The Science of Nursing Decision Making

The Science of Nursing
Decision Making

Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY..................................................................................................................................1
the Engel (1977) Biopsychosocial Model....................................................................................1
Identify a patient’s need (health problem) and assess it holistically from the biological,
psychological and social aspects.................................................................................................1
identify the recommendations that would be appropriate to introduce to the patient’s care plan
.....................................................................................................................................................3
CONCLUSION................................................................................................................................4
REFERENCES................................................................................................................................5

INTRODUCTION
Nursing decision making includes the conclusion about health status of patient and also they
are being involved in determination of needs so that health related wants and demands of patients
are being fulfilled. Present report will lay emphasis on patient Mr. Murphy. Mr Murphy is seen
by the intermediate care team at home complaining of worsening breathing difficulties over the
last few days. Patient has a history of COPD and is suffering from upper respiratory infection
from past two weeks. He has not consulted any health care professional so far. Patient is married
and he has 2 children. The report plan is about care plan which has been identified and given to
Mr. Murphy. Present report will lay focus on a patient’s need (health problem) and the report
will assess it holistically from the biological, psychological and social aspect.
MAIN BODY
the Engel (1977) Biopsychosocial Model
The Biopsychosocial model assists in understanding a person medical condition. This
model explains that there are various physical, social and biological factors that can affect an
individual health condition. All these factors needs to be taken into consideration when taking
care of patient. By analysing these factors health care professionals can have analysed the issues
which has been faced by service user. They can make use of adequate interventions by making
use of this biopsychosocial model. There are various emotional, behavioural and social factors
which can affect the health and well-being of an individual. This model must be used for
assessing the condition of patient. It will assist health care professional in enhancing health
outcome of patient.
Identify a patient’s need (health problem) and assess it holistically from the biological,
psychological and social aspects.
Mr. Murphy has a long-standing history of emphysema which is popularly known as COPD.
Patient has been involved in smoking cigars sometimes, even after suffering from the respiratory
disease. Mr. murphy weighs 76 kg. Patients mother was suffering from COPD which means he
has family history of COPD. Service user was consuming Glycopyronium/indacaterol inhaler, 1
puff daily. For this health care professionals needs to be involved in analysing patients’ needs so
that health and well-being of patient can be improved (Melin‐Johansson, Palmqvist and
Rönnberg, 2017). Proper and adequate care needs to be given to Mr. Murphy so that their health
outcome can be enhanced. The initial observation of patient was RR 36. It means that this
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