Domain- Clinical Judgement
One example of each of the two speres of care and description of how a nurse may apply to the domain on Nursing care.
1) disease prevention/promotion of health and well-being, which includes the promotion of physical and mental health in all patients as well as management of minor acute and intermittent care needs of generally healthy patients;
2) chronic disease care, which includes management of chronic diseases and prevention of negative sequelae;
Sample Solution
1. Disease Prevention/Promotion of Health and Well-Being
- Example: A community health nurse conducting a health fair at a local senior center.
- Description: This sphere focuses on keeping people healthy and preventing illnesses before they occur. It encompasses education, screenings, vaccinations, and lifestyle counseling.
- Nursing Application:
- Health Education: The nurse would provide educational sessions on topics like healthy eating, exercise, fall prevention, and stress management.
- Screenings: They might conduct blood pressure checks, glucose screenings, and other basic health assessments.
- Vaccinations: The nurse could administer flu shots or other recommended vaccines.
- Lifestyle Counseling: They would offer personalized advice on how to make positive lifestyle changes to improve overall health.
- Community Outreach: Organize and participate in community events to increase health awareness.
- Promote mental health: the nurse would provide education on mental health, and resources available to the community.
2. Chronic Disease Care
- Example: A nurse working in an outpatient diabetes clinic, providing ongoing care to patients with type 2 diabetes.
- Description: This sphere focuses on managing existing chronic conditions to prevent complications and improve quality of life. It involves monitoring symptoms, providing medication management, and educating patients on self-care.
- Nursing Application:
- Patient Education: The nurse would educate patients on how to monitor their blood sugar, administer insulin, and manage their diet.
- Medication Management: They would ensure patients understand their medications, dosages, and potential side effects.
- Symptom Monitoring: The nurse would regularly assess patients for signs and symptoms of complications, such as neuropathy or retinopathy.
- Care Coordination: They would coordinate care with other healthcare providers, such as dietitians and ophthalmologists.
- Self-Management Support: The nurse would provide ongoing support and encouragement to help patients adhere to their treatment plans.
- Prevention of negative sequelae: the nurse would provide education on foot care, and other preventative measures to avoid complications from diabetes.