It is necessary to explain what clinical skills are and why they are essential in ID (Intellectual Disability) nursing. For the purpose of this assignment the focus will be on a traditional skill of care planning and a non-traditional skill, accessible communication. These skills combined, give a more in depth understanding on the role of the RNID (Registered Nurse Intellectual Disability) in the overall care of a person with ID. Maintaining competence is an integral part of the role of the RNID. Competence in this context can be described as a holistic integrated approach when caring for an individual with ID (Gonczi 1994). RNIDs use a nursing process such as the bio psychosocial approach when looking at the overall needs of a person. Realising that all aspects of a person such as the biological, psychological and sociological are interlinked ensures that all needs of an individual with an ID are met. Clinical competence is a necessary component of nursing and the NMBI formerly known as An Bord Altranais (2005) is the governing body in Ireland. According to Gleeson (2008) the development of skilled clinical practice is at the centre of nurse education. Two recent reports are influential as regards the role of the RNID in the overall care of a person with ID and they are the IDS-TILDA (Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing) ( McCarron et al. 2011) and Strengthening the Commitment –The Report of the UK Modernizing Learning Disabilities Nursing Review 2012. Reference will be made to these reports as the assignment progresses.
A relatively new phenomenon has come to the fore in ID nursing and that is the noticeable change in life expectancy for people with a disability. The number of people wit...
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...skills that is acknowledged but often underestimated.
The role of the RNID is to provide holistic person centred care. This is evident through literature researched and discussed in this assignment. Maintaining competence in clinical skills such as care planning and accessible communication are but a sample of the clinical skills used by an RNID in relation to the overall care of a person with an ID. These skills are used across a person’s lifespan, through every transition in their lives. RNIDs use a bio psychosocial approach and this is necessary to obtain a comprehensive profile of the person with an ID. This allows them to provide best practice that is evidenced based. RNIDs are governed by the Irish clinical body, An Bord Altranais which informs them of the importance of maintaining competence in clinical skills in relation to the overall care of a person.
Due to an ageing population , The Francis Report recommends the introduction of a new status of nurse, the “registered older persons nurse”. One of the illnesses linked in with this is dementia, and multiple factors relating to dementia are having an impact on how nurses are trained and their deliverance of services. In 2013, the Royal College of Nursing (RCN) began a new development program to transform dementia care for hospitals. There aim is to develop skills and knowledge related to dementia, the roles of all those who are involved, understanding the development of action plans that identify key changes.
Touhy, T. A., Jett, K. F., Boscart, V., & McCleary, L. (october 2011). Ebersole and Hess Gerontological Nursing and Healthy Aging (1st canadian edition ed.). Retrieved from
At the multidisciplinary meeting, the nurse will collect and assess the information provided by the other disciplines and family members stating that the patient is not at her prior level of functioning and then analyze the information to develop a diagnosis of deconditioning. Next, the nurse identifies outcomes for the patient to get stronger, achieve prior level of function, have activities of daily living (ADL’s) met in a safe environment by planning for home health, equipment, and 24/7 supervision through family or placement in a facility. This will be implemented by coordinating delivery of a walker and a 3 in 1 chair prior to discharge to daughter’s home with the home health agency nurse, physical therapist, and aide scheduled to start that day. In a week, the nurse evaluates that outcomes are being met by following up with patient, daughter, and home health agency evaluating that the patient is getting stronger, ADL’s are being met, and will soon be able to return to living independently. To achieve these standards of practice, every nurse should be aware of her own nurse practice act to ensure to be functioning with in the laws of the nurse’s state and to ensure the best outcomes and safety of the patients. In closing, it is every nurses duty to be the best nurse they are capable of being by looking at the scope of nursing practice which gives us the framework to achieve
A care relationship is special and requires skill, trust and understanding. This essay will elaborate how the quality of that relationship affects the quality of the care given and the experiences felt in receiving care. These different relationships will depend on the type of care given, who the care is given by and what sort of previous existing relationship there was to begin with. For a good care relationship to work it needs to follow the 5 K101 principles of care practice which are 'support people in maximising their potential','support people in having a voice and being heard','respect people's beliefs and preferences','support people's rights to appropriate services' and 'respect people's privacy and right to confidentiality'.(K101,Unit 4,p.183). If all of these needs are met a far exceptional quality of relationship between the carer and care receiver will be achieved.
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
This article addresses the need for regularly available counselling for people with ID to be comparable to what is given to the rest of society. It goes over the differing needs of the ID population in contrast to what a typical person would require, and goes over multiple examples to explain these differences. It follows up with a list of suggestions for caregivers when dealing with an ID individual coping with loss.
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
Nurse managers frequently experience the challenges and stressors involved in patient interactions, employee assignments or behaviors, and remaining organized. Advocacy, delegation and task management are all important aspects involved in effective nursing management. For the purpose of this paper, the author will explore the effect emotional intelligence has on nursing delegation in alignment with organizational values. Black (2017) found that a strong value system put into action among leaders is the foundation of an organization’s climate. (Black, 2017). A leader in nursing must foster a deepening sense of self-awareness by reflection on personal values in
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 conclude, emotional intelligence and reflective practice are the integral components of building a therapeutic component of building a therapeutic relationship in nursing. Emotional intelligence is the ability, capacity and skill to identify, assess and control the emotions of oneself, of others and of groups. This quality plays an important role in nursing success whether they are working in management or at the bed side. We must understand and create a therapeutic relationship between nurses-client relationships. We must understand the client’s situation and help them to achieve their needs so that it provides a better care. Therefore nurses should always seek out techniques to assist in the caring of the client and provide them with all the support and their betterment to have a better therapeutic relationship with the clients.
Nursing excellence is defined in various ways. I believe that nursing excellence is demonstrated when nurses are involved in promoting holistic patient centered care, quality and innovation, education, evidence-based practice, and nursing research. Nursing organizations plays a pivotal role in promoting nursing excellence. For this discussion post, I will be discussing the role of two organizations; the National League of Nursing (NLN) and the Quality and Safety Education for Nurses (QSEN), in promoting nursing excellence and nursing practice.
Intellectual disability (ID) and related terminology have evolved over time to reflect the legal and social gains made by individuals with such a disability and their families. ID is characterized by significant limitations in intellectual functioning (e.g., reasoning, learning, and problem solving); significant limitations in adaptive behavior (i.e., conceptual, social, and practical skills in everyday life); and onset in childhood (before the age of 18 years; American Association on Intellectual and Developmental Disabilities (Disabilities, 2017). Intellectual disability is a particular state of functioning that begins in childhood and is characterized by limitations in both intelligence and adaptive skills (Janet W. Lerner, 2015).
Self awareness in nursing refers to how glowing nurses comprehend themselves, their strengths, weaknesses, attitude and ethics in order to better transact with their patients. Self- awareness includes review of self, together with self confidence. Self -regulation express beyond one`s emotion and being trustworthy. For nurses to be able to empathize with their patients and treat them with compassion, they have to be self aware. When nurses are self aware, they are capable to adapt to, or certainly change their attitudes and deed in order to understand how unusual people take care of them hence improving the nurse- patient relationship. Nurses must reflect carefully on whether they can sustain in dependence in caring for a client and whether the relationship interferes with gathering the client’s needs. It is also essential to be sure that providing care to family and friends does not interfere with the care of other clients or with the dynamics of the health care group. Before making the conclusion, the nurse may possibly wish to discuss the situation with colleagues and the employer.
Nursing and Qualities That I Possess to become a Good Nurse Nursing is the act of safely caring, protecting and improving our clients’/patients’ health and ability without causing any further harm or disability to them. Our primary goal is to restore and maintain good health physically, spiritually and psychologically. It is a science, such that one has to apply the nursing knowledge and technical aspects of practice. However, it is important to incorporate the act of patient-centered care, which is defined according to QSEN/NOF, as holistic care that recognizes the patient as the source of control and full-partner in providing compassionate and coordinated care with respect for the patient’s desire, values, needs and preferences. It has to incorporate with the nurse’s personality, i.e., certain qualities that the individual possess.
The career i chose is a branch of the medical field. I chose a career in nursing, more specifically the career path of a registered nurse. This career consists of providing care for people of all ages and helping them with managing their conditions. I chose this career because my mother is an rn and my family has a strong presence in the medical field. It is important to understand the education or training requirements, skills, or talents needed, salary, benefits offered, and the duties for a particular career when making this decision.