Development of Patient Care Plan

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Recommended: Purpose of the nursing process

This essay will explore a needs orientated approach to the care that is delivered to a patient and examine the significance of the use of models and frameworks in the nursing process. It is intended to identify a patient with biopsychosocial needs that requires nursing intervention. Their holistic plan of care will then be critiqued in relation to the nursing model and framework utilised by the nursing staff.

Knowledge will be demonstrated of the importance of utilizing evidence-based practice when creating an individualized plan of care.

“The nursing process is an analytic problem solving method whereby the attainment of pre-determined nursing goals by means of chosen nursing care strategies is attempted through a systematic application of assessment, problem identification, planning, implementation and evaluation” (Arets and Morle, 1995, p311)

For the intention of this essay the conceptual framework used will be Assessment, Planning, Implementation and Evaluation (A.P.I.E) (Yura and Walsh, 1978). Conceptual framework indicates a logical, systematic process that is followed in order to plan and deliver care as part of the nursing process when used in conjunction with a model (Hogston and Simpson, 2002).

The model used will be the Roper, Logan and Tierney (R.L.T) Activities of Daily Living Model. This model consists of five core components: 12 activities of daily living (A.D.L’s), Lifespan, Dependence/independence continuum, factors influencing the A.D.L’s and individuality in living. The factors that influence the A.D.L’s are biological, psychological, sociocultural, environmental and politicoeconomic (Holland, Jenkins, Soloman and Whittam, 2004).

The theory underpinning the Roper, Logan and Tierney Model is that t...

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... Practice. London: Churchill Livingston

Nursing and Midwifery Council (NMC). (2004) Code of Professional Conduct: Standards for Conduct, Performance and Ethics. London: NMC

Nursing and Midwifery Council (NMC). (2002) Guidelines for Records and Record Keeping. London: NMC

Oxford Dictionary of Nursing. (2003) New York: Oxford University Press

Pearson, A., Vaughan, B., and FitzGerald, M. (2005) Nursing Models for Practice 3rd Edition. London: Butterworth Heinemann

Richards, A., Edwards, S. (2003) A Nurse’s Survival Guide To The Ward London:

Churchill Livingston

Roper, N., Logan, W., and Tierney, A. J. (2000) The Roper, Logan and Tierney Model of Nursing based on the activities of Living. Edinburgh: Churchill Livingston

Walsh, M. (2001) Models and Critical Pathways in Clinical Nursing. Conceptual Frameworks for Care Planning. Bailliere Tindall

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