It has subsequently been redefined and redeveloped and was introduced into nursing to help nurses look at the patient as a real person and not just a medical label (Nazarko Linda 2008). Study for free with our range of nursing lectures! I. Society also accepts withdrawal from an elderly person normal life as an inevitable move towards death (Upton 2010). Flagg, A. J. Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). The evaluation process therefore allows practitioners to engage in personalized care planning for the patient as well as professional development based on reflection on the care delivered to date. It also needs to be able to able to change at any given time according to how the patient responds to treatment, the patients responses to goal setting and planning of care should also be documented, this is being accountable for nursing practice and is a legal document, it is evidence based of care and treatment the patient is to receive from the health care team (Walsh 2002, cited in Roper et al, 2003). The nursing process is a systematic approach to delivering care, Yura and Walsh (1978) identified four main stages to the process (Roper, Logan, Tierney 2003). Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). Adelaide: Reflect Press. (1967). Contemporary nursing practice is a diverse and challenging field. From the audiovisual that was presented to use Joe is a patient in a care setting, it will be useful to use each stage of A.P.I.E to explain how care planning would have improved Joe’s experiences, enabling him to receive improved care. However emphasis must be placed on the assessing stage and how crucial it is for this stage to be done methodically, as this will make every other stage easier to progress through. Registered office: Venture House, Cross Street, P. - Nausea. For instance, an extension of the APIE approach includes the use of further refinement stages and on-going follow-up of care planning, which are important additions to the problem-solving approach that recognise the importance of chronic disease management in contemporary practice. Indeed, reflective practice is increasingly recognised as fundamental to the nursing profession, allowing practitioners to develop strengths and target weaknesses in patient care (Redmond, 2017). This approach will be widely known to nurses and emphasizes the importance of a systematic approach to diagnosing and re-checking the implementation process prior to evaluation. The role of patient-centered care in nursing. If in the planning stage, goals had been set these issues could have been dealt with, Joe could have been dressed every time he had a wash, this would have taken a little extra time but would have made Joe feel better. These models provide a deeper context for applying the principles of the APIE, taking into account the necessity to generate patient-centred care planning and goals that are achievable and measurable with respect to the status of the patient (Flagg, 2015). A Assessment P Problems (usually numbered: #1, #2, etc.) People's experience in adult social care services: improving the experience of care and support for people using adult social care services – NICE guideline. Select a contact option below and we will get back to you for free. (2014). Being placed in the sick role through no choice of his own also needs to be addressed, and evaluation would look at this. Disclaimer: This essay has been written by a student and not our expert nursing writers. When goals have been decided by the patient and nurse care needs to be implemented to the patient can start to get better or adjust to the change that may need to happen. (1985). If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! London: Routledge. The nursing diagnosis is the patient's response to what is happening. Evaluation Phase. Our nursing and healthcare experts are ready and waiting to assist with any writing project you may have, from simple essay plans, through to full nursing dissertations. She presented with severe dyspnoea, wheezing, chest tightness and immobility. Yura, H., & Walsh, M. B. Assessment was the first, however Roper et al (2000) suggested that assessing would be more appropriate as this is … Medicated with Compazine 10mg IM for the nausea at 10am. To gain a better understanding of the problem solving approach it is useful to explore how it can be used to demonstrate an understanding of patients’ experiences and behaviours. Extensions of the APIE can be considered refinements that only serve to augment the basic structure of problem-solving inherent in the approach. INTRODUCTION. Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. Care Planning: A guide for nurses. Self-care ranges from the simple act of a patient managing their own medication to more complex processes, whereby patients are responsible for symptom identification and changes to lifestyle/behaviours. Johansen, M. L., & O'brien, J. L. (2016). Lewis, S. L., Bucher, L., Heitkemper, M. M., Harding, M. M., Kwong, J., & Roberts, D. (2016). (2013). Therefore, the APIE or ASPIRE approach remains a core element of clinical decision-making in contemporary nursing practice. Planning care with a patient needs to take into account their life style; values, economics and also personal preference will influence individual’s goals (Henson 1997, cited in Arnold 2003).Without carrying a comprehensive assessing stage out the nurse would not be able to progress through the planning stage easily. hospital or community settings). This should have been looked at in the planning stage so that the patient and nurse know exactly what is expected and when. Quantitative data include the physiological status of the patient, including routine observations (temperature, weight, blood pressure, pulse) and more specific assessments, such as physical examination and interpretation of investigations (Lewis et al., 2016). Deliberation has to be taken from the medical diagnosis and the effects the consequences will have on the patient in their everyday lives, nurses need to look beyond a medical diagnosis and take into account the social, psychological, spiritual and physical issues related to their illness (Barrett, Wilson, Woollands 2009). Mr. Smith is at risk of RAFF, as evidenced by his is mildly hypersonic state with compensated respiratory acidosis and … At present Joe is at the eighth stage and this is Ego integrity versus despair, this is where the person reflects back over their lives, having lost his autonomy Joe’s ego strength will decline and he will feel despair this is a crisis point in the last stage of development and could have the effect that Joe will fear death, had the assessment be carried comprehensively this could have been avoided and Joe could have kept in autonomy (Shaffer 2009). This essay should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. While quantitative data alone can provide a clue as to the diagnosis of the patient, the holistic nature of nursing care demands consideration of subjective wellbeing and qualitative aspects of the patient, including ideas, expectations and concerns. Although the APIE approach is a fundamental aspect of problem-solving in contemporary nursing practice, it is clear that the use of additional models and processes is essential to optimising care delivery for the individual patient. Info: 3070 words (12 pages) Nursing Essay Maintaining sufficient intake needs to be assessed and monitored, so having relevant knowledge of what is correct for a patient of Joe’s age, his activity and height to weight ratio is very important (Arnold 2003). New York: FA Davis. Planning. Redmond, B. When implementing care nurses still need to remember, that dignity and respect, which are part of the NMC code of conduct, are upheld and to gain consent. One way of setting goals is to use a tool this could be the MACROS criteria, Hogston (2007) argued these should be done under the headings of PRODUCT, patient centred, recordable, observable, directive, understandable, credible and time related in reference to the resources available (Hayes and Llweellyn 2010). Essentials of Nursing Practice. Nurses need to ask questions that are relevant for him and centred around the care he needs, asking questions about nutrition to a diabetic would be totally different to asking Joe about his diet, he is not a diabetic and this would be irrelevant for any care planning. The assessing process can be considered a fundamental part of patient care planning and forms the main data collection phase of the nurse-patient interaction (Lewis et al., 2016). Orem, D. E. (1985). Nurses have a professional responsibility to the patient to provide safe and competent nursing, this being evidence based not just biologically, but also taking into account the sociology and psychology perspectives, if this had been addressed Joe would not have felt a burden to the staff just because he wanted to get dressed, he would have been taken out of what society would have said was the sick role (Arnold and Boggs 2003). Atkinson et al (1983, p2) describes "The . When implementing care for a patient with cultural differences, it would be ideal to find out what they expect, how their culture needs to be cared for and how this may affect the care that is provide (Barrett, Wilson, Woollands 2009). Since 1997, allnurses is trusted by nurses around the globe. An example would be: 10am. We use cookies to ensure that we give you the best experience on our website. Journal of Nursing Scholarship, 35(2), 145-150. In addition to nurse-led interventions, patients should be supported and educated to promote self-care (Wilkinson and Whitehead, 2009). If Joes care had been evaluated properly it could have prevented his nutritional intake reducing, during assessing he was asked what he like to eat, this was not followed up. Reflective Essay to Discuss the Nursing Process and how it was Applied in the Clinical Area in which I was Placed. ScienceDirect posted a nursing ethics case study where an end-stage prostate cancer patient, Mr. Green, confided to nursing staff about his plan to commit suicide. Contemporary nursing: Issues, trends, & management. Nursing and Midwifery Council (2018). Kate, a lady aged 84, was admitted to a medical ward through the Accident and Emergency department. Orem (1991), also went on to say that self care are activities that are necessary to meet basic needs of daily living, are common to everyone and adjust throughout individuals lives depending on age, environmental and other factors. Every stage has information needed to complete the next stage and if at any one stage it is not carried out comprehensively it will be impossible to move successfully on to the next stage. Nurses use standardized diagnoses when communicating their clinical judgments about their patients. The loss of muscle mass can lead to loss of movement and balance, making falls more likely (DeBruyne et al, 2011). During Joe’s assessment he was asked what he likes to eat, his wife had always made him fried eggs and sausage sandwiches for breakfast and he put that he would like this to eat, but had only ever been given porridge. Assessment is the first and most critical step of the nursing process, in which the nurse carries out a holistic assessment by collecting all the data about a patient in order to identify the patients nursing problems (Alfaro-Lefevre 2008). Once actual and potential problems have been identified care can be planned, making sure that it is patient led and goals are set that the patient understands, also makes them aware of who is going to implement them and what role they have in achieving those goals (Roper et al, 2000). Similarly, planning should take into consideration the ability of the patient to self-care, a crucial aspect of everyday function and wellbeing (Orem, 1985). Contents. Medical-Surgical Nursing-E-Book: Assessment and Management of Clinical Problems, Single Volume. Wilkinson, A., & Whitehead, L. (2009). Decision making in nursing practice: a concept analysis. Nursing Process or Process of Care: Understanding the Nursing Process. Copyright 2020 Applied Research Consulting Ltd, Email:                 [email protected], ------------------------------------------. It is vital that you have a strong foundation of it in order to be a successful future nurse, so that’s why we’re here to break it down for you. Assessing a patient is not the same as admitting a patient and this can be confused at times in a clinical setting, although they can be used in conjunction with each other. For example, if you have a direct payment, you will receive money regularly that you can use to arrange your own support. ‘A’ stands for Assessment. Joe is not being deviant as he is being kept in this role by the care staff; he likes to get dressed and have his hair done nice, but accepts this will not happen because the health care team are so busy. A concept of self‐care for the rehabilitation client. See for yourself why we're the world's leading academic writing company. Furthermore, the APIE problem-solving approach emphasizes the need for suitable implementation of a plan, but wider roles of nurse and the patient need to be considered to deliver personalised care. Therefore, the initial stage of the APIE can be considered a valid approach to gathering data to inform care planning of the individual patient. This is a reflective essay to demonstrate the nursing process and how it was applied in. Goals need to be evaluated by the patient and nursing team, so have to be measurable, observable and recordable so it can been seen if the patient is making progress towards or away from the goal. To assist in decision-making, it is recommended that nurses adopt frameworks or models of problem-solving and care planning (Johansen and O’Brien, 2016). I Intervention E Evaluation The APIE system of charting consists of a patient care/assessment flow sheet and the progress notes. These goals should be patient-centred, recordable, observable, directive, understandable, credible and time-related regarding available resources (Hayes and Llewellyn, 2010). Data is collected by different ways, and nurses use interview techniques, direct observations, measurements, previous medical history and present, coping strategies and also how the patient perceives their health patterns. The assessing process is not a list of presenting problems, but a more systematic integration of quantitative and qualitative data. It involves four stages: assessment, planning, implementation and evaluation. The diagnosis is the basis for the nurse’s care plan. Goals can be short term or long term depending on the patients needs, however short term goals are better for the patient as they can maintain motivation for achieving the outcome they desire (Barrett, Wilson, Woollands 2009). (2010). Plans are made to solve the actual problem; goals are set so that potential issues do not turn in to actual problems. Assessment was the first, however Roper et al (2000) suggested that assessing would be more appropriate as this is … Secure your academic success and place an order today or view our services. During assessing, data is gathered in two parts, quantitative information which may consist of height, weight, temperature, pulse and blood pressure, qualitative data is in the form of mental state, social background, family status, the patients likes and dislikes, although there are lots of other factors that may be considered during the assessing process (Slevin 2001). The Nursing Process ... anxiety, poor nutrition, and conflict within the family, or has the potential to cause complications—for example; respiratory infection is a potential hazard to an immobilized patient. Nursing diagnoses are standardized by NANDA-International®, and you can find the entire list of nursing diagnoses in your school textbooks. She was admitted with asthma and a chest infection. When you say ‘subjective’ assessment it refers to what your client said.
Mit Class Of 2024 College Confidential, Bioderma Atoderm Crème, Groovin' In The Midnight, Sheriff Diaz 13 Reasons Why Daughter, Krystal Matlock 2020, Mossy Oak Knife Gift Set, Remove Covered Intervals, Storm Phase 3,