Introduction This is the first assignment of the concepts in nursing. The nursing process is a series of scientific steps that can be applied to a patient to fulfil his or her basic needs and helps to solve the clinical problem independently. It is based on a nursing theory developed by Ida Jean Orlando in the late 1950's. It is an essential part of the nursing care plan and consists of five steps. They are: assessment, nursing diagnosis, planning, implementation and evaluation. The nursing process highlights the patient as the central character and is directed at improving outcomes for the patient, and not about nursing goals. This assignment discusses the application of the nursing process to a patient in a methodical way. …show more content…
Problems and Needs Problems and needs are also part of the nursing diagnosis. They can be categorized into three main parts: actual, potential and possible. Actual problems or needs The actual problems or needs of Mrs. Mangalika can be identified with available data • Sever pain • Difficulty in moving left leg and arm • Bleeding from her left lower limb • Anxiety about her children and visually disabled mother • No awareness of her condition • Anxiety and fear about planned surgery Potential problems or needs These problems can be easily developed according to Mrs. Mangalika’s condition. • Low haemoglobin due to bleeding • Prone to develop shock due to pain and bleeding • Prone to develop deformities due to fractures • May developed impaired skin integrity due to lack of mobilization • Prone to develop respiratory problems due to difficulty in change positions in preoperative and post operative phases. • Impaired circulation in the injured limbs • Prone to develop infection due to skin breakdown Possible problems or needs These problems can not be identified easily, but the nurse has feeling that these can happen. • Financial problems because of long term illness and hospitalization • Anxiety may cause family safety Planning Generally the word “Planning” is making current decisions in the light of their future effects.
As a nurse, an important part of the job is to be caring and helpful for the physical and mental aspects of the patient. The ideas of Jean Watson 's Caritas Processes help define how a nurse can show caring in themselves to their patients. Watson names the eight processes; then define they mean which is key to understanding how a nurse should act to their patients. The book as We Are Now by May Sarton helps show some examples of how these processes work in action and helps to form ideas of how one can improve as a nurse in the future.
This assignment will investigate a needs orientated approach to care, critically discussing the nursing process. It aims to show an understanding of what a nursing model and the nursing process is, looking in detail at the relationship between this nursing process and the Roper, Logan and Tierney (RLT) model of nursing. This essay will explore how the nursing model and process is implemented in practice, considering how the RLT model assists nurses to adapt a problem-solving technique when developing care plans for individuals. Strengths and limitations of the RLT model and the nursing process, in relation to developing care plans, will be critiqued along with the effectiveness of
Nursing care is focused on the assessment, nursing diagnoses, planning, implementation, and evaluation of patients. This nursing process can also be implemented in aspects outside of nursing and on the nursing field as a collective group. The nursing role is evolving, following the process the outcomes have to be evaluated and put into perspective. Research is being completed the conclusions are all the same, the higher education of nursing care the better the patient outcomes.
The aim of this essay is to demonstrate the assessment process of a patient using the Roper Logan and Tierney (RLT) model of nursing framework and to show how the nursing process works alongside this model. This will be shown by a holistic history of the patient being shown, followed by how the RLT model is applicable to this patient. This is then followed by one nursing intervention being discussed showing how the nursing process is applied to patient care. The patient will be referred to as Mr Frederick Valentine to protect the patient’s anonymity as stated in the Nursing and Midwifery Council Code of Conduct (2008) guidelines.
During the operation, the patient was put under general anaesthesia and positioned laterally (George et al., 2008). For a lesion in the proximal region of the right femur, the patient initially lying supine was turned to the left lateral position, so that the right lateral side of the patient faced up; this position allowed for a greater view of the lesion area during surgery (Chen et al., 2013). The patient was draped while exposing the intended surgical region between the pelvis and the proximal upper leg (George et al., 2008). The epidermis, dermis, and subcutaneous layers in the region of the lesion were cut away, exposing the deeper tissue layers (Chen et al., 2013). Incisions continued through the deep fascia, exposing the gluteus medius, gluteus minimus, and vastus lateralis muscles (Chen et al., 2013). The right gluteus medius and minimus, lateral abductor muscles of the right thigh, and the right vastus lateralis muscle were cut away while their insertions remained intact (Chen et al., 2013). The surgeon made a lateral incision from a region inferior to the right anterior superior iliac spine toward the right gluteus medius muscle, until the greater trochanter was exposed (Chen et al., 2013). It should be noted that there are vascular structures present within the vicinity of the lesion, such as the medial and lateral femoral circumflexes; great care was taken to avoid such structures to minimize blood loss (Drake et al.,
The theoretical ideas give nurses direction and guidance on how to construct nursing practice, education and research. These theoretical ideas help nurses with assessment; provide interventions and evaluation of patients’ outcome. They provide rationale to nurses collecting reliable data about the health status of patients. The reliable data help establish criteria to measure the quality of nursing care. The theoretical ideas help with consisted communication with other healthcare professional.
The nursing process is important because it provides a framework for clinical decision making which helps to guide care and promote critical thinking. It is a systematic and goal oriented framework for problem solving. Critical thinking is used throughout the nursing process to improve patient care. The nursing process is cost efficient and apart of the standard of care. It is required by professional standards. The nursing process also promotes professionalism, enhances the quality of the decisions made, promotes collaboration with the patient and the interdisciplinary team, improves efficiency and timeliness of care, improves communication amongst nurses and with the public since it helps others understand what nurses do, increases client participation and care, promotes patient autonomy and individualized care.
Kozier, B., Erb, G., Berman A., Snyder, S., Bouchal, D., Hirst, S., Yiu, L., Stamler, L. &
Nursing care is based on the development of a helping relationship and the implementation and evaluation of therapeutic processes. Therapeutic process includes health promotion, education, counseling, nursing interventions and empowerment of individuals, families or groups. It helps individuals make choices in regards to their health care.
Assessment in the nursing process will establish the patients' ongoing needs and provide a quality of care best suited to the individual, to achieve a desirable health outcome.
This theory analysis paper is based on the work of Mrs. Imogene M. King and her Nursing Process Theory. It will show an overview of the model related to person, environment, health and nursing. The paper will also discuss the model and how it relates to the nursing practice. Finally the strengths and limitations will be discussed.
Nursing process is the basis of how nurses think, organize patient care, formulate rationale for their clinical judgement and ensure overall safety in practice. The process is fluid in
In the United States, the majority of amputations are performed in order to treat complications of peripheral vascular disease; the greater numbers involve the lower limbs (Clawson, 2009). According to Bowker and Michael (1992), disease is the most frequent reason for amputation in adults age 50 or older, while trauma is the usual cause of amputation in younger individuals. Marshall and Stansby (2008) include malignant tumor, uncontrollable acute or chronic infection, congenital deformity, ‘useless’
The nursing procedure is a progression of steps that permit the medical professional to assess the patient keeping in mind the end goal to execute the administer to particular wellbeing issues, by additionally actualizing sensible short and long term goals. The nursing procedure has five stages; appraisal, analysis,
The nursing process, upon introduction by North American Nurses Diagnosis Association[NANDA] has proved to be a means of standardizing nursing care and in maintaining professional autonomy. However, despite its benefits, many nurses are yet to fully understand and put to practice the nursing process in care of patients. The nursing process was originally adopted by the North American nursing profession from the general systems theory (GST) and quickly became a symbol of contemporary nursing as well as a professionalism nurse ideology [G. M. C. Mason and M. Attree, 2010].