This enabled the nurse to produce a plan of care individual to the patients needs Aggleton and Chalmers 2000. Nursing models encourage nurses to gain an understanding of individual needs and underpin practice with evidence based theory; therefore a nursing model cannot be implemented effectively, without using the four stages of the nursing process Aggleton and Chalmers, 2000. Neuman 1980 describes the person as a whole system and recognizes that there are common features in any species and a core of such features in people. The next stage is implementing care. Roper Logan and Tierney Care Planning Essay This assignment will investigate a needs orientated approach to care, critically discussing the nursing process.
Pearson et al 2005 explain how high-quality nursing requires the best available evidence to underpin practice. This type of evaluation, is only reliable when a model has been implemented over a period of time for numerous individuals, and helps to establish whether the model is appropriate for a particular clinical area, McAlpine 2002. A Holistic approach to care needs to be utilised for every individual, as it is not always the physical illness or biological reasons that are the influencing factors. She spent 15 years as Principal Tutor at the Cumberland Infirmary School of Nursing. The nursing profession has been criticised for concentrating on biological aspects of a problem and not embracing a holistic care approach. She has written widely on nursing.
They believe that recording patient baselines for each goal set, enables the practitioner to gage how the patient has moved along the dependence-independence continuum. It will be essential reading for nursing students. The smell was embarrassing Annie, making her reluctant to socialise, alongside the fear of falling again, Annie may become socially excluded. In 1964 she became self-employed as a writer. Mcsherry 2006 explained how physical, biological, spiritual and psychological factors need to be considered when assessing patients, to provide individuals with holistic care. Although a goal was set to stop the smell, the psychosocial factors of this problem were not directly addressed. Goals should always be stated clearly and accurately and need to be observable, measurable and able to be tested, in order for future evaluation.
A well-qualified life care planner with proper… E Nursing Care Plan Roper, Logan and Tierney Model of Nursing Originally designed for the model of care, more nurses are aware of the Roper in 1976, has been updated and added to 1981. This seemed to be due to the wounds on her legs and the resulting oedema. Barrett, Wilson and Woollands 2009 concord with Roper et al and Wittig in that assessing is an ongoing process and elaborate on this explaining that assessment should not be confused with admission. I felt that time scales given to complete goals, were not based on specific evidence and therefore not accurate, although they were agreed with Annie. When assessing Annie, I found myself concentrating on the physical and medical problems she was experiencing.
Evaluation is not the end of the process and it can lead to assessment all over again. 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. It takes into account their personal, social, economic, educational, cultural and mental health needs. If the model is applied effectively a holistic and individualised approach to care is devised, ensuring influencing factors are not overlooked. Another important factor to consider when setting goals and prescribing care is staff and resources. This evaluation encourages the nurse to reassess and set new goals to be achieved, constantly updating care, making it appropriate for the individual.
There are also four other significant sections that make up the model. By considering this range of factors and their relationship, a deeper understanding for causes of difficulties experienced by individuals, can be gained during assessing Alexander et al 2004. Assessment enables the nurse and patient to identify actual and potential problems. The nursing profession has been criticised for concentrating on biological aspects of a problem and not embracing a holistic care approach. Many nursing authors called for a more systematic approach to care, focusing on the needs of the individual also looking at the psychological, physical and behavioural aspects of the patient. These 12 activities of living see appendix 2 provide the framework for assessing Pearson, Vaughn and Fitzgerald 2005.
When implementing care, both experiential knowledge and external evidence should be used together Sackett, Rosenberg, Gray, Richardson 1996. This may be due to my lack of experience in planning care. Frisch and Kelly 2002 , explain, nursing is a dynamic practice and all nurses must continually include new assessment information into the implementation of the care plan. The second stage of the nursing process to be explored is planning. Summative evaluation takes place after nursing intervention has ended Aggleton and Chalmers 2000. Roper et al 2001 explain if this is not considered goals and cares set, may be unachievable within the set time frame, leaving the patient with a feeling of failure.
These are 12 headings, consisting of different behaviours which an individual participates in. Both data sets were complementary, the qualitative data often providing contextual information which helped put the findings into perspective. Interviews with nurses indicated that they lacked educational preparation for using the model and found the model constraining and physically orientated. According to Roper et al 2001 the information gathered should be numeric where possible and personal to each patient, this is known as objective information quantitative and subjective information qualitative. These will both be outlined. This can be related to operant conditioning; if a patient is able to achieve goals set, they will experience a feeling of fulfilment positive reinforcement meaning they will be more likely to strive to reach future goals Skinner, 1938 Cited in Eysenck and Flanagan, 2002.