Models of Nursing Care

Patient Care Experience
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Introduction
Health care delivery with patient satisfaction in medical care remains significant challenges, even as our health care system is undergoing complex changes. Patient-centered care has gained acceptability among health care professionals and patients alike as an essential tool for ensuring the quality of patient care. Patient involvement in care is a crucial aspect that ensures that the care incorporates the needs of the patient. It is also vital to assess the quality of health from the patients’ perspective as this improves the health care quality by accelerating the implementation of patient-centered outcomes research.
Patient experience of Nursing Care
Peter has a diabetic foot. Diagnosed with diabetes at the age of 37 years he did not know what to do. Besides, he did not understand what to expect from the family, community and the hospital team. He has been in and out of the hospital for the past 35 years and this time he was amputated the second leg at the knee level. For the 35 years, diabetes has taken a lot from him
For Peter, he has experienced a lot from the caregivers but the most recalled experience he had was the treatment he received in the care facility where he did the first leg amputation. For a person with experience, he vividly explains what we can call a different type of care from the previous carers or even the present carers. In an interview, the patient and family both displays the same feeling about the care they received during this period.
Peter got admission three summers ago. He had an accident on his car affecting one of his legs. The casualty and emergency team received him providing a personalized care. His initial concern was the pain that he was experiencing. For a person with such pain after an accident potent analgesics were necessary. However, Peter explains how the team gave mild analgesics then supplemented it with non-pharmacological of pain management the nurses were friendly and explained every step of this care. Not only his pain adequately managed but also he has to know many of the friendly nurses that helped him throughout the five months admission period. The patient education was adequate that Peter learned how to cope with pain even during the preceding hospitalization. A nurse assigned to Peter took care of a particular need with an aim of quick recovery. This nurse was responsible for day-to-day care
Then infection set in. For the diabetic person like Peter, pain was not much an issue since,for the 30 years of inadequate management, pain sensation was very minimal especially at the extremities. Infection at the wounded leg is what eventually reclaimed his leg. Peter hated taking the oral drugs. On a confession, he explains how he threw them day after day to comply with the daily dosages. The nurse trusted Peter, so they did not feel the need for close monitoring. Besides, the nurse had other patients to take care of and often reassigned him. Therefore, they could not clean his foot frequently. Before he knew it, the infection had spread all over the wound and amputation was the only point of redemption.
The amputation surgery was a success. After the surgery,Peter got assistance from a different nurse who usually was close. Together with the physiotherapy team, the nurse organized for the patient training of the use of assistive locomotion on how to use wheelchair and clutches. His faith denied him a chance to use prosthetics. The physician backed up this suggesting that prosthetic can cause more wounds hence hinder his full recovery.
During the care, Peter got encouragement from family and friends as the nurse allowed them to visit. The family explains how interactive the caregiver was. The nurse knew what to share with the family and friends the tone of speaking. During the initial days, the nurse usually reassured them that all would be well. The family got enough time to look after the patient and got all information from the nurse. They ensured that Peter never got lonely.
The patient care needs and how the care given met these needs
The patient has quite a much expectation especially when it comes to nursing and nursing care. Patient education is one of the major expectations. Patients’ deficits and gaps in knowledge about their disease, disease stages, and examinations needs to be filled up by the nurse. However, it is evident that despite patients high educational expectations, some aspects of care fail to meet these needs, more often causing dissatisfaction. In educational dimensions, the provision of necessary patient information brings about the least form of satisfaction ADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "DOI" : "10.1891/rtnp.2005.19.3.275", "ISSN" : "08897182", "PMID" : "16144244", "abstract" : "This research identified patients' expectations for their hospitalization and immediate, posthospitalization outcomes of care. Patients' expectations for care are integral to tailoring care to meet needs. Little investigation of patients' overall expectations for hospitalization exists and standardized instruments to measure them are unavailable. Qualitative analyses of 20 interviews yielded 105 data bits, subsequently rated by a second sample of 18 patients. Eight themes and 70 items resulted. Several expectations are distinct from items typical in patient satisfaction instruments. Assessment of patient expectations offers insights to what they value and expect during hospitalization and provides an important foundation for assessing patients' experiences, based on their expectations. Such assessment ultimately contributes to the goal of assessing patient-centered care.", "author" : [ { "dropping-particle" : "", "family" : "Redman", "given" : "Richard W", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Lynn", "given" : "Mary R", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" } ], "container-title" : "Research and theory for nursing practice", "id" : "ITEM-1", "issued" : { "date-parts" : [ [ "2005" ] ] }, "page" : "275-285", "title" : "Assessment of patient expectations for care.", "type" : "article-journal", "volume" : "19" }, "uris" : [ "/documents/?uuid=3b3a03a2-31f5-4c3e-8148-0ceca878c4b5", "/documents/?uuid=e9e83f0b-7038-41ac-a4d0-a8fa0bcfc06c" ] } ], "mendeley" : { "formattedCitation" : "(Redman & Lynn, 2005)", "plainTextFormattedCitation" : "(Redman & Lynn, 2005)", "previouslyFormattedCitation" : "(Redman & Lynn, 2005)" }, "properties" : { "noteIndex" : 0 }, "schema" : "...