The evaluation is the final part of my three mandatory written pieces of my graded unit. The final evaluation stage of the graded unit requires me to reflect on how the activity went, whilst highlighting my strengths, areas that require future development and identify my weaknesses, this, in turn, will enable me to adapt my practice to ensure I am continuously supporting patients to the standards set within The Nursing Midwifery Council (NMC). Looking back on the activity, I am proud of myself for being able to plan and follow the activity through to complication. When completing the book with Mr X I found it to be an enjoyable activity that not only offered benefits to Mr X but also to myself, it allowed me to understand the importance of building a therapeutic relationship with a patient. Building a successful therapeutic relationship required me to have good communication and interpersonal skills, (Radcliffe and Ford, 2015), that allowed me to build a relationship with Mr X based on mutual trust and respect.
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.
According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis.
The nurse considers the patient’s feelings when it comes to perception, self, body image, growth and development, time and space. Through the assessment they determine a plan of care/treatment. Communication is key in explaining the treatment plan. Mutual goal setting is successful. The goals must be attainable in the daily living.
Phase One (Sessions 1 through 3) • The session 1 and 2 consists of the assessment of the client’s clinical problems and background information. Questions relate to her clinical problems, including (a) the nature of her problems (depression and difficulty with making decisions), (b) reason of seeking psychotherapy, and (c) previous attempts to deal with the problems. For the background information, the client’s histories are assessed in the areas of intimate/family relationship, educational/vocational activities, past history of psychological treatment, and physical condition. Session 3 primarily consists on the further functional assessment around her coping skills (e.g., avoidance) in the areas of interpersonal relationships. Phase Two
The Joint Commission in 2011 also described a clear and safe communication as timely, accurate, and usable (Arnold, et al., p.23). This positive quality of communication is evident in the interaction of Shona and the nurse, as the nurse asked Shona “Can you explain that further?” in regards to the situation that Shona is feeling — from this, the nurse is trying to understand Shona’s condition as she assesses the situation. In a nursing process, communication standards and skills are an integral component of knowledge (Arnold, et al., p.29) that allows nurses to understand a patient’s condition, thus, provide compassion and respect for their patients. This is evident in the nurse’s intervention to Shona’s struggles as she encouraged Shona to not to think about her conflicts and focus on happy things like her children— which shows empathy and
Health is viewed as a part of the whole, is variable and teeters between synchronization and disagreement. Nurses depend on theories and models to promote healing, well-being, and mindfulness when providing care for individuals and interacting with
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.
Having grown up in a community underserved in mental health care, my beliefs are commensurate with the National Health Service Corps’ in that access to health care is a basic human right. As a Psychiatric Mental Health Nurse Practitioner I will strive to increase access to mental health care for individuals in underserved communities as a nurse in a community-based practice. National Health Service Corps’ mission to increase accessibility of quality health care will benefit from my commitment to serving individuals without health insurance and those living in rural and urban areas where mental health care services are limited. Through the incorporation of the principles of psychology, psychiatry and social work, I will provide my patients
Jean Watson Nursing Theory Jean Watson`s human caring theory is one of the most fundamental theories in the field of psychology. It has been around for more than 30 years and has since then evolved over the years through the concept it holds still remains. In addition to this, transpersonal psychology (TP) is accredited for having motivated Watson to come up with the aforementioned theory. The results of this have been very endearing to the nursing profession since both the nurses and patients have been in a position to sustain a long-lasting relationship after putting the particulars of the theory into practice. For nursing students with a particular interest involving going beyond healing and caring, it is highly likely that by studying this
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.
The final concept is nursing. To define it, it’s a serving service, and a technology (Dorothea Orem 's Self-Care Theory, 2014). Engagements intentionally designated and executed by the nurses to support individuals below their precaution to sustain or altered disorders (Dorothea Orem 's Self-Care Theory, 2014). This also includes the patient’s viewpoint of health state, the Doctor’s standpoint, and the nursing perspective (Dorothea Orem 's Self-Care Theory, 2014). Nursing’s goal is to concentrate on the patient and how to sustain his or her well-being, life and health (Dorothea Orem 's Self-Care Theory, 2014).
Therapeutic communication is a core factor in mental health nursing. It is important for a mental health nurse to have knowledge and interpersonal skills to communicate with a client who is experiencing a mental health disorder. Therefore, it allows a good relationship between a nurse and a client. Communication is an involvement with thinking, feeling and behaviour either its verbal, in writing or non verbal. Therapeutic communication is mostly client focused and is towards patient’s “goal directed”.