The Roper-Tierney Model

The purpose of this paper will be to explain the components of Dorothea Orem’s self-care deficit theory, the current significance of the theory, and the application of this particular nursing theory. A nursing theory is an explanation of a division of nursing that “describes, explains, predicts, or prescribes” that particular division. (Perry, Potter, Stockert, & Hall, 2013, p. 41). Orem developed her personal theory, the self-care deficit theory, to assess a patient’s ability to perform vital daily tasks and how it affected the patient’s. (Hartweg & Pickens, 2016). This theory is a grand theory, which means it can be used in almost all areas of nursing. There are five components or methods that compose this theory that nurses will practice when working with a patient who needs to reach the self-care deficit. (Edney, Jaime, & Young, 2016). It is used today and has been included in several studies that have proven it to be effective in shortening hospital visits when used on critically ill patients. (Hohdorf, 2010). This particular theory has helped advance nursing practice since Orem’s first publication.

According to National Falls Prevention for Older People Initiative (2000), patients must be provided with proper education relating to knee and hip injury, in order to make them aware of the sensitivity relating to it. Education can be provided either through post-operation or through on-going basis at the time of hospitalisation. It has been recommended by Standards from the ICSI (2008), education on the subjects which shows how long to survive pain, preventing pain instead of chasing the pain, objective of pain management, treatment in pain management, how to get communicated with the nurse for analgesic when required, pain management planning this includes medication administration schedule. For older patients to instruct for reporting unrelieved pain quickly is important for effective pain management (Gowdy, 2003). After discharging the patients, proper instruction relating to pain management, side

Nursing process is a systematic process that involves a continuous cycle of five interrelated phases: holistic assessment of a client, nursing diagnoses, nursing care planning, implementation, and evaluation (Wilkinson et al. 2015). It enables nurses to assess the person’s health status and health care needs, to create plans to meet the identified needs, and to provide and evaluate individualised nursing interventions according to the person’s needs (Luxford 2015). The holistic assessment is the first step of the nursing process that includes the collection of subjective and objective data related to the physical, psychological, social, developmental, cultural, and spiritual status of a client (Wilkinson et al. 2015). This comprehensive approach to nursing assessment is essential because it allows nurses to comprehend not only clients’ health status, but also their routines and needs in order to incorporate their life-styles into the care interventions (Luxford 2015). It ultimately enables nurses to provide appropriate quality person-centred care rather than nurse-initiated care (Luxford 2015). Responsibility for holistic nursing assessment is supported by the Registered nurse standards for practice (2016), ‘Standard 4.1: The registered nurse conducts assessments that are holistic as well as culturally appropriate’ (Nursing and Midwifery Board of Australia [NMBA] 2016, p. 4). This essay will discuss the elements and the importance of holistic assessment in nursing.

In nursing, many theories have emerged that highlight the role of nurses in health care. Of these, Henderson’s Definition of Nursing became influential as Virginia Henderson brought it to the forefront in her 1955 Textbook of the Principles and Practice of Nursing (Abrams, 2007, p. 382). Per Renece Waller-Wise (2013), Henderson’s Definition of Nursing is “primarily helping people (sick or well) in the performance of those activities contributing to health, or its recovery (or peaceful death) that they would perform unaided if they had the necessary strength, will, or knowledge” (p. 31). Waller-Wise (2013) also pinpointed that the aforesaid would be carried out in a manner that would promote gaining independence (p. 31). Therefore, this nursing process is geared towards “helping patients attain, retain, or regain optimum health” (Schmieding, 1990, p. 464). In order to make improved health possible, it requires understanding what the patient’s needs are (Abrams, 2007, p. 383). Once identified, the nurse can respond to the patient’s self-care deficit and work towards patient autonomy (Risjord, 2014, p. 36).

There is a need to identify the level and type of support an individual requires when eating and drinking. Any support while eating or drinking is to be provided respecting the service user’s human dignity, while the carer is exhibiting warmth and a calm attitude. The care plan informs whether the service user is able to feed him/herself, or needs assistance. Many service users will feed themselves when starting their meal, but will get tired and will then require assistance. The hands of service users with Parkinson’s may have to be gently directed so that they manage eating independently. The carer may need to cut the food for the service user. Service users with chewing difficulties, or swallowing precautions, or a history of choking need to be supervised while eating. Of course, these service users will also get a soft diet. Service users living with dementia may reject food which to them resembles to gruesome things (e.g., they may think meat bits in a dark sauce are cocroaches), therefore person-centered support is important. Service users with learning disabilities may find it hard to estimate distances, so the carer will make sure plates and glasses are well within their reach.

In this Assessment nursing course, one of the major things that is taught is the most important part of giving proper care to a patient. Correct patient assessment is needed before any nursing care plan or treatment can be implemented. This post-review of a person’s assessment will demonstrate the proper way to go about assessing a person’s health.

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.

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.

As you learned in NR302, before any nursing plan of care or intervention can be implemented or evaluated, the nurse conducts an assessment, collecting subjective and objective data from an individual. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting both subjective and objective data, synthesizing the data, and identifying health and wellness priorities for the person. The purpose of the assignment is twofold.

Assessment, the first step in the nursing process, is a concept that must grasped in order for nurses to possess the solid foundation required to develop a plan and provide optimal care to their patients. This assessment is significant not only to individual patients, but their families, who are becoming increasingly recognized for their significance to the health and well being of individual family members. Nurses use a variety of tools in family nursing, and one of the most significant includes the Calgary Family Assessment Model (CFAM), developed by Wright and Leahey. CFAM is an integrated conceptual framework used for interviewing and making

Examine the underlying assumptions, values, and beliefs of various nursing models, and how the major concepts, are

I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.

The Giger and Davidhizar model was “developed in 1988 in response to the need for nursing students in an undergraduate program to assess

Nursing is a unique profession which is built upon theories that guide everyday nursing practice. According to Taylor, Lillis, & Lynn (2015), “Nursing theory differentiates nursing from other disciplines and activities in that it serves the purposes of describing, explaining, predicting, and controlling desired outcomes of nursing care practices” (p. 27). Many nurses may unknowingly apply a theory or a combination thereof, along with critical thinking to get the best outcome for a patient. Theories are used in practice today because they have been supported by research and help the profession uphold its boundaries. Most nursing theories consist of four concepts which are the patient, the environment, health, and nursing. Each patient is at the center of focus and they have the right to determine what care will be given to them using informed

In the clinical setting, nurses must evaluate their patients in order to better understand their needs. Multiple conceptual models exist in order to guide the evaluation process as well as to enhance the nurses’ scope of practice. The focus of this paper will be based on the Roy Adaptation Model developed by Sister Callista Roy, in which the model will be explained, analyzed and discussed through a clinical situation.