The purpose of this essay is to describe the holistic assessment of a
66 year old male patient who has been admitted to hospital for bowel
surgery following the diagnosis of a cancerous tumor. The operation
will result in the patient having a part of his bowel removed after
which the patient will require a colostomy bag for the elimination of
feces (see patient profile in appendix 1 for further details). A
Pseudonym will be used to protect the patient’s confidentiality and he
will be referred to as ‘Peter’ in this essay which is in line with the
nurses’ code of conduct guidelines (NMC 2002).
The process of the assessment will be described along with the nursing
model chosen. The nursing model gives the student nurse a framework to
help direct and guide her throughout the assessment process (Aggleton
and Chalmers, 2000). The Roper, Tierney and Logan model (1986) has
been chosen as it is the model the ward follows for all assessment
procedures. The assessment process using the Roper, Tierney and Logan
model is holistic because it relates to the study of the human being
as a whole rather than its individual parts. A holistic view point
includes two basic beliefs: 1) The individual always responds as a
unified whole, 2) Individuals as a whole are different from and more
than the sum of their parts (Pearson, Vaughan and Fitzgerald, 2000).
Thus the assessment process would not be as accurate if you
concentrated on individual systems or parts of the human body. This
holistic approach takes into consideration the biological, social and
cultural factors that will affect the outcome of the assessment.
The nursing process was introduced as a method of nursing that
concerns itself with individual’s physical, social and psychological
reactions to disease, and which takes into account that the patient is
a member of society, which may affect his reaction to disease
(Faulkner, 1996). The nursing process is a sequence of steps (Person,
Vaughan and Fitzgerald, 1997) passed through in order to achieve the
Monitoring a health and social care team’s performance is essential so that any threats to its service delivery, are identified early and corrective actions taken. There are two dimensions of team functioning: the tasks the team are required to do, and the social climate that impacts on how they operate. The social climate will determine how team members cope with diversity of opinions, accept difference and resolve conflict.
Probably, I should understand more their home-culture and how that influences Peter’s life at school. Also, I should interpret (without my own point of view) the family’s action with affect Peter’s
In her tone, Didion remains clear, consistent, and vivid. Her choice of words remains simple as if to not alienate the readers of her essay. Her tone for the first half of the opening, primarily the first and second ...
Updike, John. "A & P." The Bedford Introduction to Literature. 2nd Edition. Ed. Michael Meyer. Boston: St. Martin's Press, 1990. 407-411.
Corcoran, J., & Walsh, J. (2008). Mental health in social work: a casebook on diagnosis and strengths-based assessment. Boston, MA: Pearson/Allyn and Bacon.
Regina Geis is a ten-year old female who is diagnosed with celiac disease. No one in her immediate family has been diagnosed, including her parents and her younger sister. Celiac disease is an autoimmune disease of the digestive system that is usually indicated by long-lasting inflammation in the small intestine that occurs when a protein from the plant called gluten, which is usually found in grains such as wheat, barley, and rye, is consumed, resulting in an interference of absorption of nutrients from food (Calvo, Soriano del Castillo, & Vinuesa, 2012.) Regina was diagnosed with celiac disease when she was five. After she was diagnosed, she was put on a gluten-free diet.
According to The Department of Health (2009) care planning is essentially about addressing an individual’s full range of needs. It takes into account their personal, social, economic, educational, cultural and mental health needs. After initially discussing this assignment with John
The goal for nurses as a profession is not only to be “patient advocates” but also assist the patient to learn and gain the necessary skills to achieve the best level of functioning for the patient based on their current illness. In order to help a patient achieve their optimal level of functioning the nurse must work with the patient and the interdisciplinary team to create a collaborative plan that is logical for the patient. Through examining a musculoskeletal disorder case study #35 from Preusser (2008), one can create a critical pathway for the patient, S.P. a 75 year old female, with severe rheumatoid arthritis (RA) and admitted to the orthopedic ward for a hip fracture status post fall (p. 183). Since the patient’s needs is unique and complex the nurse must tailor a plan with the patient which will include “…assessments, consultations, treatments, lifestyle changes, disease education…” in order for the patient have the most appropriate evidence-based care and make informed decisions when it is necessary (Oliver, 2006, p. 28). The aim for the nurse caring for the S.P. is to help prepare the patient for an upcoming procedure and focus care to the patient by gathering necessary information about her while. Collaboration with the patient, family members, rehabilitation, medical and surgical team about the treatment plans can help us provide proper patient’s care by utilizing actions and interventions within the scope and standards of the nursing practice.
This also helps to establish the concept of personal growth for Peter and maturity we would not expect to see gauging by the beginning of the book. Another situation that greatly brings the theme of growth into play is when Peter is attempting to retrieve his play script from the house of the yellow gentleman “…I wasn’t an experienced government agent then, and it wasn’t second nature to me to do these things. I was a boy with his heart in his mouth, scared that at any moment the yellow gentleman might come back –…” (137) This excerpt is a beautifully composed piece of writing as it shows that instead of being the young and reckless boy that on a whim, threw a rock at Sir Philip, Peter has matured and has a remarkably evolved sense of judgement. This displays that Peter can now be put into a life or death position and control his impulses in order to stop and think while still being a young boy in fear for his
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 in 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 rational 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 to 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 outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
The clinical and statistical approaches have both proven to be successful methods in clinical psychology. Each approach has its pros and cons depending on the type of situation that is being dealt with. Clinical judgment can be a complex process because it requires a patient’s data which are composed of samples, observations, signs of underlying states and the clinician’s responses. According to Sundberg, Tyler and Taplin (1973) clinical interpretation may consist of 3 different levels: Level 1 deals with clinicians being familiar with certain experiences, and therefore, making a prediction based off of that. An example of this would be the SAT or GRE assessments. Level 2 is comprised of clinicians carefully observing a patient’s behaviors and coming up with a conclusion based off of the behavior characteristics that the patient displays. In level 3, based off of the individual’s determinants in a specific situation, the clinician seeks a consistent understanding. For example, blood responses on the Rorschach test can be a determinant of hidden aggression, which would then lead to future impulsive outbursts or losing control of oneself (Sundverg, Tyler and Taplin 1973). Although both the clinical and statistical approaches have proven to be beneficial, I believe that clinical psychologists should not rely more on statistical predictions and prepackaged treatments than clinical judgment and individual patients.
The purpose of this essay is to show how much the meaning of an essay has devolved in today’s society and how much the essay means to the author. Franzen has
The healing hospital paradigm primary focus is on a holistic approach and addresses healing the whole person physically, emotionally and spiritually. Healing hospitals also take into consideration the whole person’s body, soul, mind and spirit and their environment as part of their healing and recovery process. In a healing hospital, a holistic approach and a family-centered environment is crucial to the patients’ healing process. A healing hospital must embrace three important components such as an environment that fosters healing, a combination of technology and work design and providing a loving care culture (Eberst, 2008). This paper will discuss concepts of a healing hospital, the relationship that spirituality plays in the patients’ healing and recovery as well as challenges and barriers of creating a healing environment.
...Peter with the rest of the disciples, and not that of the “over exalted” view some people of the time had created.
Isles, Duncan. "Pope and Criticism," in Alexander Pope, edited by Peter Dixon. Writers and their Backgrounds. Athens, Ohio: Ohio University Press, 1972.