Contribution of evidence-Based Practice;
Explain why you think Evidence-Based Practice (EBP) theories is important to nursing practice, in particular as a clinical nurse leader. Describe the contribution of the EBP to the discipline and science of nursing. (Be detailed and provide credible references)
Hi,
I am after assistance with a ‘nursing diagnosis‘ with ‘related to‘ and ‘evidenced by‘ statements please. The problem is regarding an older person (78yrs) and his sleep hygiene – he spends 8-9 hours in bed (usually 1 hour pre sleep time reading, listening to classical music or watching sport on TV/iPad). They wake 3-4 times a night, visit the bathroom 1-2 times, but usually have trouble getting back to sleep. He estimated a total of 5-6hrs actual sleep time. He has prescribed sleep medication (low dose) that he usually takes approx. 2 x per week.
He doesn’t have any associated medical conditions that could be effecting this. He has reported well managed stage 3 kidney disease and well managed elevated cholesterol, plus osteoporosis in R. knee (some mild pain occasionally), but those issues don’t seem to relate to the sleep disturbance, so I am struggling to come up with the ‘related to‘ statement of the nursing diagnosis.
If you could provide a nursing diagnosis and any suggestions that would be very helpful.
Thank you
I’m hoping if an expert could help me with these questions in DISABILITY CARE prospective please. Thank you.
Course – CHC43115 Certificate IV in Disability
Unit – CHCDIS009 Facilitate ongoing skills development using a person centred approach
Observe a minimum of 3 clients and then answer the following questions for each client. Identify individual skill development needs
1.
a) How did you identify your clients strengths?
b) How did you work on developing your clients skills?
c) What could you do differently next time?
Client 1:
Client 2:
Client 3:
2. Plan person-centred, ongoing skill development
a) How did you use communication techniques to work with an individual client?
b) What learning strategies did you find worked well eg prompting, demonstration
Client 1:
Client 2:
Client 3:
3. Implement person-centred, ongoing skills development strategies
a) When working on a skills program how did you do it in a person centred way?
b) Where did you find information on supporting your client?
c) Where could you document their progress?
Client 1:
Client 2:
Client 3:
4. Evaluate skills development and review plan
Where do you record a person’s progress for skill building?
How did you know if the program was being effective?
5. Identify and implement incidental learning opportunities to enhance skills development
How did you identify opportunities to improve skills?
How did you encourage your clients?
How did you withdraw your support as the client mastered the skill?
Provide a detailed analysis and critique of the value of the Self-Care Deficit Nursing Theory, also known as the Orem Model of Nursing theory in practice (Under the headings Introduction, Theory Description, Theory Analysis, and Theory Evaluataion)
Does the theory have potential to serve your patients?
Can you implement the theory at your clinic?
(Be detailed and provide a credible reference)
Describe how the following nursing theories apply to a mental health context.
care and care recipient’sowing specialization areas (see below), but you can also choose freely. The important thing is that the areas you choose can be linked to your care and welfare recipients and their situation.
Communication
Documentation
Pain
Sleep
Nutrition
Rehabilitation
Habilitation
Pedagogical approach – “A teaching situation”
An activity adapted to “my” care recipient
Aesthetics – The impact of the environment on the individual
Aid
Areas of knowledge / areas of activity that you can choose from are, for example:
The area of disability, gerontology, health care, nursing, social care or psychiatry.
You should use the knowledge that you acquired earlier during your education. You can take help from the assignments you have submitted. You may also need to search for new knowledge, for example via the internet or get help at a library. Be sure to list your sources so your teacher can see where you got your information from!
a) Describe a care recipient and his needs, state of health, situation. Focus on the needs that are connected to your two areas of specialization.
b) Explain what efforts / what support is needed for the person / persons to have their needs met. What symptoms and changes do you need to be aware of?
c) Which laws are relevant in your case description?
d) How can your specialization knowledge contribute to increasing the quality of life of your care and care recipients as well as facilitating their everyday life, preserving their health and functional abilities? Describe how you work ethically, hygienically and ergonomically!
e) What do you think can be improved in the two areas of specialization you worked on? Think from the perspective of both the care and care recipient, relatives / relatives and staff. Give examples of routines and forms of collaboration in the work, and how this can be improved.
Example 1
Knowledge area / area of activity: the area of disability
User: Jiri, 42 years.
Specialization areas:
1. pain
2. habilitation
Example 2
Area of knowledge / area of activity: gerontology
Caregivers: Alma, 92 years.
Specialization areas:
1. nutrition
. sleep
Perspectives on mental healthcare
Provide 5 examples of what clients’ and carers’ perspectives on mental health care are.
As part of a routine physical examination, a patient has lab work completed. These are the following number: serum cholesterol – 235, triglycerides 180, HDL – 30. What is the significance of these numbers and what do they mean for the patient?
What are the differences in manifestation forms of dyspnea when the airway obstruction occurs at different position? Why?
Blood collection
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