Doing for Patients: A Nurse's Duty to Care.

Swanson middle range theory of care include five caring processes but I find the "Doing for" caring process the most interesting because in most cases I work with the terminally ill patient who has a negative outlook at life have regrets and little hope. Doing for requires the nurses to do for the patient as they would do for themselves if they were able. Therefore, I took it upon myself to anticipate patient needs and provided them or arranged for their needs to be met. One strategy I use more often is to make a schedule and set a reminder. My pager always rings at specific time intervals to remind me to look at my notes and schedule and attend to specific patient whether it helps with bowel movement, adjust sleeping position, sing a song, chat or tell them a story. I find anticipating patient needs important since it helps in finding a solution to the problems before the patient finally ask for help.

My critical thinking is very important to me during my shifts because it can help me to analyze, and understand the patient needs that anticipate the positive changes in the parent condition for me to prepare in advance, care planning rewires the nurse to read the patient's records and plan the course of action to be taken at a specific time. Anticipating patient needs also help in selecting a solution or treatment strategy from a range of strategies then making an informed decision based on the patient records.

Most of the patient worry about the nurse's schedules and wonders If the nurse will provide the necessary care and assistance at a specific time. Some patient does not like the feeling that the nurse will not remember them or miss features of the case (McKelvey, 2018). Therefore, if the nurses keep constant communication with the patient, it becomes easy for the nurse to be a step ahead of the patient's needs. During observation and clinical rounds, the nurse can observe the patients determine what the patient might need then fill the needs in advance without waiting for the patient to ask. The anticipatory services can significantly improve patient outcomes. Sometimes asking the patient to inquire about their prescription drugs, possible drugs effect and analyzing the patient condition can help the hospital determine whether to discontinue specific prescription drugs or increase the dosage instead do waiting till it is too late can help in preventing an emergency.

I also take patient handing over very important because it helps in preventing information loss or ambiguity (McKelvey, 2018). The first thing that a nurse should do on entering the medical facility is to ensure that they are updated of all the patient's conditions to help in analyzing and anticipating what the patient needs would be (Castledine, 2002). Care planning and discharge planning requires the nurse or case manager to understand the setting to which the patient is being transitioned. This way, it becomes easy for the nurse or case manager to determine what the patient will need whether the patient will require comfort or whether the patient is likely to require preservation of dignity. The case manager can then communicate with the management of the next facility on what to expect from the caregiver and plan how to deliver on those unmet needs.

III. Doing for (Enact for) Doing for the other as he/she would do for oneself

Choose at least

2 to implement Nursing Caring Interventions What do you plan to do that exemplifies the caring aspect listed? Nursing Caring Interventions What did you do that exemplifies the caring aspect listed? Evaluation

Patient Response

1. Comforting

Positive talk to improve their confidence and self-esteem. I discussed with the patient her problems both physical, spiritual and emotional then offered holistic care and convince the patient that there are those in a worse situation and have recovered The patient agreed to start taking active care and start positive self-talk

2. Anticipating client needs I will plan visits and inform the patient of my next visits I reviewed patient records and created a schedule for all patients to be visited and set a reminder The patient was expecting me as I had informed her and she waited to discuss with me her health issues

3. Performing competently/skillfully Carrying out the physician assigned tasks and demonstrating a high level of patient care Took the patient vitals, reviewed the patient records and carried out medication reconciliation before initiating care The patient demonstrated that she completely trusted me to deliver the best care even if the procedure was complicated

4. Preserving dignity

Not undermining the patient's self-respect I first talked with the patient to understand her unique story then ensured that I handled her with the respect she deserves. I did not shout, belittling, or do anything that undermines the patient's self-respect. The pageant often asked the other nurses to call me whenever she wanted help with sensitive issues such as reliving herself or talking to her family members

IV. Enabling (Empowering) Facilitating the other's passage through life transitions and face a future with meaning

Choose at least

2 to implement Nursing Caring Interventions What do you plan to do that exemplifies the caring aspect listed? Nursing Caring Interventions

What did you do that exemplifies the caring aspect listed? Evaluation

Patient Response

1. Informing/

explaining-

patient education I first educated the patient about cardiac catheterization, the reason it is done and the importance of the results I provided the patient with a list of option that could be undertaken then explained the rationale for preferring cardiac catheterization in her case The patient asked several questions that were answered and finally, agreed for the procedure to be carried on

3. Validating/giving feedback Answering that the patient's concerns and worries were addressed I asked the patient about her perception and fears then provided her with well thought out answers to her question The patient acknowledged my feedback and thanked me for priding answers.

References

Castledine, G. (2002). Anticipating the patient's needs: a key nursing skill. British Journal of Nursing, 11(3), pp.215-215.

McKelvey, M. (2018). Finding Meaning Through Kristen Swanson's Caring Behaviors: A Cornerstone of Healing for Nursing Education. Creative Nursing, 24(1), pp.6-11.

Subbe, C., Goulden, N., Mawdsley, K. and Smith, R. (2017). Anticipating care needs of patients after discharge from hospital: Frail and elderly patients without physiological abnormality on the day of admission are more likely to require social servicesinput. European Journal of Internal Medicine, 45, pp.74-77.