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Monday, April 1, 2019

Subjective Health Assessment

essential wellness AssessmentDespite the grandness of an individuals military position of their wellness and wellbeing, individuals be extremely influenced by the extent to which their treatment outcomes act as their expectations (Ohagan et al., 2014). This is why it is important for nurses to incorporate the individuals perspective into the interventions to chance on this nurses need to use effective confabulation, much(prenominal) as communicatory and non- communicatory techniques, to nab the appropriate subjective wellness teaching (Ohagan et al., 2014). Nurses kick upstairs must follow up the individuals perspective into the development of breast feeding interventions this will serve up influence a positive recovery (Ohagan et al., 2014). This examine will nail down communication in the context of nursing it will discuss the outgrowth followed regarding the selection of an individual and the arrangements made, as well which interview techniques were utilised. Th e establish will notwithstanding discuss the wellness strengths of an individual, as well as any health concerns which may benefit from health promotional education. Lastly, thither will be a summary about what I learnt from this appellation.It is crucial to understand the enormousness of communication in the context of nursing, in order to implement it in a nurse-client relationship. Communication is central to human interaction, as it allows individuals to establish, maintain and amend contact with each other (Juv-Udina et al., 2014). The word communication originates centuries ago from the Hellenic word communis meaning to make common (Ohagan et al., 2014). Tay, Hegney and Ang (2011) define communication as a two-way process sending the right message that is also being correctly received and understood by the other person. Communication in the context of nursing is where the nurse and patient discriminate the other in the situation and, through communication of verbal and non-verbal messages, sets goals, and agrees on interventions to sustain achieve these goals (Tay et al., 2011).The initial goal for this assignment is to find a firm individual surrounded by the ages of thirty and sixty five who is non a friend, family member or anyone I knew well. This was achieved by ringing my auntie and a scrambleg if she knew anyone in the ara that would be happy to help with my assignment. My aunt gave me the phone number and the email of a colleague from here I sent an email explaining the subjective health assessment project to her. jenny ass (pseudonym) promptly replied saying she would be happy to assist, when she agreed I emailed her a consent form. I also en authoritatived her that to be in accordance with The breast feeding Council Code of Conduct (2012) as a student nurse I must respect her rights to confidentiality and therefore any personal or recognisable information will be altered to protect her privacy and dignity. From here we arranged to oblige the interview take place at her rest home as it would not only be private but it would help ensure that she feels comfortable, we moveed out a time that suited us some(prenominal) and decided at 10am on Wednes daytime 30th of July.The quality and reliability of information is influenced by the way in which information is collected, which is related to the use of gestural and verbal communication (Jarvis, 2012). Nonverbal communication of appearance, demeanour, facial expression, silence, and auditory modality are highly influential. I incorporated all these aspects into my interview. Firstly I wore my nursing uniform which made my appearance look professional, and kept a indifferent(p) friendly expression throughout the interview. I also made sure my attitude was non-judgemental and that we were seated at optic level this helped to maintain marrow contact which showed that I was alert and listening to her. Sitting at spunk level also helped make us both feel rel ate as no one had an authoritative role over the other. However, verbal communication is just as important as nonverbal communication. I ensured that all the questions I asked were open ended this allowed jenny ass to expand in areas which provided me with relevant and detailed information. Also, by using the communication technique refection I was able to respond in a way that allowed jenny ass to draw in that I was listening and understanding what she was communicating.June has the belief that, for her age she is healthy and she is study with her current level of health. She lives a healthy lifestyle and has few health issues. Junes health and wellbeing is supported by having had completed all of the immunization programs recommended for her through her childhood. These immunizations are very important during an individuals childhood as it protects children from negative impacts of illness (Grant, Luxford, Darbyshire, 2005). However, even though June completed these immunisa tion programs she still contracted chicken pox at seven long time of age. This is an extremely contagious disease which is spread by the same methods as the common cold such as coughing, sneezing and skin to skin contact (Grant, Luxford, Darbyshire, 2005).There are many things that influence an individuals overall health, and the likelihood of developing diseases (Jarvis, 2012). Diseases fucking occur due to a combination of genetic, lifestyle and environmental factors (Jarvis, 2012). In the context of jennets health she is unaware of any hereditary diseases in her family history. This is a great strength to beat as jennet does not contribute any profitd risks of get genetic disorders or passing them onto her children. Another strength jenny has is that she workings on a farm this means she is often outdoors in the natural environment. Tardona, Bozeman and Pierson (2014) research indicates that exposure and experiences in natural environment cornerstone improve wellbeing b y increasing self-esteem, spiritual well-being, cognitive functions and relieving prove. This shows that Jenny is free of health illnesses and her job supplys to her overall wellbeing Peterson (2000) discusses how this is a prove benefit not only to the individual but the family as well. continual exercise and sleep patterns are more beneficial strengths displayed by Jenny which contributes positively to her overall wellbeing. Ekblom-Bak, Ekblom, Vikstrm, De Faire, and Hellnius (2014) discusses how at least 150 proceeding per week of moderate to vigorous exercise is important for maintaining a healthy lifestyle. Jenny well and truly does more than 150 minutes per week as she motivates herself to go for a power walk every day for around an hour. Kemmler and Von Stengel (2013) research shows that there is a lower chance of experiencing plaza disease, some gagecers, stroke and type two diabetes when secureness exercise is employ into everyday life. Exercise further helps to impr ove sleeping patterns. As Jenny is a farmer she has to wake up at 5am most mornings, this results in Jenny having to manage her time well to make sure she gets fair to middling sleep. Jenny goes to sleep around 9.30 at night usually without argus-eyed throughout the night and does not nap throughout the day this shows Jenny has healthy sleep patterns. According to Gruber (2013) healthy sleep patterns are shown to have a positive impact on an individuals frame as it enables the individual to cope with everyday living tasks.Musculoskeletal disorders are the main representation for absence at work worldwide, Jenny experiences anchor pain which is increase by stress (Lvgren, Gustavsson, Melin, Rudman, 2014). Lundberg and Melin (2002), look at how the conditions at work, such as time pressure and heavy lifting, can contribute to elevated stress levels and muscular emphasis. They further explore how the elevated levels of stress can reduce the time for rest and recuperations (Lundber g Melin, 2002). thence it is important for Jenny to implement interventions that help improve her impale pain, when Jenny is at work she could limit the amount of heavy lifting she does and also be educated on the correct lifting technique to avoid further injuries or strains to her back. Jenny can further implement the use of over the counter medication such as deep heat to help relieve the pain and tension in her muscles.The increasing instability in the economic sector and the increase in unemployment rates are likely to trigger financial worries, which can contribute to run down levels (Stewart, Abbey, Meana Boydell, 1998). This is because financial worries present themselves as a psychological threat which is prolonged and chronic in nature. This causes an increase in fatigue levels as our bodies are not designed to cope with prolonged periods of increased stress hormone (cortisol) levels (Stewart et al., 1998). In Jennys context she has a job until in a flash she still feels financially unstable which could be related to her increased levels of fatigue. Therefore Jenny neexplosive detection system to implement interventions such as see a financial consultant to help her understand her future options and avoid ill-tempered crisis.Through completing this assignment I feel I now have a greater understanding of the importance of communication in a nurse-client relationship. I learnt that without using proper communication skills you will be unable to understand the individuals perspective of their health and what they expect in life. What I found is that by being non-judgemental and honest throughout the interview developed the nurse-client relationship more, which is extremely important with the client as they are the primary source of information. I believe this was shown when Jenny entangle respected as she opened up more by apprisal me more about her life instead of answering briefly. I further understand the importance of asking open ended q uestions and using non-verbal communication skills as if I had not the information I received would have been different. I also learnt the importance of taking your time and just listening to the client, especially in Jennys case as she got very excited lecture about her children and upset when I approached the subject of crabbed stability. So from this I understood that her major worries and weakness in her life is to do with finical pressure and that her children provide her with a source of happiness.In conclusion, effective communication provides nurses with a way to gather information from a client successfully. This essay looked at how I went about selecting an individual and the arrangements made. While also disusing how non-verbal techniques of eye contact and appearance helped make Jenny feel comfortable and verbal techniques of open ended questions to receive more relevant detailed information. This essay further suggested that Jennys strengths included having a healthy childhood, no hereditary diseases in the family history, working on a farm and having regular exercise and sleep patterns. However Jennys weakness of back pain and feeling financial unstable can lead to health issues which is why interventions of education of proper lifting techniques, using deep heat and seeing a financial advisor can help Jennys overall health. This essay also looked at what I learnt from completing this assignment which was that communication skills majorly affect the quality of the information gathered and the trust between a nurse and a client.Reference ListEkblom-Bak, E., Ekblom, B., Vikstrm, M., de Faire, U., Hellnius, M. (2014). The importance ofnon-exercise physical activity for cardiovascular health and longevity. British journal OfSports Medicine, 48(3), 233-238. Retrieved fromhttp//eds.a.ebscohost.com.ezproxy.massey.ac.nz/eds/pdfviewer/pdfviewer?sid=605a2018-d38e-4eef-945d-f1ae2481136a%40sessionmgr4005vid=3hid=4211Grant, J., Luxford, Y., Darbyshire, P. (2005). Culture, communication and child health. Contemporary Nurse, 20(2), 134-142.Gruber, R. (2013). Making room for sleep. Journal of Canadian Psychology/ Psychologie canadienne, 54(1), 62-71.Jarvis, C. (2012). Physical Examination and Health Assessment. Chatswood, NSW ElsevierJuv-Udina, M., Prez, E., Padrs, N., Samartino, M., Garca, M., Creus, M., Calvo, C. (2014).Basic nurse Care Retrospective Evaluation of Communication and PsychosocialInterventions Documented by Nurses in the Acute Care Setting. Journal Of care forScholarship, 46(1), 65-72. doi10.1111/jnu.12062Kemmler, W., Von Stengel, S. (2013). Exercise Frequency, Health Risk Factors, and Diseases ofthe Elderly. Archives Of Physical Medicine Rehabilitation, 94(11), 2046-2053. Retrieved from http//www.sciencedirect.com.ezproxy.massey.ac.nz/science/article/pii/S000399931300422XLvgren, M., Gustavsson, P., Melin, B., Rudman, A. (2014). Neck/shoulder and back pain in new grade nurses A growth mixture modeling analysis. In ternational Journal Of care forStudies, 51(4), 625-639. doi10.1016/j.ijnurstu.2013.08.009Lundberg, U., Melin, B. (2002). Stress in the development of musculoskeletal pain. Pain inquiry and Clinical Management 12 (1), 165-179.OHagan, S., Manias, E., Elder, C., Pill, J., Woodward-Kron, R., McNamara, T., McColl, G.(2014). What counts as effective communication in nursing? Evidence from nurse educatorsand clinicians feedback on nurse interactions with simulated patients. Journal Of AdvancedNursing, 70(6), 1344-1355. doi10.1111/jan.12296Peterson, G. (2000). Making Healthy Families. Berkeley, Calif Shadow and lilting Publications.Stewart, D., Abbey, S., Meana , M., Boydell, K. (1998). What makes women tired A community sample. Journal of Womens Health, 7(1), 69-76.Tardona, D. R., Bozeman, B. A., Pierson, K. L. (2014). A Program support Healthy Behavior,Nature Exploration, and Recreation through History in an urban National Park Unit. Journal OfPark Recreation Administration, 32(2) , 73-82. Retrieved from http//eds.b.ebscohost.com.ezproxy.massey.ac.nz/eds/pdfviewer/pdfviewer?vid=11sid=b0ae001b-42b0-4b53-83c8-7d6bbdf8bada%40sessionmgr198hid=107Tay, L., Hegney, D., Ang, E. (2011). Factors impact effective communication between registerednurses and adult cancer patients in an yardbird setting a systematic review. InternationalJournal Of Evidence-Based Healthcare, 9(2), 151-164. doi10.1111/j.1744-1609.2011.00212.xNursing council of New Zealand. (2012).Code of conduct. Retrieved from http//file///C/Users/Jessica/Downloads/Nurses%20Code%20of%20Conduct.pdf

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