Responding is the third phase of the Tanner’s (2006) model based on the nurse’s initial grasp, interpretation and applying clinical reasoning to respond with evidence based practice. Based on the assessment it recognised that in Mr. Devi several nursing interventions need to consider, these are reported to the appropriate medical practitioner about deterioration in his condition. Mr. Devi condition was reported to medical practitioner using an interdisciplinary communication SBAR tool (Situation, Background, Assessment and Recommendation). SBAR is a communication tool designed for the clinical team to transfer clear and concise information about a patient’s condition (Cadman 2016). Recovering after stroke he will be referred to a specialist
team to help with his rehabilitation, including physiotherapy for rehabilitation, Occupational therapy to assess his ability to carry out daily task post stroke, Pain team for pain management, Speech therapy to assess his cognitive impact and swallowing reflex, Psychologist to assess his psychological impact and Dietician to assess his nutritional status (NHS Choice 2016a). For the purpose of this assignment, Mr. Devi’s Hypertension, Obesity and Hypercholesterolemia will be focused because these are the contributing factors for stroke. In response to Mr. Devi problems, care plan will be formulated to manage his problems. Care planning is a partnership approach between nurse and patient to discuss about treatment and future care planning (Lhussier et al. 2013). The care plan formulated will be based on his personal preferences, values and spiritual beliefs leading to shared decision on how to manage his risk factors to prevent further complications. There is the NHS mantra “no decision about me without me” by health secretary Andrew Lansley to ensure that shared decision-making should a normal routine rather than expected (Lally et al 2010). Therefore, it is important to involve patients in shared decision making as it has huge impact in their health and wellbeing.
James T. Johnson was a young man who had a good job working as a construction worker. Although, he had a job and worked every day he still lived at home with his mother. Furthermore, he was the type of young man who went to work on time and after work he would come home. Unfortunately, there were occasions where he would go out with a few of his co-workers on a Friday he still came home afterwards. Nevertheless, he was hiding a secret from his mother that later led to him being arrested. Now, rather than James uses his money he had earned from working, he burglarized homes and garages in the communities in his area. After burglarizing these homes he would then sell the items he had stolen via the internet or a pawn shop in two different counties.
In this essay, we have been asked to evaluate two psychological perspectives’ in relation to “typical behaviour”. The perspectives I have chosen is the behaviourist and biological approach, to be able analyse these approaches, I have decide to use the case study of the death of the two year old ‘James Bulger’ and with this, the relevant therapy’s used by each perspective.
The term ‘stress’ was generally thought to have been a concept created by Robert Hooke in the 17th century. He worked on the design of physical structures, such as bridges; his concept of stress came from how much pressure a structure could withstand. However, Lazarus (1993) pointed out that the term ‘stress’ has been used as far back as the 14th century, when it meant hardship or adversity. Back then it referred to the external stressor, such as the death of a spouse or financial worry; in the 20th century, there are many different schools of thought on this area. Hans Selye (1956), brought together the work of Cannon and Bernard and devised a comprehensive system of physiological stress; which he termed the ‘General Adaptation Syndrome’, and is a 3-stage process. He theorised that a certain level of stress called ‘eustress’ (Cox, 1978) could actually be beneficial to our overall performance. Later In 1976, Cox & Mackay devised another model called the ‘Transactional model’. This model takes into account the individual differences in the perception of the amount of stress experienced by the person. The main difference between these two models is that Selye’s model only accounts for the physiological side of stress, whereas Cox’s model takes into account both the physiological and psychological aspects of stress. Therefore, both models will have slight similarities and differences in their explanation for how stress occurs in individuals, which is the main focus of this essay.
Nobody is perfect. We all make mistakes. Some of the best lessons in life are learned from making a mistake. But in the healthcare world making mistakes means losing lives. This has started to happen so frequently there has been a term coined – Failure to Rescue or FTR. Failure to rescue is a situation in which a patient was starting to deteriorate and it wasn’t noticed or it wasn’t properly addressed and the patient dies. The idea is that doctors or nurses could’ve had the opportunity to save the life of the patient but because of a variety of reasons, didn’t. This paper discusses the concept of FTR, describes ways to prevent it from happening; especially in relation to strokes or cerebrovascular accidents, and discusses the nursing implications involved in all of these factors.
Patients often have complex care needs, and often present with multiple co-morbidities or problems. The process of conducting a comprehensive nursing assessment, and the coordination of care based on these findings is central to the role of the Registered Nurse (NMBA 2006). Evidence-based interventions must then be planned and implemented in a patient-centred approach in order to achieve agreed treatment goals and optimise health (Brown & Edwards 2012).
In conclusion, Mr. Devi journey discussed throughout the essay, focusing on the role of the nurse in clinical decision-making. This essay looks at the Tanner (2006) model that begins with gathering relevant information about the patient and assembling that information to identify the problems. To assess and comprehend his condition Mr. Devi physical, mental and social information gathered from a nursing perspective. Based on Mr. Devi background, current condition and assessment, his risk factors for stroke were identified. Further, in response to his problem a nursing care plan formulated in partnership with patient and nurse considering his values, customs and spiritual belief. Nursing interventions and actions were placed based on best available
Not only is professional communication important in the portrayal of a good nursing image and behaviour, it also plays a vital role in patient care and health outcomes. The ANMC standards serve as a good guidance on the need to establish therapeutic relationship through effective communication. As nurses spend relatively more time with patients, they play a significant role in bridging a patient and doctor. Hence, it is would help for nurses to constantly hone their communication skills through experience over time.
The introduction paragraph gives information on communication and the impact that it has on patient-nurse relationships. It gives the reader an understanding of what is involved in true communication and how that it is a fundamental part of nursing and skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the
Aim of this paper is to examine and present the application of social cognition models in the prediction and alternation of health behavior. Social cognition models are used in health practices in order to prevent illness or even improve the health state of the individuals in interest, and protect their possibly current healthy state. This essay is an evaluation of the social cognition models when used to health behaviors. Unfortunately it is impossible to discuss extensively all the models and for this reason we will analyze three of the most representative cognitive models to present an integrated idea of their application.
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
Poor Communication between Physician and Nursing – To optimize nurse-physician communication both need to apply patient centered cultural change; in particular, to use structured communication tools such as Situation, Background, Assessment, Recommendation (SBAR), and supportive technology that is system wide, for example electronic medical record (EMR). (B. Schmidt, 2012).
In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic nurse/patient relationship. This will be achieved by providing a definition of communication, making reference to models of communication and explaining how different types of communication skills can be used in practise.
ANA describes “The Scope of Nursing Practice (as) the “who,” “what,” “where,” “when,” “why,” and “how’ (8).’ In other words, it is the responsibility of the nurse to know who their patient is, what the patient’s diagnosis and treatment are, where it is they will be delivering treatment, the rationale behind their actions, and how they will deliver the care. By following the scope of practice, nurses reduce avoidable errors and are aware of the liability their actions entail. The ANA also puts forth a nursing process to guide nurses in treatment. The constantly evolving process is currently assessment, diagnosis, identification of outcomes, planning, implementation, and evaluation (ANA 9). Though this method has dramatically improved nursing care, it may be necessary to repeat steps to adapt to a patient’s changing needs and pathologies. By following guidelines set by the ANA, nurses are able to better connect with their patients and instill the image of professionalism to the public while also optimizing safety
Decision making in RN’s practice starts with the beginning of a nurse’s day. The nurse must prioritize which patient to access first and which patient to administer medications first, especially in light of upcoming surgeries and procedures. The nurse must also consider patient’s current blood and other test results in order to decide whether it might be necessary to contact the healthcare provider and report any abnormalities. Since the nurse is the person that is the most with the patient during his hospital stay, she is the one that is the most familiar with that patient and his condition. Therefore even a subtle change she notices in her patient’s condition on assessment, can lead to change of treatment which in some cases might save that patient’s life or greatly contribute to the positive o...
The Neuman Systems Model (NSM) is a holistic and open system that involves the shifting relationship between a client / client system and its environment (Neuman & Fawcett, 2002). Because of Neuman’s holistic perspective, the model suggests that the client must be understood comprehensively by constructing the client system to include the physiological, psychological, sociocultural, developmental, and spiritual variables (Neuman & Fawcett, 2002). The client system is also shown in the model as circles to include a basic core structure (basic survival factors), lines of resistance (closest to the core and protects the system), normal line of defense (normal state of operating), and flexible line of defense (outer boundary