An Exploration of a Needs Orientated Approach to Care Planning Essay

The nominate of this assignment is to carry a demand orientated sexual climax to attending throwning, through the commit of a difficulty answer snuggle to cargon, and a protect model. It aims to establish an understanding of what some(prenominal) a problem solving nestle to bearing, and a treat model are and to establish how various key elements of both are implemented in practice.The following citation by the surgical incision of Health (DH) (2009) identifies what is intended by the process of care planning exclusiveize care planning is indispensablely about addressing an individuals profuse range of necessitate, winning into account their health, personal, social, economic, educational, mental health, ethnic and cultural terra firma and circumstances. In order for the care planning process to be trenchant the need for both a problem solving approach to care and a nurse model is fundamental.The problem solving approach which give be talk ofed in spite of appearance this assignment follows the format of Assess, Plan, Implementation and Evaluation (often referred to as APIE) create by theorists Yura and Walsh in 1967. APIE offers a structured, overbearing approach to breast feeding practice through the use of the methodical care planning stages highlighted supra (Barrett et al, 2009).Nevertheless, broad literature research suggests that this process lacked effectiveness in contact the holistic needs of the individual and so, the process was competent to include ii further stages known as Systematic Nursing Diagnosis and Recheck to defecate the acronym ASPIRE (REF). However, these amended stages testament not be discussed widely inwardly this assignment, and so the process of APIE will be referred to throughout. The breast feeding model developed by Roper, Logan and Tierney (RLT) in 2000, is unitary of several extensively criticised models commonly use in practice to enable the facilitation of a holistic approach to care.Th e purpose of a nurse model is defined by Barrett et al as Models give direction to the nurse about the patient ofs and their needs and define care for roles derived from the views, beliefs and values about people, health, the environment and nursing (Barrett et al, 2009 p. 42). As previously identified, RLT are keen to adopt an holistic approach to care as compare to other models which only take into account a patients needs from a checkup perspective.The RLT model has been ac associationd to reflect the current realities of healthcare within the United Kingdom (Barrett et al, 2009), consisting of five underlying concepts Activities of livelihood, Lifespan, Independence-dependence continuum, factors influencing ALs and laissez faire which (Roper et al, 2000) clearly state are touchd with one another to mark the grandness of holism. Pearson et al, along with many a(prenominal) other nursing authors, highlight the significance of agreeing on a nursing model to be used uni tedly with the problem solving approach to develop an individualised care plan efficiently.Pearson et al (2005 p. 84) indefinitely state the process cannot happen without an agreement on nursing as, whilst APIE provides the systematic framework as to how the care plan should be devised, the nursing model in effect identifies what should be get a lineed at each individual stage (REF). The Royal College of Nursing (RCN) to a fault supports the utilisation of a nursing model alongside a problem solving approach, in identifying that It facilitates consistent, evidenced-based nursing care, and necessitates accurate, up-to-date care documentation (RCN, 2011).This assignment will also discuss how the RLT model and the problem solving approach are used to realise the biopsyhosocial needs of an individual, and also the strengths and limitations of using RLTs model and a problem solving approach in relation to developing a care plan. An exploration of how the implementation of the RLT model and a problem solving approach stomachs the multidisciplinary teams (MDT) to use the approach to meet public health needs, will also be explored within this assignment.To support such discussions, a range of knowledge gained throughout this module and previous programme themes, as comfortably as a formative care plan developed for a false patient known as Mabel Dunn (see appendix A) will be utilized effectually. Through the exploration of each stage of the problem solving approach in turn, and how RLT is utilised alongside this process, enables an extensive in depth digest to take place whilst using the formative care plan as reflective material to support the discussion. Assessment is the initial stage of the nursing process.Roper et al consistently use the term assessing to signify that it is an on-going process, and highlights its tenacity throughout the patients episode of care (Aggleton & Chalmers, 2000). It is divided into both stages to allow for a holistic representa tion of the patient to be established (Barrett et al, 2009). Effective judging allows the prompt identification of any changes in a patients health status, and if necessary allows any action to be carried out immediately supporting the delivery of safe, effective care DH ().The training of an accurate legal opinion is a fundamental skill for a bookman nurse as outlined by the NMC (2004), and so it is important that a holistic approach is adopted for this skill to be achieved. An holistic approach supports the consideration of.. needs,(THEME? ) which Pearson et al (2005) accentuates that without the holistic consideration of a patients needs it could lead to an faulty representation of the individual.RLT portrayed their understanding of a holistic approach through the use of the 12 Activities of Daily Living (ADLs) as they believe a patient is best understood in terms of how they carry out the ADLs (Holland et al, 2003). The 12 actvities (AL) of daily surviving act as a framewo rk in the assessment process by providing a means of categorising the culture in a systematic format (ppt presentation). Barrett et al (2009, p. 45) clarifies Each activity represents a particular lineament of behaviour that all of us carry out on a day to day basis, whilst interacting with each other and our environment.The idea surrounding the ADLs was derived from the Human Hierarchy of Needs developed by psychologist Abraham Maslow in (), by offering a representation of the common elements of everyday living that experience clement survival, and also quality of life (Barrett et al, 2009/pearson ). Despite the main(prenominal) focalization of RLTs model been holism, it has been extensively criticised in meeting the holistic needs of patients in the past, as practitioners ca-ca used the ADLs in a checklist format (Barrett et al, 2009) even though the use of the ADLs has been stressed to be used in a broad format, to enable a spatiotemporal assessment to be sought effective ly.This could potentially cause further complications. It is for this suit as to why the proficient skill of assessment is fundamental beforehand becoming a competent practitioner as, without a comprehensive assessment the patients needs will not be considered from a holistic perspective, and wherefore the model will not be used for its principal purpose. Holland et al (2003) highlight that the 12 ADLs can interrelate in many different ways and therefore potentially impact on one another encouraging an holistic account of an individuals needs.As a practitioner it is important to understand that the ADLs can interrelate with one another and therefore influence on each other http//www. dh. gov. uk/en/Healthcare/Longtermconditions/DH_093359 (DOH, 2009) . A holistic approach supports that only taking into consideration the individuals physical needs during assessment as oppose to the human being as a whole could potentially lead to an inaccurate representation of the individual and t herefore lead to difficulties in meeting the patients needs effectively (Pearson et al, 2005).The quality of assessment will be greatly deepen by the participation of the client and carers to the assessment process ensuring that the clients wishes are foremost and, wherever possible, the clients own manner of speaking are used to reflect their needs RCN It also decreases the potential for, or the severity of, chronic conditions and helps the individual to gain control over their health through self-care.RCNThe Nursing and Midwifery Council (NMC) emphasise the importance of the ability to effectively assess, plan, implement and evaluate care, forming the basis for the standards of proficiency as a savant nurse (NMC, 2004). The concept of individuality is constantly emphasised by theorists as been crucial in the implementation of holistic care, and therefore stress the importance of taking a patient centred approach to care planning which will be discussed at a later stage within t his assignment.Nurses stool a major role in promoting health and well-being, as well as preventing disease and Roper et al see this as been an essential factor in the model for nursing (Roper et al 2000, p. 102) cited in (Holland et al, 2003) As previously stated, the stages of APIE interrelate in a cyclical context to allow for the establishment of a holistic, needs orientated approach to care delivery. The side by side(p) stage known as Systematic Nursing Diagnosis was adapted due to criticisms of the approach lacking the concept of holism one of the main focuses of the RLT model of nursing.Barrett et al (2009) accentuate how a nursing diagnosis differs from that of a medical diagnosis by establishing that it places emphasis on a patients holistic needs, and so takes into consideration the physical, psychological, social and spiritual inferences of having a specific medical diagnosis. Hesook (2010, p. 200) also supports this statement in that health problems that are the referen ts of nursing diagnosis have been conceptualised from nursing perspectives in a variety of ways. Systematic nursing diagnosis can therefore be used resourcefully with RLTs nursing model by allowing the nurse to reflect on the assessment stage formerly carried out, before beginning the planning stage to get through the problems highlighted within the previous stage.Hogston & Marjoram (2006) acknowledged the fact that the original nursing process APIE discussed in this assignment lacks this stage, arguing that the nurse does not have time to reflect on the assessment stage of the problem solving approach which affects the thoroughness of the care planning approach which could potentially lead to. look at a limitation of SND ADD example of Mabel Dunn supplying Planning is the second stage of APIE and is also a multistage process which Barrett et al (2009) consider to involve the development of the care plan itself based on information gathered within the former two stages. According to Within this stage, the nurse is accountable for setting appropriate goals and prescribing the relevant care to a patient to meet their holistic needs.