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Self-care is a widely acknowledged aspect of Counseling. Through research, studies and hard-earned self-knowledge, experts have defined personal attributes, strategies such as mentoring, and qualities that can lead to development of the therapeutic self. Due to differing experiences and results, experts may differently name those attributes, strategies and qualities but all are focused on taking care of the self as the counselor takes care of his/her clients and other people in his/her personal and professional life.
hich attributes of the self-care do you think are most important to success in the counseling relationship?
The most effective approach to self-care involves understanding the "Five Areas of ellness" discussed by Dr. Eugenia Curet in Mental Health and Self-Care for Counselors, and ensuring that each of those areas is satisfied with one or more specific activities. The "Five Areas" are: Cognitive; Emotional; Physical; Spiritual and Social (Curet, 2010). The Cognitive area…
Bohorquez, E. (2007, July 15). Working with the therapeutic self. Retrieved on April 10, 2012 from Thoughwareprograms Web site: http://thoughtwareprograms.blogspot.com/2007/07/working-with-therapeutic-self.html
Chamberlin, J. (2005). Sticky situations in mentorshis. Retrieved on April 10, 2012 from American Psychological Association Web site: http://www.apa.org/gradpsych/2005/01/mentor-sticky.aspx
Curet, E. (2010, February). Mental health and self-care for counselors. Retrieved on April 10, 2012 from UTB.edu Web site: http://www.utb.edu/sa/ci/Documents/CI%20-%20MENTAL%20HEALTH%20AND%20SELF%20CARE%20FOR%20COUNSELORS.pdf
Dittmann, M. (2005). Building mentorships for success. Retrieved on April 10, 2012 from American Psychological Association Web site: http://www.apa.org/gradpsych/2005/01/mentor-success.aspx
Third stated by Scott is: "People who neglect their own needs and forget to nurture themselves are at danger of deeper levels of unhappiness, low self-esteem and feelings of resentment." (Scott, 2008) the risk of taking care of others and forgetting about ones' own needs is the risk of burnout "which makes it more difficult to care for others or themselves." (Scott, 2008) the work of Elaine Martin (2005) entitled: "Dorothea E. Orem's Theory" that the conceptual framework of self-care was presented by Dorothea Orem in 1959." Martin states that the theory of self-care "is the practice activities that individuals initiate and perform on their own behalf in maintaining life, health and well-being." (2008) the explicit assumptions of Orem's theory include:
1) Nursing is a deliberate, purposeful helping service performed by nurses for the sake others over a period of time, 2) Persons (human agency) are capable and willing to…
Self-Help: Self-Care (2008) the University of Texas at Dallas. Online available at http://www.utdallas.edu/counseling/self-help/self-care.html
Determining Your Ideal Weight (2008) Rush University Medical Center
Blood Pressure Chart (2008)
Of the respondents, 74% were taking antiretroviral medications. Although the sampling for the study was not large, it did have a suffciently similar composition to the typical patient a nurse practitioner might service in an outpatient setting. The average age of the respondents was 43 years, 78% were male.
The questionnaire listed a total of 776 self-care strategies grouped into eight different categories including other medications, solitary means of comfort, complementary treatments, daily thoughts and activities, changes in diet, seeking help from others, exercise, and spiritual care. 90% of the respondents felt that spiritual care and exercise were at least somewhat helpful in reducing their symptoms, as was seeking help from others and themselves. Such sources of help from others included not only the treatment information from healthcare providers but aid from the support networks of the community, personal aid from friends and family, and self-directed aid and research regarding…
Chou FY, Holzemer WL, Portillo CJ, Slaughter R. (2004) Self-care strategies and sources of information for HIV / AIDS symptom management. Nursing Research. Sept./Oct. 2004. 53(5), 332-339. Retrieved from Mediscape 26 Jan 2005 at http://www.medscape.com/viewarticle/494017_4
Universal care involves balancing activity and rest to prevent hazards to human life functioning and well being. It involves eating and breathing which are two things that these men can do on their own and are quite capable of doing.
Universal health care needs as they relate to the movie family and the Orem theory include maintaining air, water and of course food. In addition the ability to excrete as well as balancing rest and activity. The final step of this part of the theory includes balancing solitude and social interaction.
Max and John both participate effectively and successfully in the Universal health care aspect of the Orem theory. They eat, rest, socialize and have alone time in healthy and acceptable amounts.
Developmental health care with regards to the Orem theory include the need to meet the changes in conditions that could affect human development and life in a negative…
Dorothea Orem's Self-Care Framework
Central Concepts of the Theory
Health Care: Burnout, Self-Care and Unfinished Business
Health Care workers must deal with burnout, self-care and unfinished business for their patients, friends and families, and for themselves. My own self-care is physical, psychological, emotional, spiritual, professional and a balancing act. There are specific signs of being unable to cope in my own life. Once I recognize them, I use a combination of resources to regain my coping skills, though sometimes in an undisciplined manner.
Describe how you take care of yourself. What signals tell you that you are not coping effectively? What do you do about it?
I am quite aware of the importance of self-care and consciously try to take care of myself physically, psychologically, emotionally, spiritually, professionally and by balancing all the important areas of my life. I try to take care of myself physically by regular eating habits, exercise, taking preventive/medical care, taking time off, having fun…
Curet, Eugenia. "Mental health and self-care for counselors." February 2010. UTB.edu Web site. Web. 21 April 2015. .
Drench, Meredith E., et al. Psychosocial Aspects of Health Care, 3rd Edition. Upper Saddle River, NJ: Pearson Education, Inc., 2012. Print.
Saakvitne, Pearlman & Staff of TSI/CAAP. "Self-care assessment worksheet." 1996. Counseling.org Web site. Web. 21 April 2015. .
Self-Care Coping Strategies in People With Diabetes: A Qualitative Exploratory Study
One of the greatest challenges of managing type 1 and 2 diabetes is that it is a lifestyle-related disease and as such must largely be monitored by the patient. "Diabetes self-care requires the patient to make many dietary and lifestyle changes" (Collins, Bradley, O'Sullivan, & Perry 2009). It can be extremely difficult for the patient to undertake such changes on a daily basis when returned to the environment which has many temptations to eschew eating healthfully and exercising. According to the study "Self-care coping strategies in people with diabetes: a qualitative exploratory study," there is a need to better understand what factors better promote self-care to prescribe more effective treatment regimens for sufferers.
Purpose and research questions
To better understand the degree to which patients may struggle with self-monitoring, this qualitative, exploratory study was undertaken using a sample of…
Collins, M., Bradley, C., O'Sullivan, T. & Perry, I. (2009). Self-care coping strategies in people
with diabetes: a qualitative exploratory study. BMC Endocrine Disorders 9:6 Retrieved from: http://www.biomedcentral.com/1472-6823/9/6
Stress is an inevitable part of everyday life that affects everyone regardless of their socio-economic status. The inevitability of stress emerges from the fact that some days are harder than others and tensions tend to run high on those difficult days. Stress occurs on a day-to-day basis for most people to an extent that many don't even recognize that it is happening. It is important to know how to deal with that stress before it becomes too much to handle. For those who let stress to build on, it eventually turns into a state of burnout. According to the Merriam Webster, burnout is defined as, "exhaustion of physical or emotional strength or motivation usually as a result of prolonged stress or frustration" (Merriam Webster, n.d.). Burnout occurs in most people, but no one usually knows it is happening. I personally did not realize that I was at risk…
Merriam Webster. (n.d.). Burnout. Retrieved October 6, 2016, from http://www.merriam-webster.com/dictionary/burnout
Mind Tools Editorial Team. (n.d.). Avoiding Burnout: Maintaining a Healthy, Successful Career. Retrieved October 6, 2016, from https://www.mindtools.com/pages/article/avoiding-burnout.htm
Even from a personal perspective, I have found the Orem model useful to use, when evaluating the stressors in my own life. When a nurse is under stress, she or he must ask: what can I feasibly accomplish physically, by myself, without compromising patient care? Nurses often put their own needs aside, in deference to the needs of others, but to reduce nursing 'burnout' it is essential that nurses are realistic about understanding when they should ask for help, and when they can function autonomously. Both autonomous functioning and self-care can be beneficial: a patient can gain a sense of competence even simply walking to the bathroom unaided, if he or she is capable of doing so; a new nurse gains a sense of capability performing skills without supervision. However, there must also be awareness of when self-care is not possible. Sometimes this is physically obvious, but on…
Hohdorf, Monika. (2010). Self-care deficit nursing theory in Ingolstadt -- an approach to practice development nursing care. Self-Care, Dependent-Care & Nursing. 18(1) 19-25.
Retrieved November 29, 2010 at http://www.orem-society.com/images/stories/download/Journal/2010/Vol18_No01_Oct2010.pdf
Dorothea Orem and her Self-Care Model of Nursing Theory
Born in Baltimore, Maryland in 1914, Dorothea Orem went on to become a much-revered nursing leader in the United States, innovating, developing and teaching her self-care model up until her death in 2007. Her self-care model is in great use today and is the subject of this paper. Orem received her nursing diploma in 1939 (from Providence Hospital) and in 1945 she received her M.S. In nursing education from Catholic University of America (Sitzman, et al., 2010, p. 93). During her career, Orem worked as a staff nurse, a private duty nurse, a faculty member in a nursing college, a consultant and an administrator, Sitzman explains on page 93.
Orem's Self-Care Model
"Communication is the key to positive health results, particularly for patients with low literacy skills, yet few studies have examined patients' ability to converse about healthy information taught to…
Callaghan, Donna. (2006). Basic Conditioning Factors' Influences on Adolescents' Healthy
Behaviors, Self-Efficacy, and Self-Care. Issues in Comprehensive Pediatric Nursing,
Current Nursing. (2011). Dorothea Orem's Self-Care Theory. Retrieved June 25, 2011, from http://currentnursing.com /nursing_theory/self_care_deficit_theory.html.
Many of the same issues that arise in regards to diabetes, also apply to control of obesity as well (Tilghman, 2003).
The symptom-focused intervention model was developed by the University of California -- San Francisco Nursing Symptom Management Faculty Group (1994). It has been adapted for use in older African-American women that have been diagnosed with type 2 diabetes in rural areas of the Southeastern United States. These findings were derived from a series of pilot studies that indicated key symptoms and their affects on the lives of women with diabetes (Skelly, A., Leeman, J., & Carlson, J.(2008).
The study by Skelly and associates included three primary strategies of self-care for diabetes. These included physiologic (Medical), behavioral (Self-care practices), and sociopsychological (coping, stress reduction, etc.). Outcomes were measured by monitoring metabolic control, symptom distress, and the patient's self-reported quality of life as related to diabetes. It was found…
American Diabetes Association (2005). Diabetes 4-1-1 Facts, figures & statistics at a glance:
Who's getting diagnosed, why and what it means for society. Canada.
Brown, A., Ettner, S., & Piette, J. et al. (2004). Socioeconomic Position and Health among
Persons with Diabetes Mellitus: A Conceptual Framework and Review of the Literature.
Problem Statement and Purpose of Study Self-care regimens that require a lot of input are necessary in making the study of diabetes effective. A lot of people with diabetes undergo distress. The diabetes distress is commonly described as the distress that arises from the effect of the diabetes symptoms, regimens for self management, the fear that there would be complications and functionality failure. The diabetes stress stabilizes after some time. It has been found that about a third of all diabetes type 2 patients are prone to diabetes stress regarded as clinically significant. Diabetes distress severely affects adult diabetic patients with a poor diabetes management plan. Such patients stand a high risk of diabetes-related complications. These developments are linked to poor glycemic control and self-management (Leeet al, 2018). The current research seeks to establish whether autonomy support by the health supporters of patients such as the members of their family…
In reaction, diabetes research looks into pharmacological options and changes in lifestyle to contain the trend. Recent findings point to the need for healthcare professionals to empower diabetes sufferers to take recourse in self-management as the best option at the moment (Kumar).
The purposefulness of a plan and its implementation in assisting a client with diabetes helped fill in her self-care deficit (Kumar 2007). The interpersonal relationship between a nurse and her client minimizes the stress experienced by the latter and her family. This enables the client or patient and her family to act more responsibly in health matters. An assessment and plan of care may use Orem's client-related concepts -- of self-care, self-care agency, therapeutic self-care demand and self-care deficit --, the concepts of nursing agency and nursing system and the basic conditioning factors. Integrating these concepts into other theories on health promotion and family systems may guide effective…
Aldridge, V. (2005). Self-monitoring of blood, glucose invaluable in managing diabetes. 3 pages. Journal of Diabetes Nursing: SB Communications. Retrieved on October 24, 2008 at http://findarticles.com/p/articles/mi_mOMDR/is_10_9/ai_n27865119?tag=content;col1
Aliha, J.M., et al. (2006). Relation between self-care behavior and self-care needs in patients with heart failure.2 pages. Southern African Journal of Critical Care: South African Medical Association. Retrieved on October 24, 2008 at http://findarticles.com/p/article/mi_6870/is_1_23/ai_n28450856?tag=content;col1
Bruce, E., et al. (2008). Dorothea Orem's theory of self-care. 38 pages. SlideShare, Inc. Retrieved on October 24, 2008 at http://www.slideshare.net/jben501/dorothea-orem-theory
Cook, a., et al. (2006). Self-care needs of caregivers dealing with stroke. 9 pages.
Universal and Development Self-equisites in the Context Of a Nursing Practice Scenario
Orem's Theory of Self-Care
Self-care is the key concept in Orem's nursing model (1991). It is defined as the practice of activities that maturing and mature persons initiate and perform, within time frames, on their own behalf in the interests of maintaining life, healthful functioning, continuing personal development, and well-being A self-care deficit occurs when an individual is unable to engage in self-care Orem's self-care model has, throughout the years, provided the basis for training and support programs for groups of patients with both chronic and acute diseases, e g diabetic patients (Allison 1973, Fitzgerald 1980), employees with rheumatoid arthritis (Dear & Keen 1982), renal transplant patients (Hoffart 1982), stroke patients (Anna et al. 1978, Faucett et al. 1990), bone marrow transplant patients (Mack 1992) and patients with cancer (Dodd & Dibble 1993).
The universal self-care requisites are…
Allison S. (1973) A framework for nursing action in a nurse conducted diabetes managed clinic Journal of Nursing Administration 3, 53-60
Anna D., Christensen D. G, Hohon, S. A, Ord L & Wells SR (1978). Implementing Orem's conceptual framework. Journal of Nursing Administration 8, 8-11
Dear M.R. & Keen M.F. (1982) Promotion of self-care in the employee with rheumatoid arthntis. Occupational Health Nursing 30, 32-4
Dodd IN J & Dibble SL (1993) Predictors of self-care a test of Orem's model. Oncology Nursing Forum 20, 895-901
739, p=0.009, e?=0.727). This study clearly highlighted that sleep shortage and work fatigue poses a threat to patient safety and that nurse self-care is warranted.[Dorrian et.al, (2006)]
Nurse Support Services
An earlier Australian study by Moore KA (2001) which observed 201 nurses working in three different hospitals had concluded that organizational restructuring policies and the consequent work overload was a high stressor for nurses and this was made worse by the poor communication style (top -- down approach instead of consultative style) that only contributed more to nurse burnout. [Moore KA, (2001)]. Given the high levels of occupational stress and burnout among nurses, it is important that nurse self-care interventions are prioritized. A recent literature review on the subject of work stress and coping methods among Australian nurses revealed that 'work load ', 'role conflict' and 'expression of aggression' were the three main stressors. The literature study also revealed 'seeking…
1) Linda H. Aiken, 'Image of Nursing Global Trends', retrieved Sep 4th 2010, from, http://www.fpnl.co.za/downloads/Presentations/Presentations/Prof%20Linda%20Aiken%20-%20Image%20of%20Nursing%20-%20Global%20Trends.pdf
2) Jillian Dorrian, Nicole Lamond & Cameron Van del Heuvel et.al (Oct 2006), 'A Pilot study of the Safety Implications of Australian Nurses' Sleep and Working Hours', Chronobiology International, Vol 23, Issue 6, pg 1149-1163
3) Lim J, BOGOSSIAN F. & AHERN K. (2010), ' Stress and coping in Australian nurses: a systematic review. International Nursing Review 57, 22-31
4) Moore KA, (2001), 'Hospital restructuring: impact on nurses mediated by social
Orem's Self-Care Model: A Professional Nursing Practice Model
Nursing theory is an organized and systematic articulation of a set of statements related to questions in the discipline of nursing. (Caley, p. 302, 1980) The model presented by Dorothea Orem is based on the idea that as human beings, we are engaged in self-care activities that allow us to maintain a state of good health. Orem defines health as "a state of a person that is characterized by soundness or wholeness of developed human structures and of bodily and mental functioning" (Coleman, p. 325, 1980) Utilization of Orem's concepts allows the nurse freedom to develop their own style practice to best meet the self-care needs of any patient.
Nurses have always recognized the rights of clients of all ages to be both informed and active participants in care, but the idea of self-care has not always been apparent concerning the idea…
1. Caley, J.M., Dirksen, M., Engalla, M., & Hennrich, M.L. (1980). The Orem self-care nursing model. In J.P. Riehl & C. Roy (Eds.), Conceptual models of nursing practice (2nd ed., pp. 302-214). Norwalk, CT: Appleton-Century-Crofts.
2. Coleman, L.J. (1980). Orem's self-care concept of nursing. In J.P. Riehl & C. Roy (Eds.), Conceptual models of nursing practice (2nd ed., pp. 315-328).
3. Fawcett, J. (1989). Orem's self-care framework. In J. Fawcett (Ed.), Analysis and evaluation of conceptual models of nursing (2nd ed., pp. 205-261). New York F.A. Davis.
4. Johnston, R.L. (1982). Orem self-care model. In J.J. Fitzpatrick, A.L. Whall, R.L. Johnston, & J.A. Floyd (Eds.), Nursing models and their psychiatric mental health applications (pp. 56-60). Bowie, MD: Brady/Prentice-Hall.
Every time a nurse cares for and evaluates a patient, in essence, the nurse asks is the individual able to feed him or herself and maintain his or her body abode in a healthful manner? If not, what must he nurse do to enable a state of homeostasis in that individual's environment to take place? But Orem also stresses the nurse, in assessing self-care must regard whether the individual him or herself can identify when that patient's body or abode is under threat -- for instance, can an elderly person take precautions when cooking? ill he or she know when the stove is left on or off? On the most basic of levels, of course, self-care regarding the provision of elimination and excrements and the basic functional tasks of physical maintenance are necessary. But less obviously, in terms of wellness, a nurse must ask, can the individual maintain a balance…
Fawcett, J. (1995) Analysis and Evaluation of Conceptual Models of Nursing. Third edition. Philadelphia: F.A. Davis Company.
Orem, D. (1995) Nursing Concepts of Practice. Fifth edition. St. Louis: Mosby.
Hartweg, D.L. (1995). Dorothea Orem: Self-care deficit theory. In C.M. McQuiston & A.A. Webb, Editor. Foundations of nursing theory: Contributions of 12 key theorists (pp. 139-202). Thousand Oaks, CA: Sage Publications, Inc.
Application of Orem's Self-Care Deficit Theory to Awakenings
There are several grand theories of nursing, and among them is Dorothea Orem's Self-Care Deficit Theory (SCDT). This theory has established a set of assumptions, including that people are distinct individuals, that they should be self-reliant, that a person's knowledge of potential health problem is necessary for promoting self-care behaviors, and that nursing is a form of action (CurrentNursing.com, 2012). The movie Awakenings (Parkes, Lasker & Marshall, 1990) can be used as an example of how this theory can be applied even to the most difficult of nurse-patient interactions. The focus here will be on the scene where the patients awakened. Dr. Sayer was present, as was the nurse manager and a staff nurse. At this point, there is a transition in the type of care that needs to be provided to the patients from wholly compensatory to partially compensatory.…
CurrentNursing.com (2012). Nursing theories: Dorothea Orem's Self-care deficit theory. Nursing Theories.com. Retrieved April 7, 2016 from http://currentnursing.com /nursing_theory/self_care_deficit_theory.html
Geyer, N., Mogotlane, S. M., & Young, A. (2009). Juta's manual of nursing. Lansdowne, SA: Juta.
Parkes, W. (Producer), Lasker, L. (Producer) & Marshall, P. (Director). (1990). Awakenings (motion picture) United States: Lasker/Parkes Productions/Columbia Pictures
Rice, R. (2006). Home care nursing practice: Concepts and application. St. Louis, MO: Mosby Elsevier.
Orem's Self-Care Deficit Theory
There are several grand theories of nursing, and among them is Orem's self-care deficit theory. This theory is predicated a set of assumptions, including that people are distinct individuals, that they should be self-reliant, that a person's knowledge of potential health problems is necessary for promoting self-care behaviors, and that nursing is a form of action. The movie Awakenings can be used as an example of how this can be applied even to the most difficult of nurse-patient interactions.
Orem's Self-Care Deficit Theory
Dorothea Orem was a staff nurse, and later moved onto educational positions within nursing. She developed her concept of self-care deficit theory to explain nursing in terms of a key interpersonal relationship between nurse and patient, where the nurse helps the patient to take care of him/herself. The underlying assumptions are that the patient is a distinct individual, and should be self-reliant. It…
CurrentNursing.com (2016). Nursing theories: Dorothea Orem's Self-care deficit theory. Nursing Theories.com. Retrieved April 7, 2016 from http://currentnursing.com /nursing_theory/self_care_deficit_theory.html
Parkes, W., Lasker, L. & Marshall, P. (1990) Awakenings (motion picture) United States: Lasker/Parkes Productions/Columbia Pictures.
Rhodes, V., Watson, P., Hanson, B. (1988) Patients' descriptions of the influence of tiredness and weakness on self-care abilities. Cancer Nursing. Vol. 11 (3) 186-194
Nursing Theorist Grid Dorothea Oren Theory
Over the years, nursing theories have been used in defining the ways healthcare is delivered through the interaction of patients and nurses. This study presents a theoretical discussion of the self-care concept in relation to health care delivery among elderly patients. The self-care concept is popular as Self-Care Deficit Theory of Nursing by Orem. Orem's theory perceives individuals as self-care agents equipped with unique needs. The theory focuses on transactional analysis in enhancing rehabilitative roles of nursing and positively influencing self-care agency among individuals. This creates power component based on self-care behaviors. The theory was initially defined as the analysis of exchanges between people in their interactions and communications with one another. The focus also classifies, understands, predicts and alters human behavior among the well and sick individuals. The theory supports individuals treated as adults and has a higher likelihood of using Adult ego…
Butts, J.B., Rich, K. (2012). Nursing Ethics: Across the Curriculum and Into Practice. New York: Jones & Bartlett Publishers.
Finfgeld- Connet, D (2008). Qualitative Convergence Of Three Nursing Concepts: Art Of Nursing, Presence And Caring. Journal of Advanced Nursing 63(5): 527-534.
Ranheim, A., (2010). Caring And Its Ethical Aspects -- An Empirical, Philosophical Dialog On Caring. International Journal of Qualitative Studies on Health and Well- being. 4(2) p 78-85.
Ranheim. A., Karner, A., Arman, M., Rehnsfeldt, A & Bertero, C. (2010). Embodied reflection in practice- 'Touching the core of Caring'. International Journal of Nursing Practice. 16. p 241-247.
Self-Perceived Oral Malodour Among Periodontal Patients:
One of the most common dental consultations is perceived oral malodour that suggests that thorough evaluation of oral malodour in dentistry. Generally, oral malodour is considered as a widespread, horrible, medical condition that is characterized with emergence of unpleasant odour from the mouth because of gram-negative anaerobic bacterial putrefaction of proteinaceous substrates containing sulfur. According to Azodo & Umoh (2013), oral malodour is basically caused by hydrogen sulfide, dimethyl sulfide, volatile sulfur compounds, and methyl mercaptan (p.125). These elements have also been associated with the pathogenesis of periodontal disease because of their toxicity to oral tissues.
Based on this background, the authors agree that oral malodour is a huge concern to the general population since it has unfavorable consequences on both the private and professional life. Therefore, it's a significant health issue with negative effects on the quality of life, especially with regards to…
Azodo, C.C. & Umoh, A.O. (2013, August). Self-perceived Oral Malodour among Periodontal
Patients: Prevalence and Associated Factors. International Journal of Medicine and Biomedical Research, 2(2), 125-132. Retrieved from http://www.ajol.info/index.php/ijmbr/article/download/92813/82237
Discharge Education to Promote Patient Self-Efficacy
Care and concern for the patient's health and well-being after being discharged from the hospital or clinic does not end for healthcare providers. Particularly for chronically ill patients, post-discharge care is more critical to ensure that in the course of the patient's daily routine and activities, all medical requirements are adhered to and all medications needed are complied with. This is why more often than not, patients receive discharge education as the healthcare provider's continuing effort to ensure that the patient and his/her family members or caregivers will be well-capacitated to continue care and treatment at home.
However, the above-mentioned scenario is the ideal rather than the actual. In real life, healthcare providers are often fraught with the dilemma of patients who are constantly hospitalized or have witnessed the worsening of their patient's condition as a result of non-compliance to their medications and other…
Baker, D., D. DeWalt, D. Schillinger, V. Hawk and B. Ruo. (2011). "The effect of progressive, reinforcing telephone education and counseling vs. brief educational intervention on knowledge, self-care behaviors and heart failure symptoms." Journal of Cardiac Failure, Vol. 17, No. 10.
Barnason, S., L. Zimmerman and L. Young. (2011). "An integrative review of interventions promoting self-care of patients with heart failure." Journal of Clinical Nursing, Vol. 21.
Castelnuovo, G. (2010). "TECNOB: study design of a randomized controlled trial of a multidisciplinary telecare intervention for obese patients with type 2 diabetes." BMC Public Health, Vol. 10.
Conn, V., A. Hafdahl, S. Brown and L. Brown. (2008). "Meta-analysis of patient education interventions to increase physical activity among chronically ill adults." Patient Education Counseling, Vol. 70, No. 2.
Caring, Professional Identity, and Professional Organizations
Nursing remains one of the careers that demand uncompromised levels of both ethical and professional ethics. The fundamental values that govern nursing include social justice, integrity, uprightness, selflessness, self-governance, and human dignity. These fundamental ethics are constant across the world, and they are aimed at maintaining a high level of humanity while practicing. Definition of different core values may vary between different cultures, religions, or countries. Therefore, it is essential to study the community of interest to apply the ethics that are considered best.
Explanation of caring in nursing
The act of caring happens every time a patient seeks the services of nursing. Patients are full of expectation that a nurse is there to support them through the healing process, and any disappointment usually causes heartbreak. Nursing is an essential element of healing, and it should always occur before curing since it contributes…
Blasdell, N. D. (2017). The meaning of caring in nursing practice. Int J Nurs Clin Pract, 4(238), 2.
Maginnis, C. (2018). A discussion of professional identity development in nursing students. Journal of Perspectives in Applied Academic Practice| Vol, 6(1).
Matthews, J. (2012). Role of professional organizations in advocating for the nursing profession. Online J Issues Nurs, 17(3).
Poorchangizi, B., Borhani, F., Abbaszadeh, A., Mirzaee, M., & Farokhzadian, J. (2019). The importance of professional values from nursing students\\\\' perspective. BMC nursing, 18(1), 26.
Vance, T. (2003). Caring and the professional practice of nursing. RN Journal.
A Concept Analysis in Behavior Management: Self-Management in Psych Nursing
In nursing, when it comes to behavior management—i.e., helping individuals to alter their behavior in order to achieve a positive aim—various strategies are available. One concept of behavior management that has been handed down over generations of nursing practice is the concept of self-management. This concept analysis paper will analyze self-management by describing a history of the concept, its defining characteristics and attributes, antecedents and consequences, various cases related to the concept, empirical measurements, and recommendations following a discussion of the analysis.
Aims and Purposes of Analysis
The aims of this analysis are:
1) to obtain better understanding of a concept;
2) to obtain clarity in terms of what the concept means and how it impacts an environment, a population, a sector, an industry or a strategy; and
3) to establish definition in terms of empirical evidence that…
Caring for the Old
The End of Life Care
End of life care refers to the total care of a person that has an advanced illness that is incurable and does not equate with death. This end of life care can last for a number of weeks, months or even years depending on the state an individual is.it is usually the care which helps those that have advanced, progressive and illnesses that can not be cured to live life as well as possible until they meet their death. End of life care makes it possible for the patient and their family to get supportive and palliative care needs identified and met throughout the last phase when they are living and into the bereavement period. Supportive care is care which helps a patient and the family to cope with the condition and the treatment of that condition right from the pre-diagnosis…
Boswell, Kahana & Worth-anderson, 2006). Spirituality and Healthy Lifestyle Behaviors: Stress Counter-balancing Effects on the Well-being of Older Adults. Retrieved April 30, 2014 from http://www.case.edu/artsci/soci/documents/Spiritualityandhealthylifestylebehaviors.pdf
U.S. Department of State, (2012).Legal & Financial Issues In Caregiving for Older Adults. Retrieved April 30, 2014 from http://www.state.gov/m/dghr/flo/142266.htm
American Society of Clinical Oncology (ASCO), (2014). Caregiving Considerations. Retrieved April 30, 2014 from http://www.cancer.net/navigating-cancer-care/older-adults/caregiving-considerations
The Joanna Briggs Institute, (2011). Age-friendly nursing interventions in the management of older people in emergency departments. Retrieved April 30, 2014 from http://connect.jbiconnectplus.org/ViewSourceFile.aspx?0=7127
Self-Help Group Observation
The purpose of the group (diabetic group) is basically to educate patients on how to sustain a healthy lifestyle in case they are diabetic. The main aim for patient education is for individuals suffering from diabetes to enhance their knowledge, confidence and skills, allowing them to have increased control of their condition and incorporate effectual self-management into their day-to-day lives. High quality structured education could have an intense impact on health outcomes and considerably enhance the quality of life (Tidy, 2014). Some of the potential benefits that patient education could have on individuals suffering from diabetes are:
Enhancing health, knowledge, beliefs, and lifestyle changes
Enhancing patient outcomes, for instance, smoking, weight, and psychosocial changes like depression levels and quality of life
Enhancing physical activity levels
Minimizing the need for, and potentially better targeting of drugs together with other items like blood testing strips.
Educational events, like community…
Mensing, C. R., & Norris, S. L. (2003). Group education in diabetes: effectiveness and implementation. Diabetes Spectrum, 16(2), 96-103.
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., ... & Vivian, E. (2015). Diabetes Self-Management Education and Support in Type 2 Diabetes A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. The Diabetes Educator, 41(4), 417-430.
Tang, T. S., Funnell, M. M., & Anderson, R. M. (2006). Group education strategies for diabetes self-management. Diabetes Spectrum, 19(2), 99-105.
Team Care Approach for Diabetes Management (n.d.). Retrieved 25 February 2016 from http://www.cdc.gov /diabetes/ndep/pdfs/ppod-guide-team-care-approach.pdf
They offer the same flexibility and costs saving available to people at larger organizations. According an article published by Physicians Care,
"hen we set up a self-funded plan for a smaller employer, we help them select the appropriate level of stop-loss or excess-loss insurance, which provides reimbursement for large catastrophic claims. Stop-loss insurance allows smaller employers to consider this very economical approach to providing employee health benefits because it protects them from large claims ("Is Self-Funding or Fully Insured Right for Your Company?")."
Although self-funding can offer many organizations with the chance to reduce costs there are instances when this option is simply not appropriate. The inappropriateness of the option has a great deal to do with the demographics of the employees. If a company has a significant number of older workers or workers with chronic illnesses, such a plan would not be advantageous. The main reason for the lack…
Advantages of Self-Funding. Retrieved September 30, 2009 from; http://www.physicianscare.com/content/public/default.aspx?id=327
Gammon, R.B. (2009) Self-funded health care could lower costs. The Business Journal of Milwaukee - by Retrieved September 30, 2009 from; http://milwaukee.bizjournals.com/milwaukee/stories/2006/02/27/focus4.html
Self-funded health insurance: It's about risk, vulnerability, cost savings
Schreck, Tom the Business Review (Albany) - by for the Business Review Retrieved September 30, 2009 from; http://albany.bizjournals.com/albany/stories/2005/12/05/focus4.html
' A cognitive behavioral therapist might ask, what will harming yourself do to improve your grades on the test? Cognitive therapies in general have been shown to be more effective than traditional supportive talk therapies when treating anxiety conditions because they offer concrete steps for self-improvement on a continuing basis (Reeves 2003, p1.). Patients are also asked to identify things they would like to do in which current behavior patterns prevent them from engaging, such as wearing short-sleeved shirts.
Cognitive and cognitive-behavioral therapy shows a higher success rate in anxiety disorders and OCD than traditional psychotherapy, likely because of its behavioral component. The fact that many DSH patients are diagnosed with BPD may complicate treatment, but BPT responds well in some instances to these therapies, too. BPT patients manifest disordered patterns of relationships, thinking, behavior, and coping mechanisms that contribute to unstable life patterns as well as contribute to the…
Bland, Ann R., Georgina Tudor & Deborah McNeil Whitehouse (2007, October). Nursing care of inpatients with Borderline Personality Disorder.
Perspectives in Psychiatric Care.
Retrieved from FindArticles.com on February 16, 2009 http://findarticles.com/p/articles/mi_qa3804/is_200710/ai_n21099913?tag=content;col1
Mangnall, Jacqueline & Eleanor Yurkovich. (2008). A literature review of deliberate self-harm.
He does his share of complaining but he does little else to remedy the situation. The truth of the matter is that Gregor did not enjoy much of his life away from work. He never expresses a desire to have more in his life nor does he express any regret, until he is a bug. In "A Hunger Artist," our hunger artist chooses to live a considerable amount of his life behind bars being a public spectacle. hile he can communicate with onlookers, he is separated from them by the bars and the setting in which he finds himself only forces him to interact with individuals for a short amount of time. Once they have become satisfied with his spectacle, they move on and leave the artist to his own thoughts. Our hunger artist is aware of the world that exists around him but it does not seem to affect…
Freed, Donna. The Metamorphosis and Other Stories. New York: Barnes and Nobel Books. 1996.
Goldfarb, Sheldon. "The Metamorphosis." Short Stories for Students. 2001. Gale Resource Database. 1963. Site Accessed November 22, 2008. http://www.infotrac.galegroup.com
Kafka, Franz. "A Hunger Artist." The Norton Anthology of Short Fiction R.V. Cassill, ed. New York W.W. Norton and Company. 1981. pp. 779-86.
Kafka, Franz. "The Metamorphosis." The Norton Anthology of Short Fiction R.V. Cassill, ed. New York W.W. Norton and Company. 1981. pp. 740-78.
4.The risk of democracy vs. The rewards given by loyal company employees who feel valued. (Clark, 1999)
5. The risk of listening to the 'lower rungs' on the totem pole whom may challenge one's core beliefs -- and the reward of gaining a stronger sense of values
6. The risk of a costly transition to a new modality of leadership vs. The rewards of eschewing stale stasis. (Sims & Manz, 1995)
7. The risk of hearing what you don't like vs. The reward of having employees as well as one's own self have more successful careers. (Sims & Manz, 1995)
The risk of immediate upward vs. The long time reward of a stronger company
The risk of greater conflict vs. The reward of working with a group of people who are as optimistic, energetic, and successful as you are on all company levels of hierarchy.
The risk and the chance,…
Clark, Bob. (Web Page created March 19, 1997) "Concepts of Leadership." Last update - February 27, 2000. http://www.nwlink.com/~donclark/leader/leader.html " Big Dog's Leadership Page. Retrieved on 5 November 2004 at http://www.nwlink.com/~donclark/leader/leadcon.html
Clark, Bob. (Web Page created March 19, 1998) "Leadership and Human Behavior." Last update - May 1999.
Self-motivation empowers individuals to take action when others hesitate and accomplish tasks that others may find too challenging. I believe there have been several instances, in my lifetime, which demonstrates my skills with self-motivation. It will be this ability to motivate myself, coupled with my desire and discipline that will allow me to successfully graduate from a respiratory care program.
The most poignant example, of my self-motivation abilities, is the one that exemplifies my belief that every obstacle I encounter includes a unique opportunity for me to grow and learn. During my life, very few things have been handed to me. I've had to work quite hard to earn almost everything I have and have accomplished, in my life. Some would see this as an insurmountable challenge. They would give up on trying to overcome this challenge, and not pursue a higher education. Instead many of my friends and family…
Within months after Winfrey took over, the show went from last place in the ratings to overtaking Donahue as the highest rated talk show in Chicago. It was renamed the Oprah Winfrey Show. And the rest is history.
Considering her past, childhood and experiences and positive outlook in life, she didn't let anything deter her from reaching her goal and becoming successful. In fact, she uses them to inspire and reach out to others.
Self-confidence is an attitude which allows individuals to have positive yet realistic views of themselves and their situations. Self-confident people trust their own abilities, have a general sense of control in their lives, and believe that, within reason, they will be able to do what they wish, plan, and expect.
Surprisingly, lack of self-confidence is not necessarily related to lack of ability. Instead it is often the result of focusing too much on the unrealistic…
Self-Confidence. Retrieved April 27, 2007 from http://www.couns.uiuc.edu/New_Site/defaultwinter.html
Dr. C. George Boeree. (2006). B.F. Skinner, Personality Theories. Retrieved May 5, 2007 from http://webspace.ship.edu/cgboer/skinner.html
Oprah Winfrey. (2007). Retrieved May 5, 2007 from http://en.wikipedia.org/wiki/Oprah_Winfrey
Alfred Adler, Core of Personality. Retrieved April 26, 2007 from http://psych.eiu.edu/spencer/Adler.html
(Nofziger, 2001, p. 10)
All sociological (subculture) theories do not blame the parents of deviant children for bad parenting, some in fact say it isn't an abundance of bad parenting but a lack or limitation of positive parenting in a subculture that has peers training individual children, regardless of risk status to be deviant. (Brendtro, Mitchell & Mccall, 2007, p. 200) Most stress the need for parents to reassert focus on the family, and yet very few discuss much more difficult questions of social disparity and observed social helplessness, that contradicts the teaching of parents. When a parent tells a child that they can achieve anything they set their mind to and then they repeatedly see clues and cues in their environment that contradicts this observation, by omission when those who succeed in legitimate manners leave the community to by commission when society offers alternative (deviant) choices in abundance but…
Bartkowski, J.P. (1995). Spare the Rod..., or Spare the Child? Divergent Perspectives on Conservative Protestant Child Discipline. Review of Religious Research, 37(2), 97-116.
Bowman, P.J., & Sanders, R. (1998). Unmarried African-American Fathers: A Comparative Life Span Analysis. Journal of Comparative Family Studies, 29(1), 39.
Brendtro, L.K., Mitchell, M.L., & Mccall, H. (2007). Positive Peer Culture: Antidote to "Peer Deviance Training." Reclaiming Children and Youth, 15(4), 200.
2001). Bullies, Fights, and Guns: Testing Self-Control Theory with Juveniles. New York: LFB Scholarly Publishing.
Care work or social work akin with any other human endeavor has a host of different perspectives that are used either in unison or in combination to direct it.
Its dominant perspectives are the following:
This is the view that all systems interact and that when, for instance, one works with a patient one needs to involve the family and community too and take all of the patient "s life into consideration for each impacts the other. The whole works as a holistic whole and, for instance, the child's school can effect the child as much as the child can the teacher and so forth. ystems have interrelated parts, and tend towards equilibrium.
Care workers use this system in a practical way by forging networks between the different ecosystems (for instance between child's school, community, and family) and by drawing ecomaps and genograms for understanding the dynamics of…
OVERVIEW OF THEORIES OF HUMAN BEHAVIOR & THE SOCIAL ENVIRONMENT
Describe theory rationale selecting theory. 2. Discuss theory works support proposed solution. 3. Explain incorporate theory project.
Self-efficacy theory and the promotion of hand-washing
According to the Centers for Disease Control, hand-washing is one of the most important ways in which to curtail the spread of a wide range of infections and bacteria. Hand-washing can reduce the risks of contracting the common cold, influenza, and other viruses (Wash your hands, 2012, CDC). It can also lessen the chances that bacteria such as E.coli and salmonella will be transmitted from the preparer of food to the diner, or that contaminants from raw poultry and other meats will be spread to fruits, vegetables, and other components of the meal. Hands should be washed thoroughly after preparing food, using the toilet, dealing with animals or children, or handling garbage. But many people fail to take this simple step.
Hand-washing is one…
Cherry, Kendra. (2012). Self-efficacy. About.com. Retrieved:
Wash your hands. (2012). Centers for Disease Control (CDC). Retrieved:
Still, Mason indicates that the opposite is often true in public education settings, where educators, parents and institutions collectively overlook the implications of research and demands imposed by law. Indeed, "despite the IDEA requirements, research results, teacher perceptions, and strong encouragement from disabilities rights advocate, many youth have been left out of IEP and self-determination activities. For example, 31% of the teaches in a 1998 survey reported that they wrote no self-determination goals, and 41% indicated they did not have sufficient training or information on teaching self-determination." (Mason et al., 442)
This is a troubling finding, and one which implicates the needed paradigm shift discussed already in the research endeavor. Clearly, as the matter is framed by Mason et al., educators and researchers have already acknowledged the value in the strategies addressed here. By contrast, institutional change has been hard won, with schools and administrators balking at making broad-based alterations…
Beresford, B. (2004). On the Road to Nowhere? Young Disabled People and Transition. Child: Care, Health and Development, 30(6).
Department of Education (DOE). (2007). Guide to the Individualized Education Program. United States Department of Education. Online at http://www.ed.gov/parents/needs/speced/iepguide/index.html .
Katsiyannis, A.; deFur, S. & Conderman, G. (1998). Transition Services -- Systems Change for Youth with Disabilities? A Review of State Practices? The Journal of Special Education, 32(2), 55-61.
Mason, C.; Field, S. & Sawilowsky, S. (2004). Implementation of self-determination activities and student participation in IEPs. Council for Exceptional Children, 70(4), 441-451.
This issue is compounded for the self-employed when retail/sales tax is added into the mix as these payments are also required quarterly, not payable when collected. This issue is simply a non-issue for an employed person as the retail/sales tax is again paid quarterly by the employer and the employee deals only with direct transaction, calculations, most of which are done automatically. These additional taxes are collected by the individual self-employed person where they are applicable, which is the majority of U.S. states and are now even collected for some online transactions in certain states, regardless of the funds availability when they are due. So, again this is something the self-employed person must take into consideration on almost a daily basis, i.e. saving collected retail/sales tax whenever it is paid or expect to write difficult checks when taxes come due. Additionally, understanding the sales tax laws in different states where…
Buffington, J. (2005). Managing your cash flow as an independent practitioner. Public Relations Tactics, 12(3), 20.
Bruce, D. (2002). Taxes and Entrepreneurial Endurance: Evidence from the Self-Employed. (cover story). National Tax Journal, 55(1), 5-24.
Self-scheduling with hospital nurses:
A literature review and proposal for change
ecently, there has been a great deal of frustration amongst both nurses and patients about the strict, inflexible, and counterproductive schedules nurses are forced to adhere to regarding the planning of their shifts. As a counterweight to this trend, there has been a movement which advocates the practice of nurses self-scheduling their hours, versus adhering to a predetermined, set formula. Frustration with scheduling, including back-to-back shifts and frequent night shifts has been linked to nursing burnout and a higher risk of medical errors. That is why determining solutions to the problem is such a critical component of alleviating the nursing shortage and creating a wholesome and more sustainable environment for nurses on the front lines of care.
One institution which has had notable success with self-scheduling is St. Francis Hospital in Columbus, Georgia. "St. Francis was…
Bailyn, L., Collins, R. & Song, Y. (2007). Self-scheduling for hospital nurses: an attempt and its difficulties. Journal of Nursing Management. 1:72-7. Retrieved from:
Larson, J. (2009). Flexible scheduling boosts nurse morale, retention. Retrieved from:
Throughout the week I was forced to face a number of moral decisions in my daily life, from not telling the truth to obeying traffic laws. Until this assignment, I never really observed my own moral decision making process, and doing so enabled me to discover many personal traits. While this examination has given me plenty to think about, this essay will examine in detail three particular moral decisions I was forced to make, the thought processes behind them, and how they impacted my view of myself.
One of the moral decisions I am forced to make on a daily basis is whether or not to tell the truth. I lied to my boss and called in sick to work on a day when I just wanted to stay home. Another is whether to help those in need. I saw a homeless person on the street and when…
Again, we see a strong, confident woman in Janie. She is also mature. Hattenhauer maintains that we can see this in they way Janie understands certain truths about life. She states that the "tragic truth, Janie has learned, is something no one could have told her, and something she cannot tell anyone" (Hattenhauer). hile Janie may be in denial of her immediate death, it is clear that she knows it will come to her sooner or later. hen she tells Phoeby that so many individuals never see the light at all, we know that "she sees the light at last: her fate is to wait and see if God's will is to take her life" (Hattenhauer). This is proof that Janie has emerged a strong, independent woman.
Their Eyes ere atching God is a glorious and painful story of one woman's discovery of her own voice. Janie evolves as a…
Hattenhauer, Darryl. "The Death of Janie Crawford: Tragedy and the American Dream in 'Their Eyes Were Watching God.'" GALE Resource Database. Site Accessed April 05, 2008.
Hurston, Zora Neale. Their Eyes Were Watching God. New York: Harper Collins Publishers. 1998.
The causes of human actions and behavior are generally sought for in the psyche of the individual or in the social environment.
Ewen obert B. ( 1998) An Introduction to Theories of Personality. 5th ed. Mahwah,
NJ: Lawrence Erlbaum Associates.
Boeree C. ABAHAM MASLOW: 1908 -1970. etrieved from http://webspace.ship.edu/cgboer/maslow.html
Guy T.M. (2004) Freud's Theory of Culture: Eros, Loss, and Politics. Journal of Phenomenological Psychology; 3/22/2004. etrieved from http://www.highbeam.com/doc/1G1-125869018.html
Jantzen, Grace M.(2004) Death and the Displacement of Beauty. New York: outledge.
McKeachie W. And Doyle C. ( 1971) Psychology. New York: Addison-Wesley.
athna I. Ethics in the practice of clinical psychology. etrieved from http://www.issuesinmedicalethics.org/172ar69.html
oth. M. Conflict and Culture. etrieved from http://www.loc.gov/loc/lcib/9810/freud.html
Strachey, James, ed. (1961) Civilization and Its Discontents. 1st ed. New York W.W. Norton.
The Final Struggle and Victory of Science - Pinel and Tuke. etrieved from http://www.cscs.umich.edu/~crshalizi/White/insanity/pinel.html
The Genetic Self. etrieved from http://www.trans4mind.com/transformation/transform7.1.htm
The Scope Of Psychology.…
Ewen Robert B. ( 1998) An Introduction to Theories of Personality. 5th ed. Mahwah,
NJ: Lawrence Erlbaum Associates.
Boeree C. ABRAHAM MASLOW: 1908 -1970. Retrieved from http://webspace.ship.edu/cgboer/maslow.html
Guy T.M. (2004) Freud's Theory of Culture: Eros, Loss, and Politics. Journal of Phenomenological Psychology; 3/22/2004. Retrieved from http://www.highbeam.com/doc/1G1-125869018.html
Diversity of Aging Population -- Innovative Healthcare
Over the past several decades there has been an avalanche of research and scholarly narratives focusing on the aging of millions of Americans -- among them the "baby boomers" that were born between 1946 and 1964 -- including their numbers and their health vis-a-vis the impact on the sometimes struggling healthcare system. But there has been a dearth of research on how American healthcare services will respond -- and is currently responding -- to an increasingly diverse older population when it comes to racial, cultural and ethnic identities. This paper points to the numerous issues and challenges that not only face an increasingly diverse older American population when it comes to healthcare, but also the challenges that the healthcare system itself faces as these Americans move into the twilight of their lives.
hat should be the Vision and Mission of Healthcare Professionals in…
Administration on Aging. (2010). A Statistical Profile of Black Older Americans Aged 65+.
Retrieved April 2, 2014, from http://www.aoa.gov .
Bookman, A. (2008). Innovative models of aging in place: Transforming our communities for an aging population. Community, Work & Family, 11(4), 419-438.
Centers for Disease Control and Prevention. (2007). The State of Aging and Health in America
"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004).
Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher levels of managed care infiltration are linked with lower rates of hospital cost inflation and lower physician fees are consistent with competitive effects. "Other studies demonstrate the impact of managed care on delivery system structure including hospital capacity, hospital admission patterns, the size and composition of the physician workforce and the adoption and use of medical equipment and technologies. More recent evidence has linked market-level managed care activity to the process, but not the outcomes of care" (Bundorf et al.,…
Altman, D.E. And L. Levin. (2005). The Sad History of Health Care Cost Containment as
Told by One Client. Health Affairs, 24(1).
Bodenheimer, T. (2005). High and rising health care costs. part 1: Seeking an explanation.
Annals of Internal Medicine, 142(10), 847-54.
Innovative Nursing Care Delivery Models a.This website detailed profiles 24 successful innovative nursing care delivery models. These profiles developed part a research project conducted Health Workforce Solutions LLC (HWS) funded obert Wood Johnson Foundation (WJF).
Innovative nursing care model: The Care Transitions Intervention
Innovative nursing care model
I chose the Care Transitions Intervention Model on which to focus because of the increasing importance of geriatric care in the field of nursing. Although my organization serves the needs of persons of all ages, elderly patients are an increasingly large proportion of the patient base. The Model stresses the need for the empowerment and self-care even of patients with high-risk conditions. The Care Transitions Intervention Model allows elderly patients the maximum amount of mobility and autonomy possible given the limits of the patient's condition and enables them to stay in a home setting as long as possible. As its name suggests, the…
Care Transitions Intervention. (2013). Innovative Care Models. Retrieved:
Kurt Lewin Change Model. (2013). Change Management Coach. Retrieved:
Quality Improvement in Healthcare
Nearly all healthcare organizations today are aware of the Quality Improvement (QI) movement and seek to actively instill their businesses with such elements. In fact, the past few decades have shown the QI movement to be the main approach for healthcare organizations to measure performance and engage in lasting changes (Colton, 2000). The foundations of QI reside with its origins which come from multiple arenas: "in systems engineering, as a way of defining production processes; in quantitative analysis, as a methodological approach for collecting and analyzing data; and in organizational behavior, as a way of understanding how QI fits with an organization's structure and management philosophy" (Colton, 2000). QI fundamentally stands as a mode for a healthcare organization to better itself through enhancing the way in which it delivers service and by improving patient outcomes (Colton, 2000). "The U.S. Agency for Healthcare esearch and Quality defines…
Colton, D. (2000). Quality improvement in health care. Conceptual and historical foundations. Eval Health Prof., 7-42.
Familydoctor.org. (n.d.). Medical Errors: Tips to Help Prevent Them. Retrieved from Familydoctor.org: http://familydoctor.org/familydoctor/en/healthcare-management/self-care/medical-errors-tips-to-help-prevent-them.html
Varkey, P., Reller, K., & Resar, R. (2007). Basics of Quality Improvement in Health Care. Mayo Clin Proc., 735-739.
Personal Professional Healthcare Communication Paper
What is Healthcare Communication?
Communication can be generally defined and the method of imparting information from a source to targets. The process of sharing thus has its own set of rules and for human communication the written and spoken words are used. There is also a series of communication called non-verbal which is also significant. There are behaviors that show what a person thinks or feels is also communication. (Berry, 2007)
These types of communication applies in the health care settings too. Health communication may be defined as the study of the means of communication and its strategies not only to communicate to individuals but to the community thus creating decisions on health questions. Thus for the health service the communication within itself and the society concerned with individual and public health, is a very important field that requires specialization and research in medical information…
Berry, Dianne. (2007) "Health Communication: Theory and Practice." Open University Press:
Diebold Institute for Public Policy Studies. (1995) "Healthcare Info structures: The
Development of Information-Based Infrastructures for the Healthcare Industry." Praeger: Westport, CT.
Health Care Communication
As the nation's health care resources become more and more strained, health care professionals are being asked to do more with less. They are being pressured to find cheaper ways to improve the quality of health care they deliver. Given the current circumstances, this sounds difficult and even unreasonable, but it may not be entirely impossible.
One simple way for medical professionals to improve the quality of health care they provide is by improving their health care communication skills. Health care communication is "The art and technique of informing, influencing, and motivating individual, institutional, and public audiences about important health issues. The scope of health communication includes disease prevention, health promotion, health care policy, and the business of health care as well as enhancement of the quality of life and health of individuals within the community." (U.S.D.S.H.S., 2000, p.11-20).
In health care, as in all aspects of…
U.S. Department of Health and Human Services. (2000). Healthy People 2010: Volume I, Focus Area 11: Health Communication (second edition) Washington, DC: U.S. Government Printing Office.
Zachariae, R. et. al. (2003). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. British Journal of Cancer, 88(5), 658-65.
Heisler, M. et. al. (2002). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine, 17(4), 243-52.
Safran, D.G. et. al. (1998). Linking primary care performance to outcomes of care. Journal of Family Practice, 47(3), 213-20.
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).
There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies…
Adams, J., Erickson, J., Jones, D., & Paulo, L. (2009). An evidence-based structure for transformative nurse executive practice, Nursing Administration Quarterly, 33(4), 280-87
Advisory Board Web site. (2004). Available at: http://www.advisory.com .
Ales, B.J. (1995). Mastering the art of delegation. Nurs Manage. August; 26: 32A, 32E.
American Organization of Nurse Executives (2005). AONE Nurse Executive Competencies. Nurse Leader, 3(1), 15-22.
decision-makers and managers in health care with efficient course of action that give them opportunity to advance the quality in health cares by involving in designing and implementation. The analysis centers on certain people who have a strategic duty for quality based on capacity building tool in health care quality. This approach is adapted is because of the perceptive that there is an enormous amount of willingness and action for quality improvement locally in many countries but this move is carried out in an insufficient policy and strategic environment in many occasion. The practice suggested here gives opportunity to decision makers and managers to only focus on the component of quality they decide on. There could be further influence for quality in restructuring the care delivery in transversely settings in some countries, not like others which prefers to begin with the activities of patient safety. Objective for that reason has…
Committee on Quality of Health Care) in America, Institute of Medicine. Washington, DC, USA (2001) Crossing the Quality Chasm: A New Health System for the 21st Century National Academies Press;
Kelley E, Hurst J. (2006) Health care quality indicators project. Paris, Organisation for Economic Co-operation and Development, (OECD Health Working Papers, No. 23). This OECD project uses the same multidimensional framework for quality that is used in this document.
Leatherman S, Sutherland K., (2004) Quality of care in the NHS of England. British Medical Journal, 328:E288 -- E290.
World Development Report. (2004) Making services work for the poor. Washington, DC, World Bank,
But due to the ineffective allocation of resources, while money was spent on his care when his blood sugar was 'out of control,' and when he began to develop blindness and other symptoms of uncontrolled diabetes, he did not receive the consistent but relatively low-care necessary to reduce the causes of his inability to manage his condition. Conclusion Healthcare operates within the market system, and is subject to opportunity costs like any other good or service. However, overall the healthcare system does not operate upon the principles of efficiency, often due to the bureaucracy of the healthcare system and its methods of reimbursement and prioritizing acute over primary care.
Gawande, Atul. (2009, June 1). The cost conundrum: What a Texas town can teach us about health care. The New Yorker. etrieved February 2, 2011 at http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande#ixzz1CpZ4jbV
Gawande, Atul. (2011, January 24). The hot spotters. The New Yorker. etrieved February…
Gawande, Atul. (2009, June 1). The cost conundrum: What a Texas town can teach us about health care. The New Yorker. Retrieved February 2, 2011 at http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande#ixzz1CpZ4jbVR
Gawande, Atul. (2011, January 24). The hot spotters. The New Yorker. Retrieved February 2,
2011 at http://www.newyorker.com/magazine/bios/atul_gawande/search?contributorName=atul%20gawande
Gibson, Jennifer, Douglas K. Martin, & Peter a Singer (2004). Setting priorities in health
Health care, and that too, a quality health care is one of the most basic needs of any human being. In current times, where the fast paced lives are getting faster each day, work stresses are increasing, streets are being storm with junk foods and fast foods, and pollution and congestion is increasing, human lives are getting more and more prone to physical and mental diseases. As a result, the importance of health care systems and health care facilities increases. While, surgeons and doctors are generally seen as the captain of the ship as far as health sector is concerned, very important personnel of the health sector are the nurses. Once quite ignored, the importance of the nursing profession was highlighted by Florence Nightingale, one of the nursing pioneers. Florence Nightingale broke the conventional perceptions associated with the profession of nursing and took it to a new level, explored various…
Lee, H. & Winters, C. (2006). Rural nursing: concepts, theories and practice. New York:
Joel, A. & Kelly, L. (2002). The nursing experience: trends, challenges and transitions. New York: Mc Graw Hill.
Lumby, J. & Picone, D. (2000). Clinical Challenges: focus on nursing. St. Leonards, N.S.W: Allen and Unwin.
Unfortunately, for those individuals who did not use direct coping strategies but instead used the kind of coping that distances one's thoughts, emotions, and physical presence from the stressor (e.g., denial and wishful thinking) or disengages completely (e.g., escape and emotional numbing) to cope with discrimination stress tended to have lower self-esteem.
Consequences/Effects of Low Self-Esteem
A number of studies have shown that low self-esteem is predictive of negative outcomes. Parker et al. (2005) found that girls and adolescents with low self-worth reported the greatest jealousy of friends and that a reputation for being jealous of friends was associated with aggressive behavior and other peer adjustment difficulties, including loneliness.
Donnellan et al. (2005) found a link between low self-esteem and externalizing problems such as aggression, antisocial behavior, and delinquency. The authors cited osenberg (1965), who suggested that low self-esteem weakens ties to society and weaker ties to society decrease conformity…
Donnellan, M.B., Trzesniewski, K.H., Robins, R.W., Moffitt, T.E. & Caspi, A. (2005). Low self-esteem is related to aggression, antisocial behavior, and delinquency. Psychological Science, 15, 328-335.
Edwards, L.M. & Romero, A.J. (2008). Coping with discrimination among Mexican descent adolescents. Marquette University Education Faculty Research and Publications. Retrieved from http://epublications.marquette.edu/edu fac/59.
Krayer, A., Ingledew, D.K. & Iphofen, K. (2008). Social comparison and body image in adolescence: a grounded theory approach. Health Education Research, 23. 892-903.
Martinez, I & Garcia, J.F. (2008). Internalization of values and self-esteem among Brazilian teenagers from authoritative, indulgent, authoritarian, and neglectful homes. Adolescence, 43, 19-29.
Theory guides practice. This is true of many things, but is especially true of nursing. While many processes, actions, and rules are involved in becoming a great nurse, understanding and applying theory must be the most important aspect. Nursing theory allows for one to examine concepts and then attempt practical application of these concepts when theories are tested. Evidence-based practice for example, is the wonderful lovechild of theory and application in that when theories are constructed, they are then tested, and if they work, are applied to standard practice via modification. This essay aims to provide a deeper synthesis of nursing theory by examining two important nursing theories: Orem's Self-care Theory and Watsons Nursing Theory. Additionally, one will see how nursing theory has evolved since its beginnings.
Background on Nursing Theory
Many say nursing is as old as humankind. If there was someone sick, there was someone willing to…
-Mother can attend cancer support groups and receive advice and education through other channels regarding proper methods of providing care and improving quality of life for her husband
-Son can explore employment options as well as discuss various needs and responsibilities with his parents in order to determine his most effective utilization within the changed family dynamic
-Father can provide the levels of self-care that come easily, but should educate himself regarding his condition and ease care by allowing others to help when necessary
-Provide educational materials/answer questions for both mother and father
-Assist son with psychological transition of increased responsibility/familial dependence
-Instruction of proper care techniques for mother and father regarding father's condition
Levels of comfort and competence in new family roles should be easily assessed in regular visits through brief questioning. Monitoring father's health through standard vital sign and other appropriate tests will…
A Model Healthcare Delivery System
The healthcare delivery system also referred to in short as the HCDS is the most effective system that works for most healthcare organizations in all countries with fair, effective and efficient distribution of resources. It is a fast growing service that demands attention from various quarters and domains. At the optimal level, the service program presents relief and hope to the individual, and the general population. The system offers a balanced quality care service through efficiency and fairness. HCDS varies across the world but its focus is constantly on enhancing healthcare access, quality of service and coverage. The success of the program is dependent on the availability of certain basic resources (Kumar & Bano, 2017, p. 1).
HCDS is how the society has responded to the health determinants. The idea of a healthcare system contemplates involving the people that are likely to be served…
Healthcare Team Members
HEALTH CARE TEAM
The healthcare team is assembled and trained to meet the special needs of patients and their families (Ezziane, et al., 2012). A skilled health care team can consist of doctors, nurses and many other health care professionals. A patient may encounter many different team members, each playing a special role in delivering quality care (Allen, 2009).
Attending Physicians (M.D., Doctor of Medicine) are experts in very specialized areas such as obstetrics or pediatrics. Most physicians treat injuries and illnesses in patients by giving exams, taking medical histories, prescribing medications, and ordering, performing, and interpreting diagnostic tests. They oversee and lead the healthcare team.
Education - Physicians complete at least 4 years of undergraduate school, 4 years of medical school, and 3 to 8 years of internship and residency, depending on their specialty.
Anesthesiologists (M.D., Doctor of Medicine or D.O., Doctor of Osteopathic Medicine) administer…
social workers find themselves in the position of being primary care coordinators. This is especially true in situations like the Parker family's, in which there are multiple interrelated issues affecting the family and those issues require input from a wide variety of diverse healthcare workers. The National Association of Social Workers (NASW) stresses the importance of developing and maintaining cross-disciplinary partnerships and partnerships across different organizations that can "enhance access to and continuity of care for social work clientele," (p. 33). Therefore, the most important thing to address whether in public policy or administrative procedure is to have protocols and standards in place for coordinating care across various disciplines and agencies.
The Parker family is dealing with several interrelated issues that include mental health issues but also gerontological ones. More effective coordination of care would help increase and improve access to mental health services for Stephanie while also addressing Sara's…
A sense of futility and deep despondency are the primary drivers of the patient's approach to his self-care. These emotions are mirrored by his wife, and further complicated by the exhausting circumstances of being a primary caregiver to a depressed and declining patient. It is doubtful that either the patient or his wife are getting enough sleep, eating well -- within the dietary restrictions -- or following a healthy regimen of moderate exercise. The pattern of behaviors described and observed indicate that both the patient and his wife are overwhelmed by difficulties of managing the disease and the centrality of the disease in their life.
To address head-on the emotional fatigue and hopelessness that the couple face, it is imperative to provide examples of other patients and their spouses who have or are successfully dealing with the same disease at a comparable level of severity. Examples must show…
Diseases and Conditions: Heart Failure. Mayo Clinic. Retreived from http://www.mayoclinic.org/diseases-conditions/heart-failure/basics/definition/con-2002
Hoyt, R.E. & Bowling, L.S. (2001, April 15). American Family Physician, 63(8), 1593-1599. Retrieved from http://www.aafp.org/afp/2001/0415/p1593.pdf
cultural diversity issues and its impact on nursing professionals' practice. It assesses a client hailing from a different culture, and employs information derived from the assessment determining and reflecting on health practices and beliefs of the client's culture. Lastly, nurses' role in the care of patients hailing from diverse backgrounds care is analyzed, and a conclusion is drawn.
Client Interview Data
Client's health beliefs in relation to cultural diversity
The client comes from a family-focused background, in which she plays the role of chief household organizer and attends to her family and their needs. She believes one ought to lead a life of a good and virtuous individual, and support one's family, particularly in times of need. In her opinion, sickness must be tended to, for preserving life. She believes in healthcare professionals and services they offer, for leading a healthy life. She is comfortable having healthcare professionals take care…
American Nurses Association. (1998). Discrimination and Racism in Health Care. Silver Spring, MD: American Nurses Association.
Anderson, L. (2012, October 10). Cultural Competence in the Nursing Practice. Retrieved from Nurse Together: http://www.nursetogether.com/cultural-competence-nursing-practice
Coe, S. (2013, January 15). Cultural Competency in the Nursing Profession. Retrieved from Nurse Together: http://www.nursetogether.com/cultural-competency-nursing-profession
Graue, M., Dunning, T., Hausken, M. F., & Rokne, B. (2013). Challenges in managing elderly people with diabetes in primary care settings in Norway. Scand J Prim Health Care, 31(4), 241-247.
Healthcare Plan for the Management of Genitourinary Disorders
Objective of this paper is to carry out a care plan for the patient, aged 60 years, who is suffering from genitourinary disorder. The study carries out the case evaluation and identifies the symptoms of the patient complication. The study also provides a comprehensive healthcare plan used for the treatment of the patients.
Case Study Evaluation
HPI (History of Present Illness).
Evaluation of the case study reveals that the patient is a Hispanic male, aged 60 years of age and complains of a decline of urinary flow. While the patient has experienced the symptom for more than two years, however, the symptom has increased significantly for the past two weeks. Although, the patient has not been diagnosed in the past, however, he faces difficulties in achieving a free flow of urine that interferes in his daily activities. The gradual worsening of the…
Benedetti, F. (2008). Placebo Effects: Understanding the Mechanisms in Health and Disease. Oxford Scholarship Online.
Bluie, T. Campbell, D.B. Fuchs, G.J. et al. (2010). Evaluation, Diagnosis, and Treatment of Gastrointestinal Disorders in Individuals With ASDs: A Consensus Report. Pediatrics. 125( 1): S1-S18;
Finnegan-John, J. & Thomas, V.J. (2013). The Psychosocial Experience of Patients with End-Stage Renal Disease and Its Impact on Quality of Life: Findings from a Needs Assessment to Shape a Service. Journal of Renal Care. 40(1): 74-81.
Jaarsma. T. (2005). Inter-professional team approach to Patients with Heart Failure. Heart. 91(6): 832-838.
IMPROVING PATIENT SAFETY ITH EVIDENCE-BASED RESEARCH
My workplace is currently experiencing the need for improvement is in the area of enforcing and communicating hospital policies/procedures regarding care of patients requiring special attention. This is illustrated by a recent incident of an elderly cancer patient admitted for unexplained dizziness but then falling and sustaining injuries when left unattended in the hospital. Fortunately, we have a nursing supervisor who is the epitome of a transformational nursing leader. She immediately commenced best practices, exhibited Gardner's leadership tasks and is transforming the unfortunate incident into a valuable learning opportunity.
The most pressing patient safety issues in work setting that need improvement
hile a number of areas would benefit from improvement, a recent incident leaps to mind and underscores the need for better communication and enforcement of hospital policies/procedures. An 87-year-old female diagnosed with Stage 4 colon cancer and admitted to the hospital…
Institute of Medicine. (2004). Executive Summary. In Institute of Medicine. Keeping patients safe: Transforming the work environment of nurses. Retrieved from www.nap.edu: http://www.nap.edu/read/10851/chapter/2
Institute of Medicine. (2004). Transformational leadership and evidence-based management. In Institute of Medicine. Keeping patients safe: Transforming the work environment of nurses. Retrieved from books.nap.edu: http://www.nap.edu/read/10851/chapter/6#109
Kotter, J. P. (2012). Leading change. Boston: Harvard Business Review Press.
QSEN Institute. (2014). Competencies in Quality and Safety Education for Nurses (QSEN) . Retrieved from QSEN.org: http://qsen.org/competencies/pre-licensure-ksas%20./