This essay is a discussion on how the module content and practice experience has contributed to personal development as a nurse. Therefore it will focus on firstly the concept of individualised care and its relevance to nursing assessment and care delivery, secondly the ethical and professional issues that impact nursing such as confidentiality, consent and dignity. The essay will also focus on exploring the various communication models and the development of the therapeutic relationship between the nurse and the service user, and finally the organisation and delivery of care within the practice environment. With particular reference to a recent placement, at a palliative care nursing home, this essay will discuss Harriet, an 88 year old lady with chronic bronchitis and suffers with multiple sclerosis. For confidentiality purposes the names of service users have been changed to comply with the Nursing and Midwifery Council, Code of Conduct (NMC 2008).
This assignment will firstly discuss the individualised approach to nursing, which developed in the USA during the 1950’s and 1960’s, which coincided with the development of the nursing theory and models of nursing which began to challenge the medical model of health care (Lloyd, Hancock, Campbell 2007). The nursing process can be carried out successfully by implementing a popular model used extensively in the UK originally by Roper et al Activities of Living model in which it is based loosely upon the 12 activities of daily living; however Henderson acknowledges 14 activities that people engage in (Kozier, Erb 2008). This model identifies any deficit in their care usually upon admission; it is reviewed as the care plans of the service user evolve; after which an intervention may be given to the service user. The nursing home that was attended for placement had person centred care
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