible information to the development of an evidenced-based answer to the problem (Arnold et al., 2010). A second systematic review by Akl et al.
Points of care solutions are medical diagnostic testing or documentation done at the patient 's bedside. At my work we us point of care documentation, meaning that the nurses do their documentation in the patient 's room. Research shows that point of care solutions “reduces inefficiencies, decreases the probability of errors, promotes information transfer, and encourages the nurse to be at the bedside” (Duffy&Kharasch, 2010). However, point of care services has been reported by patients to make them feel alienated for their care providers because the nurse 's attention is on their charting and not the patient (Duffy&Kharasch, 2010). This has the potential to “compromise the nurse-patient interaction” (Duffy&Kharasch, 2010).
The one piece of information that will most likely affect my nursing practice will be to ensure I inquire about a caregiver’s emotional state and how he or she is coping. As an intensive care unit (ICU) nurse, I see firsthand how caregivers resume care at the hospital for his or her loved ones, even though there are health care professionals ready to take care of personal needs. It seems as if a caregiver does not know when to stop giving. A caregiver will at times, succumb under mounting challenges and tribulations at some point and will need support. For caregivers experiencing stress, self-help groups can be beneficial (Tabloski, 2014).