NUR1100 Nursing Care Approaches Report: Patient Palmer's Care

This report provides a detailed analysis of nursing care approaches, focusing on the case of patient Palmer, a single mother admitted to a healthcare facility with a fall injury. It explores the significance of caring behaviors, including sensitivity, honesty, and compassion, and their impact on patient outcomes. The report examines the 6 Cs of caring (compassion, competence, confidence, commitment, conscience, and comportment) and their application in nursing practice. Furthermore, it delves into Watson's theory of caring, emphasizing the interpersonal aspects of care and the holistic approach to patient well-being. The report highlights the importance of nurses' commitment to therapeutic care, the integration of caring theories, and the positive impact of these practices on patient satisfaction and recovery, as evidenced by the case study's assessment and protocols.

Nursing Care Approaches
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Introduction
Care in nursing is a fundamental aspect of patients’ progress and recovery. In this
review, patient Palmer Demise's journey of care and medication management is being
highlighted. Patient Palmer is a single mother of three, currently admitted at the health care
facility with fall injury. The patient is exhibiting a pain score of 7, and managing this level
score and wound injury occasioned from the fall is fundamental for the care process. This
review will assess caring aspects and theoretical perspectives in the nursing practice.
Types of caring behaviors
Caring portends an important aspect of the nursing profession. A definite definition of
care is found absolute; however, it is explained in the context of caring behaviors. It entails
actions that are concerned with the general wellbeing of patients in health care, this is being
demonstrated towards Patient Palmer during the medication journey process. Some of the
key fundamental aspects of care entail sensitivity, comforting, honesty and having a
nonjudgmental acceptance.
Caring behaviors can be influenced by the perceptions of patients and nurses, type of
health care institution, diagnosis of patents and contextual culture (Chana, Kennedy &
Chessell, 2015). At times studies have shown that caring behaviors might be at odds with
the conditions in which nurses work. Further, cultural differences effects caring behaviors
have been discussed. Nurses' self-respect, experiences, beliefs, and circumstance in the
workplace can affect caring behaviors.
Bedside nurse demands have a greater demand as the struggle for competing for
demand sis imminent for enhanced patient experience. The hectic activity of nurses can at
times demonstrate the discernable care to the patient. This is observed in the case study in
the manner in which the nurses are managing the patient focusing on a patient centred care
approach. Lack of conscious attention on the development of caring behaviors can
negatively affect the nurse-patient relationship. Identification of caring behaviors that are
acceptable by the patient is fundamental in enhancing a patient’s centered approach
contributing to the overall patient experience, this was evidence by the nursing students in
case study. The nursing students are often seeking consent from the patient and
communicating all care they intend to attend to the her improving the relationship in the care
practice.
A study conducted for patients in an intensive care unit in Ireland identified the top
five fundamental caring behaviors showcased by the nurses to the patients. The nurses

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identified the tope most caring behaviors a knowing what you are doing, treating the patient
with respect, being kind and considerate to patients (Colomer & de Vries, 2016). Further, in
a study done in Sweden, the patients indicated that knowing how to call a doctor, how to
give injections, being honest, and putting patients first and speaking to the patient was highly
influencing factors on caring behaviors. The nurses rated that the top caring behaviors entail
patients listening, putting the patient first, talking to the patient and ensuring the patient is
able to understand what you are talking about as evidenced in the case study on patient
Palmer (Modic, Siedlecki, Griffin & Fitzpatrick, 2014).
Further, a study by Salimi & Azimpour (2013) demonstrated that caring behaviors are
an essential human need and are key in the nursing process. Caring behaviors as observed
from the case study indicate actions linked to the patients’ well being such as comforting,
sensitivity, attention, being honest and having a non judgemental mindset.
Most often caring behaviors are not documented in the caring practice, in a study by
Weyant et al., (2017) showed that most of the emerging caring behaviors entailed offering
treatment information, providing reassurance, showcasing proficiency and being present at
care at all times. Other aspects of caring were essential in giving guidance and application of
soothing voice. Caring aspects on patients are key during recovery process and periods of
high-intensity activity in the medical setting. In the case study, the nursing students
demonstrated aspects of care through constant attention on the patient hence giving hope
and speeding her recovery process.
Relation of caring behaviors on the 6Cs
Caring aspects are characterized by the 6 Cs aspects of caring to entail compassion,
competence, confidence, commitment, conscience, and comportment. Compassion refers to
the general experience we all go through suffering while w desire for help. This avenue
allows nurses to treat patients and individuals and not the underlying disease (Jakimowicz,
Perry & Lewis 2017). This quality cannot offer any replacement undertaken by machines,
thus acting as a reminder in the nursing profession that we are all human beings,
irrespective of any differences, nurse’s need to be connected through care aspects and
empathy to the patients. True compassion often exists when a nurse understands aspects of
free bias and racisms which undermines this attribute (NMBA, 2017). The nurses in the case
study demonstrated compassion by demonstrating patient feelings and being concerned on
their safety and recovery attributes.
Competence aspects for nurses indicate that they need to meet the standards which
enhance the quality of care for the patients (ICN,2012). A competent nurse can utilize an

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evidence-based approach together with interpersonal skills such as aspects of confidence
and compassion to manage work ethically and within their practice scope. Building aspects
of confidence is fundamental caring behavior. Confidence is enhanced through experience,
practice and knowledge development (Roach, 2013). This allows nurses to act precisely,
effusively and collaboratively and with continued learning and competence as observed in
the case study (ICN, 2012). A competent nurse can enhance strong beliefs and conscience
towards their work on the positive contribution of the patients and the community at large.
The aspect of commitment indicates a mindset that has both the conscious and
subconscious attributes. Commitment is the ability to treat every task and each moment with
a high level of care. Nurses provide a moral and ethical commitment to providing holistic
care process which demonstrates person-centered care (NMBA,2017). Conscience
demonstrates the aspects of being right or wrong in the scope of practice. it is influenced by
the nursing ability to assess from the patient's point of view and demonstrate care
appropriate care. In this avenue, it negates the nurses to perform duties for the patient’s
sake. Further, advancing conscience can entail advocating behalf of the patients where
appropriate (NMBA, 2017). Aspects of comportment demonstrate the professional
presentation process as demonstrated in the case study. The appearance, attitudes, and
behavior often communicate a lot in this aspect. Nurses need to monitor and promote
aspects of personal health on avenues of self-care for others (ICN, 2012).
Hence these aspects of caring behaviors can always be influenced by the overall
nurses' and patients' perceptions. The contexts of culture, diagnosis of patients, institution,
ages of both patients and nurses can always influence the aspects of caring behaviors.
Moreover, the availability of time and support can affect the process of care.
These aspects of care were all demonstrated in the case study video on the
management of patients Palmer. The nurses involved all critical elements in showing and
demonstrating caring behaviors to the patient. The nurses enhance confidence levels, the
conscience of the patient's needs, being competent and demonstrated commitment in the
care process.
Watson theory of caring
The nursing profession is critically defined by aspects of caring. Caring is an
essential component that allows us to embrace positive energy flowing through the mind,
spirit and offers a mutual reward for both the nurses and the patient. Based on Florence
Nightingale's vision of nurses as putting the patients in the bests position to enhance self-
healing is critical in caring components. Caring enhances and facilitates a mutual experience

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for both parties. In facilitating this avenue, theories have been developed to advance caring
approach in the nursing practice. In this case, a review of Watson's theory of caring is
focused on. Watson lays emphasizes the aspects of care for self and others.
According to Watson (2008), the underlying caring theory entails the ability of the
nurses to treat patients as humans and they cannot be separated by self, nature or other
aspects of the workforce. Nursing aspects based on this theory outlines on the interpersonal
processes occurring between the caregiver and reception of the care. This theory is
underpinned on the focus on human and observing caring to caring transpersonal aspects
with the ability to offer healing potential for parties, the nurse and the patient.
The overall nursing model outlines the aspect of promoting health, prevention of
illness, sick caring and restoration of health. Watson believes entailed holistic health care
approach which is fundamental to the nursing care practice. The creation of a plan is
essential for helping in the determination of essential variables and the type of data to be
collected from this process. According to Watson the nursing model encompasses seven
key assumptions entailing, caring demonstrated interpersonally, entailing curative factors,
promotion health, acceptance of patients’ state, develops a potential environment, caring
complements science of curing and nursing practice being central to care. These aspects of
care were demonstrated in the case study through the care process offered facilitating trust
and speed healing process.
Entrenching and incorporating these aspects of caring based on Watson's theory is
fundamental in the nursing practice these aspects were demonstrated in the case study
during the management of patient Palmer in the hospital setting. Consideration of the patient
environmental state and overall nursing care plan was evident in assuring that the patient is
offered a caring and healing process during the hospitalization process.
Conclusion
Nurses play a fundamental role in the nursing care process. Their commitment to
showcasing caring behaviors and committing to patient’s therapeutic care needs not to be
underscored. Nurses play a critical factor in the management of patient holistic needs.
Incorporation of Watson's theory of care facilitates an undertaking on the nature of care and
the needs of the nursing profession in improving the quality of service patients receive. The
case study care assessment and protocols offer a good avenue of how nurses need to
engage positively in the health care field. This is essential in improving self-satisfaction and
those of patients.

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References
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