Preview

An Exploration of a Needs Orientated Approach to Care Planning

Better Essays
Open Document
Open Document
1753 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
An Exploration of a Needs Orientated Approach to Care Planning
An exploration of a needs orientated approach to care planning

The purpose of this assignment is to explore a needs orientated approach to care planning, through the use of a problem solving approach to care, and a nursing model. It aims to show an understanding of what both a problem solving approach to care, and a nursing model are; and to establish how various key elements of both are implemented in practice. The following citation by the Department of Health (DH) (2009) identifies what is intended by the process of care planning; Personalised care planning is essentially about addressing an individual’s full range of needs, taking into account their health, personal, social, economic, educational, mental health, ethnic and cultural background and circumstances.

In order for the care planning process to be effective the need for both a problem solving approach to care and a nursing model is fundamental. The problem solving approach which will be discussed within this assignment follows the format of Assess, Plan, Implementation and Evaluation (often referred to as APIE) developed by theorists; Yura and Walsh in 1967. APIE offers a structured, systematic approach to nursing practice through the use of the methodical care planning stages highlighted above (Barrett et al, 2009). Nevertheless, broad literature research suggests that this process lacked effectiveness in meeting the holistic needs of the individual and so, the process was adapted to include two further stages known as; Systematic Nursing Diagnosis and Recheck to produce the acronym ASPIRE (REF). However, these amended stages will not be discussed widely within this assignment, and so the process of APIE will be referred to throughout.

The nursing model developed by Roper, Logan and Tierney (RLT) in 2000, is one of several extensively criticised models commonly used in practice; to enable the facilitation of a holistic approach to care. The purpose of a

You May Also Find These Documents Helpful

  • Powerful Essays

    Hltap501A

    • 3110 Words
    • 13 Pages

    The following assignment will discuss essential nursing processes to obtain information from a client to identify health problems or potential health problems and to gather and document information to use in the contribution of care planning for a client in a variety of health care settings. The case study involves Mrs Blow, an elderly patient who has a variety of health issues and requirements, that need to be implemented in hospital and on her return home for optimal health and…

    • 3110 Words
    • 13 Pages
    Powerful Essays
  • Best Essays

    Holistic Practitioner 2

    • 3345 Words
    • 14 Pages

    Roper, N., Logan, W. and Tierney, A. (2001), The Roper Logan Tierney Model of Nursing: Based on Activities of Living. London: Churchill Livingstone.…

    • 3345 Words
    • 14 Pages
    Best Essays
  • Powerful Essays

    Nursing has evolved into a science. Like other scientific disciplines, the practice of nursing is guided by nursing theories. According to Julia George, “practice is based on the theories of the discipline that are validated through research” (George, 2011, p. 7). The major shift in theoretical thinking in nursing is said to occur in the 1960s when the focus in nursing shifted from simple problem/need and functional role, to the relationship between nurse and patient (George, 2011, p. 10). The aim of this paper is two-fold: First, I will compare and analyze the concept…

    • 1662 Words
    • 7 Pages
    Powerful Essays
  • Powerful Essays

    Roper Logan and Tierney

    • 2071 Words
    • 5 Pages

    The aim of this essay is to demonstrate the assessment process of a patient using the Roper Logan and Tierney (RLT) model of nursing framework and to show how the nursing process works alongside this model. This will be shown by a holistic history of the patient being shown, followed by how the RLT model is applicable to this patient. This is then followed by one nursing intervention being discussed showing how the nursing process is applied to patient care. The patient will be referred to as Mr Frederick Valentine to protect the patient’s anonymity as stated in the Nursing and Midwifery Council Code of Conduct (2008) guidelines.…

    • 2071 Words
    • 5 Pages
    Powerful Essays
  • Best Essays

    Type 1 Diabetes Mellitus

    • 2111 Words
    • 9 Pages

    Using the problem solving approach discuss the care, nursing interventions and subsequent evaluation of your patient.…

    • 2111 Words
    • 9 Pages
    Best Essays
  • Powerful Essays

    2.1 Explain how finding out the history, preferences, wishes and needs of an individual contributes to their care plan…

    • 807 Words
    • 5 Pages
    Powerful Essays
  • Better Essays

    Case Study Old

    • 1282 Words
    • 6 Pages

    When developing the plan of care for the elderly it is essential to identify key issues and concerns. With the use of the nursing process the nurse manager is able to assess, diagnosis, implement, and evaluate the patient’s expected goals. In the case study Mr. Trosack faced many healthcare issues (hypertension, diabetes, obesity, hip fracture), and /psychological factors (social isolation and depression). These healthcare issues can affect his overall recovery and…

    • 1282 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    305 Person Centred Values

    • 3418 Words
    • 9 Pages

    Explain how finding out the history, preferences, wishes and needs of an individual contributes to their care plan.…

    • 3418 Words
    • 9 Pages
    Powerful Essays
  • Powerful Essays

    Chronic Care Assignment

    • 1005 Words
    • 5 Pages

    Realistic and achievable goals will need to be established, and prioritised, this will help to determine the nursing interventions that will be required to assist the patient to manage their chronic illness. The nurse will have to reassess these goals continuously, to ensure that any new problems are identified early and can be incorporated into the care planning for the patient. A review of the Care Planning for the patient needs to be evaluated to ensure that all nursing interventions are effective. (Rita Funnell, 2005)…

    • 1005 Words
    • 5 Pages
    Powerful Essays
  • Best Essays

    Care Planning

    • 3343 Words
    • 14 Pages

    This systematic approach to care is cyclical in nature and can end at any stage if the problem is solved. The nursing process not only focuses on ways to improve the…

    • 3343 Words
    • 14 Pages
    Best Essays
  • Powerful Essays

    The aim of this assignment is to explore a needs orientated approach to care, and use a model of nursing – Roper, Logan and Tierney (RLT) model – to formulate a care plan. The RLT model of nursing is based on 12 activities of daily living and it provides a framework for nurses to plan and deliver appropriate nursing care. By using the activities of daily living when gathering information about a patient a nurse can begin a problem solving approach to care planning, however, as suggested by Barrett et al (2009), the nursing model not only provides questions to ask during the assessment of a patient, but they offer beliefs and values and instructions to what is important and relevant during the process of care planning. “The nursing process is the tool or methodology of professional nursing that assists nurses in arriving at decisions and helps them predict and evaluate consequences.” George (2002). The RLT model was created in 1980 for educational purposes – students and teachers - and was the first UK model to be used in a variety of settings; it is now used in many parts of the world and has been translated into 8 other languages, it is also popular with UK nurses and is one of the most commonly used within the UK according to Tierney, (1998). Barrett, et al suggests it is popular in the UK as it is written by British nurses and is easily understood. RLT’s model of nursing follows the process of assessment, planning, implementation and evaluation, this is also known as APIE which enables the nurse to carry out a care plan which provides complete holistic care. RLT’s model focuses on individuality, dependence-independence continuum, progression along a life span continuum and influencing factors. Barrett (2009) have also introduced ASPIRE which includes assessment, systematic nursing diagnosis, implementation, recheck and evaluate.…

    • 3802 Words
    • 16 Pages
    Powerful Essays
  • Good Essays

    The nursing process of assessment; planning: intervention and evaluation assists health care professionals with problem solving, and advocates the personal holistic provision of care but at the patient from a holistic view, in order to provide effective care giving (Slevin 2001) then plan and set goals according to the information gathered. The…

    • 1486 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    One draw of the field of nursing is the ability for nurses to individualize their care plans for their patients. In order to ensure that unique patients are able to get healthy, they need nursing care plans as unique as they are. This means assessment and evaluation of each patient before and during care. Nancy Roper's desire to become a nurse started in childhood, and as a result of her experiences and education, she, along with two of her colleagues, developed the Roper-Logan-Tierney Model of Nursing to assess patients' level of independence and provide the best individualized care for them.…

    • 269 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Ob Chapter 1 Study Questions

    • 6836 Words
    • 28 Pages

    Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as physiologic stability of the mother and newborn. Home healthcare agencies often are involved in patient care to decrease hospital stay time.…

    • 6836 Words
    • 28 Pages
    Satisfactory Essays
  • Better Essays

    care planning

    • 1340 Words
    • 4 Pages

    A care plan is a written statement of the individual’s assessed needs, identified during an assessment. It sets out what support the individual should get, why, when, and details of who is meant to provide it. It is also essential that care plans be reviewed on a regular basis, this allows all parties to ensure they are meeting the individual’s needs i.e. social, emotional and educational.…

    • 1340 Words
    • 4 Pages
    Better Essays