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Fundamentals of nursing how to conduct nursing assessment
Assessment nursing practice question
Fundamentals of nursing how to conduct nursing assessment
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Introduction:
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 how they can lead to Mr. Bertoli proceeding through life aging healthily. How nurses’ attitudes influence their quality of care will also be explored.
Goal 1:
Mr. Bertoli will partake in individualized patient medication education with the aim of being able to understand the important aspects of his medications and why he needs them, this will occur within two weeks.
Intervention 1a:
The use of an interpreter or a bilingual health provider when presenting medication education (Aboul-Enein & Ahmed 2006).
Rationale 1a:
An interpreter or bilingual health provider needs to be used when presenting medication education with a non-English speaking patient to bridge the language barrier between the health provider and the patient (Squires 2009). This is because generally when a person comprehends the important aspects of their medications the rate of compliance increases (McGraw & Drennan 2004). It also needs to be ensured that a professional interpreter is used rather than a friend or famil...
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...4, no. 6, pp. 112-124.
Squires, A 2009, ‘Methodological challenges in cross-language qualitative research: a review’, International
Journal of Nursing Studies, vol. 46, no, 2, pp. 277-287.
Tomaka, J, Thompson, S & Palacios, R 2006, ‘The relation of social isolation, loneliness, and social support to disease outcomes among the elderly’, Journal of Aging and Health, vol. 18, no. 3, pp. 359-384.
Warburton, J, Paynter, J & Petriwskyj, A 2007, ‘Volunteering as a productive aging activity: incentives and barriers to volunteering to Australian citizens’, Journal of Applied Gerontology, vol. 26, no. 4, pp. 333-354.
Weerdesteyn, V, Niet, M, Duijnhoven, H & Geurts, A 2008, ‘Falls in individuals with stroke’, Journal of Rehabilitation Research and Development, vol. 45, no. 8, pp. 1195-1214.
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...ulture is changing, Hmong are not all the same, importance of family, privacy issues, mental health issues, and small talk is important (Barrett et al., 1998, 181-182) . Overall, Barrett and others concluded that in order to improve interaction between patient and doctor all they have to do is follow these easy steps. First, is to be kind and have a positive attitude towards the patient and interpreter. Second, learn about each other’s cultures prior to meeting, to better understand each other. Third, better explain diagnosis and treatment options to patients. Fourth, improve translation providers need to get better interpreters who could concisely explain the consultation. Fifth, involve the family to make more thorough decisions. Sixth, respect patient’s decisions and there are still other alternatives to improve interaction (Barrett et al., 1998, 182-183).
Pantell, Matthew,et al. “Social Isolation: A Predictor Of Mortality Comparable To Traditional Clinical Risk Factors.” American Journal Of Public Health 103.11(2013): 2056-2062. Academic Search Complete. Web. 30 April 2014.
Pantell, M., Rehkopf, D., Jutte, D., Syme, S., Balmes, J., & Adler, N. (2013). Social isolation: A predictor of mortality comparable to traditional clinical risk factors. American Journal of Public Health, 103(11), 2056-2062. doi:10.2105/AJPH.2013.301261)
The increase and changing demography in the United State today, with the disparities in the health status of people from different cultural backgrounds has been a challenge for health care professionals to consider cultural diversity as a priority. It is impossible for nurses and other healthcare professionals to learn and understand theses diversity in culture, but using other approaches like an interpreter is very helpful for both nurses and patients. In this paper of a culturally appropriate care planning, I will be discussing on the Hispanic American culture because, I had come across a lot of them in my career as a nurse. The Hispanic are very diverse in terms of communication and communities and include countries like Mexico, Cuba, Puerto Rico, South and Central America, and some of them speak and write English very well, some speaks but can’t write while some can’t communicate in English at all but Spanish.
The goal of this lesson is to explore how we can improve communication to eliminate language barriers between healthcare providers and patients in our organization and to establish culturally and linguistically appropriate goals, that provide safe, equal, and quality care to all our clients regardless of race, ethnic, or socioeconomic status. At the end of this lesson we should be
Goode, T. D., Dunne, M. C., & Bronheim, S. M. (2006). The evidence base for cultural and linguisitc competence in healthcare. The Commonweatlh Fund , 1-46.
Professional providers of language in medicine or medical interpreters are often portrayed as invisible language facilitators (Angelelli 7). This means that their role is to convey the meaning into the other language between parties in the interaction which is accomplished through a conduit role or message converter role. The incremental intervention model of interpreting lets interpreters use a variety of roles including cultural broker and advocate role. Advocacy is a role that an interpreter takes that moves from interpreting the communication between speakers to acting on behalf of one of the speakers based on the interpreter’s understanding of what the speaker’s intended outcome is (NCIHC). It is challenging for medical interpreters to judge when to switch from their role as message converters to become patient advocates, and speak out in their own voice on behalf of a patient maintaining, at all times, high ethical and professional standards. When interpreters step in the role of patient advocate they become visible in the interaction going beyond the conduit role and becoming co-participants in the triad. What is the ethical role of the medical interpreter as an advocate for the Latino patient?; when is it appropriate to use advocacy?; how to make the decision?; what are the consequences of inappropriate use of advocacy role?; what are the boundaries?
Several studies also asserted that loneliness is correlated with aging itself (Tijhuis et al, 1999; Victor et al, 2000) and that there was a gradual increase in loneliness up to the age of 90 (Holmen, 1992). This increasing trend can be attributed to interactions with other factors due to additive nature of risk factors for loneliness and social isolation (Victor et al, 2000).
There are changes in the demographic as the population grows older, the number of older adult’s increases and thus, there is an increase of proportion of patients that are older adults for nurses to take care of (Wells, Y., Foreman, P., Gething, L., & Petralia, W., 2004). The nurses are there to assist and support the older adults in achieving wellness within their situation through empowering the clients (Touhy, et al (2012). Caring for older adults is important as there is an increase in population with deteriorating health. When caring for a client it is important to incorporate Jean Watson’s caring theories and Carative Factors to help influence and support the care. She encourages nurses to co-participate within the caring process by establishing unity and trust between the nurse and client. First, this paper will explain a situation in where I cared for an older adult and it will then introduce Jean Watson’s lower order needs, specifically the need for activity and how it relates to the older adult I cared for. Lastly, this paper will explain the nursing interventions I implemented to meet the lower order need, with a discussion of Carative Factor #4 relating to the client.
The top priority of the medical interpreters is removing language barrier between the medical practitioners and the patients and helping the patients to treat properly. Indeed, impartiality can be challenged in medical setting. However, some articles are pointed out that the interpreter who is related to the patient is not always harmful to the patients and the medical practitioners. Therefore, when the medical interpreters take an assignment, they should consider what the best is for the patients and the medical practitioners.
Pashley, H.(2012). Overcoming barriers when caring for patients with limited english proficiency. Association of Operating Room Nurses.AORN Journal, 96(3), C10-C11. doi:http://dx.doi.org/10.1016/S0001-2092(12)00833-2
Bentancourt et al. (2005) allows asserts that there are three distinctive reasons why cultural competency is so very important for the American healthcare system. American is composed of a very diverse population, which mean healthcare providers will continual be exposed to treating individuals from various backgrounds and from various cultures; their beliefs regarding their health or healthcare may range widely. When patients have a deficiency in the English language, proper healthcare delivery becomes increasingly more difficult as they will present symptoms in the syntax of their culture and their first language. Also, research shows the communication between the patient and their provider directly correlates to their satisfaction as well as their responsiveness or willingness to follow the health provider medical instructions; this ultimately affects the patient’s health outcome (Bentancourt et al., 2005). It’s fair to say that a successful health outcome is also contingent upon the interaction of the health provider and patient. Reports generated by the Institute of Medicine (IOM) – “Crossing the Quality Chasm and Unequal Treatment, confirms that cultural competence that focuses on the care of patient through
Miller, C. A. & Co., Inc. (2009). The 'Standard' of the 'Standard'. Nursing for wellness in older adults: Theory and practice (5th ed.). Cleveland, Ohio: Lippincott Williams & Wilkins. National Institute of Neurological Disorders and Stroke (2011).
Introduction A teaching plan is one of the most important steps in the 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 the purpose of plan, outcomes, behavioral objectives, and teaching method.
There is a relationship between old age and late life loneliness; whether is perceived or actual is irrelevant, as society views elderly people differently