This method of reflecting on my own personal experiences in a specific set of circumstances promoted thought-provoking questions and ideas. It also helped me to realize the importance of having all the data prior to making a decision on a plan of care. It becomes obvious while attempting to answer questions on case studies when there is not enough information. Case studies are a great way to put yourself into the clinical situation so that as nurses we may have a greater understanding of critical thinking (Asselin, 2012). Challenges as an Evolving Leader Today’s nurse, as an evolving leader, must be compassionate, professional and treat the patient as a whole.
Nursing Process Approach to Malignant Melanoma To fully comprehend the concept of the nursing process, one must first understanding what nursing is and the history of nursing. Nursing has evolved over the years from a basic system of care to a well-developed professional system in which special ways of think are applied in order to efficiently maximums patient care. The base of nursing is patient care, thus the nursing process is the foundation for nursing practice and key to ensuring the needs of the patient are met. History What is nursing? Florence Nightingale, first nursing theorist, defined nursing as having “charge of the personal health of somebody … and what nursing has to do … is to put the patient in the best condition for nature to act upon him” (Nightingale, 1946, p.6).
Nursing diagnosis reference manual (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
(2004). Essentials of medicine (6thed.). Philadelphia, PA: Saunders Elsevier Copstead, L. C., Banasik, J. L. (2014) Pathophysiology (5thed.). St. Louis, MO: Saunders Elsevier McKinney, M. (2010). Foundations of maternal – newborn and women’s health nursing (5thed).
Health or nursing assessments are continuous cycles of data collection and making inferences. There are steps to be taken to ensure adequate collection of objective and subjective data, these steps need to be taken in order otherwise an inaccurate assessment may occur. These steps are: assessment, diagnosis, planning, implementing and evaluation (Lewis, Foley, Weber, & Kelley, 2011, p. 2-5). Nursing assessments aim to collect subjective and objective data to determine a patient's overall functionality in order to make a clinical judgment, the nurse collects data relating to all areas of individual health. It is my opinion that appropriate health assessments are necessary to ensure a patient receives the correct treatment plan.
This “immediate” need must be correctly identified by the nurse, so the nurse may provide care to relieve the need for help experienced by the patient. Orlando’s creation of the nursing process discipline helped to further establish nursing as a profession and aimed to “…recognize the pivotal importance of the patient participation and intelligent nurse deliberation in the nursing process” (Sitzman & Eichelberger, 2011, p. 118). The purpose of this paper is to introduce the reader to the basic concepts of Ida Jean Orlando’s nursing theory and the working correlation between patient behavior and the nurse reaction to that behavior. Initial Concept, Recognizing Patient Behavior Patient’s behavior is the initial concept of Orlando’s nursing discipline process. The nurse has to learn to recognize the different behaviors of the patient and apply nursing concepts to that behavior.
Evidenced Based Practice (EBP) is essential to enable all nurses to provide the most current up to date practises for their patients. This process involves research, systematic review of current practises, critical thinking skills, evaluation and application to the clinical setting. In addition to this, the nurse must take into account the patients’ preferences. For nurses to have professional autonomy they must be able to justify their actions and demonstrate an understanding of why they perform the tasks they do. This defines them as unique professionals judged by their knowledge and not simply by their hands on skills.
It also develops the basis for care planning and forms the remainder of the whole process, making it a crucial stage (Nazarko 2011). Assessment consists of a number of skills for example, communication, observation and critical thinking. Communication is an essential skill for nursing particularly in relation to the Multidisciplinary team and patient rapport. Communication quality, determines the outcome of care, patient wellbeing, and effective therapeutic partnerships (Boscart 2009). Both verbal and non-verbal communication is fundamental in nursing which in turn affects pati... ... middle of paper ... ...
Potter, P. A., & Perry, A. G. (2005). Fundamentals of nursing (6th ed.). St. Louis, MO: Mosby, Inc. Rohrer, J. E., Naessens, J. M., Liesinger, J., & Litchy, W. (2010). Comparing diverse health promotion programs using overall self-rated health as a common metric. Population Health Management, 13(2), 91-95. doi: 10.1089/pop.2009.0026 South, J.