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Nursing eassy on patient assessment
Fundamental of nursing assessment
Nurse role in the process of assessment
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Usefulness of the Theory
Human beings and the environment are always interacting and impacting each other. Therefore, it is imperative that as an Advance Practice Nurse (APN) one considers the physical, social, cultural and any other factors that may impact the environment as it relates to the patient. The primary goal of the Environmental Impact on Healing Theory is to promote awareness of the environment and its effect on the patient’s healing through the use of energy and altering the surrounding environment. By altering the environment positively and balancing the flow of energy, healing progression may be seen.
Rogers defined a human being as unitary person irreducible and is integral with environment, while environment is defined as irreducible pandimensional energy field, with different patterns and is integral with human field (George, 2002). Most people perceive their health based on the environment they have been raised in, or the environment they are currently living in. Rogers defined the purpose of nursing as promoting ‘symphonic interaction between human being and environment’; nursing seeks to strengthen the relationship and integrity of human field and their environment. The nursing profession helps to direct and redirect the patterns of human and environmental fields with an aim to achieve maximum health potential (George, P. 276, 2002). An APN will incorporate the impact of environment in healing from the initial stage of nursing process; nursing assessment, nursing diagnosis, planning and evaluation. While conducting the assessment all the facts and opinions of the patient and the environment will be collected (George, 1985). The individuals’ view of health and illness will be put into consideration b...
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...ournal of Medicine, 76, S66-S69. doi:10.3949/ccjm.76.s2.13
George, J.B. (1995). Nursing theories: The base for professional nursing practice (4th ed.). Norwalk, CT: Appleton & Lange.
Malinski, V.M., Barrett, E.A.M, & Phillips, J.R. (1994). Martha E. Rogers: Her life and her work. Philadelphia, PA: F.A. Davis Company.
Marriner-Tomey, A. (1989). Nursing theorists and their work. St. Louis, MO: The C.V. Mosby Company.
Rogers, M.E. (1992). Nursing science and the space age. Nursing science quarterly, 5, 27-34. doi:10.1177/089431849200500108
Schweitzer, M., Gilpin, L., & Frampton, S. (2004). Healing spaces: elements of environmental design that make an impact on health. The Journal of Alternative and Complementary Medicine, 10, 71-72.
Van Sell, S. L., & Kalofissudis, I.A. (2002). The Complexity Integration Nursing Theory. E-book. Athens, Greece. ICU Web Journal.
Ziegler, S.M. (2005). Theory-driven nursing practice. (2nd Ed.). New York, NY: Springer Publishing Company, Inc.
One branch of CAM is biofield therapies. Most biofield therapies share the same philosophy, but differ in respect of the hand positions adopted during the delivery process (Anderson & Taylor, 2012). In TT, the practitioner’s hands do not make actual physical contact with the patient.
The second concept, the environment, is the setting that can be controlled by the nurse or an individual to augment comfort. (Masters, 2017). In a hospital setting this could include dimming the lights, providing a low stimulation environment, or limiting visitors. Another example may be removing an individual from a situation that is not conducive to healing. Health is the third concept and refers to the orchestration and collaboration of those involved in assisting the patient to a state of well-being. Lastly, the concept of nursing describes the utilization of the nursing process of assessment, planning, intervention to meet the comfort needs of the individual and evaluating the effectiveness of those
Marriner-Tomey, A., & Alligood, M. R. (2006). Nursing theorists and their work. St. Louis, Mo: Mosby/Elsevier.
A nurse is able to achieve this great balance, with the patient and self, by being conscious of the environment that surrounds them and through self awareness. For example, in the scene of an emergency, first and foremost, a nurse must check the environment before started emergent care. Both the patient and nurse must be safe for treatment to be effective. The environment is what surrounds us; our workplace, home, communities, issues we think about, the people we interact with, and the emotions associated with these interactions. The nurse knows that all of these components play an integral role in maintaining stability in a person’s life and health. The nurse assumes care of not just a disease process but of a human being as a whole; a family, a livelihood, a spirit, a person. A nurse knows that in order for holistic care to be effective, the care taker themselves should be at a point of stability as well. A true nurse knows that in order to excel you must know your limits and understand that while your main goal is to help the patient regain their strength, identity, and independence, that goal does not have to be achieved by compromising your own self, identity, and
McEwen, M., & Wills, E. M. (2011). Theoretical basis for nursing (3rd ed.). Philadelphia, PA: Wolters Kluwer Health Lippincott Williams & Wilkins.
Walker, L. O., & Avant, K. C. (1995). Strategies for theory construction in nursing (3rd ed.). Norwalk, CT:
Thorne, S. (2010). Theoretical Foundation of Nursing Practice. In P.A, Potter, A.G. Perry, J.C, Ross-Kerr, & M.J. Wood (Eds.). Canadian fundamentals of nursing (Revised 4th ed.). (pp.63-73). Toronto, ON: Elsevier.
Next, there is person that is to be cared for. A person is someone who needs nursing care. A person is made up of many parts including their mind, spirituality, and their body. The nurse is responsible for caring for all of these parts as considering the whole person is essential to facilitate healing. The nurse may also need to care for the patient’s family and the community. The family being in a healthy emotional state may be what is necessary for the patient’s improvement. Caring for the community can help prevent disease and screen for diseases. Preventing and early detection allows for quicker healing
According to Kristen Swanson’s theory of caring, caring consists of Knowing, Being with, Doing for, Enabling, and maintaining belief. She believes that the environment and what is in the environment can affect people, either positively or negatively. As a nursing student, I possess the qualities of enabling, doing for, and being with. These qualities are implanted in me via my upbringing, culture, religious belief, and life experience/encounters(my environment). “Enabling” is the nurses’ responsibility to help the make a transition into the unknown.
Mary Stewart defines the domain of person in having” the ability to think and conceptualize, the capacity to interact with others, the need for boundaries, and the use of language” (Masters, 2017 pp. 105). I believe the person is the center of the domains within the conceptual model and that they are the receivers of the care. The second domain being environment is the surrounding in which the person domain resides in. Stewart suggests the importance for nurses to look beyond the person but towards the surroundings (Masters, 2017). Reasons to looking beyond the person are because the environment does many times have an influence on the quality of life; with that being said making a difference in a person’s environment can overall create a different outcome. For example, a homeless man who is sick from a cold from having no shelter. Change the environment of that homeless man with a shelter and he has a better chance of not being sick or cold. The third domain being the health domain is a domain that is totally unique and has a subjective meaning depending on the person. One person might describe their health as not being ill but to another having their chronic diabetes under control. There is no one standard of health baseline because everyone’s perception of health is different; so this concept of health is an individualized focused domain of the person’s state. The last domain nursing, Stewart describes the meaning provided by the American Nursing Association as “the protection, promotion, and optimization of health and abilities, preventing illness and injury, alleviation of suffering through the diagnosis and treatment of human response” (Masters, 2017, pp.106). I believe this final domain is the basis and foundation of nursing, so it is the nurse’s action towards the plan of care to the patient’s health
Walker, L. O. & Avant, K. C. (2011). Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson Education, Inc.
McEwen, M., & Wills, E. (2011). Theoretical Basis for Nursing (3 ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Philadelphia: The F.A. Davis. Geissler, E. M (1998). "The 'Stand Cultural assessments. St. Louis: Mosby & Co. Marriner–Tomey, A. & Co. (1994) The 'Secondary' of the 'S Nursing theorists and their work.
With the introduction of the age of computers, the nursing profession has seen a transition from the manual to automated methods of record keeping and even patient management. With the introduction of new technology even in monitor systems within the hospitals, nurses are compelled to increase their scope of learning in order to cope with the changes. Intensive care unit equipment are highly sophisticated which only increases the pressure on the nurse as a learner (Urquhart, Currell, Grant & Hardiker). This explicitly shows that nursing is a