More handpicked essays just for you.
Nursing essays on holistic nursing
Nursing fundamentals quizlet on concept of holistic nursing
Fundamental of nursing health assessment
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Nursing essays on holistic nursing
As nurses and future NPs, we have to look at a patient in a holistic manner. If the patient shows signs and symptoms pertinent to only one body system, you would not just look at that particular system. Rather you would conduct a head-to-toe assessment to rule out or rule in other diseases and do a more thorough examination on the system that the patient has specific complaints about.
Answers to questions 1 and 3 could be interrelated. Our case study patient might have neurological symptoms or complications such as drowsiness, confusion, neurological deterioration, and/or gait disturbances (Hufschmid et al., 2010). As for question 2, I came across an interesting case study by Jiten and Lacour (2012) wherein the patient’s primary complaint
requiered to determine treatment. Lab tests or imaging is often requiered as well. It’s chronic,
One of the nursing nomenclature used in my work setting that is recognized by the American Nurses Association (ANA) is the North American Nursing Diagnosis Association International (NANDA-I). According to Cavalcante, Brunori, Lopes, Silva, and Herdman (2015), the purpose of NANDA-I is to provide a common language in the nursing profession whereby nurses can consistently and accurately document health problems as they are related to clinical assessment findings. Furthermore, Cavalcante et al. implies that the concept of these nursing diagnosis informs nurses about the nature of and care activities required for a specific health problem. The concepts assist nurses through the clinical reasoning process to assess the holistic needs of the patients,
There are six set standards of the nursing practice; assessment, diagnosis, outcome identification, planning, implementation, and evaluation (ANA, 2010; pp. 9-10). Throughout a typical shift on the unit I work for, I have set tasks I am expected to complete in order to progress the patient’s care, and to keep the patient safe. I begin my shift by completing my initial assessment on my patient. During this time, I am getting to know my patient and assessing if there are any new issues that need my immediate intervention. From here, I am able to discuss appropriate goals for the day with my patient. This may come in the form of increasing mobility by walking around the unit, decreasing pain, or simply taking a bath. Next, I plan when and how these tasks will be able to be done, and coordinate care with the appropriate members of the team; such as, nursing assistants and physical therapists. Evaluating the patient after any intervention assists in discovering what works and what does not for the individual. “The nursing process in practice is not linear as often conceptualized, with a feedback loop from evaluation to assessment. Rather, it relies heavily on the bi-directional feedback loop...
Spark Ralph, S. & Taylor, C. M. (2011). Nursing diagnosis reference manual (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Therefore, she may find it harder than most of the population to transition into the role of the patient and rely on others to make clinical judgements to promote and protect her recovery. Moreover, she was in a lot of physical pain, with her right leg in a full cast, causing her to be at bed rest. This I believe, as well as the patient being more aware of the inner workings of the hospital compared to other patients without a medical background, may of contributed to her ill ease and need to feel in control of her nursing care, over that of her care plan set by the
The shadow health assessment was thorough and precise. Completing the final head to toe required a lot of work. I was not expecting it to be so difficult, considering head to toe assessment is my daily routine at work. The content that I learned from the textbook and shadow health assessment helped me complete the final head to toe assessment. However, I noticed that completing head to toe assessment gets easier on most of the patients, once you get comfortable on the systemic approach. The physical assessment and communication skills that I learned from the class made my assessment less difficult. I find the documentation part of the final head to toe assessment challenging. I think that is due to our electronic charting software (EPIC) at
Is this practical in the particular situation? Can we be sure that of a bad outcome for this patient? As a nurse, we are able to identify
ANA describes “The Scope of Nursing Practice (as) the “who,” “what,” “where,” “when,” “why,” and “how’ (8).’ In other words, it is the responsibility of the nurse to know who their patient is, what the patient’s diagnosis and treatment are, where it is they will be delivering treatment, the rationale behind their actions, and how they will deliver the care. By following the scope of practice, nurses reduce avoidable errors and are aware of the liability their actions entail. The ANA also puts forth a nursing process to guide nurses in treatment. The constantly evolving process is currently assessment, diagnosis, identification of outcomes, planning, implementation, and evaluation (ANA 9). Though this method has dramatically improved nursing care, it may be necessary to repeat steps to adapt to a patient’s changing needs and pathologies. By following guidelines set by the ANA, nurses are able to better connect with their patients and instill the image of professionalism to the public while also optimizing safety
Decision making in RN’s practice starts with the beginning of a nurse’s day. The nurse must prioritize which patient to access first and which patient to administer medications first, especially in light of upcoming surgeries and procedures. The nurse must also consider patient’s current blood and other test results in order to decide whether it might be necessary to contact the healthcare provider and report any abnormalities. Since the nurse is the person that is the most with the patient during his hospital stay, she is the one that is the most familiar with that patient and his condition. Therefore even a subtle change she notices in her patient’s condition on assessment, can lead to change of treatment which in some cases might save that patient’s life or greatly contribute to the positive o...
Assessment of a patient’s health status is the collection of data through nursing assessment techniques,
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed during my second year studying Adult Diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rationale behind this. During an admission I completed under the supervision of my mentor, I was pre-assessing a 37 year old lady who had arrived at the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outlined in this piece of work has learning disabilities it was imperative to identify any barriers to communication (Nursing standards 2006). There were a number of nursing priorities identified, the patient also has hypertension.
D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her
St. Louis, MO: Elsevier Ackley, B.J., Ladwig, G.B., & Flynn Makic, M. (2017). Nursing diagnosis handbook (11th ed.). St. Louis, MO: Elsevier University.
According to the Foundations of Nursing Practice (2001), you should collect information about the patient’s aspects of their health (physiological, psychological, sociocultural and spiritual) to gain a nurse-client relationship and to establish actual and potential problems. The information gathered is important because it is able to provide somewhat of a description of the patient as well as focusing on their immediate and future needs (Keenan, Yakel, Tschannen & Mandeville, 2008). This would safely develop a deeper understanding and can work toward making the patient relieved of their troubles and or prevent other issues from surfacing. Along with the patient, physical assessments are also important for the provider as a guidance tool when it comes to their practice. A successful assessment deems the health care provider accountable and responsible for the patient’s conclusion. Overall, the physical assessment aids in providing satisfactory work for both the patient and the professional (Royal College of Nursing,
Good, R. Diagnosis Review Committee Report. International Journal of Nursing Terminologies and Classifications 15.2 (2004): 59+. Health Reference Center Academic. Web. 6 Feb 2011