Culturally Competent Care In Nursing Mrs. G Case Study
you have the opportunity to share your thoughts about how to deliver client-centered culturally competent care and work collaboratively with others.
The Case of Mrs. G.
Mrs. G. is a 75 year old Hispanic woman who has been relatively well all of her life. She had been married for 50 years and had five children. Her children are grown with families of their own. All but one of her children live in other states. Mrs. G.’s husband passed away last year, which was devastating for her. She had been very close to him and relied upon him for everything. He was “the life of the party” she always said and was a loving and caring man. Since his passing, Mrs. G. has continued to live in the house they shared for 35 years. In the last month, Mrs. G. has fallen twice sustaining injuries, though minimal. Her home health nurse comes weekly to check in on her. Mrs. G. likes her very much and wishes she could come more often. Mrs. G.’s daughter who lives in the next town over, has been worried and decided with the urging of her siblings and the doctor to start looking for an assisted living facility for her mother. She found one last week and talked with the Director who said she would be happy to help in whatever way was best. The daughter decided to tell her mother that it was time for her to move, so she can be cared for and be safe. When she told her mother, Mrs. G. cried and said, “This will not happen ever. I plan to stay in this house of loving memories for the remainder of my life.”
In 3 – 4 pages answer the following questions:
How would you best describe Mrs. G.’s feelings about her life, her family, her traditions, and her future?
Did Mrs. G.’s response to her daughter surprise you? Please explain your answer.
In what way do you believe her culture might be influencing her decision?
If you were Mrs. G.’s daughter what would you say to her that shows you are caring and have compassion for her situation? What nonverbal communication would support that level of communication?
Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations might be available and helpful so the daughter and other healthcare providers can keep her mother safe and make the most effective decision?
please use apa format and in some 2 reference with gov,.org
Tags: case study composition nursing APA Formatting Style Clientcentered Culturally Competent Care
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Comparison of Fluid Electrolyte Exemplars: SIADH Pathophysiology Etiology Clinical Manifestations including Laboratory data Interventions Possible Complications Diabetes Insipidus Acute Renal Failure Chronic Renal Failure
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Describe the nurse’s role and responsibility as health educator. What strategies, besides the use of learning styles, can a nurse educator consider when developing tailored individual care plans, or for educational programs in health promotion? When should behavioral objectives be utilized in a care plan or health promotion?
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Describe a health promotion model used to initiate behavioral changes. How does this model help in teaching behavioral changes? What are some of the barriers that affect a patient’s ability to learn? How does a patient’s readiness to learn, or readiness to change, affect learning outcomes?
As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. 1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. 2. Share your
presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. 3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. 4. A minimum of three scholarly references are required for this assignment. While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. Evolving Practice of Nursing and Patient Care Delivery Models 1 Unsatisfactory 0.00% 2 Less than Satisfactory 75.00% 3 Satisfactory 79.00% 4 Good 89.00% 5 Excellent 100.00% 80.0 %Content 40.0 %Clearly Main concept is Main concept is Main concept is Main concept is Main concept is States How the not clearly not clearly identified, and a easily identified easily identified, Practice of identified, and identified, and few subconcepts and most and subconcepts Nursing and subconcepts do few subconcepts branch from the subconcepts branch Patient Delivery not consistently branch main idea. branch from the appropriately Will Evolve, branch from the appropriately. Addresses many main idea. from the main While Addressing main idea. Does Addresses at of the issues Addresses all of idea. Addresses Relevant not address any least one issue related to the the issues related all of the issues Concepts That issues related to related to the evolving to the evolving related to the Include the evolving evolving practice practice of practice of evolving practice Continuity or practice of of nursing and nursing and nursing and of nursing and Continuum of nursing and patient care patient delivery patient care patient care Care, patient care delivery. and patient care delivery. delivery. Accountable Care delivery. delivery. Organizations, Medical Homes, and NurseManaged Health Clinics 20.0 %Evidence No evidence of Evidence of Evidence of Evidence of Evidence of of Feedback and feedback and feedback and feedback and feedback and feedback and Forecasting of forecasting of the forecasting of forecasting of forecasting of the forecasting of Nursing Role nursing role from the nursing role the nursing role nursing role from the nursing role From Colleagues colleagues is from colleagues from colleagues colleagues is from colleagues included. may be incomplete or lack relevant scope. is included. described in detail. is described in detail, with relevant personal insight, reflection, or analysis. 20.0 %Use of No recommended Few Some Most All of the Vocabulary terms have been recommended recommended recommended recommended Regarding included in the terms have been terms have been terms have been terms have been Evolving Practice correct context. included in the included in the included in the included in the of Nursing and correct context. correct correct context. correct context. Patient Care context. Delivery 15.0 %Organization and Effectiveness 10.0 %Originality Content is an Content is a Content shows Content shows Content shows extensive minimal evidence of evidence of significant collection and collection or originality. originality and evidence of rehash of other rehash of other While based on inventiveness. originality and people’s ideas, people’s ideas, other people’s While based on inventiveness. products, products, ideas, products, an extensive The majority of images, or images, or images, or collection of the content and inventions. There inventions. inventions, the other people’s many of the is no evidence of There is no work does offer ideas, products, ideas are fresh, new thought or evidence of new some new images, or original, inventiveness. thought. insights. inventions, the inventive, and work extends based upon beyond that logical collection to conclusions and offer new sound research. insights. 15.0 %Organization and Effectiveness 5.0 %Mechanics Surface errors Frequent and Some Prose is largely The writer is of Writing are pervasive repetitive mechanical free of clearly in (includes enough that they mechanical errors or typos mechanical command of spelling, impede errors distract are present, but errors, although standard, written punctuation, communication the reader. are not overly a few may be academic grammar, and of meaning. Inconsistencies distracting to present. The English. language use) Inappropriate in language the reader. writer uses a word choice choice (register) Audiencevariety of and/or sentence and/or word appropriate sentence construction are choice are language is structures and employed. present. employed. effective figures of speech. 5.0 %Format 2.0 %Paper Template is not Template is Template is Template is fully All format Format (use of used used, but some used, and used; There are elements are appropriate style appropriately or elements are formatting is virtually no correct. for the major documentation missing or correct, errors in and assignment) format is rarely mistaken; lack although some formatting style. followed of control with minor errors correctly. formatting is may be apparent. present. 3.0 %Research No reference Reference page Reference page Reference page is In-text citations Citations (in-text page is included. is present. is included and present and fully and a reference citations for No citations are Citations are paraphrasing and used. inconsistently direct quotes, used. and reference page listing and formatting, as appropriate to assignment) lists sources used in the paper. Sources are appropriately documented, although some errors may be present. inclusive of all cited sources. Documentation is appropriate and style is usually correct. page are complete. The documentation of cited sources is free of error.
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Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice intervention used to identify, reduce, and prevent problematic use, abuse, and dependence on substances such as tobacco, alcohol and illicit drugs. The SBIRT model was incited by an Institute of Medicine (IOM) recommendation that called for community-based screening for health risk behaviors. The purpose of this assignment is to integrate SBIRT into nursing practice to help stimulate positive change at the individual and population focused level of care.
COURSE OUTCOMES
This assignment enables the student to meet the following Course Outcomes (COs).
CO3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (PO 4, 8)
CO4: Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO1)
DUE DATE
Submit your completed SBIRT presentation by 11:59 p.m. MT Sunday of Week 6.
Points: 225 points
BACKGROUND INFORMATION
SBIRT consists of three major components.
Screening—A healthcare professional assesses a patient for concerning behaviors using standardized screening tools. Screening can occur in any healthcare setting.
Brief Intervention—A healthcare professional engages a patient in a short conversation, providing feedback and advice regarding concerning behaviors.
Referral to Treatment—A healthcare professional provides a referral to resources and/or treatment options and additional services available (Substance Abuse and Mental Health Services Administration [SAMHSA], n.d.)
DIRECTIONS
Prior to starting the presentation, you are to read the assigned training. SBIRT Education. (n.d.). Overview of screening, assessment and brief intervention: a nursing response to the full spectrum of substance use. Retrieved from https://hospitalsbirt.webs.com/nursingsbirt.htm (Links to an external site.)Links to an external site.
Choose “Watch On Demand Recording”
Start at minute 9:08/slide 12, end at 1hr 27 sec. (slide 80)
Or you may go directly to the YouTube video:SBIRT Education. (2015, May 10). Overview of SBIRT: a nursing response to the full spectrum of substance use [Video File]. Retrieved from Overview of SBIRT: A Nursing Response to the Full Spectrum of Substance Use (Links to an external site.)Links to an external site. Use this BNI checklist for the role play at the end: BNI Checklist (Links to an external site.)Links to an external site. SBIRT Education. (n.d.). Brief negotiated interview checklist [PDF Document]. Retrieved from https://hospitalsbirt.webs.com/nursingsbirt.htm (Links to an external site.)Links to an external site. You are encouraged to review the assignment tutorial found at the end of the Academic Integrity Reminder.
Next, choose one addiction or problem to focus on for this assignment from the options below.
Alcohol
Drug use (prescription or illicit)
You must be specific to which drug you are choosing
You are required to use one of the problems listed above. Assignments that do not follow the current guidelines or use the required forms or templates will be evaluated for evidence of an academic integrity violation. After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.
After you have chosen the addiction/problem, you are to research SBIRT training specific to that problem/addition. Before starting to work on the presentation, it is vital you understand how SBIRT is used with that particular addiction/problem. You must find at least two scholarly resources (other than readings assigned in the course) and one video resource. Search YouTube for one SBIRT training video from a reputable source that shows a provider using SBIRT with a patient. Watch this video so that you understand the steps of SBIRT.
You may choose to complete this assignment as a PowerPoint poster or PowerPoint multiple slide presentation. Download the SBIRT PowerPoint poster (Links to an external site.)Links to an external site. or slide presentation template (Links to an external site.)Links to an external site..
Submit the completed PowerPoint poster or slide presentation by Sunday, 11:59 p.m. MT at the end of Week 6.
Length: The poster should be one page with all boxes on template complete. The slide presentation should be no more than twelve slides, not including the title and references slide
Rasmussen Contrast two nursing models and theories assignment
-Answer the following question in apa format:
For this discussion, in three to four paragraphs, contrast two nursing models and theories found in your reading. Discuss how they are similar or different in the way the define/discuss health and wellness, illness, the client, the environment, and nursing. Summarize by selecting the one model or theory that aligns best with your beliefs and then describe how this would affect the way in which you would practice nursing. note:refer to the roy adaption model and the The Orem Self-Care theory for this assignment please.
use the apa citing the following book for both initial discussion posts and their responses please (discussion posts 3-4 paragraphs and responses should be at least 200 wds each:
Reference
Catalano, J. T. (2015). Nursing Now! Today’s Issues, Tomorrow’s Trends, 7th Edition.
Your Rating:
1
2
3
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5
According to chapter 3 of our text book, the Orem Self-Care Model of nursing was developed by Dorothea E. Orem and is based on the belief that health care is everyone’s own responsibility. The aim of this model is to help clients direct and carry out activities that maintain or improve their health (Catalano, 2015). The Roy Adaptation Model developed by Sister Callista Roy, is very closely related to the general systems theory. The main goal of this model is to allow the client to reach his or her highest level of functioning through adaptation.
Although both models see clients as a human being, there are many differences. The major difference between these two nursing models can be observed in their main goals, and the way that they define health and nursing needs. The Orem Self-Care model follows the theory that clients are self-sufficient, can live life to the fullest through self-care, and only require proper guidance to maintain their own health. Whereas the Roy Adaptation model follows the theory that clients are a dynamic system with input and output stimuli, constantly adapting based upon various stimuli that are affecting them, and nursing is a multistep process that helps the client adapt and reach the highest level of functioning. (Catalano, 2015).
I personally felt that the general systems theory most closely aligned with my beliefs and thought processes. When I can break things down into several different sub-categories (systems) that all build upon a larger item it makes more sense to my brain.
Reference
Catalano, J. T. (2015). Nursing Now! Today’s Issues, Tomorrow’s Trends, 7th Edition.
For this discussion, in three to four paragraphs, contrast two nursing models and theories found in your reading. Discuss how they are similar or different in the way the define/discuss health and wellness, illness, the client, the environment, and nursing. Summarize by selecting the one model or theory that aligns best with your beliefs and then describe how this would affect the way in which you would practice nursing.
Respond to these two postings with apa format and a reference from the book citing listed above for each discussion response:
posting number 1
Compare & Contrast
Collapse
There is many times when a theory and a model are used as the same thing. Often times one is confused over the other. In nursing, it happens just as much, if not more. A theory is defined as a serious of statements that is developed through a process of continued abstractions. It is aimed towards a generalized statement that is explaining a phenomenon. Now a model, is a purposeful view of reality.
The Orem Self-Care theory is based on a a relief that health care is each individual’s own responsibility. The purpose of this model is to allow clients to maintain or improve their health through out activities. The main focus in this model is the client. Health is defined as the clients ability to live as comfortable as possible at a higher level of functioning to promote the person from entering a lower life form that that of what already exists. It is important that the individual is able to carry on one of the key health care activities. They are as follow; air, water, food, excretion of waste, activity and rest, solitude and social interactions, avoiding hazards to life and well being, and being normal mentally under universal self care. The nursing goal in this model is to help and guide the client into proper self care activities.
The Roy Adaption model allows the client to reach his or her highest level of functioning through adaption. The client has a dynamic system with input and output. Health is a continuum with the ability to adapt successfully to illness. The nursing process in the Roy Adaption model is a process that helps the client adapt and reach the highest level of function for that individual.
As you can see it is very easy to get the two confused. They are both similar yet different in their own ways. Each theory and model was designed with the best interest of the client in mind. They also allow the client to feel more involved in their own recovery process.
posting number 2 below
Your Rating:
1
2
3
4
5
According to chapter 3 of our text book, the Orem Self-Care Model of nursing was developed by Dorothea E. Orem and is based on the belief that health care is everyone’s own responsibility. The aim of this model is to help clients direct and carry out activities that maintain or improve their health (Catalano, 2015). The Roy Adaptation Model developed by Sister Callista Roy, is very closely related to the general systems theory. The main goal of this model is to allow the client to reach his or her highest level of functioning through adaptation.
Although both models see clients as a human being, there are many differences. The major difference between these two nursing models can be observed in their main goals, and the way that they define health and nursing needs. The Orem Self-Care model follows the theory that clients are self-sufficient, can live life to the fullest through self-care, and only require proper guidance to maintain their own health. Whereas the Roy Adaptation model follows the theory that clients are a dynamic system with input and output stimuli, constantly adapting based upon various stimuli that are affecting them, and nursing is a multistep process that helps the client adapt and reach the highest level of functioning. (Catalano, 2015).
I personally felt that the general systems theory most closely aligned with my beliefs and thought processes. When I can break things down into several different sub-categories (systems) that all build upon a larger item it makes more sense to my brain.
Reference
Catalano, J. T. (2015). Nursing Now! Today’s Issues, Tomorrow’s Trends, 7th Edition.
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Here Is reading literature to support the two models:
The Roy Adaptation Model
As developed by Sister Callista Roy, the Roy Adaptation Model of nursing is very closely related to systems theory.13 The main goal of this model is to allow the client to reach his or her highest level of functioning through adaptation.
Client
The central element in the Roy Adaptation Model is man (a generic term referring to humans in general, or the client in particular, collectively or individually). Man is viewed as a dynamic entity with both input and output. As derived from the context of the four modes in the Roy Adaptation Model, the client is defined as a biopsychosocial being who is affected by various stimuli and displays behaviors to help adapt to the stimuli. Because the client is constantly being affected by stimuli, adaptation is a continual process.13
Inputs are called stimuli and include internal stimuli that arise from within the client’s environment and stimuli coming from external environmental factors such as physical surroundings, family, and society. The output in the Roy Adaptation Model is the behavior that the client demonstrates as a result of stimuli that are affecting him or her.
Output, or behavior, is a very important element in the Roy Adaptation Model because it provides the baseline data about the client that the nurse obtains through assessment techniques. In this model, the output (behavior) is always modified by the client’s internal attempts to adapt to the input, or stimuli. Roy has identified four internal adaptational activities that clients use and has called them the four adaptation modes:
2.The self-concept mode (developed throughout life by experience)
3.The role function mode (dependent on the client’s relative place in society)
4.The interdependence mode (indicating how the client relates to others)
Table 3.2 Comparison of Selected Nursing Models
Health
In the Roy Adaptation Model, the concept of health is defined as the location of the client along a continuum between perfect health and complete illness. In this model, health is rarely an absolute. Rather, “a person’s ability to adapt to stimuli, such as injury, disease, or even psychological stress, determines the level of that person’s health status.”13 For example, a client who broke her neck in an automobile accident and was paralyzed but who eventually went back to college, obtained a law degree, and became a practicing lawyer would, in the Roy Adaptation Model, be considered to have a high degree of health because of the ability to adapt to the stimuli imposed.
Environment
The Roy Adaptation Model‘s definition of environment is synonymous with the concept of stimuli. The environment consists of all those factors that influence the client’s behavior, either internally or externally. This model categorizes these environmental elements, or stimuli, into three groups: (1) focal, (2) contextual, and (3) residual.
Focal stimuli are environmental factors that most directly affect the client’s behavior and require most of his or her attention. Contextual stimuli form the general physical, social, and psychological environment from which the client emerges. Residual stimuli are factors in the client’s past, such as personality characteristics, past experiences, religious beliefs, and social norms, that have an indirect effect on the client’s health status. Residual stimuli are often very difficult to identify because they may remain hidden in the person’s memory or may be an integral part of the client’s personality.
Nursing
In the Roy Adaptation Model, nursing becomes a multistep process, similar to the nursing process, to aid and support the client’s attempt to adapt to stimuli in one or more of the four adaptive modes. To determine what type of help is required to promote adaptation, the nurse must first assess the client.
Assessment
The primary nursing assessments are of the client’s behavior (output). Basically, the nurse should try to determine whether the client’s behavior is adaptive or maladaptive in each of the four adaptational modes previously defined. Some first-level assessments of the client with pneumonia might include a temperature of 104°F, a cough productive of thick green sputum, chest pain on inspiration, and signs of weakness or physical debility, such as the inability to bring in wood for the fireplace or to visit friends.
A second-level assessment should also be made to determine what type of stimuli (input) is affecting the client’s health-care status. In the case of the pneumonia client, this might include a culture and sensitivity test of the sputum to identify the invasive bacteria, assessment of the client’s clothes to determine whether they were adequate for the weather outside, and an investigation to find out whether any neighbors could help the client upon discharge from the hospital.
Analysis
After performing the assessment, the nurse analyzes the data and arranges them in such a way as to be able to make a statement about the client’s adaptive or maladaptive behaviors—that is, the nurse identifies the problem. In current terminology, this identification of the problem is called a nursing diagnosis. The problem statement is the first part of the three-part PES (problem–etiology–signs and symptoms) formulation that completes the nursing diagnosis (Fig. 3.1).
Setting Goals
After the problem has been identified, goals for optimal adaptation are established. Ideally, these goals should be a collaborative effort between the nurse and the client. A determination of the actions needed to achieve the goals is the next step in the process. The focus should be on manipulation of the stimuli to promote optimal adaptation. Finally, an evaluation is made of the whole process to determine whether the goals have been met. If the goals have not been met, the nurse must determine why, not how, the activities should be modified to achieve the goals.11
Figure 3.1 Together, these components make up the PES (problem–etiology–signs and symptoms) statement: Pain, acute, may be related to surgical wound, as manifested by facial grimacing, increased heart rate, and verbal complaints of pain at the incision site.
The Orem Self-Care Model
Dorothea E. Orem‘s model of nursing is based on the belief that health care is each individual’s own responsibility. The aim of this model is to help clients direct and carry out activities that maintain or improve their health.14
Client
As with most other nursing models, the central element of the Oremmodel is the client, who is a biological, psychological, and social being with the capacity for self-care. Self-care is defined as the practice of activities that individuals initiate and perform on their own behalf to maintain life, health, and well-being. Self-care is a requirement for maintenance of life and for optimal functioning.
Health
In the Orem Self-Care Model, health is defined as the person’s ability to live fully within a particular physical, biological, and social environment, achieving a higher level of functioning that distinguishes the person from lower life-forms.
Quality of life is an extremely important element in this model of nursing. A person who is healthy is living life to the fullest and has the capacity to continue that life through self-care. An unhealthy person is an individual who has a self-care deficit. This group of unhealthy individuals also includes adults with diseases and injuries, young and dependent children, elderly people, and disabled people. This deficit is indicated by the inability to carry out one or more of the key health-care activities. These activities have been categorized into six groups:
•Air, water, and food
•Excretion of waste
•Activity and rest
•Solitude and social interactions
•Avoiding hazards to life and well-being
•Being normal mentally under universal self-care
Self-Care
In the Oremmodel, self-care is a two-part concept. The first type of self-care is called universal self-care and includes those elements commonly found in everyday life that support and encourage normal human growth, development, and functioning. Individuals who are healthy, according to the Oremmodel, carry out the activities listed in order to maintain a state of health. To some degree, all of these elements are necessary activities in maintaining health through self-care.15
The second type of self-care comes into play when the individual is unable to conduct one or more of the six self-care activities. This second type of self-care is called health deviation self-care. Health deviation self-care includes those activities carried out by individuals who have diseases, injuries, physiological or psychological stress, or other health-care concerns. Activities such as seeking health care at an emergency department or clinic, entering a drug rehabilitation unit, joining a health club or weight-control program, or going to a physician’s office fall into this category.
Environment
Environment, in the self-caremodel, is the medium through which clients move as they conduct their daily activities. Although less emphasized in this model, the environment is generally viewed as a negative factor in a person’s health status because many environmental factors detract from the ability to provide self-care. Environment includes social interactions with others, situations that must be resolved, and physical elements that affect health.
Nursing
The primary goal of nursing in the Oremmodel is to help the client conduct self-care activities in such a way as to reach the highest level of human functioning. Because there is a range of levels of self-care ability, three distinct levels, or systems, of nursing care are delineated, based on the individual’s ability to undertake self-care activities. As clients become less able to care for themselves, their nursing care needs increase.
Wholly Compensated Care
A person who is able to carry out few or no self-care activities falls into the wholly compensated nursing care category, in which the nurse must provide for most or all of the client’s self-care needs. Examples of clients who require this level of care include comatose and ventilator-dependent clients in an intensive care unit, clients in surgery and the immediate recovery period, women in the labor and delivery phases of childbirth, and clients with emotional and psychological problems so severe as to render them unable to conduct normal activities of daily living (ADLs).
“The primary goal of nursing in the Oremmodel is to help the client conduct self-care activities in such a way as to reach the highest level of human functioning.”
Partially Compensated Care
Clients in the partially compensated category of nursing care can meet some to most of their self-care needs but still have certain self-care deficits that require nursing intervention. The nurse’s role becomes one of identifying these needs and carrying out activities to meet them until the client reaches a state of health and is able to meet the needs personally. Examples of this level of nursing care include postoperative clients who can feed themselves and do basic ADLs but are unable to care for a catheter and dressing, and clients with newly diagnosed diabetes who have not yet learned the technique of self-administered insulin injections.
Supportive Developmental Care
Clients who are able to meet all of their basic self-care needs require very few or no nursing interventions. These clients fall in the supportive developmental category of nursing care, in which the nurse’s main functions are to teach the client how to maintain or improve health and to offer guidance in self-care activities and provide emotional support and encouragement.
What Do You Think?
Based on your experiences with the health-care system, write your own definition of client (patient). What factors led you to this definition?Also, the nurse may adjust the environment to support the client’s growth and development toward self-care or may identify community resources to help in the self-care process.15 Conducting prenatal classes, arranging for discharge planning, providing child screening programs through a community health agency, and organizing aerobic exercise classes for postcoronary clients all are nursing actions that belong in the supportive developmental category of care.
A Three-Step Process
In the Oremmodel, nursing care is carried out through a three-step process. Step 1 determines whether nursing care is necessary. This step includes a basic assessment of the client and identification of self-care problems and needs. Step 2 determines the appropriate nursing care system category and plans nursing care according to that category. Step 3 provides the indicated nursing care or actions to meet the client’s self-care needs.
Step 3—the provision of nursing care (implementation phase)—is carried out by helping the client through one or a combination of five nursing methods:12
•Supporting another person (physically or psychologically)
•Providing an environment that promotes personal development
•Teaching another person
Orem, by focusing on the individual’s ability to perform self-care, was many years ahead of her time. Current trends in health care reinforce her belief that individuals can take responsibility for care of themselves and others. The capacity for self-care is a key premise of the ACA and the more than 8000 apps that are available that deal with self-care. It might even be referred to as “Digital Orem.”
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Nursing History Best Practices In The Management Of ADHD
Use reputable nursing journal source within the usa. Cite it in apa format.
For this written assignment, select one recent (within the last two years) evidence-based article from a peer reviewed nursing journal that describes a “best practice” in an area of nursing you are interested in. For example, if you would like to be a pediatric nurse, select an article that discusses a best practice in pediatric care.
Cite the article and provide a brief overview of how the results or findings were obtained. Then describe the “best practice.” Conclude your discussion by explaining whether you thought the research findings supported the conclusions and the best practice.
This assignment must be no more than 3 pages long. It should include all of the required elements. Use APA Editorial format and attach a copy of the article.
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The field of nursing has changed over time. In a 750-1,000 word paper, discuss nursing practice today by addressing the following:
Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
Identify a patient care situation and describe how nursing care, or approaches to decision-making, differ between the BSN-prepared nurse and the ADN nurse.
Discuss the significance of applying evidence-based practice to nursing care and explain how the academic preparation of the RN-BSN nurse supports its application.
Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required
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The case scenario provided will be used to answer the discussion questions that follow.
Case Scenario
Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center.
Objective Data
Height: 68 inches; Weight 134.5 kg
BP: 172/96, HR 88, RR 26
Fasting Blood Glucose: 146/mg/dL
Total Cholesterol: 250mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Critical Thinking Questions
What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?
Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:
Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.
The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.
Assess each of Mr. C.’s functional health patterns using the information given. (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance.)
What actual or potential problems can you identify? Describe at least five problems and provide the
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Use this BNI checklist for the role play at the end: BNI Checklist
