Introduction The following is an assignment on the care of a confused client. Every client should be provided with care which preserves their human rights, dignity, independence, autonomy and privacy. Along with all these rights, a confused client should be cared for meticulously whilst maintaining good awareness for their needs through observation and planning as some patients can be unpredictable. Assessment of individual client needs A new client is assessed by the multi-disciplinary team (MDT). Common members of a MDT include a GP, Occupational Therapist, Physiotherapist, Staff Nurse, Dietician and Activities Co-ordinator.
In psychiatric nursing in particular, following this model can allow a nurse to encourage a patient to be as independent as possible. Upon evaluation, while it provides a pattern to follow in order to deliver nursing care, it is too linear. Each patient’s recovery and circumstances are unique, and a nurse sometimes must adjust the level or order of care provided in order to suit the patient. Orem’s theory sets the standard of how nursing care should be delivered, when this isn’t realisitic. Overall, Orem’s model is a comprehensive pattern in providing nursing
Continuous relationships with the care team, individualising of care and providing care that anticipates the patient’s needs all achieve best care delivery. (Wagner et al 2001). However the course of any chronic disease is determined by personal attributes, social influences and the professional treatment delivered. Yet, nurses and healthcare professional can try to maintain steady control of any chronic disease by accurate management. The TM model can be used along with other nursing models of care for effective
The quality of care on the basis of nursing care insufficiency was also explored and indicated that a important relationship presented between quality care and patient safety ratings . ( Schubert et al 2012 ) . However , Nursing clinical rounds lead nurses to interact with patients, respond to their interest , and adjust the unsatisfying conditions. regular nursing rounds provide an opportunity to recognize patient needs by progress nursing procedures. Although hospitals worker various methods of rounds for hospitalized patients, the main components of all rounds are pain preventing, bathing, changing position, and environmental comfortable .
There is a lot of technical and clinical information that the one will need as a nurse: critical thinking and communication skills, patient assessment skills, understanding disease management protocols and development of care plans (just to name a few), most of which is only obtainable through college or technical school and on the job experience. Respect for the patient, the patient’s support system, as well as, respect for yourself is another essential trait necessary to be a successful registered nurse. If patients are sick or worrying about what might be wrong with them, they are going to understandably be anxious or upset (and probably both). Part of practicing compassion as a nurse is recognizing situations like this – and so many more – and striving to help patients maintain their dignity through it all. This requires honest and straightforward communication.
For example, when patient asks for a favour to be showered despite odd timings or during busy hours, nurses have to obey their needs and meet their expectations. Therefore, patients will gradually feel that they are well taken care of during their stay in the hospital. Without good communication, there will not be a good healthcare service. The Importance of Good Communication between Patient and Health Professional, Journal of Paediatric Haematology and Oncology (2011), wrote that “Communication is the most important component of our work with patients. It is the cornerstone of our interaction with people.
When one considers the traits needed to be a good nurse, and what a core value of nursing would be, a multitude of characteristics are brought forth. Common ideas brought forth are empathy, integrity, respect and communication. However, an often overlooked but nonetheless quintessential attribute of the nursing practice is accountability. In nursing, where the lives of patient’s and their loved ones, and the reputation of one’s own nursing practice are in one’s hands, it is essential to take responsibility for what you do or do not say or do. Being accountable for one’s actions or words can often mean either recovery or deterioration, health or illness, life or death.
O’Shaughnessy, 2014, wrote a continuing nursing education article on the importance of Orem’s theory in relation to elderly patients performing peritoneal dialysis. The examination was of elderly patient’s self-care abilities and the success of nursing staff allowing patients to do as much individual care as possible. “Orem’s theory postulates that people have a natural ability for self-care, and nursing should focus on identifying these deficit areas” (O’Shaughnessy, 2014, p. 496). The argument proposed is that peritoneal dialysis at home allows the elderly patient to maintain life closer to their previous life pre-dialysis. In order for the patients to be successful with their home peritoneal dialysis nurses have to assess the gaps in care that need to be addressed.
Examples from my personal experience within my family were provided to gain a better understanding of the application of each approach to family care. While one approach is not better than another, each approach is situational. It is important as a nurse to interview the patient and family to gather an understanding of their culture, needs, and expectations. The nurse should then assess the entire situation and plan appropriate interventions that would best fit the family and situation that is presented. This allows for a higher quality of care, better outcomes, and increased compliance to support the well-being of the
As a nurse, maintaining a sense of professionalism is of utmost importance in order to gain respect from our peers, leaders, and most importantly or clients. As I have gone out into the field during our clinical rotations, I have experienced many professional nurses and a few nurses I would consider unprofessional. So, I have decided to touch on a few key characteristics that I think make the mold of a professional nurse. As I searched for information regarding the professional nurse, I repeatedly saw these words throughout all the literature; autonomy, accountability, advocate, caregiver, and communicator. All of those aspects are pivotal in order to maintain a healthy, therapeutic relationship with our clients and to provide the greatest, holistic care possible while maintaining a sense of respect.
Patient with critical condition need to be considered as they need to be closely monitor by health professionals in the hospital. The Consultation document ‘Care in the Community’ (DHSS, 1981) made several suggestions for moving people who do not need nursing care out of long -stay hospital (Social Policy and Social Welfare, 1983). By limiting services, NHS is trying to increase its care to what it may be refer as ‘treatment’. Giving priorities to both conditions are necessary but doing this by choosing the right environment and what is best for patient is more important. In family members, it might affect elderly people that might require help such as nursing care.
Person-centred thinking is a very individual approach and way of thinking and doing things for an individual`s health and social services and make sure it meets their needs. This means putting an individual and his/her family at the centre of decisions. Always ask individuals about their own preferences and encourage them to express needs, involving family and friends to identify what service-users like or dislike, and making sure individuals have access to appropriate care when they need it. Person-centred reviews and person centred planning should be reviewing frequently due to the changes and different needs an individual may
Population 6,398 (2013) 6,355 (2016) Skilled Nursing Facility: Provide activities to meet interest of patients, complete care plan with measurable time tables and actions, provide daily personal hygiene, give medications in a timely fashion, provide proper nourishment, also in a timely fashion. They should be treated with respect, each resident and visitors should be greeted with a smile. They should also be allowed to wear their own clothes, type of food they want to eat (which is within their meal plans) and
This is a situation where an immediate care is obligatory. Doctors and nurses will work together visioning the patient wellbeing and fully recovery. Long- Term acute care- It is an illness that has been controlled and an apt nurse is needed to take care of patient’s symptoms and needs. This type of care not only requires a skilled professional, but a life support that the individual might need because of his/ her mental and/or physical impairment. For example, someone has been accepted at the hospital for being
An important task is to match the best treatment approach to meet the particular needs of the patient. There are two kinds of treatment centers which are residential and outpatient. Residential treatment centers can vary, from wilderness programs, Christian rehabilitation, and even gender specific programs. Many residential programs offer services for a wide range of addictions, and psychological problems, while others specialize in one particular addiction. With outpatient treatment, you get the opportunity to live at home, and meet with your counselors and doctors on a regular basis.