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 Nursing example Essay

This kind of assignment hopes to demonstrate the use of the Roper, Logan and Tierney model of medical for evaluation of a individual presenting with an ectopic pregnancy. The topic begins with a definition of ectopic pregnancy. This will be adopted with the summary of the patient and an explanation with the model used to assess the affected person. The analysis is based on pre-operative care. One specific identified need of the affected person will be discussed in detail with regards to the care implemented. The care supplied will be critiqued along with a review of model of nursing.

Ectopic pregnancy, also known as an extra uterine pregnancy is a potentially deadly form of being pregnant. It occurs when the implantation of the zygote can be outside the uterine cavity (Walker & Roberts 2002). The commonest location is within the fallopian tubes (Abbott 2002). In britain there are about eleven 1000 cases each year resulting in four maternal fatalities (DoH 1998). Several predisposing factors raise the potential of an ectopic pregnancy occurring which include: previous ectopic pregnancy, tubal damage as a result of abdominal medical procedures or infection such as Pelvic Inflammatory Disease, smoking and with increased age. However , typically the cause can be unknown (Tay et al 2000).

Stacy (actual name withheld to keep confidentiality) the person, is a twenty five year old feminine. She lives with her partner of 5 years. Stacy presented with the ultrasound scan department. The day prior to entrance she had discovered that the girl was pregnant. The scan was expected by her general practitioner as a result of her prior history of a great ectopic being pregnant four weeks prior. The scan proved that there was clearly no proof of an intra uterine pregnancy sac. Appearances suggested towards an extra uterine gestation sac longchamp pas cher adjacent to the ideal ovary containing an embryo of three millimetres in size with heart pulsations. The final outcome of the check out showed presently there to be present an ectopic pregnancy inside the right fallopian tube. Consequently, Stacy was admitted because an emergency to a specialist gynaecology ward where the writer was centered. She was introduced to her primary registered nurse and the users of the crew to which the lady was given. The ward uses a group approach to nursing care to get a consistency inside the care provided. Stacy was scheduled to have an emergency salpingectomy (removal of fallopian tube) to be preformed by laparoscopy under basic anaesthetic which can be the transferring of an endoscope through the stomach wall.

The nursing style used to prepare Stacy's attention was based upon the Roper, Logan and Tierney Actions of Living Model (Appendix 1). It's the model of make use of on the keep to provide a all natural approach to proper care. This model was first published in 1980 as a result of a research job undertaken by Nancy Roper in 1976 (Roper ainsi que al 2002). The ideas underpinning the model happen to be Maslow's Structure of Requires (1943) as well as the work of nursing theorist Virginia Henderson (1969).

Maslow's Hierarchy of Needs (1943) is theory of man motivation. In order to reach one's full potential, to which he refers because self-actualisation, fundamental physiological requires must be achieved. Achievement of theses basic physiological requirements provides the inspiration to progress through the different levels of need. Nursing is required to facilitate the achievement of the standard needs to be able to reach self-actualisation (Roper ain al. 2002).

Roper ainsi que al developed the style from Va Henderson's theory of nursing jobs. Her theory proposes that you have fourteen fundamental needs of the individual which incorporate the fundamentals of nursing jobs care. Roper et approach derived from this twelve 'Activities of Living' (Roper ou al 2002, Tomey & Alligood 2002).

Nursing involves four critical concepts affecting the development of nursing theory as well as its application to train. These are each known as the four metaparadigms of nursing: the consumer, environment, health insurance and nursing (Tomey &...

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