Friday, September 26, 2014

Application of Theory in Hospital



As an Emergency Room Nurse, Assessment is definitely one of the most important aspects in our department. Starting a day in a busy accident and emergency department, assessment skills are definitely going to help me. Suggesting therefore that the skills associated with assessment cannot be taught but are developed over years of training and experience. However, it suggests that assessment skills are less than satisfactory until the practitioner has had appropriate experience in that particular area of assessment. With the help of Roper-Logan-Tierney’s Model for assessment of the Activities of Living. It made my work in ER very easy to identify and able to respond on a certain scenario or case that goes into our department in order to provide patient proper treatment, management and to give quality of service.

Mark Anthony M. Roque, RN
Staff Nurse- Emergency Room
Abu Dhabi-United Arab Emirates

Our skills being a Nurse to individualize our care plans for every patient are the most attraction or our uniqueness in the field of Nursing as Nancy Roper signified to us. Handling Renal Disease patients here in Kingdom of Saudi Arabia is a great realization of how noble our work is. Patients of dialysis who should be modified of life style, diet and everyday activities considering several factors that might affect them and our dealings with them, physical, psychological, socio-cultural, environmental. All implicates with an End Stage Renal Disease but Knowing the Roper-Logan-Tierney Theory it bridged us to give our everyday quality of care with utmost attention to the special needs of our renal impaired patients so that they can fulfill their daily activities independently.

Leila E. Rodriguez, R.N.
Dialysis Center, Saudi Arabia

Working as Emergency Nurse doesn’t mean meeting only the immediate need of a patient then having the thought weather the patient will be discharged or admitted.  With ADL’s theory my attitude for work had changed on how I view things. I realize saving life is not just about getting a person out of danger; it’s about helping them get their life back and living it to its fullest.

Everyday has been a busy day here in ER. We are receiving mostly cases of minor trauma and 8 out of 10 patients are coming from remote place of Abu Dhabi. Some of them are camel farmer that are usual victim of Camel-kick injury and others are laborers in various oil company. Those type of patient travels minimum of 2 hours just to get treatment and reassurance that they would be able to perform their ADL’s despite their injury.

Before we discharged patient we make sure that we educate them in a way they would understand. being an overseas worker; we consider the absence of a family member as their support system therefore our policy allows friends, employers and co- worker as a significant others.

In case of minor trauma let say lacerated wound. We put great emphasis on wound care. We don’t discharged patient with the instruction of coming for daily dressing but rather we teach them how to do it themselves. Or at least be assisted with the help from their significant others. This support enables a patient who doesn’t have the immediate access to a healthcare facility due to factors such as geographical location or lack of time will still meet their own healthcare needs like personal cleansing and dressing.

“When you care for a person; you don’t just partly give, you give as much as possible.”

RonJayson Taplacido
Charge Nurse in Emergency Department
Abu Dhabi, United Arab Emirates

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