CNA343 Strengths Based Nursing & Healthcare Assignment

Running head: NURSING ASSIGNMENT
Nursing assignment
Name of the student:
Name of the University:
Author’s note

1NURSING ASSIGNMENT
Introduction (Overview of Emma’s journey):
The report focuses on a strength based nursing care (SBNC) plan for Emma Gee, a 24
year old girl who was vibrant young children with active lifestyle in childhood. However, her life
changed all of a sudden when she started experiencing disturbing symptoms and was diagnosed
with stroke. There were several transition points in her life associated with great challenges and
sufferings at those point of life such as revelation about the diagnosis of stroke, going for the
surgery and remaining coma, the life after regaining consciousness and struggling with activities
of daily living after stroke (Gee 2016). This report mainly focuses on the transition point of
nursing care following Emma regaining consciousness after coma and analyzes the usual care
provided to her. Based on evaluating experience of Emma in that period, a SBNC plan is
developed for Emma to promote her empowerment by following eight principles of SBNC.
Overview of implementing strength based nursing care for Emma
The strength based nursing care (SBNC) is an innovative approach to care that
emphasizes on a new set of values to promote empowerment, self-efficacy and hope in patients.
Unlike the medical model of care which is focused on treating the disease and not the person, the
SBNC model is similar to patient centered care model where focus is on healing of patient
(Gottlieb, Gottlieb and Shamian 2012, pp. 38-50). In case of patient-centered care, healing
occurs within the relationship between staffs and the participant, and the SBN focus on creating
an environment that enhances the patient’s capacity for health and innate mechanism of healing
(Gottlieb 2014, pp.24-32). Unfortunately, all the above elements were missing in the usual care
provided to Emma after coma. The use of SBNC care plan is important for Emma during the
transition point of Emma regaining consciousness after coma because in the usual care provided

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to her, the specific needs of Emma and her strength was not considered for care planning. For
example, just after she regained consciousness, she wanted the medical team to talk to her,
however they were in a conversation among themselves. The review of the usual care revealed
no action to identify what treatment of care option is working well or it will work best for Emma.
With the use of SBNC, the main plan is to work with strength of Emma to overcome her
problems and deficits. The strategies followed to implement SBNC for managing her care after
regaining consciousness will focus on the principle of holistic personalized care, empowerment
of patient, family/person centered care, context based care, collaborative partnership and self-
care (Gottlieb, Gottlieb and Shamian 2012, pp. 38-50).
After regaining consciousness after coma, Emma relied mainly on medical staffs for her
daily life activities like cleaning, washing, feeding and rolling. She always felt like poked and
prodded and missed seeing the familiar faces like her family members in front of her. She failed
to communicate with her family member after the black mask on her mouth. To implement
SBNC for Emma, the immediate strategy is to engage in a therapeutic communication with
Emma first to identify her strength and weakness and then develop care plan for her. The nursing
behaviors like active listening, assessing patient’s understanding and preference of treatment
option, validating their participation in decision making and communicating with empathy (both
verbally and non verbally) is likely to enhance patient centered communication while caring for
(Emma Elwyn et al. 2014, pp.270-275). While providing her support in daily life activities, all
considerations will be made to respect her dignity and find out Emma’s preferences in receiving
support. In addition, including family members in care planning will be very crucial as they can
give lot of information about strength and coping skills of Emma. Based on family strength
assessment, their family member can also be involved in care so that Emma does not feel