Nursing care given to a patient with paranoid schizophrenia Essay

Nursing care given to a patient with paranoid schizophrenia - Essay Example This is a nursing case study prepared on the basis of the observations made by the author while on a practice placement. The paper discusses the observations made about the nursing care given to a patient with paranoid schizophrenia.The study is also intended to show the role of a nurse in care; including assessment, planning, implementation and evaluation and also in the care given to the patient’s family. In this particular case, the method used was Orems Self-care model (2001) which emphasizes on improving the patient’s state of health and making them feel responsible for their own health. It is not possible to undermine the role of a nurse in this system which is mainly to promote physical, mental and social health through developing a good, trust-based relation with the patient. In addition, this case study will show how client-centered nursing models are used in which the patient’s interests and rights are respected and protected to the maximum possible ext ent. As Rogers C (1990) opines, the nursing team in this particular case develops strong relationship with the patient with real exhibition of sympathy, originality, and willingness to listen while dealing with the patient. As per the NMC (2008) directive that nurses should develop a deep and reliable relationship with the patient, the author engaged in conversation with the patient; and the expected result was a relationship based on respect and belief (Baker 2003). In this particular case, the patient’s individual freedom to decide her own life was preserved as far as possible (Ewles & Simnett, 2003). As per the definition by Lowden, (2002) autonomy means allowing the patient to make decisions in personal matters. The Patient The patient in this case study is named Mary. The name is imaginary to comply with NMC professional code of conduct (2002). She was 54, and was admitted to the hospital with Paranoid Schizophrenia. Before her entry into the Ward, there was a holistic a nd thorough assessment by the duty doctor. The basic concepts of care The method of care is totally holistic in nature. In this case, Orems (2001) Self Care Model of Nursing is used as the basic criteria and it follows the four stage nursing process of assessment, planning implementation and evaluation. As Barker (2003) observes, this holistic approach will explore the physical, psychological and social spheres of nursing assessment. Assessment The nursing process starts with assessment (Roper et al 2000) which includes all the present and historical information about the patient This must include as much information about all spheres of life as possible including the mental health, family background, education, religion, beliefs and occupation. Family history of mental disorders and other genetic factors are also taken into consideration. In addition, adequate attention is paid to the patient’s lifestyle and living situations. There are a number of ways suggested by Townsend (2006) for the assessment of patients which include consultation with other health professionals, collecting data from family members, watching and interview. In addition, according to the Oxford Nurses Dictionary (2002), a holistic assessment will consider a patient’s psychological, physiological and social life. In the opinion of Jenkins & Field (1996), collecting all these information from a patient will help a nurse in developing a healing relation with the patient. In fact, Mary had a long history of schizophrenia. For her, the disease had its beginning about thirty years ago but the disease was not diagnosed accurately in the beginning. The disease at first started in the form of tension along with sleeping problems and difficulty concentrating. But no one including her parents took the change seriously as there was a tragic incident. It was during those days that her husband died in a car accident. When she shrank more and more into her own private world, all includin g her parents and friends thought it as a result of the shock caused by her husband’

What and How Human Resources Strategies Can Be Implemented Essay

What and How Human Resources Strategies Can Be Implemented - Essay Example Wal-Mart is one of the largest employers in the world and implements effective human resource practices and strategies to maintain the diverse work culture in the company. The company maintains a detailed database for its human resources and keeps eye to the intricate details of proper recruitment, training and development, compensation and performance management for the employees. The effective management and human resource practices are identified as the key factors for driving the success of Wal-Mart through decades of its operations across the globe. Strategic human resource management plays a critical role in delivering the performance of Wal-Mart. Therefore, the company pays major attention to the human resource practices followed in the organization. 1. Recruitment Wal-Mart over the years of operations has taken various recruitment and staffing policies in order to maximize their outputs with the minimum costs incurred. In 2013 June the company had been hiring only the tempora ry staffs for their U.S. stores. Though the temporary recruitment is one of the popular policies of the retail organizations during the holiday seasons when they would require additional employee strength. However, the company had adopted this policy at a time when there is no such pressure of the holiday season in the US market. According to the managers of the organization that policy was taken to ensure that there is no dearth of employee in Wal-Mart in running their day to day activities. They also claimed that it was not something that the company had taken in order to cut the cost of hiring the employees (Morrison, 2006, pp. 75-91). This is because the cost of hiring a permanent employee is much more than what it takes to hire a temporary worker. But this was denied by the managers of the organization. The Human resources managers has taken this strategy on the ground that the temporary workers would be adequately able to meet up the needs of Wal-Mart on the nights of the week days and on the weekends when the number of footfalls in the stores in the greatest. Thus there would no need for hiring the additional permanent staff that would otherwise be required (Needle, 2010, pp. 112-137). This would however lead to a slackening of the employment in the country of US since the employment in the company is huge and would comprise of the large section of the employed population of the company. This policy may not be considered as a feasible policy considering the long run scenario (Marching ton and Wilkinson, 2012, pp. 45-59). This is because the temporary employees are generally not loyal to the company and therefore if they get better offer they would switch to the other companies from Wal-Mart. There would also be lack of motivation among the employees to do the job because of the lack of loyalty among the employees and the lesser remuneration that they would derive out of the organization. This is also unethical on part of the company to recruit the tempor ary workers in order to dodge the healthcare costs (Kew and Stredwick, 2008, pp. 241-297). This is because the new healthcare laws of the United States demand that the organizations that hire the workers on a permanent basis have to provide them with healthcare benefits. In order to retain the loyalty of the employees and to keep them motivated to the work the company has to provide them with these healthcare benefits as well. They should also be provided with the insurances in order to take care of the ethical aspects of the business. 2. Training and Development In