The 12 Daily Actions of Living Identified by the Roper Logan Tierney Nursing Model
The Roper Logan Tierney (RLT) nursing model is a conceptual map that identifies twelve daily actions. Eating and drinking, elimination, bathing and personal hygiene, control of body temperature, control of discomfort, mobilization and physical exercise, occupational therapy, essential care procedures (which are performed by nurses), rest, sleep, and relaxation; speech therapy; socialization; spirituality are the twelve activities required for independent living. It provides a valuable approach to patient treatment by relating these unique factors to health-related outcomes and therapeutic actions for individuals ( Holland & Jenkins, 2019).
Kristy is currently in excruciating pain in her pelvic area and is finding it difficult to move. She could also be confused as a result of the head injuries she experienced. As they process their trauma, the family may face financial difficulty as a result of their inability to work while they rehabilitate, as well as impact on their interpersonal ties. Her injury will also put a strain on her social commitments, as her husband and son will be forced to take up the farm chores she would normally do while she recovers. Kristy is probably concerned that her capacity to work on the farm, bear and raise more children, play sports, and cope with Aussie country life would be harmed as a result of the tragedy.
Brain injury can happen right after an accident, but it can also happen later. It’s enough to explain that only someone who has been through such an injury can understand what it’s like. The loss of control, immobility, and, in many cases, the inability to communicate must be horrifying for many people. Memory loss is a widespread problem (Delves-Yates, 2018). Feelings of helplessness arise when one cannot recall or respond in any way. Kristy Parkes is a 35-year-old lady who, with her husband, owns and operates a huge cattle farm in outback central Queensland. Sam, her 3-year-old son, is the couple’s first child. Kristy was thrown from her horse while mustering livestock the other day. She had landed on her feet.
Kristy is dealing with psychosocial issues as a result of her accident and injury. The first psychosocial component Kristy may encounter is normal physical functioning, which occurs naturally throughout the day without much effort on the part of the individual. However, since her accident in which she was flung from her horse, landed on her right side, and struck her skull, this has been significantly impacted. Kristy’s pelvis was cracked in two places on the right side as a result of the accident. Kristy is also dealing with a psychosocial element known as anxiety, which is something that most people deal with to varying degrees. This is due to the fact that concerns are linked to a wide range of events in daily life. Kristy’s situation is different.
Cooking, Eating, Elimination, Bathing, Dressing, Work/Rest, Sexual Expression, Communication, Continence, Maintaining a secure environment, and Death/Dying are the 12 activities of living that the Roper-Logan-Tierney model categorizes (Pinto et al., 2018). It is centered on human needs rather than disease pathology, and it aids in the identification of patient issues. Kristy is biologically capable of both physical and psychological trauma. Her pelvic fractures will make her more susceptible to infection and may prevent her from moving for a long time. Depending on the degree of the event, her contusions could have harmed her cognitive function (Naginton et al., 2021). The hit’s concussive effect could result in brain bruising and tissue swelling, which could lead to reduced neurological performance, such as confusion or loss of consciousness.
Kristy’s Situation and Injury following Her Horse-Riding Accident
The legal idea of consent entails evaluating your competence to consent and then providing informed consent. The concept of necessity motivates people to act in order to avoid harm. Enduring guardianship/NOK is the process that determines who will function as a substitute decision-maker if a person loses mental capacity and is unable to make their own decisions. The above elements may apply to Kristy’s circumstance, depending on the degree of harm she might face if medical treatment was not provided. Kristy Parkes need round-the-clock medical attention due to her damaged pelvis and head injury. While her husband is an enduring guardian, Kristy must make the decision to consent to medical care.
The doctrine of necessity is a notion in American constitutional law that empowers the federal government to take emergency actions in times of crisis regardless of any other constitutional constraints ( Rommerskirch-Manietta et al., 2022). The notion is derived from the president’s inherent powers rather than being clearly stated in the Constitution or any federal act. While the Supreme Court has ruled that this approach is lawful, it cannot be used to excuse the infringement of specific fundamental rights. Kristy Parkes is a 35-year-old lady who, with her husband, owns and operates a huge cattle farm in outback central Queensland. Kristy was not wearing a helmet when she fell off her horse when mustering livestock the other day. Her head was fractured when she landed on her right side.
The legal idea of consent states that a person must be able and willing to consent to medical treatment. Kristy, who is 35 years old, has the capacity to consent to medical treatment. However, because of her brain injury, bewilderment, and shattered pelvis, major doubts exist about Kristy’s ability to comprehend the information and degree of her injuries and thus offer informed permission, or whether she would be considered a “competent” adult. When a person lacks the capacity to consent, the doctrine of necessity must be used (Shnitzer et al., 2020). When it is required to avoid serious injury and the intervention is proportional in the circumstances of the case, a court may interfere. This could be true.
Kristy and her husband have a son named Sam. Kristy was thrown from her horse the other day and landed on her right side, hitting her head. She didn’t have a helmet on. Kristy was airlifted to Boulevard Hospital, 2 hours away, by the care flight rescue team, after her husband witnessed the incident and called for assistance. Her X-rays revealed she had fractured her pelvis in two places on the right side, as well as contusions of cerebral brain tissue on the right side, when she arrived at the hospital. Kristy is occasionally perplexed. Explain the ideas of consent, necessity, and enduring guardianship/NOK in legal terms. Discuss whether or not these legal considerations apply to Kristy’s experiments. Kristy’s husband has begged us to help.
Sam, her 3-year-old son, is the couple’s first child. Kristy was thrown from her horse while mustering livestock the other day. She struck her head after landing on her right side. She didn’t have a helmet on. Her husband saw what happened and called for assistance. Consent should be obtained from the patient at this point because she has sufficient decision-making capacity to do so; however, if this is not done, the doctrine of necessity may apply because this is an emergency situation to save Kristy’s life and she is unable to make an adequate decision at the time.
The Psychosocial Issues That Kristy May Encounter
Kristy will receive a variety of nurse interventions prior to her surgery. To ensure that she understands the procedure, what will happen in the operating room, and why the surgery is being performed, I will first explain the surgery that she is about to have. Second, I’ll assist her in getting ready for surgery, as this may be a daunting task for a patient. Third, I’ll make sure she understands how to avoid venous thromboembolism (VTE) after surgery and demonstrate how to use the VTE prevention device to alleviate any pain or discomfort in the affected leg. Anxiety control, improved hydration intake, and preventing complications are three preoperative nursing interventions. Anxiety management will assist the patient in being calm and at ease.
While mustering cattle, Kristy Parkes was thrown from her horse and landed on her right side, without a helmet. She had cracked her pelvis and was experiencing confusion. Three preoperative nursing measures were required in order to prepare her for surgery, and they must be explained. She must first understand that the surgery she is having is for a pelvic fracture repair with internal fixation. Second, a chest X-ray and arterial blood gas tests are required to determine her respiratory condition. Finally, a cardiopulmonary stress test should be performed prior to surgery to determine that she is anesthesia-compatible (Ximenes et al., 2021). Kristy’s surgery is tomorrow, so it’s critical to identify three preoperative nursing actions that must be completed as part of her care.
For Kristy’s and other patients’ care and comfort, a variety of pre-operative nursing actions are required. To avoid aspiration of gastric contents, fasting instructions and withdrawal timings must be followed prior to operation (Mudd et al., 2020). Second, before to the treatment, pre-medication is critical for reducing anxiety and pain. Finally, NPO requirements are required to avoid aspiration of stomach contents if the patient regurgitates or vomits while under anesthesia or during surgery. Before the operation, the nurse should give Kristy an inhaler and an oxygen mask to boost her oxygen saturation. The importance of oxygen in cell survival cannot be overstated. Second, Kristy should be given a pain reliever by the nurse prior to surgery. Finally, the nurse should begin an IV fluid infusion in order to prepare fluid (Arli et al., 2019).
After being flung from her horse, Mrs Parkes is taken to the emergency room. Mrs Parkes will be subjected to a medical and mental examination in order to determine her current health and rule out any pre-existing disorders. I will review Mrs Parkes’ treatment/procedure plan with her and acquire written consent when she is admitted. Mrs Parkes’ chronic diseases will be assessed, and drugs will be prescribed in accordance with the doctors’ prescriptions. When she was admitted to the hospital, an IV line was placed in her arm and fluid resuscitation began. The right ala of her nose was grabbed with an Adson’s forceps, and traction on the rods was sustained until the nasal bones looked to be aligned. A 4-0 nylon suture was then used to fix the shattered nasal bones. She’s a wonderful person.
The Legal Considerations Relating to Kristy’s Medical Care: Consent, Necessity, and Enduring Guardianship
Kristy is undergoing a significant procedure in a clinical facility, which will necessitate her being in high dependency care and under the continual monitoring of loving staff. Triage into the hospital, surgery, and finally placement and observation in critical care are all part of the procedure. This could have a variety of ethical, legal, professional, and procedural implications for her care and treatment. As a nurse, though, this is my primary concern. In most cases, the criterion for consent is based on a physician’s judgment that the patient is capable of making an educated decision about treatment (Duran-Badillo et al., 2020). Only after the physician has provided enough information for the patient to make an informed treatment decision can informed consent be gained.
Assisting the client in reaching physiologic and psychosocial integrity, acting as a teacher, and facilitating good communication are all nursing actions. When caring for a client in such a severe situation, these are essential. I’ll start with Kristy’s preoperative nutrition. Kristy has been NPO for the previous eighteen hours since arriving at the hospital and will continue to be so until she is fully recovered. She may still have some gastric distention, which could complicate her anesthetic management; she is also experiencing an acute phase reaction as a result of her traumatic injuries, which could be exacerbated if her surgery is postponed. It is critical that dietary needs are satisfied throughout this fasting phase. Kristy’s fluid condition is the subject of my second action.
References
Arli, S. K., Yildiz, M., & Bakan, A. B. (2020). Relationship between fall risks and activities of daily living in older individuals. Frontiers of Nursing, 7(3), 249–256. https://doi.org/10.2478/fon-2020-0022
Delves-Yates, C. (2018). Essentials of Nursing Practice. In Google Books. SAGE. https://books.google.com.ph/books?hl=en&lr=&id=zKhODwAAQBAJ&oi=fnd&pg=PT252&dq=The+Roper+Logan+Tierney+(RLT)+nursing+model+is+a+conceptual+map+that+identifies+twelve+daily+actions&ots=Np0IEA8zO-&sig=Zi7A8Ad9Y5XvNyEvUWUsYWnwk6I&redir_esc=y#v=onepage&q&f=false
Duran-Badillo, T., Salazar-González, B. C., Cruz-Quevedo, J. E., Sánchez-Alejo, E. J., Gutierrez-Sanchez, G., & Hernández-Cortés, P. L. (2020). Sensory and cognitive functions, gait ability and functionality of older adults. Revista Latino-Americana de Enfermagem, 28. https://www.scielo.br/j/rlae/a/DD3rvTHhYKzv4hbnCfYLyyd/?lang=en&format=html
Holland, K., & Jenkins, J. (2019). Applying the Roper-Logan-Tierney Model in Practice – E-Book. In Google Books. Elsevier Health Sciences. https://books.google.com.ph/books?hl=en&lr=&id=erKMDwAAQBAJ&oi=fnd&pg=PP1&dq=The+Roper+Logan+Tierney+(RLT)+nursing+model+is+a+conceptual+map+that+identifies+twelve+daily+actions&ots=cC57zbOVNx&sig=xIhMEbLeJW3BFU5CKoRlIO69yCQ&redir_esc=y#v=onepage&q&f=false
Mudd, A., Feo, R., Conroy, T., & Kitson, A. (2020). Where and how does fundamental care fit within seminal nursing theories: A narrative review and synthesis of key nursing concepts. Journal of Clinical Nursing, 29(19-20). https://doi.org/10.1111/jocn.15420
Nagington, M., Holman, D., Mumford, C., & Mccann, L. (2021). Theorising the hospice gaze: A Foucauldian collaborative ethnography of a palliative day care service. Social Science & Medicine, 114470. https://doi.org/10.1016/j.socscimed.2021.114470
Pinto, T. da R. C., Castro, D. S. de, Bringuente, M. E. de O., Sant’Anna, H. C., Souza, T. V., & Primo, C. C. (2018). Educational animation about home care with premature newborn infants. Revista Brasileira de Enfermagem, 71(suppl 4), 1604–1610. https://doi.org/10.1590/0034-7167-2017-0401
Rommerskirch-Manietta, M., Purwins, D., Van Haitsma, K., Abbott, K. M., & Roes, M. (2022). Instruments for assessing the preferences for everyday living of older people with various care needs across different care settings: an evidence map. Geriatric Nursing, 45, 18–28. https://doi.org/10.1016/j.gerinurse.2022.02.026
Schnitzer, S., Blüher, S., Teti, A., Schaeffner, E., Ebert, N., Martus, P., Suhr, R., & Kuhlmey, A. (2019). Risk Profiles for Care Dependency: Cross-Sectional Findings of a Population-Based Cohort Study in Germany. Journal of Aging and Health, 32(5-6), 352–360. https://doi.org/10.1177/0898264318822364
Ximenes, A. M., Sousa Albuquerque Brandão, M. G., Fonteles Muniz, I., Ponte Aragão, C., Áfio Caetano, J., & Moreira Barros, L. (2021). Proposta de plano de cuidados para pessoas em situação de rua. Revista de Atenção à Saúde, 19(67). https://doi.org/10.13037/ras.vol19n67.7152
Order an Essay Now & Get These Features For Free:
Turnitin Report
Formatting
Title Page
Citation
Outline
