Nursing Theory Plan of Care Theoretical Foundations of Practice NUR/513 March 05, 2012 Nursing Theory Plan of Care Ida Orlando literally wrote the book on the function of nursing. Her theory of the deliberative nursing process outlines a dynamic nurse-patient relationship in which the nurse uses his or her senses of perception together with deliberate actions to create an individualized care plan for each patient. Results of current research on the application of her theory follow a brief concept analysis and overview. Finally, a case study outlines the application of Orlando's deliberative nursing process. Concept Analysis of Orlando's Theory Orlando's theory hinges on the major tenets of nursing and the concept of …show more content…
This process assists the nurse in determining the nature of the patient's distress and how best to help meet his or her needs. The nurse-patient relationship becomes one of reciprocity as the nurse seeks to confirm his or her perceptions and thoughts of the patient's immediate needs by communicating this to the patient both verbally and through automatic and deliberative actions as outlined below (Sheldon & Ellington, 2008). Patient behaviors Mr. Issler presents with decreased oxygen saturation, diaphoresis, and pallor. Laboratory and diagnostic values show that he has impaired gas exchange with bilateral lung infiltrates, marginally low hemoglobin, a slightly distended abdomen, and decreased renal function. His blood pressure is also extremely high and he takes Coumadin for a history of deep vein thrombosis (DVT). Mr. Issler also has a history of congestive heart failure (CHF) for which he takes Lasix, a loop diuretic. He also exhibits renal insufficiency evidenced by an elevated creatinine level. Other vital signs include a respiratory rate of 22, pulse oximetry of 88% on room air, sinus bradycardia with a pulse of 58, and blood pressure of 176/84. Mr. Issler’s wife recently died and he has just spent more than two hours on a plane to move in with his ex-daughter-in-law, Shari. Currently, he does not know anyone from the area besides Shari and feels less independent. This leads to a state of depression and anxiety. Mr. Issler
Nursing theories have been a fundamental tool used to explain, guide and improve the practice of nursing. Theorists have contributed enormously to the growth of nursing as a profession. The four grand theorists I chose are Virginia Henderson, Peplau, Myra Levine and Jean Watson. These theorists have contributed tremendously in the field of nursing through their theories, and research. One thing the theorists have in common is that they are patient centered. They are all concerned on ways we can improve our responsibility to the patients, their families and the environment. They have different ideas but they are all aiming towards achieving the same goal, which is patient satisfaction and safety. Their differences are in their areas of
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
The aim of this assignment is to critically discuss the nurse’s role in planning care. The case of care is a 60-year-old lady named Mary. The names in this assignment have been changed in order to remain confidentiality in line with the Nursing and midwifery Council (2015). Mary has a son and lives with her husband of 30 years. Mary was diagnosed with type one diabetes mellitus when she was 18 years old. Mary also has a leg ulcer which is effecting many aspects of her life. Although Mary has other health problems I will be mainly focusing on the leg ulcer.
If you are trying to pursue a career in nursing you should do your research on this field. I have learned so much about what it takes to pursue a career in nursing and that there is so much more to it than just choosing what kind of nurse you want to become, to find out all about nursing you have do all the research possible. There are many roles that a nurse has such as a caregiver, educator, advocate and many more. The practice level of nursing is very broad also, there are plenty of degrees that you can get as a nurse, along with the specialty areas of practice I want to become a pediatric nurse which would be a specialty area. The practice settings of nurses vary from a hospital, community, outpatient, or school there is an endless
Kristen M. Swanson’s Caring Theory is the solution in bridging the gap between nursing practice and theory. It offers an explanation of the links between patient well-being and the caring process (Tonges & Ray, 2011). Swanson explained that nurses should be able to demonstrate that they care about their patients, and that caring about their wellbeing is as important as their patients’ current medical problem (Tonges & Ray, 2011).
A teaching plan is one of the most important steps in nursing process. It is a vital tool used to achieve the best quality of patient care. A nurse should teach the patient what they need to know about their disease or disorder, diet, treatment, medication regimens, and self-care (Taylor, LeMone, Lillis, & Lynn, 2008). In this paper, I will explain teaching plan for diabetes patient with regular insulin injection including with the purpose of plan, outcomes, behavioral objectives, and teaching method.
In this essay we are going to explore the connection between professional nursing practice and professional caring. I will outline the terms of professional nursing practice and what makes nursing a profession? I will describe the term of professional caring and the connection to the nursing practice and discuss the dilemma of care and cure. And also determine the importance of both in professional nursing practice.
Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of
A nursing diagnosis identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular emphasis will be placed on proposed interventions to achieve Mr. Bertoli’s healthcare goals and the provision of rationales. This is important to justify the significance of the interventions and indicate
Theory is an arrangement of thoughts meant to describe something. These thoughts and ideas usually have basic principles that validate the purpose of the proposed theory. Nursing theory is a well thought out scholarly structure of concepts. These concepts are created to help guide nursing practice. They explain the fundamentals of nursing care. Multiple clinical decisions are based upon nursing theories. There are many different types of nursing theories developed primarily by nurses. Nursing theorist’s main goal is to examine nursing practice and explain the working or non-working parts
NOTE: You will create a new Word document for this Assignment instead of typing directly into this document.
Nursing students today are diverse with different learning styles. Nursing educators must shape students to become critical thinkers and there are a host of approaches for instructors to develop needed teaching skills (Kostovich et al., 2007). There are many models of education styles; one to fashion teaching after is from Kolb’s model in 1985 which suggests matching learning methods to teaching approaches. However, educators need to become proficient in identifying individual student learning styles. Nursing educators should also recognize their own teaching style and the effect it has on learner development and socialization (National League for Nursing, 2007). The National League for Nursing (NLN) has developed eight core
This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.
Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.