foundations in nursing w2l2
PACE Framework
PACE stands for Person Assessment, Care, and Evaluation.
Framework used for dynamic documentation in nursing.
Involves four main components:
Assessment: What is the current condition?
Plan: What actions will take place based on the assessment?
Implementation: How is the plan executed?
Evaluation: Was the plan effective?
Utilized frequently in nursing practice to document care delivered.
Relating Nursing Process to Everyday Tasks
The nursing process can be applied to various tasks, like planning a car journey.
Steps to consider:
Assessment: Evaluate key factors prior to the trip.
Check fuel levels in the car.
Assess available route options.
Identify the number of passengers and their needs (snacks, comfort).
Consider car conditions (tyre pressure, safety features).
Planning: Organize based on assessment findings.
Choose the route based on factors like service stations and tolls.
Determine adequate timing for the trip.
Plan snack packs and comfort items.
Implementation: Follow through with the plan during the trip.
Pack the car with essentials and passengers.
Follow the planned route and stops.
Evaluation: Reflect on the journey experience.
Did you arrive on time?
Were all passengers satisfied and comfortable?
Key Learning Points
Importance of continuous assessment, planning, and evaluation in nursing.
Nurses must adapt to the dynamic nature of care and documentation.
Empathy and individualized care is essential for positive patient experiences.
The Nursing Process
Comprises a series of tasks necessary for effective care delivery.
Application is relevant not only in healthcare but daily life tasks.
Every situation requires an assessment to inform planning, implementation, and evaluation.
Common Assessment Models in Nursing
Models help facilitate structured nursing assessments:
Casey Partnership Model: Focuses on family involvement in children's care; developed for pediatric nursing.
Roper-Logan-Tierney Model: Centers on 12 activities of daily living as indicators of health and independence.
Activities include:
Maintaining a safe environment
Communicating
Breathing
Controlling body temperature
Eating and drinking
Recognizes five influencing factors impacting a patient's ability to perform activities.
Biological, sociocultural, psychological, environmental, political/economic factors.
MAID Model: Used in community settings for children's nursing.
ORM Model: Focuses on self-care for adults in mental health.
Activities of Living and Influencing Factors
12 Activities of Living (Roper-Logan-Tierney model):
Maintaining a safe environment
Communicating
Breathing
Controlling body temperature
Eating and drinking
Eliminating waste
Mobilizing
Expressing sexuality
Sleep
Work and play
Conceiving
Understanding death and dying
Assess each activity for individualized patient care.
Understanding Elimination and Mobilization in Children
Elimination (Typical for a six-year-old):
Should be toilet trained, dry at night, no frequent vomiting.
Assessment involves observing the child's habits and asking caregivers for information.
Mobilization (Typical for a six-year-old):
Ability to move independently, running, jumping, and playing.
Observation and caregiver input help assess their mobility.
Importance of Individualized Care
Avoid assumptions; assess based on individual patient needs.
Take family dynamics into account during assessments for effective nursing care.
Utilize a comprehensive approach to understand the unique needs of each child or family unit.