Implementing and evaluating care in nursing

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Nursing is a health profession focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life.''( According to the Nursing and Midwifery Council a Registered nurse is a person who has to, met the standards of proficiency for pre-registration nursing education. They have to be declared as of good health and good character. Every year nurses have to pay registration fee, to for their names to be held on the (NMC) register as a person who is capable of safe and effective practice as a nurse. They are required to work within the (NMC) code of conduct, and have to meet the post registration and practice prep-standards. Nurses have to complete a notification of practise from when required. They have to pay the required renewal fee. Part of the register is divided into two sub-parts, first and second level nurses. A further distinction is applied by mark of entry related to the branch in which the standards of proficiency have been met, for example adult, child, mental health or learning disability.(class notes) Nursing is the protection, promotion, and optimization of health and abilities such as prevention of illness and injury also alleviation of suffering through the diagnosis and treatment of individual responses and advocacy in health care for patients, families, communities, and populations. (NHS. Nursing and Midwifery Council).

Nurses work in a large variety of specialties where they work independently and as a team to assess, plan, implement and evaluate care. Nurses care for individuals who are healthily and ill, of all ages and cultural backgrounds, and who have physical, emotional, psychological, intellectual and social needs. The profession combines physical science, social science, nursing theory, clinical skills and technology in caring for those individuals. Nurses may follow their personal and professional interests by working with any group of people, in any setting, at any time. Some nurses follow the traditional role of working in a hospital setting. Practice settings, nurse's practice in a wide rang of settings, from hospitals to visiting people in their homes and caring for them, in schools to research in pharmaceutical companies. Nurses work in occupational health settings also called industrial or work place. That includes health screening, counselling, and health promotion. Nurses also run clinics: for example walk in clinic promoting health and attending to individual needs. At the General Practioner (GP) nurses turn to do more taking samples, injections, monitoring blood pressure as well as interviews. They also specialise in diabetic and asthmatic. They also work on cruise ships and in military service. Nurses act as advisers and consultants to the healthcare and insurance industries. They have to exercise safety skills, in special events and football matches. (

''All standards of practice provide a guide to the knowledge, skill judgment and attributes that are needed to practice safely. They reflect a desired and achievable level of performance again which actual performance can be compared.'' According to ( Their main purpose to promote, guide and direct professional nursing practice. There are also carers who are non-professional who do not work under the code of conduct but needs standards for guidance. For example residential homes provide accommodation, meals, laundry and personal care, such as assist with washing, dressing, eating and mobility for their residents. They do not generally provide nursing care for any medical conditions. Many residential homes also provide care for those with dementia. Dementia and related conditions, such as Alzheimer disease are the most common health conditions amongst older people. Dementia care can be provided in both residential homes and nursing homes, and depend on the level of care required. Many homes have specialist dementia care units with qualified and experienced staff as well as appropriate facilities. Alzheimer's disease is a chronic illness, it course may range from a few years up to 20 years Alzheimer's symptoms are progressive, and each stage of the illness will require different levels of care moreover each person is affected differently at each stage. In final stages the person with Alzheimer's' requires complete care 24 hours a day seven days a week. No single person can manage all this care all the time. If a person has got Alzheimer disease, they need the resources and help to make it. There are centres, homes, hospitals and other places that are there to provide with the resources and knowledge to be a better caregiver for families with ill loved ones. Also there is a multi-displinary team which consists of outpatient physical therapy, outpatient rehab facilities, pharmacies, physians, general practioner, neurology, nerve and brain team, psychiatric teams. Other keywords for dementia, memory loss, other terms mental disorder, nervous system disease or nervous breakdown. ( 23/05/2009).

Nursing homes provide accommodation, meals, laundry, and personal care but also have qualified nurses as part of the care team to provide nursing care for those with medical conditions or more complex care needs. There are also young carers. The Government insisted that young carers should not carry out a regular and substantial amount of caring for a disabled or ill person. They should not take on similar levels of caring and responsibilities as adults. Local authorities should make sure that the education, development and general well being of young carers is not affected by caring responsibilities. A lot of children care for family members without realising it. Care provision can be given not just by qualified nurses there are a whole range of people who can provide care within any environment. The care value base was developed to improve patient's quality of life by setting standards and guiding professional, non-professional practice in health and social care. (Class notes)