...ICNP has led to a large database that validates nursing specific diagnoses, interventions and outcomes. It is cross-referenced with different nursing classification systems to compile common information across the continuum. A nurse in the medical unit is able to utilize a care plan that is formulated based on information compiled and translated into best evidenced based practice. “Information gathered is also useful in the educational setting expands nursing knowledge of interventions, outcomes and languages” (Rutherford, 2008). The nurse would choose a nursing diagnosis based on the assessment and collection of patient information. ICNP can be utilized incorporating other systems of classification such as Omaha System, NANDA, NIC, and HHCC (Hynn & Park, 2002). A nursing diagnosis is formulated and a recognized set of interventions would be initiated. With the added benefit of an electronic format at the bedside, the nurse is able to document at the bedside with more precision and timeliness, improving the accuracy of documentation. For example, a patient admitted with the diagnosis of COPD, the nurse could use the nursing diagnosis of impaired gas exchange. A care plan would be created with appropriate interventions and outcome criteria. Care would be more precise based on standardized interventions and outcomes derived from ICNP. A study in 2005 to assess the “expressiveness” of an ICNP based computerized nursing record system. The study discovered that bedside...
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...implications for nurses, nursing, national health policy, patient outcomes and population health associated with the collection of core criteria will also be discussed. Recommendations for additional core criteria will also be presented. Overview of Meaningful Use NANDA International (NANDA-I) was developed to identify and classify health problems within nursing, increase the visibility of nursing, organize nursing data and allow for accurate reimbursement for nursing care (Thede & Schwirian, 2015). NANDA-I states that it’s diagnoses are intended to communicate the professional judgements that nurses make every day to patients, other healthcare professional and the public (NANDA International, 2015). NANDA-I diagnoses relevant to the patient scenario given are 1) fluid volume deficit related to increased fluid loss and insufficient fluid intake 2) electrolyte imbalance related to increased fluid loss and insufficient fluid intake 3) knowledge deficit. The Center for Nursing Classification and Clinical Effectiveness, CNC (2015) defines the Nursing Intervention Classification (NIC) as a comprehensive, research-based, standardized classification of nursing interventions. “The Classification includes the interventions that nurses do on behalf of patients, both independent and collaborative interventions, both direct and indirect care” (CNC, 2015). NIC interventions relevant to the discussed scenario are fluid and electrolyte management. Activities or interventions include: 1) monitor...
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...3000 word essay on patient with left sided stroke with one identified health need/problem: Dysphagia Student Name: Dashante` Burgess Green Cohort- Group 1 Module: NIP 1000 Word count: 3,010 A stroke is a life changing disease and sudden attack of weakness to one side of the body resulting from a interruption to the flow of blood going to the brain that can be a minor attack and resolved in a few days or major attack leaving the person with physical disabilities and cognitive deficit (McFerran 2008). Therefore, stroke can affect the quality of life of an individual from the lack of communication, mobility and independence and intern can cause one to become depressed. This essay is concerning the case of Mr. Alfred Smith who was admitted to hospital with muscle and facial weakness with asymmetry and no movement to the left side of his body. He was eventually diagnosed with left-sided stroke resulting in right-sided hemiplegia affecting his balance and mobility. With the many health problems associated with stroke this essay will focus more on the problem of dysphagia and the patient’s needs related to this particular problem. Dysphagia is a condition in which the action of swallowing is either difficult or where the swallowed material seems to be held in its passage (McFerren 2008). The assessment, planning, implementation and evaluation (A.P.I.E) of the patient on admission and discharge will be discussed in further and more precise detail throughout the essay while maintaining...
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...wrote that nursing is a passionate profession and is akin to a fever in the blood[1], with the hard work and long hours fading in importance against the vocational rewards. But community nursing has shown how the nursing profession is no longer viewed as merely hard work and long hours, it has illustrated nursing is a skill, a crucial facet of government health strategy, and a social and medical science. This passion extends from hard work and includes the profession shifting its core functions providing a flexible service that meets the changing health and social needs of society. The rewards to the profession and the community include personalized and case specific localized care, health program implementation, and guiding improved social trends at the ‘coal face’. Community based nursing is now at the forefront of social awareness and this important benefit is discussed throughout this essay. This essay focuses on the importance of community based nursing to the profession looking at aspects such as the role’s expanded influence on social trends, analysis, palliative care, outreach to vulnerable groups, and program implementation to the wider community. These functions in combination play a key role in ensuring this aspect of the nursing profession is effective in prevention and in tune with society’s needs. Community based nursing comprises several fields of expertise, including community health, public health, home health, and community mental health nursing. This essay...
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...Historical Perspective Essay Rebecca Firmin NUR/518 May 21,2012 Vta Massey Historical Perspective Essay One significant event in nursing research which created greater awareness for the need of utilizing research in clinical practice was the establishment in 1986 of the National Center for Nursing Research by congressional mandate. A primary function of the Center for Nursing Research was promotion of research projects that related to patient care. In this period nurses began formal projects to help with research utilization in clinical practice to enhance patient outcomes. During this time factors outside of nursing helped shape nursing research also. A clinical learning strategy designed by McMaster Medical School in Canada called evidence-based medicine had a major effect on all health care professions and how physicians and nurses made clinical decisions. This learning strategy paved the way for nursing research to incorporate evidence-based practice into the daily clinical practices and enhance patient outcomes. Nursing research focused on improved patient-nurse relationships and improved patient outcomes, strategies that nurses could utilize at the bedside to enhance patient care. With use of this learning strategy nursing developed nursing strategies that were centered around nursing diagnosis and not on medical diagnosis to effect patient outcomes. Interventions that nursing could use that were nursing related and did not require a physician’s order to...
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...NM1704: Applying a model of nursing roper, logan and tierney model This essay explores the preoperative care provided to one patient in a London hospital during one shift. This care was influenced by the holistic perspective to health. Arsing from the Greek for ‘whole’ this acknowledges physiological, psychological and social factors impacting the patient’s condition. (McFerran & Martin, 2008) It seeks to offer treatment inclusive of these factors rather than treating physical symptoms of a diagnosed disease in isolation. This essay will examine this within a Model of Nursing used in my clinical placement area - the Roper, Logan and Tierney model. The identities of both hospital and patient have been altered to maintain confidentiality and comply with the NMC Code of Conduct. (Council, 2008) During my placement I worked on a coronary care unit where I cared for a patient herein called Peter, a 60 year old White British male. Peter was single, lived alone and unemployed. He had a history of low mood and was admitted to a neighbouring hospital suffering symptoms of acute alcohol withdrawal syndrome (acute confusion, delusions and tremors). This arises when an individual reduces or stops alcohol consumption after prolonged periods of excessive alcohol intake. This can lead to tolerance, physical dependence and physical disturbances upon withdrawal due to the central nervous system reacting in a hyper-excitable state. (About.com, 2010) He was transferred to my area...
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...Holistic Account of Care for a Patient or Client with Complex Needs What are complex needs? Who has them? It could be argued that everyone's needs are complex and as such, complex needs have been difficult to define (Rosengard et al., 2007). This essay intends to use literature to outline a systematic and holistic approach to care of a patient's complex needs. The nursing process and its framework of assessment, planning, implementation and evaluation will be utilised to provide a patient centred approach (Castledine, 2011). Rankin and Regan (2004) described complex needs as being a framework rather than a label that determines service eligibility. The needs of people include breadth (range of need) and depth (severity); these factors have to be taken into account when providing holistic care. Holistic care is defined as an approach which takes into consideration the physical, mental and social factors in an illness, rather than just the disease itself (Martin, 2010). The person this essay will centre around gave informed consent to have their notes consulted with the intention to write this essay, in line with the Nursing and Midwifery Council's (NMC) The Code (2008). There are seven elements to informed consent; competence to decide, voluntariness to decide, disclosure of information, recommendation of a plan, understanding of the disclosure and recommendation, decision of the plan and authorising of the plan (Beauchamp & Childress, 1994 pp. 145-146). In line with the...
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...Adjustment to Health Change or Crisis The following essay will describe the understanding that I have gained regarding a person who is adjusting to their health change. Throughout the essay I will be referring to the patient as John, and his wife as Sally, therefore adhering to the Nursing and Midwifery Council (2008) guidelines upholding confidentiality. John’s background will be summarised and key terminology being used throughout the essay clarified. I will underpin my essay with theory relevant to adjustment and coping, linking the theory to the interventions that were implemented while John was on the ward. Demonstration on how these interventions were effective and significance in supporting John with his adjustment will be shown, concluding with my own professional development. John is 68 years old; I met him while on placement. John was admitted to the ward after deterioration in his mental state at home. John has a diagnosis of Alzheimer’s Dementia (AD) and has recently become confused and was becoming aggressive, both verbally and physically with his family and friends. According to Jacoby,Oppenheimer (2003) reported aggression towards carers from people with AD is high and is generally the reason for the person to have a hospital admission. Sally was finding it increasingly difficult to manage his needs and her own health was suffering. John was also unsafe to be left at home alone due to his tendency to wander and his inability to recognise his...
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...this essay, I plan to explore the concepts of the “nurse-patient relationship” using the necessary literature to back up my findings. I have chosen to study this concept because I am interested in discovering what makes a successful, or indeed, an unsuccessful nurse-patient relationship, as I believe the relationship between nurse and patient to be an integral part of nursing. The main focus of my essay will be around the works of Hildegard Peplau, but I plan to incorporate other theorists, such as Carl Rogers and Abraham Maslow, comparing and contrasting their approaches as well as drawing on my own practical experiences out on placement. Before beginning, it is important to understand what a “concept” is. This is so as to fully understand what the essay question is asking. According to Arnold and Underman Boggs (1999), a concept is a series of:- “Broad comprehensive ideas that serve as building blocks to present key ideas that make up models in a logical and focused manner” (p552). Concepts are very important in nursing and it is important that we understand why in order to integrate them into our practice. Nursing is now considered to be an “evidence-based” profession and one that changes constantly as new and fresh ideas are embraced. These ideas are formed through theories which, in turn, are formed through concepts. A fundamental part of the nurse’s role is to maintain confidentiality, and student nurses are no different. Any information included in essays, assignments...
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...The purpose of this essay is to discuss, within a case study context, the impact of severe mental health problems on a client whose care I have been involved in and, to discuss how the condition has affected the person, their informal carers, family and supporters. This essay will aim to provide an explanation of severe mental illness as well as an overview of the chosen client’s background, diagnosis and the impact this has had on them and those involved in their care. To protect the identity of the client and to respect the principle of confidentiality, a pseudonym has been used throughout this essay (NMC, 2008). The reason for choosing John for my case study is that having worked with him for approximately 2 years now, I feel I have already developed a therapeutic relationship with him. Having this Therapeutic relationship means there is an ongoing rapport resulting in John feeling at ease in disclosing personal information.. There is no universal understanding of what a severe mental health illness is it tends to be seen differently by the person experiencing it, their family and doctors. The term can refer to an illness where psychosis occurs, e.g. Schizophrenia; it also includes mood disorders, e.g. manic depression, schizoaffective disorder and clinical depression, and often referred to severe mental illness Psychosis describes the loss of reality a person experiences. (Rethink, 2009). This case study is based around a 24-year-old man who shall be referred to as John...
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...international council of nurses “ health care workers are more likely to be attacked at work than prison guards and police officers”(ICN, 2009). The aim of this essay is to critically appraise a systematic review of the literature based on workplace violence in the emergency department and to identify characteristics of interventional studies to guide best practice. This review will discuss current practices in reference to NSW health policy and guidelines, critique the systematic review by (Taylor & Rew, 2010) in terms of discussing methodology and provided a comprehensive overview of (Taylor & Rew, 2010) article(Hoag-Apel, 1998) (NSW Health, 2005). Finally, this review will attempt to recommend a change in practice in terms of the research question of what are the suggested interventions for workplace violence in the ED conducted by studies from 2004 ? Based on best evidence based practice and research(Hoag-Apel, 1998) . Although healthcare professionals and exclusively nurses are at higher risk of workplace violence, NSW legislation doesn’t reflect the increase risk associated or current international concerns(Hoag-Apel, 1998) . In NSW it is part of a legislative requirement that staff receive sexual harassment training, however, even though there are higher incidents of workplace violence then sexual harassment in nursing it isn’t a legislative requirement that staff are educated(Curtis, Ramsden & Friendship,2007) . Current NSW legislation doesn’t reflect current evidence based...
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...Running Head: THE HEALTH BENEFITS OF MEDITAION The Health Benefits of Meditation Article Critique Part two Paper Rasheedah Long Grand Canyon University NSG 325: Evidence Based Practice 03/30/2015 The purpose of composing this paper is to review one article that supports the PICOT statement. This paper will be written as an essay and will scrutinize major components of the study such as the introduction, the review of literature, the methods used, the findings, and lastly the discussion. This paper will provide an analytical view of the chosen article, determining the applicability of the findings, the clinical importance, the validity and the reliability of the issue addressed in the article. There are many different types of mediation practices. Transcendental meditation and mindfulness based stress reduction meditation are two of the most commonly researched. Meditation is now widely accepted into mainstream and is being used as a way for maintaining health and wellness. Several medical and rehabilitation facilities have proved meditation to be a safe and effective tool for treating: “stress, fatigue, depression, anxiety, fibromyalgia, hypertension, rheumatoid arthritis, diabetes, tinnitus, congestive heart failure, general pain, as well as many other health ailments. (Natural Medicine Database, 2014) Article Introduction The introduction to the study was clear and concise. It clearly identified what the researchers were looking to establish. The introduction...
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...There has been increasing concern for alternative method to treat urinary tract infection over antibiotics since misuse of antibiotics can led to bacterial resistance(Scholes et al., 2004). This essay will establish PICO (population, intervention, comparison and outcome) question in the given scenario where a 22 year old Susan visits the GP with symptoms of urinary frequency, dysuria, lower back pain and shivering. She was diagnosed with Urinary tract infection (hereby referred as UTI) and antibiotics were prescribed. However after developing thrush due to antibiotics for urinary tract infection previously, she is reluctant to take antibiotics. On surfing the internet she read about cranberry juice being used to treat UTI and is considering to stop her antibiotics. PICO question development In order to provide the right pathway to commence our research and ensuring that every questions are suitable and relevant, PICO model will be used which is Population, Intervention, Comparison and Outcome(Bronson and Davis, 2011). In the given scenario, population would be women suffering from UTI. Similarly intervention is using cranberry juice to prevent UTI and comparison is to use antibiotics. Richardson et al., 2014 mentioned that the outcome would analyze the effectiveness of the intervention. Therefore the outcome would be effectiveness of cranberry juice to prevent UTI. After this systematic approach, PICO question can be developed: Is cranberry juice more effective than antibiotics...
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...to the intravenous therapy may affect the blood stream or the skin around the insertion site of the catheter (Bofah et al, 2012). For this reason, Bofah et al (2012) suggested that general infection control and universal precautions measures need to be taken into considerations when undertaking a clinical procedure. However, specific measures need to be taken into consideration when administering intravenous therapy especially those in the home setting and the vulnerable patients. Kampf et al (2013) conducted an observational intervention study on “Improving Patient Safety during the Insertion of Peripheral Venous Catheters. The aim of the study was to determine the application of specific steps for peripheral venous catheters insertion in clinical practice and implementation of a multimodal intervention with an aim of improving both optimum order and compliance with the steps. Results indicated that 202 insertions were observed during the intervention period and 207 in the control period (Kampf et al, 2013). Compliance significantly improved for 4...
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...Baccalaureate Prepared Nurse Universities began establishing baccalaureate-level nursing programs in the 1950’s, awarding graduates with a Bachelor of Science in Nursing (BSN) degree. In 1951, Mildred Montag proposed the innovative idea of a 2-year Associate Degree in Nursing (ADN) program at the community college level to remedy the severe nursing shortage following World War II. Nursing faculty regarded ADN nurses as competent in basic nursing practice as they demonstrated the ability to pass state nursing licensing examinations. This commenced the national ADN educational movement followed by public confusion regarding the credentialing requirements and competencies of a professional nurse (Creasia & Friberg, 2011). Over the past 40 years, the entry-level education and qualifications for nursing have been widely debated by the medical community (Institute of Medicine, 2011, p. 169). This essay serves to provide a comparative view of registered nurses prepared at the associate and baccalaureate levels, detailing the specific competencies of each. According to the Institute of Medicine, the ADN “prepares nurses to provide direct patient care and practice within the legal scope of professional nursing responsibilities in a variety of health care settings” (2011, p. 44). This includes the utilization of critical thinking in patient assessment and the implementation of interventions based on the individual plan of care and physician’s orders. Additionally, that ADN...
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