C/N/194. Exploration of a needs orientated approach to care delivery

The paper examines the Roper Logan Tierney model of nursing as applied in the care of a colorectal cancer patient using a core plan for patient recovery. A case study is conducted of an elderly patient who had anterior resection after being diagnosed with cancer, describing the stages of nursing care she was provided with from assessment to planning, implementation and evaluation.

C/N/58. Research Proposal: Nursing

Despite substantial research and changes into the nursing practice in last two decades, certain practices have remained unchanged. In an age where nursing strives to become a research based profession, rituals have become stigmatized and often associated with thoughtless repetition. The research proposal detailed below, aims to study the accuracy of the fluid balance charts in measuring the intake and output of fluid and consequently the fluid balance of the body. In the quest to answer the above question, which forms the crux of the proposal, the study will also attempt to address many sub-issues. The fluid balance chart is extensively used and its inaccuracy has numerous implications vies-versa there are numerous reasons which can be attributed to these inaccuracies. The proposal is also followed by a comprehensive appendix consisting of a sample questionnaire and consent letter.

C/N/57. Critical incident analysis relating to own practice which is a women's centre (gynae and Obs) outpatient department

The role of the nurse practitioner within the obstetrics and gynaecological department is important for promoting better health for women before, during and after pregnancy. This analysis will be based on the role of the nurse practitioner in clinical decision making and in management of patient care during complicated stages of pregnancy. This is based on a case study of pregnancy with associated complications of diabetes and high blood pressure. A clinical management framework has been provided considering nursing models on reflective and adaptive practice and an action plan is also given.

C/N/56. CLINICAL PRACTICE

This paper is divided into two parts. The first part would deal with infection control methods and evaluation of clinical standard practice as followed in hospital units, noted with the help of direct observation of 3 units. The clinical guidelines for infection control especially with regard to hand washing are highlighted and the observations are compared in accordance with these standards. The second part of the paper is a reflective exercise using Gibbs (1988) cycle, on treatment and care approach offered to a diabetic patient who was admitted to hospital after she collapsed due to her condition. Treatment approaches and associated models of nursing are discussed suggesting that holistic approaches to practice are more clinically effective for such cases.

C/N/52. Reflecting in a specific nursing context of a high blood-pressure patient

This paper offers a detailed presentation of how nurses can utilize reflection in the context of a situation of a high blood-pressure patient. The importance of reflection is underlined, as well as the importance of the nurse communicating her findings to the rest of the nursing team.

P/N/89. Medical nurse: characteristics, requirements, guidelines

The paper offers a profile of a general medical nurse profession outlining their specific roles, task requirements, the scope of needed knowledge, the types of information seeking behaviour in nurses, means of information solution, trouble shooting guidelines, etc.

C/N/44. Case study of treatment of a case of fibroids

This revolves around a fictitious case of Mrs. G. a lady who presents with menorrhagia. It discusses the pathophysiology and clinical presentation of fibroids, the various treatment options, the options that she chose the rationale behind the treatment and the potential side effects. It is heavily referenced and written from the point of view of both the degree level nurse as well as the medic.

C/N/43. Mental Health Student Nursing. Discuss the holistic needs of Emma, a 15 year old pregnant patient with a family history of Downs syndrome, the skills and qualities necessary to provide holistic care and the implications of responding holistically to Emmas needs.

This brief report is based on a case study of a 15 year old pregnant woman, Emma with a family history of Downs syndrome. The discussion is focused on Emmas spiritual, physical, emotional and social needs during pregnancy, and the role of the nurse and NHS services. The importance of decision making in clinical management and informed consent have been highlighted in the context of Emmas pregnancy and possibility of termination of pregnancy. Considering that Emmas family member has shown Downs syndrome, the social responsibilities of having a child including possibilities of a genetic disorder are pointed out to Emma during an extensive counselling process to help her with informed decision making. Several social, biological, emotional and spiritual factors are considered to emphasise on the need for holistic care.

C/N/42. Portfolio of the nurse. Caring for patients suffering from depression. What is the nurses responsibility?

The purpose of this paper is to describe and discuss the significance of quality of care in relation to management and leadership theories. Furthermore, it proceeds to illustrate an episode of management in a clinical area as a 3rd yr student. The study provides a detailed description of the patients condition and it offers substantial information on depression, its progression and its psychosocial effects on the patient.

C/N/40. Heron model of patient treatment and the applications of the model to practice. Is the model effective after all?

The present study dealt with Herons six-category intervention analysis and presented the model in detail. The interpersonal skills which nurses need to develop were examined because as the literature suggests they are considered a necessary part for an effective therapeutic relationship with a patient. Following that, the procedure of developing a therapeutic relationship with clients was analysed. A reference was made to a personal experience I have had with a patient in the obstetrics unit suffering from SARS. As both the theoretical mainframe of the study and the personal experience section have shown, Herons model of intervention proved out to be a rather helpful way of approaching patients and a way of lessening the pain during the treatment period.

C/N/39. Emergency nursing care provided to a patient who has been involved in a road traffic accident and has sustained multiple injuries

This paper examines what type of nursing care must be provided to patient who has been involved in a serious road accident and who has sustained multiple injuries. The nursing philosophy behind the care, evaluation and assessment and the psychological care provided to the patient is described in detail.

C/N/37. Management and treatment of postoperative pain

This paper examines and evaluates how postoperative pain can be managed and treated effectively. The various medical as well as psychological and sociological interventions are discussed in detail.

C/N/36. Developing a portfolio on the role of the nurse, health visitor and midwife in public health practice

The present study is a research which was designed in order to examine the effectiveness of community practice teachers, nurses, health visitors and midwives in public health practice. Current changes in the field of nursing and the public health sector are examined.

C/N/33. How to effectively bring change in health care settings

This paper examines how the utilisation of management in health setting can help achieve better outcomes. It mainly focuses on achieving better carer-patient relationships and on helping the other staff learn the NMC Code of Professional Conduct better.

C/N/31. Caring for an elderly patient diagnosed with depression. In what ways does a nurse develop her skills through such situations?

This paper examines a specific clinical situation: A nurse providing care to an elderly patient who has been diagnosed with depression. The paper examines in which ways the nurse has developed her skills, through offering treatment to this patient. Also, there is a comprehensive analysis of how the nurse, through this specific situation, has managed to get more acquainted with the various rules, regulations and the code of practice.

C/N/30. Effective utilisation of medical staff for adequate treatment provision in the intensive care unit

This paper provides information on how medical staff can be best utilised in order to provide the best possible care for neonatal patients in the intensive care unit. Focus is given on all aspects of care, from collaborative teamwork, to adequate resource allocation and providing holistic psycho-social treatment.

C/N/28. The advantages and disadvantages of qualitative and quantitative research

This paper offers a concise comparison of the two basic categories of research: quantitative and qualitative. The paper starts with a definition and basic description of the two types of research analysis and then goes on to compare the two types. The advantages and disadvantages of each method are described.

C/N/25. Evaluate the organisation of care of a patient diagnosed with epilepsy.

This paper examines and evaluates a specific nursing intervention on a patient diagnosed with epilepsy. The medical intervention offered to the patient is evaluated and the opinion of the patient is offered. Possible improvements to the specific intervention are proposed.

C/N/23. Assessment of Mrs S., an Asian diabetic

This work looks critically at a nursing assessment of an Asian diabetic lady that was done on a busy medical ward. As a result, not enough time was spent in fully appreciating the true situation and this, combined with language and cultural difficulties caused a major problem in the management of her case. This is examined and critically assessed with full referencing (Harvard)

C/N/21. Support practice in the field of nursing. Support provision for a 16 year old autistic boy

This paper examines the proper ways for providing support to patients with special needs. It examines the case of a sixteen year old boy and suggests ways for better provision. The provision of help is focused mainly in the social development of the boy. A plan with literature references regarding provision and support for patients with special needs is outlined.

C/N/19. Evaluate the use of philosophy, knowledge and theory in nursing and especially the operating room

The paper is divided into four main sections. First there is an analysis of nursing practices relevant to the operating room, with emphasis given on the different phases of operating (e.g. pre-, postoperative phase). Then, there is an evaluation of the various philosophical paradigms that have been proposed to explain the various procedures in the nursing setting. The types of knowledge that can be utilised in the operating room are then listed and analysed. The main conclusions are discussed.

C/N/18. Consider the role of the ‘Modern Matrons in the UK healthcare and discuss critically their role.

The paper contains the short description of the background history of matronship in British hospitals. The current role of modern matrons was discussed, main weaknesses and strengthens of this new post were identified. The issues of the leadership, future perspectives in the researches and clinical governance were underlined.

C/N/13. Decision making in nursing practice

Assignment discussed the issues of decision making in the case of care provided for aichmophobic patient. There were discussed organizational culture; health and social care policy, regulation and quality assurance in nursing. The models of decision-making and basics of leadership theory were discussed. The role of statutory bodies and legal and ethical responsibilities was enlightened. Especial attention was paid to the issues of clinical governance and the contribution of personal development strategies. The role of evidence based practice and its impact on clinical thinking and decision-making also reviewed.

C/N/12. Decision making in nursing practice

Assignment discussed the issues of decision making in intravenous nursing. There were discussed organizational culture; health and social care policy, regulation and quality assurance in nursing. The models of decision-making and basics of leadership theory were discussed. The role of statutory bodies and legal and ethical responsibilities was enlightened. Especial attention was paid to the issues of clinical governance and the contribution of personal development strategies. The role of evidence based practice and its impact on clinical thinking and decision-making also reviewed.

P/N/11. Explore a variety of issues related to advocacy and empowerment, and develop a personal concept of the nurse's role in supporting users/carers to achieve independence

In this essay the writer will identify the importance of advocacy and empowerment and reflect upon her own application of these concepts within the field of learning-disability nursing.

P/N/10. Critical evaluation on the following article: "Ward nutrition coordinators to improve patient nutrition in hospital"

This essay critically analyses the following journal article: ''Ward nutrition coordinators to improve patient nutrition in hospital'' by Jackie Hayward, British Journal of Nursing, 2003

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