The meaning of models of nursing to practising nurses. Analyzing and understanding the model It is a fact that difficulty often arises among nurses in comprehending the model and this subsequently leads to lack of use. The study design was an experimental style. Roper, Logan And Tierney Model of Nursing Essay Introduction Nursing care can vary from one hospital, community and from one country to the other. Exploring a Needs Orientated Approach to Care Planning This assignment will investigate a needs orientated approach to care, critically discussing the nursing process. To improve independence of living activities, the model makes use of the nursing process to structure logical stages for nursing care delivery. Their holistic plan of care will then be critiqued in relation to the nursing model and framework utilised by the nursing staff.
Assessment enables the nurse and patient to identify actual and potential problems. It is comment for some patients to have little awareness of the condition and lack of symptoms will not exclude any underlying disease. Once a patient has finished a meal if in hospital this should be recorded on a food and fluid chart, this is the duty of a nurse to enter this in a correct fashion however; the nursing staff may wish to ask the patient to record this information on to the food and fluid chat. A dietician will advise a patient on different types and texture of food that will best suit an individual patient, this will greatly contribute to safer swallowing for the patient, with this advice it will again assistance lessoning the chance of food becoming secreted within the tooth or cheek cavity. According to the model, the primary goal of nursing is the ability of the individual to obtain, maintain, and restore maximum independence in the activities of living Kara, 2007. One theory that has been look at and tried within a hospital setting is the second meal time this was addressed by Musson et al 1990 , where a patient with dysphagia is given an independent meal time in a dining room setting rather than eating their meals in their rooms, where most patients decide to eat, as this can course embarrassment if eating with able bodied patients. Disclaimer Articles published on this site are based on the references made by the editors.
Following the advice from the Dietician, nursing staff will assist the patient to follow these activities through, helping the patient with their food and fluids. It is therefore important that it is detected early, and appropriate nursing care is given, to give the patient a better standard of living. The author is going to concentrate on oesophageal dysphasia; this is the most comment form of dysphasia. Pschdobulhar Palsy Mechanical causes can include: 1. The national clinical guidelines for stroke royal college of physicians, 2004 point out that any patient that suffers from a stroke should have their swallowing assessed as soon as possible by a trained medical professional, using a validated bedside testing system, the most comment testing system is for the patient to drink 30 ml of water, while sitting in the upright position, once this has taken place, nursing observations look for the following: 1.
Patients with the condition normally complain of the feeling of food getting stuck within the throat for several seconds after swallowing and they will indicate the suprasternal notch or behind the sternum as part of obstruction. This care study, using the Roper, Logan and Tierney Model of Nursing, examines the presentation of a patient with a history of drug misuse and a current diagnosis of infective endocarditis and hepatitisC. If you decide to participate, a new browser tab will open so you can complete the survey after you have completed your visit to this website. Weekly communications between, Nursing staff with such professionals as Dieticians and Speech and Language teams means that the patient will find the best solutions while remaining safe. In the long run, care evaluation is done to find out whether or not the objectives are achieved or need revision. Nursing models: extant or extinct? Journal of Advanced Nursing 40 3 , 346—354, 2002. The model of nursing identified that each individual is complex and its concepts forms a foundation to lead the practitioner in understanding the individual's behavior.
This care was influenced by the holistic perspective to health. Groups such as the multiple sclerosis website www. Journal of Advanced Nursing 28: 1, 77-85. On the contrary, Girot accused Roper, Logan and Tierney on the simplicity of the model which is responsible for its popularity. The relevant culturally sensitive engagement and assessment skills used by the nurse in their relationships with the service user will be discussed. The aim of this essay is to carefully reflect on the Roper-Logan Tierney model and evaluate its efficiency in regards to patient admission.
It is intended to identify a patient with biopsychosocial needs that requires nursing intervention. The nursing model by Roper, Logan and Tierney shows a framework, to give assessment and reassessment in nursing care, all this is shown around activates of daily living. . Each patient will have their own individual experiences and each will find their own way of coping. The steps for evaluation of this models used by nurses was given in 1992 by Cormack and Reynolds.
It could however be debated that this is just a reflection on the model users and not the model itself. This book provides the definitive account of the Roper-Logan-Tierney model of nursing, including in-depth discussion of its conceptual development, its place within the wider body of nursing theory and a critique of its application in practice. Some authors are of the opinion that the model places physical assessment over psychological assessment. The presence of drooling 3. Information provided in these articles are meant only for general information and are not suggested as replacement to standard references. Doing this will help the patient remain calm and hopefully enjoy the meal with their family. Dysphonia Based on this testing system the patient would have to only meet one of the above to be diagnosed by a doctor with dysphasia.
This gives rise to the possibility of not being able to sustain life due to lack of nutritional intake Logemann 1998. The objectives of care plan are jointly agreed upon among patient, nurse and the family. By this, a nurse is strengthened to utilize his or her informed judgment of the appropriateness of a particular model to his or her chosen nursing field. By using this model affectively a nurse can give the patient the best care possible, whilst maintaining and promoting the best level of dignity and independence possible. It guides, lessen disagreement among nursing team and the advantage of this is that it brings about continuity of care received by patients Pearson etal, 1996. The patient along with assistance from nursing staff, can explain that there may be times while eating, when a patient will be sick, or choke, and that during meal times the patient may need to stand up while at the table, one way of coping with this is a family member that does not suffer which such a condition could stand up either at the same time or at different time, to take attention away from the patient, like wise should the family be taking the patient out for a meal, this can sometimes be a very tense time for someone with this condition, talking to the family before you leave to have the meal can sometimes clam the patient down, informing them that should the move away from the table quickly this could be that they are going to be sick, and ask one family member to come with them, or again should they need to stand up, as a family member to stand with them.
In conclusion Dysphagia is without doubt a most common difficulty, there are a number of different types of this condition and is more of a complaint within older persons, and is very comment within stroke victims this can provoke a number of feelings within a patient that has this complaint, it can also be life threatening. Over the past 30 years nursing has evolved from a task-oriented to a logical and systematic approach to care, using theories and models to guide practice Pearson et al, 1996. It is important that a bedside test is carried out as soon as possible to detect this condition, and appropriate support is given to the patient. This gives the patient chance to become involved in their own care and gives the patient a sense of independence; this would have to be check on a regular basis to make sure that this is being done correctly by nursing staff, another method is for 2 charts to be in place, one for the patient to fill in another for nursing staff to fill in again this gives the patient a sense of being involved in their own care. Models of nursing outline a framework for nursing care that is systematically constructed and of scientific origin Fawcett, 1995. Case Study 2: This care study explains the purpose of assessment skills. Analysis and Evaluation of Conceptual Models of Nursing 3rd Ed.
Correct application of Nursing models gives direction as well as guides nurses while it shines light on their understanding of logic behind every step taken. Doing this came with responsibility that I had not had in previous placements. It can also allow them to cope with dependence on others if needed. Extensive, in-depth information may not be gathered on an initial assessment, however any information obtained contributes towards individualised care Roper et al 2001. Her participation in the assessment of therapeutic care helped to maintain responsibility in achieving those desired goals. Any inaccurate information, if found, may be communicated to the editor. Individualized care plan was made and implemented accordingly.