Frailty and its related outcomes were monitored not only during hospital admission, but follow-up after discharged. The health outcomes were evaluated with various follow-up periods as short term (week), intermediate term (month), and long term (year). Adverse health outcomes especially poor mobility, limit the activity of daily living, delay discharge, postoperative complication, readmission, and death were generally reported in frailty rather than non-frail. Kua and colleagues (2016) demonstrated that after 6-month follow-up post hip surgery, frailty is strongly associated with increasing poor mobility (OR=0.74, p-value= 0.01), and dependency of basic activity (BADL) (OR=22.55, p-value= 0.001) and activity of daily living (ADL) (OR=5.53,
One of the pivotal roles of a nurse is the ability to recognise patient deterioration. The skill of identifying crucial elements of deterioration and acting appropriately is fundamental for positive patient outcome. A vital skill performed primarily by nurses is the act of respiratory rate measurement. This skill is performed in addition to five other physiological parameters, which form a basis for a scoring system. The scoring systems commonly used are known as NEWS (National Early Warning Score) and EWS (Early Warning Score). As many adverse events are preceded by a period of time where by the patient exhibits physiological dysfunction, there is often time to correct abnormalities. This has significance for nurses, as they are responsible
Fatigue, decreased mobility and impaired balance from the rheumatoid and osteoarthritis pain also increases the risk of falls (Stanmore et al., 2013). Age related changes such as sarcopenia causes muscle tone and strength to decrease, especially in the lower limbs and as a result, balance and gait become impaired (Culross, 2008). These factors significantly influence the risk of falls and also affect the ability to carry out daily activities therefore, with a physiotherapists assistance, the nurse could introduce a personalised exercise regime to enhance muscle tone and strength (Culross, 2008). According to Neuberger et al (1997), exercise lessens fatigue and improves muscle tone and balance in older people. Recommending an exercise programme for Mrs Jones that incorporates strength training exercises and aerobics, could potentially improve muscle tone and strength and as a result improve mobility, balance and lessen the risk of falls (Bird, Pittaway, Cuisick, Rattray & Ahuja, 2013). The nurse could also suggest safety precautions such as advising Mrs Jones to use a mobility aid (Gooberman-Hill & Ebrahim,
Dealing with death on a regular basis can take a toll on a person. Being a hospice nurse will never be easy and is certainly not for the faint of heart. A hospice nurse watches patient’s health decline, often times very rapidly, and many times sit by the patient’s side as they pass away. It can be exhausting both emotionally and physically. You need to have a big heart and a strong will to help those in need for the occupation. Sara Schmidt certainly never saw herself in the profession, but discovered that she has a true love for helping people.
“Vulnerability is at the core, the heart, the center, of meaningful human experiences” (Brown, 2014). Vulnerability can be regarded as a constant human experience that can be affected by physical, social and psychological dimensions (Scanlon & Lee, 2006; Malone, 2000) Deconstructing the concept of vulnerability and how it relates to client care is imperative for nurses due to their dynamic role in health care (Gjengedal et al.2013). In this paper I will provide a theoretical overview of the nursing concept vulnerability. I will explore how a thorough understanding of vulnerability informs the nursing concept of vulnerability and informs the nursing practice and the nursing profession. I will identify the gaps in the nursing
This essay will discuss the quality of resilience, it critical elements, and its effects; assessing its effectiveness in promoting reasonable and sincere responses to psychological and physical trauma. The first section of this essay will inspect and define the concept of resilience, showing its place in the realm of general health care while maintaining its individuality as a characteristic of personal psychological well being. The following section will dictate the risk and protective factors both innate and imposed that encourage or prevent a resilient character arising as a result of physical or psychological trauma. The final section of this essay will explain the components of resilience that influence health care workers and patients,
Uncertainty, according to the theory put into place by Merle Mishel, is the inablility to determine the meaning of illness-related events because of a lack of sufficient cues that allow patients to assign value to objects or events and accurately predict outcomes (Elphee, 2008). This author believes it is important for nurses to completely understand the patient as a whole and what they are experiencing when faced with a new and frightening diagnosis. It is necessary to supply patients with sufficient information regarding their diagnosis, if they desire. This author believes the Theory of Uncertainty may help the nurse understand more fully what challenges and uncertainty the patient is presented with when undergoing a new diagnosis.
Vulnerability is commonly defined as an individual being weak and susceptible to harm. The definition of vulnerability in nursing is slightly different. Vulnerability in nursing is focused on a population or group of people, not the individual person. These groups of people can have limited access to care and may have a higher risk of being ill or having certain health conditions. A population that is generally considered vulnerable are individuals with mental disabilities. The Medical Dictionary for the Health Professions and Nursing, defines mental disability as, “any clinically significant behavioral or psychological syndrome characterized by distressing syndromes, significant impairment of functioning, or significantly increased risk
“Apprehension, uncertainty, waiting, expectation, fear of surprise, do a patient more harm than any exertion. Remember he is face to face with his enemy all the time, internally wrestling with him” (Nightingale, 1992, p. 22). Fortunately, in the nineteenth century, Florence Nightingale recognized uncertainty could cause harm to her patients (Nightingale, 1992). Equally important to the nursing profession are the nursing theorists, their work, and the evolution of the theories that followed Florence Nightingale, the founder of modern nursing (Alligood, 2014).
This Preusser (2008) case study involves a 75 year old female, S.P., who fell at home and is admitted to the orthopedic ward for an intracapsular fracture of the hip at the femoral neck (p. 183). Assessment data includes her height is 5’3”, weight is 118 lbs, blood pressure...
Resilience currently a hot topic in many disciplines. Resilience is the ability to adapt or recover quickly during times of stress. Emergency room (ER) nurses deal with extremely busy, constantly changing and unpredictable work environments. Exposure to death, trauma, violence, and overcrowding contribute to the stressful environment. Resilience allows ER nurses to cope with a high stress work environment. ER nurses deal with intense situations that are physically and emotionally taxing. The occupational stress (OS) experienced by ER nurses often leads to burnout (BO) or posttraumatic stress disorder (PTSD). Resilience protects ER nurses from burnout and posttraumatic stress disorder. OS contributes to the high turnover rate for emergency
Registered nurses work to contribute good health and prevent illness. They also treat patients and help go through there rehabilitation and also give support and advice to patients family. Registered nurses are general-duty nurses who focus in the achievement of caring for their patients. They are under the supervision of a doctor. As I researched this career It brought more questions to my life. It became a big interest that soon I would have an opportunity to answer my own questions obviously with the help of others.
The different perspective of frailty leads to the difference in the operational definition, structural domain, scale and scoring to evaluate frailty. In orthopedic, there are currently 8 frailty instruments have been applied to assess the dynamic of frailty and stratify risk of postoperative complication in clinical settings including the Edmonton Frail Scale (EFS), Frailty Index (FI), the Simplified Frailty Index/ or the Modified Frailty Index (mFI), Fried’s Frailty Phenotype (CHS), Modified Fried Criteria (MFC), Reported Edmonton Frail Scale (REFS), Hip-Multidimensional Frailty Score (Hip-MFS), and Maastricht Frailty Screening Tool for Hospitalized Patients (MFST-HP). The structural, clinical outcomes and psychometric properties of each frailty
Jean Watson is a well-respected American nursing theorist who created the Theory on Human Caring. Watson’s concept on caring for a human being is simple, yet has much depth and meaning, and holds strong for nurses to work with compassion, wisdom, love, and caring. The Theory on Human Caring is necessary for every nurse, as it is our job to care for others in a genuine and sensitive way. The theory is extensive; its core foundation is based on nine concepts all interrelated and primarily focused on a nurse giving a patient care with compassion, wisdom, love, and caring (Watson, J., 1999). The nine essential aspects consist of: values, faith-hope, sensitivity, trust, feelings, decision-making, teaching-learning, environment, and human needs. Watson also created the Caritas Process consists of ten different ways of giving care:
Each individual gets to a point in life whereby they assess their internal qualities, people reflect their profession aspirations and attempt to see which careers will make them happy in their lives. It is also important for a person to consider whether they have the qualities needed for a particular profession and also consider the available resources that will help him or her reach their set goals (Chafey, Rhea, Shannon, & Spencer, (1998). Every human being has weaknesses and strengths in their personal or professional aspirations. Having strength means that someone has the physical and mental power to perform things in a successful manner. On the other hand, weaknesses are the drawbacks, the inadequate lack of strength or power to accomplish important goals in life, and every human has some potential of being a leader in some way (American Association of Critical Care Nurses (2006). This paper will discuss the outcome results inventory on the nurse as a manager, it illustrates personal strength and weaknesses in relation to personal life and professional aspirations. The paper will also discuss planning for career, disciplines in personal expedition, practice
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s