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Rlt Model In Nursing Care

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The Nurse and other multidisciplinary team discussed the treatment protocol with Mary and family. The nurse explained how the treatment works, the benefit and any side effect as well as expected outcome. This will enable Mary to gain understanding of the treatment options and take an active role in decision making regarding her treatment. And therefore, having been presented with the treatment information Mary consented to chemotherapy treatment. The National and Midwifery council (NMC) 2008 code of conducts emphasise the importance of communication, stating that nurse must communicate in a way the patient can understand the information they need about their health. Therefore, for the nurses to succeed in reassuring, motivating, empowering and understanding Mary’s concerns, they must be able to communicate effectively with her and her family (Randall …show more content…

Roper Logan and Tierney (RLT) model of activities of daily living (ADLS) will be used to determine what is important and necessary in providing individualised care (Roper et al, 2001). The nursing process involve assessment, planning, implementation and evaluation and help to identify likely problems, develop solutions and monitor results of a patient care. This systematic method will focus on Mary as an individual ensuring her holistic needs are taken care of, which include psychological, social, physical cultural and environmental factors (Holland et al, 2008). A nursing process in collaboration with the nursing model should provide a care plan that reflect patient centred and holistic care rather than focusing on medical diagnosis only and is a problem-solving outline for planning and delivering care for Mary and her family (Barrett et al, 2012). However, if the process does not improve Marys state then it should be re-evaluated and the good adjustment made to correct the

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In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her.

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It is underpinned by values of respect for persons, individual right to self-determination, mutual respect and understanding. It is enabled by cultures of empowerment that foster continuous approaches to practice development.’ This type of care approach is focused solely on the person and the concept of personhood (HSE, 2010). It is imperative that the nurse hears the voice of the older person.

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Mary’s sixteen month training made her a greater nurse. This training made it possible for her to be asked to speak for the NACGN, become a member of that association, and later become a member of the ANA. Mary’s active membership in the nursing associations, and her outstanding work as a nurse made it possible for an award to be named after her. It is because of Mary that women of all races who aspire to be in the nursing profession can make it through like Mary

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It is created through analysis of research and construction of concepts and theories (Busso, Poles, & Monteiro da Cruz, 2014). Concept analysis serve a purpose within theory development as it represents continuation of knowledge in nursing profession. When theories and concepts are developed, it must be practiced in a clinical setting to validate research. The caring concept applies to Jean Watson’s Theory of Human Caring as it creates an environment for healing, bonding, and improving patient outcomes. The concept of caring depicts the attitude of the nurse and the inclination given to meet the needs of the patient from emotional or physical standpoints (Emerson, 2017).

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Individualised approach to care planning essay The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care.

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Theory Description The nursing theory chosen is that of need theory by Virginia Henderson. Henderson has contributed a lot in nursing throughout her journey as a nurse. She intended to define the unique focus of nursing practice, but at the end, it ends up being one the nursing theories that are being used in every clinical setting. Her contribution has helped shaped the way nurses care for their patients and the components she developed help serves as guidelines which nurses used to care for patients.

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Theoretical Analysis of Orem’s Self-Care Deficit Nursing Theory Self-Care Deficit Nursing Theory, Part II Dorothea Orem’s Self Care Deficit Nursing Theory (SCDNT) published in 1971 has been studied by numerous nursing students and continues to be used as a base for nursing care today (McEwen & Wills, 2014). Are concepts theoretically and operationally defined?

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It also clarifies nursing values and development and allows for accountability. It involves patients in co-ordinated nursing care (Feo and Kitson, 2016). The Roper, Logan and Tierney model helps nurses to focus on patient care by following the fundamental rights of maintaining independence of the ADL’s without diminishing dignity. Recognising that their knowledge, attitudes and behaviour may be influenced by biological, psychological, sociocultural, environmental and politico-economic factors and respecting their decisions in such. Overcoming and preventing illness to maintain independence is the nurses key focus in delivering patient care which follows the direction of the RLT model of nursing (Roper, Logan and Tierney, 2001).

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As assessment is integral to the nursing process it is also incorporated into nursing models. Assessment is necessary during all nursing activities e.g. assisting an individual with their hygiene needs, taking observations or during repositioning/manual handling techniques. Orem’s model is a particularly effective tool in carrying out assessment as it has a practical approach in identifying patients’ needs by encompassing their universal, developmental and health deviation self-care deficits. ‘’Having a conceptual nursing model to practice may enable nurses to gather a detailed database that identifies actual and potential healthcare problems’’ (Capers, 1986). The grid, checklist format is a simple, fast and straightforward assessment guide and can be very useful in practice.

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Application of Theory Dorotheas Orem’s theory of Self-Care Deficit notions of were that people should be self-reliant and accountable for their own care. If they are unable to or lack in they need to be helped which is where the art of nursing builds its blocks from. Orem mentions how people are very distinct individuals, and how a person’s knowledge of the potential health risks and problems are necessary in order to be aware of potential risks and signs and symptoms. In order to promote self-care and promote substance in the person’s life knowledge is the key. Orem identified the provisions also known as the ADL’s as a person’s intake of food, air and water.

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The Mc Gill Model of nursing is an example of a strengths based family assessment model that can be used in the community. This model focuses on the family as a client that is able to solve any problems and cope with the health care situation by using their own strengths and knowledge (Feeley & Gottlieb, 2000). The Mc Gill model is best used in a scenario where a family member has a change in which alters the way in which the live, for example child being diagnosed with type 1 diabetes. With the use of this model the CHN could assess the family on diabetic diet meal planning and preparation and how the family monitors the child’s blood sugar levels and insulin. The family would need to work together in learning their new roles in regards to

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Personal Goals and the Care Plan When planning the course of action to be taken towards improving Lillian’s overall health, there were many aspects that had to be considered. For one, it was decided that two perspectives must be employed into Lillian’s care so that the nurse is able to provide her with numerous ideas as to how she can improve her health. These perspectives would be referred to as the Canadian and Rwandan perspectives as the citizens of these countries will be developing them. By implanting these perspectives, the nurse will thereby be able to begin working with Lillian as well as the rest of her family in order to complete a proper assessment of each individual and their needs, thus allowing for the generation of specific

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772 Words | 4 Pages

Adams, it is important to address all areas from a holistic standpoint. This would include psychosocial, environmental and medical interventions. While providing care it is important to remember Florence Nightingale’s goal of nursing is to “assist the patient to regain “vital powers” by meeting their needs, which in the end puts the patient in the best condition for nature to act upon.” (Smith & Parker, 2015). Nightingale believed that nurses contribute to restoring health in a direct and indirect way by the management of patient’s environment (Smith & Parker, 2015).

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928 Words | 4 Pages

Nursing assessment has a significant role in providing effective, accurate and safe nursing care in clinical practice. Nursing assessment is the first stage of the Nursing Process. It is used to explore the physical, psychological, spiritual and social aspect of the patient’s life. It is therefore a holistic and systematic guide for nurses to obtain a greater understanding of their patient’s wants and needs. It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005).

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This tends to include views on person, health, and environment to create a perspective of nursing. Therefore nurse can manipulate the environment, so nature is able to restore patient’s health. This theory is broad in scope and complex, which requires further classification through research to be applicable in nursing practice. It provides structural frame work for the general objectives, philosophies about nursing. Nightingale used nursing process to obtain data to save life, increase health and comfort.

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