Other disciplines seem to have assimilated the same definition of chronic confusion as outlined by NANDA. For instance, psychology, defines chronic confusion as an alteration in awareness characterized by a change in cognitive or behavioral clarity (Psychology Definition Staff, n.d.). However, psychology formerly believed chronic confusion was related to psychosis. Psychosis is an abnormal state of mind resulting in a “severe loss of contact with reality” (Taber, 2013). Even though reality orientation may be implemented in patients who experience chronic confusion, the condition is not a psychosis. Evidence to support this is discussed in the paragraph below and in the pathophysiology section of this paper.
There are two types of confusion
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Hildegard Peplau viewed nursing as “a significant, therapeutic, interpersonal process. It functions co-operatively with other human processes that make health possible for individuals in communities" (Peplau, 1952). This quote, encapsulates her theory of interpersonal relations. Peplau’s Interpersonal Theory focuses on the nurses’ role, which is to help patients identify their difficulties (“Theory of”, 2012). Peplau explains that the nurse assumes different roles as the relationship between patient and nurse progresses and develops (Feely, 1997). These roles evolve from stranger to teacher to resource to counselor to surrogate and finally to leader (Feely, 1997). As a stranger, the nurse and patient are greeting each other and regarding one another as an unfamiliar person (Feely, 1997). As a teacher, the nurse provides knowledge related to a patient’s need (“Theory of”, 2012). As a resource, the nurse provides specific knowledge in response to a new situation (“Theory of”, 2012). As a counselor, the nurse aids patient understanding and provides guidance (“Theory of”, 2012). As a surrogate, the nurse is a patient advocate and as a leader the nurse assumes responsibility for treatment (“Theory of”,
Henoch-Schonlein Purpura Henoch-Schonlein purpura is inflammation of the blood vessels. This causes a rash of red or purple spots on the skin. This condition may also cause kidney problems and pain in the knee joints, ankle joints, or abdomen. Generally, this condition goes away on its own, although symptoms may return (recur) over time. CAUSES
Nurses and physicians need to express themselves in a clear and precise manner, their message should rely on verification and collaborative problem solving. They need to displaying a calm and supportive demeanor under stress, maintenance of mutual respect, and authentic understanding of the unique role (Robinson, Gorman, Slimmer, Yudkowsky, 2010). Not everyone was born being able to express themselves in such a manner, therefore providing the necessary education and skills will help both nurses and physicians gain the confidence and competence they need to work
A family nurse practitioner could apply theory, information from research, and knowledge learned in class to formulate patient education strategies as well as to create patient education material. The nursing profession advocates for evidence-based practice. This requires the nurse to know, in order to provide proper care. Therefore, it is important to link research to nursing practice because the data collected through research makes it easier to make clinical decisions (Pipe, Wellik, Buchda, Hansen, & Martyn, 2005). An understanding of nursing theory would also prove important in handling nursing dilemmas by offering a systematic guide for handling nursing issues.
Students in the nursing program are required to rotate working in a variety of setting under the supervision of an experienced nurse or preceptor to develop a broad knowledge of the different population. The use of clinical supervision has been transferred from psychoanalytic culture and applied to nursing education since 1925 in the
After 10 years working as a registered nurse in many aspects of healthcare, felt an overwhelming desire to advance my career and myself to expand my role in caring for others. Becoming a nurse practitioner has always been a goal of mine. During my time working as a nursing manager, I became acutely aware of the need of skilled and talented providers that desire to provide passionate care to all individuals. I became especially concerned with the needs those with limited access to healthcare services. I knew my desire to care for individuals in a more autonomous role and I set out to develop the skills needed to meet the need I witnessed.
Peplau (1988, cited by Betts, 2002, in Kenworthy et al, 2002) argues nursing as an interpersonal process. Betts (2002) argues that effective communication is intricate and obscure. Both the nurse and the patient are distinctive individuals, and they both bring with them their perceptions, values, interpretations and experiences to the interpersonal process. To achieve trust, the nurse must use openness, honesty and effective communication
My personal philosophy of nursing is based on holistic care which includes the mental and physical health of a person. I believe examining the whole picture and variables that play into a patient’s health is necessary to successful outcomes as well as effective communication. I think of Peplau because her theory discusses interpersonal relations and I am a firm believer in developing a strong, therapeutic nurse-patient relationship. Without a strong nurse-patient relationship, patient’s may not have the trust they should, therefore will not learn the tools necessary to be able to care for themselves. I strive each day in practice to develop strong nurse-patient
Liga, & Kellis, 2012, p. 2266). Both of these studies have not only shown the
Self-Risk Assessment Brenda Grimmer Chamberlain College of Nursing NR704: DNP Concepts in Population Health Outcomes September, 2015 Leddy’s Healthiness Scale Appendix A Leddy Healthiness Scale Directions: Highlight the number that best indicates your degree of agreement with each of the following statements. Please answer all of the questions the way you feel right now. 6 Completely Agree; 5 Mostly Agree; 4 Slightly Agree; 3 Slightly Disagree; 2 Mostly Disagree; 1 Completely Disagree 1. I think that I function pretty well.
ANNOTATED BIBLIOGRAPHY Berman, A., Kozier, B., Snyder, S., & Frandsen, G. (2015). Kozier & Erb 's fundamentals of nursing: Concepts process and practice (10th ed.). Hoboken, NJ: Pearson Education.
350). Due to the increase in accountability of FNPs to provide safe, quality, and cost-effective health care, it is imperative that the nurse is fully prepared for practice as a nurse practitioner (NP). The outcome of the NP’s role transition can be inhibited or promoted by different transition conditions, such as the environment, availability of resources, support, and nursing experience. All of which fall into the lines of Meleis’s types of transition, making the process complex and multidimensional (Meleis, et al., 2000, p. 18). The role of nurse practitioners has extended in practice to provide comprehensive care.
According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis.
The author highlights how vulnerable patients will give their trust to nurses, they should begin their relationship with a rapport (Price, 2017). “Patients often feel vulnerable and there can be an imbalance of power between the nurse and the patient; similarly, patients who are receiving treatment in hospital can find themselves in an unfamiliar environment” (Price, 2017). In this situation the client was degraded, there was an imbalance of power. The client had an unfamiliar caregiver, creating confusion and anxiety. To create a therapeutic relationship trust must be created, it requires effective communication, honesty, and respect.
Nurses have to face with patients, families, physicians, and other professionals who are a
A mentor in nursing is defined as someone who can facilitate learning, supervise and asses nursing students in a practice setting. This in turn produces efficient and effective students who become competent and will have mastered the craft and art of caring. Mentorship is significant to students as it helps students develop their professional identities, attributes and competence and also enables students to learn through the creation of the supportive working and learning environment as an individual (Clutterbuck 2004). Decisions taken by mentors in assessing students have significant impacts on securing the nursing workforce in the future. This is because they help safeguard the ongoing excellence in the delivery of personalized patient care while making a major contribution to the development of the nursing profession.