...The relationship between the nursing process in conjunction with the nursing model of Roper, Logan and Tierney (RLT) Activities of living (AL’s) will be looked at in detail, exploring what a problem solving approach and nursing models are with discussions of the strengths and limitations of this relationship. Using the needs orientated approach, I have formulated a care plan for fictitious individual, Annie Laine to support my discussions. (See appendix 1). The nursing process is defined as a problem solving approach which was introduced by Yura and Walsh in 1967, their initial idea was to attempt to guide nursing practice away from intuition and therefore provide care towards a structured systematic patient-centred approach, which is individualised and evidence based. The nursing process comprises of four stages which are, Assessment, Planning, Implementation and Evaluation, often referred to as APIE. (Yura & Walsh 1978). When using this process it is important to remember these stages are interrelated and are dependent on each other offering the information that will lead to and direct to the next stage establishing holistic care. (Barrett, Wilson & Woollands 2009). Laxade & Hale (1995) suggests that the nursing process was initially misunderstood as a process of doing, rather than using it as a method of thinking, stating this is how some problems have occurred. The process has previously had some criticism, with statements such as; that nurses are the only profession to use...
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...(ABA) • Social Role Valorisation (SRV) ABA is a scientific process of examining what causes and maintains behaviour, in order to bring about positive change. SRV promotes valued social roles for individuals who are socially disadvantaged, to help them get some of the good things in life. 1.2 Summarise current legislation and policy guidance relating to Positive Behavioural Support The current legislation relating to Positive Behavioural Support is titled - the Positive Behaviour Support Policy – Safe management of challenging behaviour in children and young people with learning disabilities and autism. The broad aims of the policy are: • the prevention of challenging behaviours; • that, where used, restrictive physical interventions promote the best interests of children and young people; • that all risks associated with the use of restrictive physical interventions are continuously assessed; • to maintain the safety and dignity of children, young people and staff; • that managers and employers discharge their responsibilities effectively; • to highlight the training needs of staff in the use of restrictive physical interventions. 2.1 Define the term ‘challenging behaviour’ Behaviour of such intensity, frequency or duration that the physical safety of the person or others is placed in serious jeopardy or behaviour which is likely to seriously limit or deny access to the use of ordinary community facilities. 2.2 Explain the reasons for the term challenging...
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...Importance of teamwork 1. Introduction As organisations continue to strive towards competitive advantage and increasingly high performance standards, collaboration and team-oriented project management are increasingly providing the flexibility and innovative potential necessary to excel. Yet in spite of the dynamic characteristics of teams in practice, many organisations fail to recognise the core determinants of a team-oriented framework, instead grouping employees into non-linked, non-dependent, individually-driven models. This group-based approach is distinct from team-specific initiatives and fails to meet the rigorous determinants of dynamism and effectiveness necessary in the modern marketplace. The following sections will draw distinctions between teamwork and group work, highlighting the opportunities associated with team-driven performance. Further, several theoretical models of teamwork will be introduced, demonstrating underlying benefits of optimised team management and goal setting. Through this discussion, a framework of organisational implications will be introduced, focusing on team-generated performance and the importance of effective team outcomes in meeting organisational goals. 2. The Teamwork Paradigm In spite of their seeming interoperability, Fritz (2014:1) emphasises that the terms ‘team’ and ‘group’ hold practical distinctions when represented in the context of enterprise management. A group, in theory, represents three or more individuals who...
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...contrast to earlier reviews; they looked at results from studies such as quasi-experimental studies and client opinion studies about the effectiveness of social work practice. This led to good outcomes for social work practice (Webber, 2011) [Online]. Evidence-informed practice in social work has been described as: ‘Evidence based social care is the conscientious, explicit and judicious use of current best evidence in making decisions regarding the welfare of those in need of social services.’ (Sheldon and Chilvers, 2000, p.5, adapted from Sackett et al., 1996 cited in Webber, 2011, p.3) Webber (2011) and Sheldon and Chilvers (2000, p.5, adapted from Sackett et al., 1996 cited in Webber, 2011, p.3) both define EIP as using effective interventions and up to date knowledge to aid understanding of the issues that people face in society. Using evidence from reliable sources is likely to lead to good outcomes that can be justified. However, Mathews and Crawford (2012) state that some established professions such as law or medicine have their own evidence base which is well defined and protected, unlike that of social work practice;...
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...Immediate Post Operative Care 2 The following essay will use a systematic approach to critically evaluate the care and treatment delivered to a non-elective paediatric orthopaedic patient within the Post Anaesthetic Care Unit (PACU) by a student Operating Department Practitioner at a local trust hospital. The assessment and management of the patients care will be examined and rationale provided for strategies employed during delivery of individualised patient care. In accordance with Health and Care Professional Council’s standards of conduct, performance and ethics (HCPC, 2012) the confidentiality of the service user will be up held at all times. The service user shall be referred to as “Daisy” to protect her confidentiality. Daisy was received to the PACU after surgical stabilisation of her left fibula and tibia with flexible intramedullary nails following a fall. A specified paediatric bay was utilised enabling the patient to be cared for separately from the adults in the PACU (RCOA, 2013). Anaesthetic and surgical handover was received (RCOA, 2013) which detailed that she was 14 years old with no known allergies. She had no significant medical history. She had a general anaesthetic with 140mfg of Propofol used on induction followed by Sevoflurane as a maintenance agent. 30mg of Atricurium, 4mg Dexamethasone, 4mg Ondansatron, 10mg Morphine and 1g Paracetemol had been administered intraoperatively. 1 litre of Hartmanns solution had been administered during surgery and...
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...Page 1 of 9 Original Research Transformational leadership in the South African public service after the April 2009 national elections Authors: Manasseh M. Mokgolo1 Patricia Mokgolo2 Mike Modiba3 Affiliations: 1 Department of Human Resources Management, University of South Africa, South Africa Learning and Development Unit, Tromso Management Consultants CC, Boyne, South Africa 2 Orientation: The implementation of transformational leadership in public services after national elections has been well recorded in other parts of the world. However, this is not the case in South Africa. Research purpose: The purpose of the study is to determine whether transformational leadership has a beneficial relationship with subordinate leadership acceptance, job performance and job satisfaction. Motivation for the study: Leadership is a critical issue that the public sector needs to address in order to survive and succeed in today’s unstable environment. According to Groenewald and Ashfield (2008), transformational leadership could reduce the effects of uncertainty and change that comes with new leaders and help employees to achieve their objectives. Research design, approach and method: The sample comprised 1050 full-time employees in the public sector based in head offices. The measuring instruments included the Multifactor Leadership Questionnaire (MLQ), the Leadership Acceptance Scale (LAS), the Job Satisfaction Survey (JSS) and the Job Performance Survey (JPS). Main findings: Transformational...
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...theory and practice and enables you to develop your knowledge and skills towards becoming a professional. Reflective practice is noted as being fundamental to development as a professional. To protect anonymity and maintain confidentiality the patient focused on this assignment will be known as patient A, furthermore consent was gained from patient A and they were provided with clear information on what would be included in this assignment and where informed that no recognisable information would be given, this is done in accordance with the Nursing & Midwifery Councils Code of Professional Conduct (2002) guidelines. Nursing assessment is considered to be the first step in the process of delivering individualised nursing care which is defined by A Dictionary of Nursing (2008) as care that is planned to meet the particular needs of one patient, as opposed to a routine applied to all patients suffering from the same disease. Every person is an individual they may share things in common with others, but they are unique in the way they carry out their everyday life. Particular attention needs to be given over to their individual way of carrying out their everyday activities, and involvement in deciding what their individual goals are and how they will achieve them with the encouragement of the health professional. The nursing...
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...Assignment cover sheet Note: (1) The attention of students is drawn to: the Academic Regulations, the Academic Honesty Policy and the Assessment Policy, all of which are accessible viahttp://students.acu.edu.au/309246 (2) A de-identified copy of your assignment may be retained for University quality (audit) processes, benchmarking or moderation. |Student ID Number/s: |Student Surname/s: |Given name/s: | |S00158530 |Patel |Purvi | | | | | |Course:Bachelor of nursing |School:Australian catholic University | |Unit code:HLSC122 |Unit title:Inquiry in Healthcare | |Due date:30/03/2014 |Date submitted:30/03/2014 | |Lecturer-in-Charge: Joe Perry |Tutorial Group/Tutor: T, 06 | |Assignment Title and/or number: Assignment 1 ...
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...PAIN MANAGEMENT Level 6 The purpose of this assignment is to identify a client group and discuss the current pain management strategies used to assess pain in the selected client group. This assignment will explore and discuss the pain management strategies adopted in the clinical area to meet the needs of this client group. At the same time one pain, management strategy will be chosen critically evaluated and explored in light of the available evidence. The final part of the assignment will identify the improvements that need to introducing in the clinical area, in order to improve the management of pain. The student of this assignment works on a busy medical ward admitting both young and elderly patients with acute and chronic pain. However, most of the patient’s admitted to unit have dementia. The British Pain Society (2010) states that, “pain is under recognised and undertreated in older people,it is a subjective personal experience only known to the person who suffers”. Dementia is said to be caused by a variety of conditions with a complex of symptoms characterized by progressive global deterioration of cognitive functioning. Patterson et al (1999). The chronic pain coalition ( 2007) states that poor pain management impacts on quality of care and recovery and patients’ morbidity and mortality resulting in prolonged hospital stay coupled with economic implications for the health service. Pain has many defintionss have defined pain differently, the International...
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...diabetes are due to the development of gestational diabetes (NICE,2008) and therefore the most common type, I have decided to focus on gestational diabetes, although many of the guidelines put in place are similar when caring for women who have diabetes prior to becoming pregnant. With no previous medical experience prior to embarking on my midwifery degree, I had limited knowledge of gestational diabetes and the impact it can have on women physically and emotionally; especially if left undiagnosed or the care they receive is lacking. I wanted to gain a better understanding of the condition in order to be able to support and be empathetic of the situation these women find themselves in. Not only by helping to give a good quality of individualised care required, but also be able to explain adequately to anxious expectant mothers suffering from the condition why such procedures are necessary to ensure the best outcome for both her and her child....
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...Forensic Learning Disability services are specialist services for people who have a learning disability (LD) and/or have mental health problems who have been arrested, who are on remand or who have been to court and found guilty of a crime (Foundation for People with Learning Disabilities, FPLD, 2012). There are high, medium and low secure units all of which need to be high quality, patient centred and recovery orientated (Joint Commissioning Panel for Mental Health, JCPMH, 2013). There is a need for forensic health services as the JCPMH (2013) claim that patients in these services have complex needs and these needs typically cannot be met by commissioning generic health services. The time spent in forensic units depends on an individual’s recovery and progress towards rehabilitation. However, although the public protection remains the priority, there is a increasing consensus that forensic inpatient services may not always be an appropriate environment for those with severe mental illness and that detention can exacerbate mental ill health, increase the risk of self-harm and suicide and heighten vulnerability (The Institute Psychiatry, Psychology and Neuroscience, 2015). The Royal College of Psychiatry (2013) claim that people with a LD who come into contact with specialist learning disability mental health services often have a complex mix of LD, mental illnesses, personality disorders, substance misuse, other developmental and/or physical disorders including epilepsy...
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...This article was downloaded by: [Edith Cowan University] On: 31 March 2015, At: 12:08 Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office: Mortimer House, 37-41 Mortimer Street, London W1T 3JH, UK Development in Practice Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/cdip20 Globalisation Shalmali Guttal a a Focus on the Global South, CUSRI , Chulalongkorn University , Wisit Prachuabmoh Building, Bangkok, 10330, Thailand E-mail: Published online: 18 Nov 2010. To cite this article: Shalmali Guttal (2007) Globalisation, Development in Practice, 17:4-5, 523-531, DOI: 10.1080/09614520701469492 To link to this article: http://dx.doi.org/10.1080/09614520701469492 PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions...
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...WORD COUNT 4399 The assignment will discuss a critical incident from a nursing management perspective, being an admission assessment experienced during placement. It is not a care study. There will be an overview of the nurse-managers responsibilities during the admission assessment and attention drawn to local and government policy. Particular consideration is given to risk assessment, Essence of Care (DoH 2001) in respect of the Waterlow Pressure Damage Assessment (1985), pressure sores, nutritional screening and delegation. Other issues considered will be communication, partnership working, the therapeutic relationship, and the nurse as an agent of change. Findings will be supported by literature. Identifying factors have been changed to respect patient confidentiality. Mary had no previous psychiatric history. She was eighty-four and lived in residential accommodation. She had two adult daughters who were unable to attend Mary’s admission. Prior to admission Mary’s behaviour had changed over several weeks and she had been refusing to get out of bed during the day. During admission she showed occasional signs of confusion but was able to give consent. Physically, Mary was in a wheelchair, had a history of falls, pressure damage, skin flaps. and needed full assistance with mobility. My mentor facilitated her admission assessment. I observed this in preparation of undertaking future ones myself whilst under supervision. From a management perspective my mentor who was the...
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...effectively managing their care (Odell, Victor & Oliver 2009, p. 1993). Studies have shown that poor vital sign recording, lack of knowledge, failure to respond to abnormal signs, lack of knowledge, lack of supervision and failure to report deterioration or seek advice, have all contributed to the suboptimal care of ward patients (Odell, Victor & Oliver, cited in McGloin et al. 1999; McQuilla et al. 1998; Smith & Wood 1998; Hodgetts et al. 2002, p. 1993). With constant observation established, patient safety is implemented and surveillance is then incorporated to be able to identify and prevent possible medical errors and adverse events that may be encountered. The purpose of surveillance is the early identification of risk and the need for intervention and to alert nurses to both anticipated and unanticipated changes in patient’s condition (Henneman, Gawlinski & Giuliano 2012). With both effective observation and surveillance integrated to the nursing practice,...
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...2/4 week perinatal placement, available guidance on how to access mental health services and the recognition of signs and symptoms within Maternal Health. Through implementation and evaluating the process of events the Transformational Leadership theory, will be used along with the Kotter’s Model to incorporate and deliver the vision, towards improvement of management for change; within the public health sector. Within this assignment Transformational Leadership will be critically analysed, in relation to the leadership role of the specialist public health nurse. Leadership within the National Health Service (NHS) continues to play an essential role and historical leaders such as Florence Nightingale (Kitching, 1993) had an effect on policy. This influenced change towards development and an up to date change would include the Darzi Review (2008) that discusses improvement of quality of care. Leadership is discovering the route ahead, while making others feel enthusiastic about following (Bass, 1985). This would include an influential and inspiring attitude along with other personal attributes that are needed; such as emotional intelligence, that addresses the effect of people’s feelings whilst being in tune with their own emotions and having the ability to connect with people is an essential skill (Ang & Fong, 2003). There is significant evidence that good leadership has a positive effect on organisational performance at a time of great pressure, hence why leadership is...
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