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What is the Roper Logan Tierney Model of Care?

The roper Logan Tierney model of care is defined as a concrete theory of nursing and the care is based upon activities on daily living. The abbreviated form of the model states the widespread in the UK and especially in the public sector. The main purpose of R-T-L model is considered as an assessment and it is used throughout the entire session of patient care. Therefore, Trials (2022) has stated that the model is assessed for the patient’s relative independence as well as the potential independence in the daily living of all activities. Therefore, it has been assessed that this particular theory of nursing helps in discussing the biological, spiritual, psychological, spiritual, and cultural factors. According to the case study, it has been administered that the main purpose of the theory is used throughout to look after the patients care. In the country of the UK, the model is quite prevalent and it has reduced the simple checklist.

Furthermore, the mode enhances to represent the factors and the first factor that addresses the overall impact of Kristy on her experience of accident and injury. Thus, Holland (2019) has stated that the incorporation of the factors has helped the nursing to be a holistic model. The biological factor addresses the impact of the overall health and the current injury of illness and therefore, scopes the patient’s anatomy as well as philosophy. According to the case study, it has been administered that she met the accident on a sudden base. Thus, the biological factor addresses the entire impact of the overall health.

The psychological factor addressing the impact of cognition, emotion, spiritual beliefs, and the ability to have a complete understanding. Apart from that, to analyse the condition of the family, the knowing, hoping, thinking, and believing is based upon the addressed factors.

On the other hand, the sociocultural factor emerges the impact of societal and cultural experiences enhances the individual patient management. This mainly includes the values as well as the expectation that is held by pertaining the independence. The ability to carry out the activities on a daily basis is needed for enhancing the importance of the theory in the long run.

On the other hand, the cultural values are mainly based upon the expectations, beliefs, values, and the ability to understand the sociocultural factors in the long run. Concerning the discussion, Chronic (2019) has proclaimed that respecting and caring for beliefs and pertaining towards independence is necessary to carry the activities in a daily living.

Further, the environmental factor relies upon the Ropers theory and it claims that green model is the theory that takes into consideration, the importance of environmental access and the activities engraved for reaching the independence ability of the environment. The entire consideration is based upon examining the entire impact of all activities and the daily living on the on the environment.

 In this consideration, Fawcell (2021) has stated that the availability of the political economic factor addresses the impact of the government, social funding, political reforms, interest rates, and the availability of all private and public funding, among the others. Thus, Morse (2019) has stated that Ropers objectifies the model as a checklist and the statement that if a nurse is uncomfortable and discusses the certain factors with attribution and lack of assessments.

How is the Roper Logan Tierney Model of Care applied in nursing practice?

The spiritual factor that needs to be addressed while addressing the issues such as the availability of cultural belief and fostering the comfortable discussion in the long run. This has enhanced to have the basic preferences while exfoliating the patient’s preferences. According to the case study, the disregarding activities has to be managed for encompassing the comfortable discussion of activities with basic regards to ethical norms and manifestation of the relevant access.

 Hence, the factor that addresses the issue of funding, interest rates, availability of public, private funding and the political reforms in the daily living. Thus, it states that to understand the experiences of Kristy and her family, the experiences have to be on all the factors that is discussed.

In this section of the discussion, it has been generalized that legal consent is considered as the procedure that endures the importance of the medical procedures in the long way. Thus, it can be stated that informed consent is defined as a process through which patients has been given important information and it mainly includes the possible risk and profit management in the long run. According to Yazdi (2018), the medical benefits and procedures are considered as the genetic test and it is measured as a clinical trial. In reference to the case study, it has been observed that doctrine of consent is an informed consent and it is deeply embedded with the law of legal ethics. Therefore, the legal malpractice enables the people to have a common enhancement of the doctrine that a lawyer holds the duty for disclosing the client material with information regarding the risks and alternatives. The association with the course of action discloses the decision of a person and also the intervention that is made for the better efficiency in the long run.

Further, with association to the case study, the legal considerations happen to be aligned with Kristy situation. However, the rule of the legislation states that the rule of necessity kindly explains the help of the case to be sustained with the popularity of the authority and it aligns the judgement against bias. Apart from that, the minimal requirement that addresses the case analysis, suggest the natural justice and its authority is developed with better decision making in the long run. With further reference, Dayan (2021) has stated that informed consent works the most because it helps the family and the patient to seek the medical procedures and the physicians to be treated with behaviour and the most prevalent types stages the importance of better analysis of the case.

In this section of discussion, the nursing intervention is considered as the relevant maintaining of the cerebral perfusion pressure. It is required to have a better scope of maintaining the surgery and it is performed to have a significant compressing of the brain with the pressure on the patients under the observation in the ICU. Therefore, relevant to the case study, Ramos (2019) has stated that an outline of three nursing preoperative actions has been addressed and it has the efficiency in helping Kristy to come back to normal life. Apart from that, the treatment that is required for maintaining the life cycle of the life of the woman. Henceforth, Comans (2021) has stated that prehospital management is considered as one of the main goals to prevent hypoxia and hypotension. It results in saying that systematic insults may leads to the secondary brain damage. Thus, it effectively leads to cerebral contusions. Further, ensuring of adequate training of paramedics are necessary and it helps in the intubation in the long run. On the other hand, Zheng (2020) has opined arterial hypotension enhances to be the best process in preventing the fluid resuscitation. therefore, it has been addressed that normotonic crystalloids have been not benefitted for better association. Thus, this preoperative action is necessary for Kristy before her surgery.

The Biological Factor in the Roper Logan Tierney Model of Care

Concerning the discussion, Tome (2021) has stated that emergency room management should be ready for seeking the patients with emergency cases. Thus, initial management can be done in the emergency room and it enhances the involved assessment and it secures the airway for an endotracheal tube management in the long run. Further, it has been stated that a neurological examination is necessary in addressing the competent management of the patient for effective results in the long run. Lastly, it has been addressed that conservative and operative management is required to be taken care of. The positioning of the patient has to be done for addressing the check up accordingly. The positioning of the patient needs to be acknowledged in the beginning and it clearly facilitates the cerebral venous drainage. Therefore, in this sequence of the case study, Verghan (2022) has voiced that haemostatic therapy has to be done for effective management in the long run. Therefore, patient with cracked pelvis and cerebral contusions, needs to be enhanced with complex as well as concentrated frozen plasma for dealing with the plasma level in the body. Apart from that, medical management has to be addressed as it helps in better and effective increased ICP. The prevention or administration of the sedation has to be analyzed with foremost therapies for reducing the pain before going in for the surgery.

According to the case study, the three most abnormal cues that showcase the pathological as well as the pharmacological factors in enhancing the abnormal results in the long run. With better analysis of the paper, it has been inherited that the most three abnormal cues refer to the convulsion, decreased coordination, and Slurred speech, Thus, with better empathy, it has been addressed by Gambeta (2020) that identifying the etiology of the cerebral contusion and the outline of the management options has to be sustained for effective results for better health of Kristy. Thus, in this sequence, it has been administered that traumatic brain and its injuries enhances the association with disability as well as death. Thus, the main of the doctor is to reduce such complexities for better health of a patient. With better coordination as well as the team strategies enhances the improvement of the patient and cerebral contusion enhances the improved outcomes.

On the other hand, it has been observed that there are several pathophysiological as well as pharmacological factors and it results in the abnormal findings as well. Mansilha (2018) has stated that pathophysiological as well as pharmacological elements that nerve cells in the brain is created and it sends directly to the electrical impulses. The disrupt in communication and the seizure disorders happens to be caused by the genetic abnormality. Concerning the discussion, Natelle (2020) has portrayed that convulsion is such a condition in which a muscle is contracted and it relaxes quickly due to an uncontrollable shaking of the body. Therefore, it can be subjected that AEDs are considered to be the most commonly used treatment for reducing the abnormality in Kristy’s body. Therefore, it helps in controlling the changing levels and the different types pf AEDs leads through different specific transporters. Both the physiological as well as pathological conditions enables the different therapeutics drugs to be administered. Further, the genetic as well as the non-genetic factors enhances the factors to be eradicating the stimulation of secretions. Henceforth, an increase in the recognition of the detailed compilation specifies the MRP2 activity.  

References 

Chronic, M. O. L. I. Nursing Care According To Roper-Logan-Tierney Model Of Living In Chronic Obstructive Pulmonary Disease: A Case Report. New Horizons in Health Sciences, 25.

Comans, T., Hays, Z., & Leach, C. (2021). Barriers To Preoperative Warming: Best Practice Guideline.

Dayan, F., Sheraz, M. M., Al Mahmood, A. K., & Islam, S. (2021). The Application of Necessity in Medical Treatment: An Islamic Biomedical Perspective. Bangladesh Journal of Medical Science, 20(1), 24-32.

Fawcett, J. (2021). More Thoughts About Models of Nursing Practice Delivery. Nursing science quarterly, 34(4), 458-461.

Gambeta, E., Chichorro, J. G., & Zamponi, G. W. (2020). Trigeminal neuralgia: An overview from pathophysiology to pharmacological treatments. Molecular pain, 16, 1744806920901890.

Gray-Miceli, D., & Morse, C. (2019). Curricular innovations for teaching undergraduate nursing students care of older adults. Nurse Educator, 44(3), E7-E10.

Holland, K., & Jenkins, J. (Eds.). (2019). Applying the Roper-Logan-Tierney Model in Practice-E-Book. Elsevier Health Sciences.

Mansilha, A., & Sousa, J. (2018). Pathophysiological mechanisms of chronic venous disease and implications for venoactive drug therapy. International journal of molecular sciences, 19(6), 1669.

Nattel, S., Heijman, J., Zhou, L., & Dobrev, D. (2020). Molecular basis of atrial fibrillation pathophysiology and therapy: a translational perspective. Circulation research, 127(1), 51-72.

Ramos, A. P., de Anton, R., Guidi, E., Delor, S. M., Lupica, L., Fraiz, V. B., ... & Arribalzaga, E. B. (2019). Nursing preoperative checklist for safe surgery. Archives of Nursing Practice and Care, 5(1), 023-029.

Tomé Fernandes Breda, L. F., & Ribeiro Cerejo, M. D. N. (2021). The influence of the preoperative nursing consultation on meeting patients' information needs. Revista de Enfermagem Referência, (5).

Trials, C. (2022). The Effect of Patient Education Based on Nursing Model on Life Activities and Self-Care of Hemodialysis Patients - Full Text View - ClinicalTrials.gov. Retrieved 25 March 2022, from https://clinicaltrials.gov/show/NCT04797234, 2021.

Verhagen, M. J., Valke, L. L., & Schols, S. E. (2022). Thrombin generation for monitoring hemostatic therapy in hemophilia A: a narrative review. Journal of Thrombosis and Haemostasis.

Yazdi Feyzabadi, V., Seyfaddini, R., Ghandi, M., & Mehrolhasani, M. H. (2018). The world health organization's definition of health: a short review of critiques and necessity of a shifting paradigm. Iranian journal of Epidemiology, 13, 155-165.

Zheng, L., Kaufman, D. R., Duncan, B. J., Furniss, S. K., Grando, A., Poterack, K. A., ... & Doebbeling, B. N. (2020). A task-analytic framework comparing preoperative electronic health record–mediated nursing workflow in different settings. CIN: Computers, Informatics, Nursing, 38(6), 294-302.

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