always look on the bright side resource-based nursing diagnostics
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Always look on the bright side Resource-based nursing diagnostics. Mag. Kurt SCHALEK International Week at the Faculty of Health Sciences, University of Pécs , May 3 rd – 7 th 2010. The mission of nursing. Nurses have to deal with both, health and illness!. - PowerPoint PPT PresentationTRANSCRIPT
1Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
Always look on the bright sideAlways look on the bright sideResource-based nursing diagnostics
Mag. Kurt SCHALEKInternational Week at the Faculty of Health Sciences,
University of Pécs, May 3rd – 7th 2010
2Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
The mission of nursingThe mission of nursing Definition of Nursing by the International Council
of Nurses (ICN): “Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people.
Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles.”(http://www.icn.ch/definition.htm)
Nurses have to deal with both, health and illness!
3Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
What is health?What is health? Health can be defined as process of being alive (Pelikan
2009)
Ideas about „health“ „either/or“: healthy OR sick Single continuum: health ------x--------------- sickness Multidimensional continuum: physical, mental, social
dimension Conclusions:
Health has different dimensions Positive health and ill health exist simultaneously Positive health and ill health can develop differently Health has to be re-produced permanently (e.g. by daily
nutrition, sleeping, socialising …)
4Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
What means health in nursing?What means health in nursing? Nursing deals with a specific part of health Focus on health-related ability of coping with every-
day life (Bartholomeyczik 2006), e.g.: coping with acute/chronic disease coping with personal circumstances: e.g. old age,
impairments, living conditions, social networks Nurses have to cover physical, mental and social
dimensions of health Prerequisite for health can be called resources Resources = abilities and possibilities for maintaining
and/or developing health or coping with impairmentsNew Nursing Classification ‘POP’ in German language is based on these assumptions
5Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
Resources and healthResources and healthDescribing resources means describing aspects of health.
e.g. walking
mobility muscularity motivation environment
and more …
Resources can be found in all dimensions of health: physical, mental and social prerequisites
6Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
Resources „Thought Process“Resources „Thought Process“
Thought Process
nerves being awake interest stimulus
and more …
oxygen securityfluid balance information
physical mental social
7Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
Diagnosing deficits by resourcesDiagnosing deficits by resources
8Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
Conditions of resourcesConditions of resources
Resources can be in different conditions: Intact resources – health nursing diagnoses
Health Nursing Diagnoses: developing, strengthening and maintaining positive health resources
Potentially impaired resources – risk nursing diagnoses Risk Nursing Diagnoses: prevent intact resources from
impairment
Impaired/missing resources – actual nursing diagnoses Actual Nursing Diagnoses: recovery or stabilisation of
impaired resources
(Stefan/Allmer/Eberl et al. 2009)
9Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
Diagnosing “Walking, impaired”Diagnosing “Walking, impaired”
Walking
mobility muscularity motivation environment
Nursing diagnosis Walking, impaired
10Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
ConclusionsConclusionsEffects of a resource-oriented approach on nursing diagnoses:
Describing etiology, risk-factors and supportive resources with a high practical relevance
Simplify planning of care: ease definition of aims (desired outcomes) and interventions
Clear criteria for evaluation Implementing a comprehensive understanding of health
and of the field of nursing
11Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
Thank you for your attention!
12Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
13Mag. Kurt Schalek, 1st International Week at the Faculty of Health Sciences, University of Pécs, May 3rd – 7th 2010
Some argumentsSome arguments Why should health professionals deal with health?
Focus on deficits/diseases/impairments is a very narrow approach
Positive potentials are relevant for health interventions (e.g. coping/adherence, rehabilitation)
Increasing number of people with chronic diseases who need to implement and re-organise their daily lives
Perspectives of prevention and health promotion Starting interventions before problems become evident Implement interventions that focuses on healthy
resources of patients/clients