Friday, September 6, 2019
The Role of a Nursing Practitioner Essay Example for Free
The Role of a Nursing Practitioner Essay Introduction The Department of Health Services and Social Safety (2006), applies palliative care services which aims to achieve the best quality of life possible for patients and their family through active identification, holistic assessment and appropriate management of problems, when progressive advanced disease is not responsive to curative treatment.            There are over a half million older adult aged 65 or over whom are living in care homes (nursing and personal care) and a large number end their lives in these care settings. Unfortunately, care homes can only provide appropriate terminal care if barriers to the provision of care are addressed. The National Council for Hospice and Specialist Palliative Care Services (NCHSPCS) holds documents containing practice recommendations and therefore, the provision of appropriate terminal care makes the process of dying more comfortable and meaningful for a person and their family. Literature Review            Patients usually experience depression and lack of resistance. More often than not, an ill person doesn’t enjoy life during admission. Lying in a bed with in the four corners of the hospital room may sometimes lead the patient to self pity and unenthusiastic. They sometimes feel anxious and bored. Providing effective care plans for these patients will help them recover their health and self esteem. In order to formulate a holistic care plan for respiratory problems, it is necessary that health care workers give more time for patients and have patience. Educating patients with self management is quite beneficial for them. With this, hospital admission will be reduced. It also reduces constant day off or sick leaves from work as well as unscheduled visits to the doctor. It is recommended that accurate conditions for respiratory problems should be universally available. Written care plans in order to facilitate self management should therefore be recommended. Many organizations have already prepared written care plans and self management materials for patients with respiratory problems. Important data should be included in the written care plan such as clear explanation of the specific diagnosis, a history of medicine allergens and its effect when taken, an up-to-date record of medications, dosage and treatment schedules and potential side effects. Written step by step instructions of how inhaled and oral treatments should be properly taken or how to properly handle equipments should be available. Duties of a Nursing Practitioner As a nursing practitioner, one must first understand Nightingale’s (1860) theory on nursing which evolves around the concept that the patient’s recovery is highly related to the conditions of his environment. The environment of a patient has a direct effect on his recovery or his deterioration. According to Nightingale, â€Å"Nature alone cures.†With that she stresses on the healing properties of the physical environment of the patient; fresh air, light, warmth, cleanliness and a suitable diet. Nursing practitioners should maintain an environment that not only refers to the physical aspect but also to the psychological and social environment surrounding the patient. Healthy communication with the patient and healthy environment keeps the patient’s mind active and stimulated. Here Nightingale stresses that communication should be soothing and a form of therapeutic aid to the patient’s suffering. How the nurses interact with the patient, may it be verbally or non-verbally also plays a role in the patient’s recovery. They were to give comfort and ease the patient’s suffering. She adds that there is a need for social awareness or social education on the disease of the patient, his family or the immediate people of that environment Nurses are there to control the environment and give the patients their basic needs to aid patients in their healing process and achieving their former strength. Nurses are not only to be focused on controlling the environment for the patient, but also in disseminating helpful information about the important aspects of the disease to the patient, the family and immediate community.            Within Nightingale’s nursing theory are the assumptions that are significant to applying the theory. First and foremost, Nightingale stresses on the need to understand that a disease is a reparative process. An inflicted goes through the natural healing process and those sufferings are indications of the body healing itself. The patient then needs energy to deal with this healing and an unhealthy environment will only bring him stress and lessen his much needed energy to recuperate.  Another is the need for a nurse to be sensible and highly observant of his patient. If a nurse has these abilities, then she will be more focused and effective in her goal of balancing the right and healthy environment for the patient. Nursing is a calling to those who have the determination to help. Conclusion  A sensible nurse would take the initiative to think ways of keeping the patient’s mind active and optimistic despite his sufferings. Nightingale also gives emphasis on the important fact that nursing is a practice apart from medicine. The nurse’s concentration is on the patient’s reparative process and not the disease itself.            In order to support a partnership approach between patients, carers and primary health and social care professionals, the DHSSPS will work in collaboration with GPs and other professionals to develop a Directed Enhanced Service under the General Medical Services Contract. This will support the regular review of patients and evidence based practice within primary care settings and promotes information sharing, education and implementation of individualized self-management plans. (Department of Health, 2006) REFERENCES  Nightingale, F. (1860). Notes on Nursing: What it is, and What it is not. A Celebration of Women Writers. Retrieved February 7, 2007 from http://digital.library.upenn.edu/women/nightingale/nursing/nursing.html Department of Health. (2005). RD annual reports by NHS organizations in England for 2005. Department of Health [online] Retrieved February 7, 2007 from http://www.nrr.nhs.uk/2005AnnualReports/ProgrammeSameIDRecords.asp?Code=5EYTitle=Older+Persons
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