...ROPER-LOGAN-TIERNEY TUESDAY, JUNE 26, 2012 THEORY GROUP A PRESENTS One draw of the field of nursing is the ability for nurses to individualize their care plans for their patients. In order to ensure that unique patients are able to get healthy, they need nursing care plans as unique as they are. This means assessment and evaluation of each patient before and during care. Nancy Roper's desire to become a nurse started in childhood, and as a result of her experiences and education, she, along with two of her colleagues, developed the Roper-Logan-Tierney Model of Nursing to assess patients' level of independence and provide the best individualized care for them. COMPONENTS/CONCEPTS OF THE MODEL Living is a complex process which we undertake using a number of activities that ensure our survival. The current model seeks to define 'what living means, and categorizes these discoveries into Activities of Daily Living (ADL). According to Roper, in a given circumstance, people are able to perform daily activities of living independently but when disease or hindrances occur, the nurse can use these activities of living to be able to assess the patient and identify interventions that can support independence in areas that may prove difficult or impossible for the individual on their own. The model assesses the individual's relative independence and potential for independence in ADLs,(considering their lifespan, development, and the five key factors on a continuum ranging from...
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...E Nursing Care Plan Roper, Logan and Tierney Model of Nursing Originally designed for the model of care, more nurses are aware of the Roper in 1976, has been updated and added to 1981.1980 and 1983 Roper, Logan and Tierney (Tierney and Roper, 2000). This form was used in a wide range of care settings. The model identifies 12 nursing activities of daily life that are related to basic human needs. They argue a “safe environment, communicating, breathing, eating and drinking, eliminating, personal hygiene, controlling body temperature, mobilising, working and playing, expressing sexuality, sleeping and dying” (Siviter 2002). The nurse will need to be able to assess where there are problems of continuing a sufficient quality and quantity of self-care activity for the patient's health and well-being. The care is delivered to meet the requirements of the patient by means of a care plan “that is put into place on admission.” In the process of care and structure of the individualization of care exists. Care plan should also include the client, but very confused with the client, it may be beyond the capabilities of (Siviter 2008). [endif] Issue and Goal In this article I am going to discuss how to nurse and develop a plan of care in connection with 12 activities of daily living, with “Maintaining a Safe Environment, Communication, Eating and Drinking and Working and Playing” as its main aims. Our patient of nursing care plan is Jake, age 4 years having 95 cm height and 13 Kg weight...
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...Ethics in There were a number of nursing priorities identified, the patient also has hypertension. The key priority for nursing care with this patient is her learning about disability and the potential communication barriers that may occur. The patient’s hypertension is well controlled with medication for these reasons. So we will focus this assignment around communication barriers with people with learning disabilities, the importance of good communication between the multi-disciplinary team within the unit. So it is important that we explore any issues with consenting to the procedure as it is imperative that the patient is fully aware of the procedure and understands the possible risks and complications. So it is mandatory that we introduced ourselves to the patient stating that we was a student nurse and gained verbal consent to carry on with the assessment, as a student nurse you must respect patient’s wishes at all times, if they do not wish for a student to carry out the assessment this must be respected, the patient wishes out way the need for the student to gain experience (NMC 2005). In accordance with the NMC 2008 where it states that nurses must protect and promote dignity all pre-assessments are carried out in a private room (NMC 2008). My mentor made aware by the reception staff before that the patient has learning disabilities. I ensured that short sentences and the appropriate language. Also ensure that the patient was given the time to process what was being...
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...Assessment Assessment is the most important part of care planning and delivery. It includes areas such as health and health needs, daily living skills, activity programmes, mobility, mental health, risks to the client, finance, respite, social events/outings, support requirements, spiritual needs and, possibly, accommodation issues (Department of Health, 2000b;Sox, 2004a). As a start, a background check is needed to be able to assess the situation of the patient. Our patient is conscious but was not able to respond properly because of her condition. So we need someone close to the patient or a relative to answer questions needed for the care plan. Data such as previous hospitalization, medication taken and others related to the patient condition is important. Diagnosis The patient was brought in the hospital because of diarrhoea and vomiting. The initial diagnosis is that the patient is dehydrated base on the physical appearance of the patient. Diarrhoea usually gets better on their own, often without treatment. If the diarrhoea continue within several days it is best to check patient’s medical history and physical exam. Planning In planning, the nurse plays an important role in the recovery and stay of the patient in the hospital. The patient upon admission was given attention on the main complain which is diarrhoea and vomiting. However further diagnosis and assessment of the medical team discovered that the patient is suffering from malnutrition. Our plan focuses on...
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...HEALTH SOCIETY & CARE PROVISION BY JACQUELINE WALKER HEALTH, SOCIETY & SOCIAL CARE INTRODUCTION The purpose of this essay is to write a patient case study surrounding the care of an in- patient at the local hospital where I was on placement. It should allow the reader to focus, on the appraisal of the nursing model used in practice during the patients care. The social and cultural components of care that demonstrate the authors’ knowledge, and awareness of the patients needs and beliefs, any health promoting activities and patient education opportunities undertaken. Inter/ Multidisciplinary teams approach to care provision and access to specific services and facilities will also be included. I would like to take this opportunity to state that confidentiality will be maintained throughout this work. All true names and clinical settings changed, in order to protect the patients’ identity in line with the NMC (2004) guidelines on confidentiality, which states, “that we must protect confidential information”. Therefore, the patient will be referred to as “Rick”, his wife Shelia, the clinical setting as “the ward” and the geographical environment as “the local hospital”. In addition to this, I would also like to say that whilst asking for permission, I explained to the patient what my study would be about, that all confidentiality would be maintained, and that he would not, in any way be able to be recognised by any other persons...
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...thoughts, feelings and other information through both verbal and non-verbal means.’ Communication occurs when a person (the source) sends a message via a particular medium (the channel) so it is received by a recipient (the receiver) (Roper, Logan and Tierney, 2002). Since communication is such an integral part of everyday life, it is hardly surprising that it is emphasized as a central component in the delivery of care (LeMay, 2004). The healthcare professional is required to develop and maintain a high level of interpersonal communication in order to provide the best care possible to their patients (Silverman, Kurtz and Draper, 2005). Communication skills have been traditionally classified into two main channels; verbal and non-verbal (Williams, 1997). These must not be considered to be of individual existence as LeMay (2004) states ‘they are complimentary to each other.’ However, Faulkner (2000) argues that should verbal and non-verbal messages conflict, those most likely to be believed will be the non-verbal ones, therefore the focus throughout this essay will be the non-verbal aspects of communication. Non-verbal communication consists of paralanguage and kinetics. These affect how information is understood (Roper, Logan and Tierney, 2002). Paralanguage is concerned with how we use language rather than what we say. The paralinguistic features of communication are ‘the quality and tone of voice, volume, pitch, speed of speech and the use of filler words such as ‘mm-hmm’...
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...discussion. It will demonstrate how the stages of the problem-solving approach deal with problems that are encountered; it will describe how theoretical knowledge is used to enhance the problem-solving approach when dealing with encountered problems; and finally, it will demonstrate ways in which to plan using the problem-solving approach to enhance future practice. This discussion and assignment will be based on the audio-visual clip from the Nursing and Midwifery Council, (NMC), (NMC, 2010). Assessing: Assessing a patient looks at the patients holistically, establishing what they could and could not do before, what are there likes and dislikes, what their ‘normal’ routines are, compared to how they are now they are in care. Roper, Logan and Tierney, (2003) suggest that the assessing of a patient should include collecting information from a holistic viewpoint to identify and prioritise problems. They...
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...Knowledge and Skills for Nursing Practice Part Two Written Assignment. A Client Based Case Study. The aim of this essay is to demonstrate the assessment process of a patient using the Roper Logan and Tierney (RLT) model of nursing framework, and to show how the nursing process works alongside this model. This will be established by including a holistic history of the patient and also by considering how the RLT model is applicable to this patient. The discussion of one nursing intervention will follow, showing how the nursing process is applied to patient care. The patient will be referred to as Mr Frederick Valentine to protect the patient’s anonymity as stated in the Nursing and Midwifery Council Code of Conduct (2008) guidelines. The plan for a patient’s appropriate care should be looked at holistically (NMC 2008), taking into account all of the aspects of the person as a whole. Holistic care incorporates the physical, psychological, emotional, spiritual economic and social factors when assessing, planning, delivering and evaluating care (Scriven 2010). The patient, Mr Valentine, was suffering from gradually fading vision. He had noticed that in bright light his vision was significantly worse, and he was finding it hard to read and also to watch television. Mr Valentine attended an appointment with his optometrist and was then referred to the Eye Centre at a local hospital. The optometrist had found that Mr Valentine was suffering from a cataract. The Eye Centre...
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...INTRODUCTION This essay is all about discharge care planning and will be discussed in two parts, the first part will highlight patient profile, assessment and discharge care planning with evidence based rationale using a framework based on Roper- Logan-Tierney (2000) model of nursing which involve giving nursing care holistically by using 12 activities of living (AL) and also incorporate nursing process to carry out care plan in this essay, which are maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, walking and playing, mobilising, sleeping expressing sexuality and dying. Also with the above mentioned framework, factors influencing the activities of living which include biological, psychological, socio-cultural, environmental and political economic will be considered. Also demonstration of how discharges are planned and problems identified will be discussed, which will involve members of the multidisciplinary team (MDT) and their roles in the patients care, education and support for family/carers. The second part will explore how recent health service legislation has influenced this care plan and its impact on caring of older people with long term condition. In this essay, issues on professional values according to Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008), which include consent, confidentiality, respect and dignity will be undertaking. For the...
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...TermPaperWarehouse.com - Free Term Papers, Essays and Research DocumentsThe Research Paper Factory"">JoinSearchBrowseSaved Papers"">Home Page » Other Topics Discharge Planning In: Other Topics Discharge Planning INTRODUCTIONThis essay is all about discharge care planning and will be discussed in two parts, the first part will highlight patient profile, assessment and discharge care planning with evidence based rationale using a framework based on Roper- Logan-Tierney (2000) model of nursing which involve giving nursing care holistically by using 12 activities of living (AL) and also incorporate nursing process to carry out care plan in this essay, which are maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, walking and playing, mobilising, sleeping expressing sexuality and dying. Also with the above mentioned framework, factors influencing the activities of living which include biological, psychological, socio-cultural, environmental and political economic will be considered. Also demonstration of how discharges are planned and problems identified will be discussed, which will involve members of the multidisciplinary team (MDT) and their roles in the patients care, education and support for family/carers. The second part will explore how recent health service legislation has influenced this care plan and its impact on caring of older people with long term condition...
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...Introduction The case study for this essay is Mr. Douglas Murray 66 year old man who was admitted to the community hospital due to symptoms of wound infection. He lives on a farm in a rural setting with his son, daughter in law and three grandchildren. 12 years ago he was diagnosed with Type 2 Diabetes and was commenced on oral medication for hyperglycaemia 6 years ago. However, Mr. Murray did not accept his diagnosis of diabetes well, although he has managed his condition through eating a healthy diet, he struggles sometimes because of his sweet tooth. He keeps regular appointments with the podiatrist. Mr. Murray is well built with weather-beaten appearance but slightly limps while walking. His weight increased when he had to stop farming...
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...Mr Charles Winston is a forty two year old Afro-Caribbean male with end stage pancreatic cancer. He is married with two children and had previously worked as a solicitor- he has been admitted to the local hospice. For the purpose of this assignment the focus will be on pain, the importance of being pain free and what this would mean for Charles will be discussed through-out this case study. The World Health Organization (2008) say that freedom from cancer pain must be regarded as a human rights issue. Charles's pain was poorly controlled on admission so it took several hours for the nurse to assess and come to an agreement with Charles about how to manage his pain. The End of Life Care Strategy, written by the Department of Health have published the following guideline; " Ensure that pain amongst people approaching the end of life are kept to an absolute minimum with access to skilful symptom management for optimum quality of life." (Department of Health, 2008, p33). Historically, pain was seen as an emotion rather than a sensation that was experienced by the heart and not the brain (Meldrum, 2003). Pain in today’s society is seen as an unpleasant sensory and emotional experience associated with actual or potential tissue damage (International Association of the Study of Pain, 2011). Therefore, pain is not only experienced on a physical level such as intensity, location and quality but also with emotional feelings such as anxiety, frustration and depression. Pain is a multidimensional...
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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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...Therapeutic Relationship Patients [pic] Translate This Page [pic] Powered by [pic]Translate [pic][pic] Download PDF Free Essay Quote This piece of reflection will focus on my experiences whilst on practice placement; I will be using the (Gibbs 1988, cited in Jasper 2003, p.77) model of reflection. Gibbs cycle is set out in order of categories made up of different headings. (See appendix 1). By using this cycle it allows me to reflect in structured and effective way. The subject of this final piece of reflection will cover the development and utilisation of interpersonal skills in order to establish and maintain therapeutic relationships. Neal (2003, p100) states a therapeutic relationship can be described as being between nurse and patient and is based on patients needs for care assistance and guidance. It is a relationship that is established solely to meet the patient’s needs and therefore, is therapeutic in nature. Chambers et al (2005, p303) suggest interpersonal and therapeutic relationships are at the centre of nursing work, the relationship that exists between nurse and patient can often provide the energy and be the catalyst, the motivation and the source of strength to continue with treatment or face difficult sometimes life threatening situations. I felt the need to develop therapeutic relationships with the patient’s so that they could feel they could put their trust in me, also that I was there to listen and talk to them not just care for them. There...
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...NURSING MANAGEMENT OF A STROKE PATIENT INTRODUCTION Stroke is the only largest cause of adult disability which leaves a devastating and lasting effect on people and their families (DoH, 2007a). The government of the United Kingdom had recognized stroke as a health care priority. Several government agencies developed clinical guidelines which are being implemented today in local health care settings (Williams et al, 2010a). This essay will focus on stroke as the cause of impaired mobility and will tackle on the patient-centered rehabilitation care plan along with its evidence-based rationales. Health and social care policies and its effect on the patient’s chosen journey will also be discussed. PATIENT PROFILE This is a case of a 68 year-old, married female who lives in the south of England. Mrs. G was admitted on 12 October 2010 with a presenting complaint of left-sided weakness. Prior to admission, she experienced persistent pain on the back of the head for 2 days, which was unrelieved by Paracetamol intake. On the morning of admission, she collapsed in the bathroom and was found by the husband after 3 hours. She was brought to the hospital via ambulance and upon initial assessment, no shortness of breath, slurred speech, dizziness, palpitation and chest pain were noted. Her vital signs were as follows: blood pressure of 169/59 mmHg, pulse rate of 80 bpm, respiratory rate of 18 breaths per minute, body temperature of 37.5 degrees...
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