CNA343 Marking Rubric for Assessment
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Strengths Based Nursing & Healthcare (CNA343)
Added on 2020-05-08
CNA343 Marking Rubric for Assessment
Strengths Based Nursing & Healthcare (CNA343)
Added on 2020-05-08
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0Running head: EVIDENCE BASED NURSING RESEARCHEvidence based nursing researchName of the student:Name of the University:Author’s note
1EVIDENCE BASED NURSING RESEARCHDiscussion on method to enhance Emma’s health care needs with strength basednursing care (SBNC):Emma journey:Emma Gee was a 24 years old girl with a charming childhood and interest in running.However, her life changed all of a sudden when she suddenly became a stroke victim andcompletely dependent on the medical system for speech, movement and other life activities.There were different transitions to her journey starting from a young vibrant girl to sufferingfrom disturbing symptoms. She witnessed tragedy in her life too when she suffered adebilitating stroke during brain surgery and went into coma. The next story is about her lifepost stroke when she had to fight a daily battle with poor vision, balance and mobility (Gee2017). The main focus of this report is to analyse the usual care provided to Emma andimplement strength based nursing care strategies to address Emma’s health care need. Thereport will mainly focus on addressing her health care needs after coma when she struggledmainly in her daily life activities such as speech, mobility and showering and was completelydependent on the hospital staffs for her activities of daily living (ADLs).Strength based nursing care and its relation to Emma’s case:The strength based nursing care mainly focuses on a value based approach to carebased on the five principles of patient centred care, empowerment, health promotion andhealing, collaborative practice and innate capacities for health and healing (Gottlieb et al.2012, pp. 38-50). A predominant shift to strength based nursing is seen recently because ofthe deficits in the biological model of health care system. Unlike past health care modelswhich focused only on physical needs of health, the strength based nursing care (SBNC)model focuses on holistic approach to care by focussing on what will work best for a patientand analysing the care strategy based on the context of the individual patient’s and family’s
2EVIDENCE BASED NURSING RESEARCHcircumstances and abilities. The utilisation of each of the principles in the SBNC promotesdeveloping a negotiated care plan to meet specific person’s health needs (Gottlieb 2012).SBC mainly recognize utilize and develop a person’s strength to promote health andrecovery. In the context of Emma, focussing on SBC to address the deficits in her daily lifeactivities is likely to have significant impact on her recovery. Gee (2017) has presented thatEmma was diagnosed with stroke along with many of the deficits like dysphasia, mobilitydeficits, dysarthria and sensory balance deficits. Presence of all these symptoms in Emmamainly implies that she had difficulty in swallowing foods (dysphagia), making speech(dysarthria), left side paralysis and right side facial paralysis. All this meant that her balanceand mobility would be seriously affected after stroke and she would face mainly difficultiesin ADLs. The usual care that she received was the support of a physio and two nurses whilewalking and finally she was given a wheel chair as she had great difficulty in walking. Shewas also under catheter due to incontinence deficits. Hence, her life revolved and dominatedaround the hospital staffs. It is planned to replaced her usual care treatment by adoptingSBNC strategies to promote health and well being in Emma. Strategies to implement SBNC for Emma’s care:To approach Emma’s recovery by using SBNC approach, the three critical transitionpoint chosen is her life after coma, experience with daily life activities and psychologicalstruggle with the disease. The major focus is on using strength based approach to addressechallenges in ADLs and the strategies will be mainly formulated with the core assumptionthat every person is unique and they have their own sense of understanding about experiencesand environments (Gottlieb, Gottlieb & Shamian 2012).. Hence, the first strategy will be toengage in appropriate communication with Emma Gee and her family members to understand
3EVIDENCE BASED NURSING RESEARCHthe vulnerabilities, weakness as well of strengths of patient and family. This exercise can becomplete by the family strength assessment. The identification of weakness and suffering willhelp to formulated appropriate care plan whereas the identification of strength will promotehealth and building resilience skill in patients like Emma (Kitson et al. 2013, pp. 4-15) Aspart of SBNC principles, the important strategy will be to help Emma recognize and discoverher strengths and then capitalize on them to minimize the limitations of weakness in patient. The next strategy after communication will be to train Emma on improving hercapacity to ADLs by employing compensatory strategies. As stroke patients mainly lose theircapability to motor control, new approach will be implemented to incorporate task specifictraining. The goal will be to enrich daily activity and independence in Emma and focus onintensive practice to build strength, speed and endurance in physical movement. Her mobilityrelated activities will be mainly strengthened by repetitive practice under the optimalconditions favourable for Emma and reinforcing the new behaviour permanently in patient.Use of these SNBC strategies is likely to address serious functional limitation in patient(Dobkin & Dorsch 2013, p. 331). In addition, the hospital environment and engagement ofhospitals staff all around Emma was a traumatizing experience for Emma which took a tollon her psychological health. With the use of SNBC approach, she will get all kinds ofrehabilitative support from the comforts of her home and her coping skills be strengthened todeal with stroke in a better way (Azeem et al. 2011, pp.11-15.). SBNC for Emma with focus on family functioning (Think family): The review of Gee (2017) has revealed that Emma was also always surrounded bynurses and hospital staffs and she was always put into some new medical activity beforerecovering from one activity. However, it would be essential to understand the support thatEmma got from her family members as collaboration with family members is also a focus of
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