Nursing Essays – Knowledge and Skills for Nursing.
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Knowledge and Skills for Nursing
What is an example of an application of nursing knowledge and skills in healthcare practice?
The Setting
The setting is a healthcare ward, and the patient was hospitalized owing to diarrhoea and vomiting caused by drunkenness and malnutrition. The hospital medical ward is made up of patients who require good treatment and nursing care in order to stay in the hospital for a shorter period of time. Because the patient was experiencing difficulties due to depression, he would be treated not only medically and physiologically, but also emotionally. The patient became despondent when her spouse died. She also became addicted to alcohol, and her health began to worsen as a result of starvation.
The Approach
The patient was admitted to the hospital after experiencing diarrhoea and vomiting. The patient is physically ill, pale, and has bad hygiene. According to the background check, the patient suffered from acute depression when her husband died and she now lives alone. Because of starvation, the patient became an alcoholic, and her health deteriorated. The patient appears underweight, but with adequate medicine and patient care, he or she can live.
The nursing process is best defined as a framework for personalized care planning for patients with intellectual impairments. Because patient care is a process, it does not end, but rather evolves continually, and it is the nurses’ obligation to adapt to these shifting demands whenever necessary.
The nursing process typically consists of four or five phases, depending on the available resources and work environment, and involves the following steps: diagnosis, assessment, planning, implementing, and evaluating. In order to enhance the care process, the nursing process should be approached collaboratively and participatively with other professionals while acquiring and applying resources (Department of Health 2000b; Department of Health 2001). The primary goal of this study will be to create a treatment plan for our patient under investigation.
Assessment
The most critical aspect of care planning and delivery is assessment. It covers topics such as health and health needs, daily living skills, exercise programs, mobility, mental health, client risks, financial, respite, social events/outings, support requirements, spiritual needs, and, maybe, housing concerns (Department of Health, 2000b;Sox, 2004a).
To begin, a background check is required in order to appraise the patient’s position. Our patient is awake but unable to answer effectively due to her condition. As a result, we need someone close to the patient or a relative to answer questions about the treatment plan. Data such as past hospitalization, medicine consumed, and other factors pertaining to the patient’s health are critical.
Diagnosis
The patient was admitted to the hospital due to diarrhoea and vomiting. Based on the patient’s outward appearance, the initial diagnosis is that he is dehydrated. Diarrhoea normally resolves on its own, with or without therapy. If the diarrhoea persists for many days, it is essential to review the patient’s medical history and do a physical exam.
Planning
In terms of planning, the nurse is critical to the patient’s recovery and stay in the hospital. Upon arrival, the patient’s major complaint, diarrhoea and vomiting, was addressed. However, the medical team’s additional diagnostic and assessment revealed that the patient is malnourished. Our strategy focuses on malnutrition; the reasons why the patient has this condition, as well as the therapy and procedure that the nurses should follow for the patient’s welfare.
Implementation
The most difficult aspect of the nursing process is putting a care plan into action. The patient is pallid and has lost a significant amount of weight. As a result of her look upon arrival, the patient also lacks adequate hygiene. The care plan will be implemented as soon as the patient is admitted. The patient will be conveyed and referred to the nursing staff on duty in the medical ward, and the treatment plan agreed upon by the medical team and the patient’s relative will be implemented.
Malnutrition Evaluation will evaluate the effectiveness of the care plan and its implementation. It is critical to analyze the point of care in order to achieve the desired care plan. To rectify and enhance the plan, an updated evaluation should be performed.
The Model
Pearson and Vaughan (1993) define a model as a descriptive image of practice that sufficiently depicts the real thing. A model, according to Riehl and Roy (1980:11), is “a systematically constructed, scientifically based, and logically related set of concepts that identify the essential components of nursing practice, together with the theoretical bases of these concepts and the values required for their use by the practitioner.”
Choosing an appropriate model is critical for effective care planning. In the United Kingdom, the most often used nursing model is that of Roper et al, 1980, which is based on a model for living. It offers a comprehensive approach to treatment while incorporating an important component of a person’s everyday activities. Activities of daily living (ADLs), Lifespan, Dependence/Independence continuum, Factors affecting ADLs, and Individuality in living are the five components of the paradigm. Roper, Logan, and Tierney (2002).
Our patient’s situation must be evaluated physically, biologically, and cognitively. Our patient became unwell as a result of his wife’s death. The Roper, Logan, and Tierney strategy is thought to be effective in dealing with our patient since it takes a comprehensive perspective.
The model was called after the model’s creator, Nancy Roper, Logan, and Tierney. It was created in 1980 as a result of Nancy Roper’s 1976 work. The paradigm is based on the 12 actions that must be completed in order to survive. The model has been changed multiple times, the most recent being in 1998. Maintaining a secure environment, communicating, breathing, eating and drinking, elimination, washing and clothing, thermoregulation, mobilization, working and playing, expressing sexuality, sleeping, and death and dying are among the 12 activities.
Each of the actions might be thought of as being on a continuum from dependency to independence. There may be moments in our lives when we will be more reliant on others to satisfy our requirements. The nurse’s duty is to assist patients in gaining independence in all aspects of everyday living. Biological, physiological, socio-cultural, environmental, and politico-economic elements all have an impact on the individual and influence their levels of dependence/independence.
Advantages and Disadvantages of Roper, Logan and Tierney
What are the advantages and disadvantages of Roper, Logan and Tierney model?
According to Pearson and Vaughan (1993), the nursing model is vital in a hospital ward or department. One of the benefits of the Roper, Logan, and Tierney model is that it results in consistency in the style of care that patients get, resulting in continuity of care patterns and treatments. The Roper et al. Model will result in reduced disagreement among the nursing team as a whole. Because of the model’s reasoning and definition, other healthcare providers will have a better understanding of the logic of care.
In comparison to others, the Roper, et al model is deemed to be self-explanatory or not overly difficult. This is supposed to be done to “help learners in developing a style of thinking about nursing in general terms.” As previously stated, the Roper, Logan, and Tierney model is based primarily on twelve activities of living, which are the core parts of nursing and are referred to as “basic human needs.” According to Roper, Logan, and Tierney, activities of daily life benefit the nursing paradigm because they are visible, describable, and, in some cases, objectively quantified.
The model is primarily concerned with the twelve activities, but the theory is based on ‘living’ and treats nursing activities as a deliberate strategy to meeting the twelve components of nursing care. It considers the Person to be a biological entity with an inseparable mind and body, and Health to be the ability to act independently in respect to the twelve components (Fitzpatrick and Whall 1989).
The Care Plan
Diarrhoea, alcoholism, and malnutrition are the patient’s early diagnoses. However, while determining the source of the patient’s ailment, the nurse caring to her needs learned about her husband’s death. Following a background check, they discovered that the patients’ husband died and became sad as a result of the scenario.
During a health evaluation, it was discovered that the patient had a mental health condition. A patient’s health needs are also crucial, and the nurse involved should be aware of these needs. To assist the patient, the nursing process and nursing model should operate in tandem to ensure the patient’s survival. It is critical to assess the patient’s needs. The Roper, Logan, and Tierney approach will guarantee that the patient is in a safe environment, that she is speaking with her nurse, that she is breathing, eating and drinking, and that she is functioning. The Rogan, Logan, and Tierney model is extensively employed due to its comprehensive approach.
To assess our patient’s position, we might say that his drinking may develop to liver illness and interfere with his everyday activities. To have a successful care plan, the patient must trust her nurse and have a strong connection with her. The model of choice According to Roper et al., the path of life begins at conception and continues until death. The approach entails keeping a safe atmosphere; our patient should live in a comfortable and clean setting. The patient was found to have inadequate hygiene upon entry.
Individuals should participate in personal washing and dressing while identifying their daily tasks. As stated at the patient’s admittance, the patient had poor hygiene. As a result of her hospitalization, the patient may develop pressure sores. The nurse who is caring for her should treat and approach her with care. A pressure sore develops as a result of the patient’s inactivity. To avoid this situation, the length of the patient’s stay in the hospital should be reduced. The nurse must determine how to assist the patient in cooperating with the agreed-upon care plan.
The patient’s cooperation is required for the treatment plan to be implemented. It is critical to assist the patient in overcoming the depression that she is feeling. In this situation, the patient may not participate at first, but will gradually cooperate as the procedure progresses. The plan’s effectiveness is dependent on the patient’s and nurses’ participation.
Our capacity to do ADLs will fluctuate from one extreme to the other throughout our lives. As a result, this part of the living model effectively interlinks with the nursing model, with both relying on the other. The patient will have an opportunity to recuperate from the health issue that she is experiencing. The Roper, Logan, and Tierney paradigm is suited for approaching the patient’s issue holistically.
Conclusion
The nursing process consists several steps that must be accomplished in order to assist the patient overcome the sickness she is suffering from. This will allow us to determine which aspects should be prioritized in order to prevent the emergence of such sickness. The scope of the research encompasses the nature of care planning, person-centered care planning, care management, health action planning, and the care program method.
This research also suggested certain steps that should be implemented. The Roper, Logan, and Tierney approach is outlined in order to assist the nursing process become more successful and productive. Roper Logan and Tierney have a comprehensive approach and are essential when working with the nursing process. This study also emphasized the need of strong, professionally designed care plans based on a rigorous nursing evaluation.
Suitable planning is essential when dealing with patients, especially those who are brought to the hospital due to various ailments that may be healed and overcome if proper nursing processes and models are employed. A nursing procedure is necessary to diagnose, appraise, cure, and remove a person’s ailments. Our patient fell ill as a result of depression and a problem that requires correct care to many aspects.
She has to be treated on all levels: medically, physically, and mentally. If this is the case, the nursing paradigm should be comprehensive. The patient’s everyday life activities are impacted, and she must comprehend why such activities are performed for her well-being. The patient should be thoroughly educated or informed about the benefits she will receive if she cooperates with the agreed-upon treatment plan.
References
Roper, N; Logan, W; Tierney, A; 2002 The Elements of Nursing 4th edition. Churchill Livingstone, Edinburgh
Department of Health (2000a), Nurses, Midwives and Health Visitors (training) Amendment, London Department of Health.
Department of Health (2000b) The NHS Plan. www.nhs.com.uk
Goddard M, McDonagh MS & Smith DH (2000) Measuring appropriate use of acute beds: a systematic review of methods and results. Health Policy 53 157-84.
Coast J, Inglis A & Frankel S (1996) Alternatives to hospital care: what are they and who should decide? British Medical Journal 312 162-6.
Pearson A. and Vaughan B.(1993) Nursing Models for Practice. Oxford. Butterworth Heinemann.
Riehl J. and Roy C.(1980) Conceptual Models for Nursing Practice (2nd. Ed.) New York. Appleton Century Crofts. In Roper N., Logan W., and Tierney A.(1990) The Elements of Nursing (3rd. Ed.) London. Churchill Livingstone.
Fitzpatrick J. and Whall A.(1989) Conceptual Models of Nursing: Analysis and Application (2nd.Ed.) London. Prentice Hall Int.
Frequently Asked Questions (FAQs)
1. What is assessment and why is it important in nursing?
The most critical aspect of care planning and delivery is assessment. It covers topics such as health and health needs, daily living skills, exercise programs, mobility, mental health, client risks, financial, respite, social events/outings, support requirements, spiritual needs, and, maybe, housing concerns (Department of Health, 2000b;Sox, 2004a).
2. What does model mean in nursing?
Pearson and Vaughan (1993) define a model as a descriptive image of practice that sufficiently depicts the real thing. A model, according to Riehl and Roy (1980:11), is “a systematically constructed, scientifically based, and logically related set of concepts that identify the essential components of nursing practice, together with the theoretical bases of these concepts and the values required for their use by the practitioner.”
3. What are the 12 ADLs Roper Logan and Tierney?
Maintaining a secure environment, communicating, breathing, eating and drinking, elimination, washing and clothing, thermoregulation, mobilization, working and playing, expressing sexuality, sleeping, and death and dying are among the 12 activities.
4. What are the benefits of Roper Logan and Tierney model?
One of the benefits of the Roper, Logan, and Tierney model is that it results in consistency in the style of care that patients get, resulting in continuity of care patterns and treatments.
