It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice. Florence Nightingale Theory of Nursing Upon initial assessment of Mrs. Adams case, many things are out of line according to the theory of nursing by Florence Nightingale. To begin an assessment would be to use your sense of observation as the way to collect and verify data …show more content…
Adams, it is important to address all areas from a holistic standpoint. This would include psychosocial, environmental and medical interventions. While providing care it is important to remember Florence Nightingale’s goal of nursing is to “assist the patient to regain “vital powers” by meeting their needs, which in the end puts the patient in the best condition for nature to act upon.” (Smith & Parker, 2015). Nightingale believed that nurses contribute to restoring health in a direct and indirect way by the management of patient’s environment (Smith & Parker, 2015). As the assessment begins for Mrs. Adams there are many things that need to be addressed. Educating the patient on active participation in her healing will be of extreme importance. The interventions are only as good as the patient’s willingness to comply. We would need to begin with gaining control of the cleanliness of the apartment and that of Mrs. Adams. Opening the windows and allowing the sunlight to enter is important along with attempts at fixing the air conditioner. A further psychosocial assessment will need to be done. Mrs. Adams has recently lost her husband and is having a financial hardship. Due to financial hardship, Mrs. Adams is unable to keep food …show more content…
From newborn babies to those at end of life, the environmental theory of Florence Nightingale can benefit all populations. A specific population to apply the Florence Nightingale theory to is patients at end of life and hospice care. A patient and family choosing hospice care are in need of a holistic care plan. The goal of hospice care is to reduce symptoms, prevent hospitalizations and maintain quality of life until the end. Psychosocially a patient and family need time to understand and accept the diagnosis. Providing education to the family and patient about what to expect will relieve the stress of the unknown. It is necessary to readdress taught information as reinforcement will provide an increase in confidence. In addition to providing emotional support, it will be important to help the family organize the patient’s environment. Setting up a hospital bed up in an area that is free of clutter, with room for family members to deliver care. Teaching patients how to change linens on the patient 's bed when the patient is unable to
Risk for Infection Next, by implementing the VAP bundle, it did help to prevent further decline. All aspects of the bundle should be continued; the Heparin, sequential compression devices, oral care, Pepcid, and all other bundle activities. Having the head of the bed up was essential to prevent VAP, but it did end up making her body move to the foot of the bed. Pillows were used to help keep her further up and off the side of the bed.
Donnette is having a difficult time transitioning into retirement from teaching. She had taught for 27 years and the feeling of not doing that anymore for the past five years, has been difficult for to deal with. She’s suffering because she’s feeling a sense of loneliness and not knowing what to do with her life anymore. For example, her husband is always busy and spends a lot of time working in the basement and not spending much time with Donnette. Donnette isn’t able to go out on her own as she surrendered her driver’s license.
West End Villa nursing home of the Extendicare chain in Ottawa recently had one of its residents, eighty-nine-year old Luba Ignatieva, sent to the hospital following a detection of maggots in a wound. Following the unsightly discovery by staff at the nursing home, Luba was treated at a hospital, concerning her family and the police. This prompted an investigation further into the case by the elder-abuse unit; however, according to the Ottawa force 's official statement it was regarded as a non-criminal matter. Chronic “venous stasis ulcer” is what Luba has on her leg and needs to be checked on and treated twice a week by a worker at the nursing home. According to Luba, only one out of two scheduled dressing changes took place, thus resulting
These viewpoints have importance for medicine as well as for nursing or other health professions. The complete practice of human caring theory is most fully realized in a nursing theory because nursing allows for the constant caring factor that medicine does not have;
Question Behind the Question As a future nurse one of the most important parts of my schooling/career is learning how to properly communicate. This proper communication needs to be used in all aspects of my career, with coworkers, patients, patients’ families’, doctors, and all other healthcare professionals involved in a patients care. When communication is lacking the patients care, treatment, and outcome can suffer greatly. The book “The Question Behind the Question” really opened my eyes to how easy miscommunication can occur, along with how easy it is to aid in better communication.
I informed them of the medications they were getting and informed them of the times of any procedures or tests that needed doing. I gave my patients privacy during personal care, and encouraged them to do as much as possible themselves. Often, I found patients had lost faith in their own ability to care for themselves. One palliative patient I had required an indwelling catheter insertion.
The analyzing, evaluating and critiquing theories is helpful and important when using particular theory and will apply it in specific area. The purpose of analyzing, evaluating and critiquing theories is to determine the weaknesses and strengths of a particular theory, to determine the need to theory improvement and to assess the theory relevance and applicability to particular filed. In nursing dripline, analyzing, evaluating and critiquing theories is assist to determine if the selected theory is works and useful or not in nursing practice (McEwen & Wills, 2014). Also, to assess the applicability of the theory to the nursing education and practice and research. There are a big different between grand theories and middle range theories.
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
Visit Two The main aims the author had for the second visit with Joan was to access how the additional services that had been arranged at the first visit were working and if Joan required any additional support or advice. It is essential that nurses evaluate the effectiveness of nursing intervention to resolve a diagnosis or resolve a particular outcome (Johnson et al, 2012). On arrival the author noted that Joan appeared happier than the last visit.
Using Virginia Henderson’s idea about nursing and how they treat a patient, I believe that each person has basic needs that need to be assessed and met in order to recover. However, unlike Henderson’s theory my philosophy on nursing uses more than just the idea that a patient has basic needs. My philosophy continues and explains that a nurse should use the idea of holistic nursing care when caring for a patient and the nurse should connect a patient's care with the four metaparadigms: person, environment, health, and
She played an important role in promoting nursing as an essential and educational element for public health through her inspiring letters and publications. Theory As the proponent of the first nursing theory, Florence Nightingale gave the Environmental theory that focused primarily on the patients and their surrounding environment. The theory as reflected in the words of Nightingale (1860/1982) states that the major objective of a nurse is to provide their patient the best possible condition for nature to act upon him and the responsibility of reducing noise, relieving patients’ stress and anxieties, and helping them relax and sleep, lies with the nurse. The main theme of the theory was the nurse’s
Each of the four theorists, Dorothea Orem, Imogene King, Dorothy Johnson, and Jean Watson, share one common element, the overall well-being of the patient. From there the theorists start to differ with theories that are influenced by their own unique educational background, nursing specialties, and philosophy. Whether their focus was on needs, interactions, outcomes, or caring, each theorist developed a theory that can be implemented in many patient settings. Dorothea Orem’s theory focuses on meeting the needs of patients and determining what role the nurse plays in achieving that goal. The theory relies heavily on the patient’s motivation and drive to learn to care for themselves and supports the belief that the patient is responsible for their own self-care.
Complexity • Thirteen sub-concepts are to be there in Nightingale’s theory. • The outcomes of application of the theory is patient will remain free of disease by means of healthy environment (Nightingale, 1859). d. Generality • The purpose of the theory is to provide a proper guideline to the nurses through the manipulations to the environment, in order for the patient to receive care and conquer positive health changes. •
Bringing the Outdoors In After working outdoors for over 20 years, my biggest complaint in nursing is being cooped up for 8-18 hours a day. It drives me crazy! My best guess is that my patients do not care for it either. I chose to research the effects of fresh air and sunshine on patient well-being. My PICOT question is: • How would the addition of fresh air and sunshine (I) improve patient health (O) or experience in a 120 bed, long term care facility (P), over a years’ time (T), compared to a facility with no access (C) to fresh air and sunshine?
Additionally, the Some of the nurse can not just only listen and obey from the doctor but also be an assistance who is allowed to administer the medications by their judgment. Therefore, the status of nurse is enhanced. Florence Nightingale regards nursing as a novel art, science and a brand-new mission which need to improve toward continuously. Although the external factors are altered every second, but our mission and belief will stand firmly no matter what happened. According to the definition of the core of nursing is that using the