Nursing Observations of Clients - Assignment Example

This comprises physiological needs like food, safety and love. This is then followed by the fulfillment of self-actualization and self esteem. Hence, based on Maslow model, nurses should ensure that the needs of each patient are met individually, so as to facilitate them to feel contented, cared for and accommodating. When prioritizing care for these three individuals it is crucial to identify the predicament of each one of them, review their nursing diagnoses, and then determine which of one of them has most urgent . This is based on fundamental needs, patient variations in status, intricacy of their problem. Discussion Based on the National League for Nursing Educational Competencies Model, the key e value of nursing care should be caring, excellence, holism, and patient-centeredness (2010). Hence, client #3 Anita Bonfire should be the first in the priority list, since she seems to be having some serious complication as a result of the Appendectomy and requires at most care and constant monitoring. This then calls for the monitoring of vital signs, especially commencement of fever, chills, or diaphoresis. In particular, if she is breathing so shallowly, then a physical examination of her cardiovascular system should be conducted in order to ascertain vital signs and presence or nonexistence of either jugular -venous distension, edema, or abnormal heart sounds (Lipe & Beasley, 2004). Moreover, a day following the surgery she should be encouraged to sit up in her bed for nearly 5-30 minutes and on the following day to stand or sit outside her room. Based on Maslow hierarchy of needs model, people are prepared to act upon other health development needs when their absence needs are fulfilled. Hence, the intention should be to offer Anita nursing care that is safe, while being developmentally appropriate to her. What Anita requires is a creating and sustaining upbeat and healthful relationships with her and her family. Maslow asserts that needs within higher levels are less leaning towards an individual physical survival, and more toward his or her psychological comfort and development. Furthermore, there has to be the monitoring of any changes in her mentation and signs of growing abdominal pain. Hence, patient has to be given continuous nasogastric suction to counter abdominal tenderness, vomiting, and tachycardia. She has to be at rest in a semi-fowler’s position, so that gravity confines exudates towards her lower abdomen and pelvis, thus, easing abdominal tension. In order to refocus her attention from just sleeping, it is crucial to offer her diversion activities, so as to improve coping abilities. Under nursing priorities using Maslow model, the key is to prevent complications, promote comfort and offer her and her family information regarding potential complications (Lipe & Beasley, 2004). The National League for Nursing Educational Competencies Model (2010) Spirit of Inquiry states that, nursing decision should be in a manner that assesses the evidence which underlies a particular clinical nursing practice, so as to confront the physician status quo, or query underlying assumptions provided so as to provide new insights to improve patient quality of care. Therefore, Client #2 known as Ella should be given the second Read More