Nursing Care Models Worksheet Guidelines

Updated 9/2019

Purpose

The purpose of this assignment is to identify nursing care models (not Nursing Theories) utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7) 

CO4: Apply concepts of leadership and team coordination to promote the achievement of safe and quality outcomes of care for diverse populations. (PO4)

CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)

CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

 

Points

This assignment is worth 200 points.

Directions: Use this form to complete the Week 5 Nursing Care Models Assignment: Nursing Care Models Worksheet  (Links to an external site.)

1. Read your text, Finkelman (2016), pp- 111-116.
2. You are required to complete the assignment using the template.
3. You will cite the textbook and one scholarly source for each of the two models. Scholarly references must be published within the last 5 years, peer-reviewed, from the Chamberlain Library only and you will need to provide the Permalink
4. Review the information provided in our library of how to search for journal articles (Links to an  
5. Review the information provided in the library on how to locate and copy a journal permalink 
6. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
7. Identify the Model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model
8. Review and summarize one scholarly resource (not your textbook) related to the nursing care model you observed in the practice setting.
9. Review and summarize one scholarly resource (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
10. Discuss the nursing care model from step #9, and how it could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
11. Summarize this experience/assignment and what you learned about the two nursing care models.

You find that your recently widowed, 81 year old neighbor, Miss Betty, seems somewhat agitated and tense in the past couple of weeks. She told you she is “having trouble making decisions and keeping up with her finances”. Also, that some days, she finds herself with “no energy” and just sits and watches television all day. She “seems lost without her husband.”

Discuss three ways the health care team could help Miss Betty get back on track with her life. Include why these measures would help and the expected outcomes of what Miss Betty would need to achieve with the listed interventions in one month, should she follow everything you taught her. Remember, you are a nurse by trade, but also Miss Betty’s friend. Sometimes, it can get more complicated being in these two roles at one time.

 Now that you are writing your “A Note to Your Future Self” assignment, what have you enjoyed about reflecting on your academic goals and graduation day? Explain how you will stay motivated as an online student. What is the number one thing you need to do to make sure you manage your time effectively so you can fulfill your goals? 

 

During the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems.

To Prepare

• From the list below, select a disorder of interest to you:
  • Alzheimer’s disease
  • Asthma in children
  • Chronic obstructive pulmonary disease (COPD)
  • Congestive heart failure
  • Hepatic disease (liver disease)
  • Hypertension
  • Hyperthyroidism and hypothyroidism
  • Seizures
  • Sepsis
• Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.
• Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder. 
• Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder.

To Complete

Develop a 5- to 10-slide PowerPoint presentation that addresses the following:

• Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.
• Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.
• Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder.

 Chapter: 20 Anus,Rectum,Prostate 

While you are examining a 1-year-old girl, the mother mentions how eager she is to begin toilet training her child. How should you respond? When is it best to begin toilet training? 

What do the rectum and anus form?

Control of the external anal sphincter is gradually achieved at what age?

Differentiate between internal and external hemorrhoids.

You are observing an examiner take the history of a 70-year-old man as part of the musculoskeletal examination. You notice that the examiner asks the patient about exercise habits in his early years. Is this a relevant question to ask this patient? Why or why not?

A young woman is concerned about a 1-cm difference in the length of her legs. What is the best response to give this patient?  

A 3-year-old boy has had anal itching that becomes worse at night. What do these symptoms indicate?

You are assessing a pregnant woman who has had a fourth-degree perineal laceration. Why is it necessary to assess this patient’s anal sphincter function? 

You are about to perform a rectal examination of an older adult. What is the suggested position for this patient? 

What is a clue to the diagnosis of Hirschsprung disease?

What do persistent, pencil-like stools suggest?

Distinguish between the stool of a formula-fed baby and a breastfed baby.

Create a chart or two-column list that compares the risk factors for colorectal cancer with those for prostatic cancer.

What are the risk factors for colorectal cancer?

What are the risk factors for prostate cancer?

What symptoms are associated with BPH?

JF is a 42-year-old patient who presents for an annual examination, but he complains that he has had a fever for the past few days and recently some “urinary symptoms.”

1- Describe the best method for a rectal examination during the physical assessment

2- What additional past medical history questions would you ask of JF since you suspect prostatitis?

3- During the rectal examination of JF with acute prostatitis, what findings would expect on physical examination? .

A, Correct procedure for introducing finger into rectum. Press pad of finger against the anal opening. B, As external sphincter relaxes, slip the fingertip into the anal canal. Note that patient is in the hips-flexed position.