Holistic perspectives of assessment and Care Management

Essay by lennie April 2006

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This assignment will commence with defining nursing models or assessment tools and indicate the model/tool used on this occasion; it will then lead to a brief introduction of the patient involved who was diagnosed with cardiogenic shock and a possible myocardial infarction. A definition and symptoms of the initial diagnosis will also be given and a social history of the complaint will be offered. Incorporated in the assessment will be how principles such as data collection and history taking were involved. While using the chosen model of nursing a range of problems involved will be identified. Two activities of living that are identified from the assessment including any actual and potential problems that may occur will be identified. How measurable data and the rationale for goals will be identified within the model that was used, together with how the underlying physical and psychosocial perspectives were assessed and the rationale behind this.

On concluding a reflection on the strength, weaknesses and consistency or discrepancies of the model chosen will be discussed.

Pearson and Vaughan, (1986) see a nursing model as a picture or representation of what nursing actually is, although Aggleton and Chalmers (2000) claim that the aim of a nursing model is for those who use them to understand more fully what they are doing and why they are doing it. The nursing model is used in conjunction with the nursing process according to Roper, Logan and Tierney (1996), who go on to say that individualized nursing is carried out by using the nursing process, which includes assessment, planning, implementation and evaluation.

A nursing model is a concept of what nursing is. Models are used as a tool to assess patient's needs/problems. There are many models of nursing but the two that are more commonly used are, Roper, Logan and...