Date: 19/02/2025
Time: 09:30am – 04:30pm
Title: The Nursing Process and Care Planning/Health Promotion
At the early hours of the day we learnt about the Nursing process, Roper, Logan and Tierney’s activities of daily living model. The nursing process is a systematic method used to ensure this delivery of individualised and effective care. It involves several stages ADPIE
A- Assessment- This involves collecting comprehensive data about a patient’s health status.
D- Diagnosis- This is the actual health issues currently being experienced after gathering assessment data.
P- Planning- This involves collaboration of the nurse, patient and healthcare team to address the identified diagnosis. The goal should focus on improving the patient’s health outcomes.
I- Implementation- This involves carrying out the interventions identified in the planning step. This could be administering medication or coordinating care with other healthcare providers such as arranging consultations or therapies.
E- Evaluation- This is the final step where assessment is carried out to see whether patient’s goals are met or not. The patient’s condition is also reviewed to compare it to the expected outcomes.
Care planning is an essential process in Nursing that contributes to effective, personalised and coordinated care. This is an ongoing process that requires constant reflection, reassessment and adjustment to achieve the best outcomes for patients. The Roper, Logan and Tierney’s activities of daily living model considers factors which comprise daily living in a holistic and systematic way. The model proposes 12 areas which include Maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing/hygiene, controlling body temperature, mobilising, working and playing, expressing sexuality, sleeping and dying.
The nursing process and care planning essential in ensuring that care is individualised and holistic. By actively involving the patient in the planning process and ensuring they understand their care plan, there is always an increase in engagement and compliance. The success of a care plan depends on timely communication, regular updates and accurate documentation.
Moving forward, at work I will actively engage with nurses to see how care plans are being done. I will also continue to reflect on my communication with patients to evaluate whether they are being listened to and their preferences are being met.
Health promotion is essential because it’s not only prevent illness but also empowers individuals reduce inequalities and support economic and societal well-being. It also creates a healthy community and sustainable healthcare systems.
However, there are several barriers to effective health promotion such as time constraints, lack of motivation, financial costs, lack of knowledge and many others. Addressing these barriers is critical for effective health promotion. This includes improving access to resources, increasing public awareness of the importance of healthy behaviours, creating supportive environments.
The Transtheoretical model (TTM) also known as the stages of change model is a widely used framework for understanding how individuals change their behaviours over time. There are 5 stages true which an individual typically moves from changing behaviour; precontemplation, contemplation, preparation, action, maintenance, relapse(optional).
Moving forward, I plan to adopt a more holistic approach to health promotion. This includes not only focusing on individual behaviour change but also considering the broader social, economical and cultural context that shape people’s health.
KSBs addressed:
K3: Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care
K4: Understand the principles of research and how research findings are used to inform evidence based practice
K6: Understand and apply relevance legal, regulatory and governance requirements, policies and ethical frameworks, including any mandatory reporting duties, to all areas of practice
K9: Understand the aims and principles of health promotion, protection, improvement and the prevention of ill health when engaging with people
K10: Understand the principles of epidemiology, demography and genomics and how this may influence health and well-being outcomes
K13: Understand the contribution of social influences, health literacy, individual circumstances, behaviours and lifestyle choices to mental, physical and behavioural health outcomes
K14: Understand the importance of health screening
K20: Know how people’s needs for safety, dignity, privacy, comfort and sleep can be met
S4: Take responsibility for continuous self reflection, seeking and responding to support and feedback to develop provisional knowledge and skills
S10: Provide, promote and where appropriate advocate for, non discriminatory, person centred and sensitive care at all times, reflecting on people’s values and beliefs, diverse backgrounds, cultural characteristics, language requirements, needs and preferences, taking account of any need for adjustments
S13: Apply the aims and principles of health promotion, protection and improvements and the prevention of ill health when engaging with people
S14: Promote preventive health behaviours and provide information to support people to make informed choices to improve their mental, physical, behavioural health and well-being
S24: Perform a range of nursing procedures and manage devices to meet people’s needs for safe, effective and person-centred care
S25: Meet people’s needs for safety, dignity, privacy, comfort and sleep
S32: Work collaboratively and in partnership with professionals from different agencies in interdisciplinary teams