The aspect of nursing chosen for the purpose of this assignment is nursing assessment and the impact it has on deciding what care is needed for the patient. It will also look at how the use of (Carper’s 1978) fundamental ways of knowing theory enabled the author to assist in carrying out a successful assessment with her mentor
In accordance with the Nursing and Midwifery Councils (NMC) code of conduct (2008) confidentiality will be maintained throughout this assignment. So for the purpose of this essay and to protect the anonymity of both the patient and the Community Psychiatric Nurse all names will be changed. Therefore, the patient shall be referred to as Iris and the CPN as Lisa. As (Richards and Edwards 2008 p13) explain the nurse is duty bound by law not to disclose information and therefore break confidentiality. In order to complete this essay permission of the Community Psychiatric Nurse was asked and full informed consent was given for the use of the assessment which I assisted in of her patient.
Iris was initially seen at a local memory clinic, and primarily diagnosed with mixed dementia; this is a mixture of Alzheimer’s dementia and vascular dementia. She was referred to the outpatients’ clinic to see the Consultant Psychiatrist to ascertain whether she was a candidate for cholinesterase inhibitors. However, before Iris could be seen in clinic an incident had occurred at her home involving her carers and the care manager had contacted Iris’s GP. This in turn led to an emergency referral for an immediate home visit to deal with the after effects of the incident. A home visit was arranged for the Consultant and CPN to assess the change in Iris’s mental state and the findings were not good. Since being referred to the team Iris had begun to suffer psychotic symptoms associated with her dementia. Immediate treatment was put in place and an anti-psychotic drug was prescribed.
This essay will also explore the specific nursing model used by the CPN and the frameworks used to underpin the knowledge needed to carry out a successful assessment. Carper identified in her work that there are four fundamental patterns of knowing which can be used to guide our way of nursing. Having read this it is quite simple to follow these patterns. The four components identified are; Empirical knowledge; Esthetic knowledge; Personal knowledge and Ethical knowledge. It is these components that the author has tried to use throughout the assessment.
(Sivitar, 2004) clearly identifies the fundamental differences between a nursing theory, a nursing model and a nursing framework. It is this explanation of the linkage between each part which puts each aspect into perspective when put into nursing practice. She also argues that you need the theory so that a nursing model can be developed. This is turn leads to the development of the framework. When all these components come together that inevitably leads to the best nursing care for the patient. According to (Pearson et al 2005 chpt3), nursing models in practice were quite controversial when they were first introduced, even though practice models had been a proven success in other fields of work. However, they argue the importance of their introduction in relation to the quality of care given to the patient. They also identified that when the whole nursing team use an agreed nursing model conflict between team members decrease. This in turn leads to continuity of care for the patient, which in turn would hopefully lead to a faster recovery period. It is also useful to new staff members when they join because they only have to learn one nursing model.
According to (Monk-Steel 2008 p81) assessment can take many different forms depending on what information needs to be gleaned about the patient. This helped to explain what...