The paper tells that the effectiveness and success of nursing and healthcare provision within the community is largely dependent on proper holistic assessment based on an appropriate conceptual theoretical framework. Holistic assessment enables a nurse to plan the necessary patient-centred, consultative and evidence-based intervention while also taking into consideration the matter of client/carer and self-care extent to ensure that the client receives the best care possible while away from the hospital. The client selected in the family case study provided is Michaela and a justification for utilisation of Orem’s model of assessment for Michaela will be provided. Planned intervention integrating referrals to multi-disciplinary teams and the patient’s own values will be developed based on the best evidence followed by evaluation of the planned care for Michaela. Orem’s model was selected for the case of Michaela based on several considerations that make it the best conceptual framework to utilise in this case. Orem’s model is founded on the view that nursing is necessary just in the time when the patient’s care needs are beyond self capacity or ability hence the nurse intervenes by evaluating the patient’s ability and then educating, providing guidance while at the same time delivering care whose completeness is relative to the patient’s own ability. Central to Orem’s model is the concept of self-care which is especially being encouraged by the UK health policy as an effective means of improving the health. (Department of Health 2005, p. 48). It has been observed that Orem’s model is exclusively the main self care framework that can be incorporated effectively in assessment of patients (Basavanthappa 2007, p. 24-25; Macduff and Sinclair 2008, p. 32; Sitzman 2011, p. 339). Wilson (2003, p. 68) recognises the crucial role that nurses bear in education of clients and their carers where present and attach importance to Orem’s model in ensuring that this is achieved. They also note that nurses are charged with the duty of providing information that influences the patients’ decisions and participation in self care both of which are achievable through Orem’s self care deficit theory of nursing. Orem’s model is thus quite applicable for Michaela as a means of establishing the extent to which she can take care of her health and then developing a care plan to intervene on her deficiencies alongside an evaluation of the entire process and its impact on her health. This model is also advantageous as it is based on self care which particularly applies to the patient’s situation as we can discern that she cannot access a proper carer as her husband is also sick and unable to work while the daughter is currently in school and has her own problems with regard to decisions on reproductive health. The objectives of applying Orem’s model in Michaela’s situation includes assessment of her health conditions according to the items in the model, identification of her needs and lastly demonstration of effective communication with her in order to provide patient focused care and intervention (Nursing Theories 2011). The first self care item on Orem’s model is the maintenance of sufficient intake of
The research will give detailed information about assessment of care and planning using Orem’s model. Then the current research will continue with the multidisciplinary team and overall evaluation of the implemented self care deficit theory…
(b) What is the purpose of health promotion in nursing practice? (c) How are nursing roles and responsibilities evolving in health promotion? (d) How do nurses in all areas of nursing implement health promotion? And (e) compare the three levels of health promotion prevention.
The situation is predicted to get worse by the year 2030, and public health care experts predict that over 40% of Scottish adults will be obese by that time. In 2008, available statistics indicated that 26.8% of adults living in Scotland suffered from obesity, and 65.1% were overweight.
Those facilities that provide quality care will be rewarded by an accredited status and receive ongoing funding. But the proviso contained above in the small word 'if is highly significant. If residential aged care facilities are facilitated by way of funding in their endeavors to provide the necessary care by appropriately qualified nurses, they will be able to meet the future with confidence.
Community can be defined as all people who live within a particular geographical location, for example the London community (McGary, 2003). Additionally, a community is made up of the formal organizations of a society, such as its institutions of family, schools, government and hospitals.
The Hospital Elder Life Program: A Model Of Care To Prevent Cognitive And Functional Decline In Older Hospitalized Patients. Hospital Elder Life Program. Journal of the American Geriatrics Society 2000;48(12):1697-706.
Mona Foldvari, Maureen Clark, Lori C.
The government is promoting the need to keep the aged population within the comfort of their own home since Australia has only 2,900 government funded aged care homes and 200,000 operational aged care places which includes the
The concept of culture has a rich theoretical background. Its definition, framework, interpretation and application differ according to perspective. Diversity in culture is eminent and is closely evaluated in terms of their impact and effect on health
The American Journal of Health Promotion presented the meaning of health promotion as “the art and science of helping people discover the synergies between their core passions and optimal health, enhancing their motivation to strive for optimal health, and supporting them in changing their lifestyle to move toward a state of optimal health."
As the paper stresses public health care experts predict that over 40% of Scottish adults will be obese by that time. In 2008, available statistics indicated that 26.8% of adults living in Scotland suffered from obesity, and 65.1% were overweight. On the other hand, 15.1% of children in Scotland were obese, and 31.1% were overweight in the year 2008.
Previously, this was not possible as, on attaining adulthood, or graduating, young adults had to make their own health arrangements. Under the PPACA Act, medical insurance companies in South Carolina also have to extend coverage to children under 19,
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