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Complex Nursing Care: Medical Surgical

Description of Nicholas Noble's Treatment Plan

When Nicholas Noble was brought under my care, as a professional, I had to do everything within my capacity to attend to him and offer an intervention that would make positive contributions towards the facilitation of his recovery process. What I did, to this effect, was to develop a treatment plan that suited him most. After examining the patients’ condition and taking information on his medical history, I went ahead and referred the case to a speech pathologist. I strongly believe that this was a good decision because it was not made instinctively, but based on well-pronounced framework. First and foremost, I based my decision on research. As a progressive healthcare provider who believes in the principles of Evidence-Based Practice (EBP), I had to rely on reliable scientific evidence as well as my personal experiences (Warren, et al., 2016). I had to read and consult widely so as to know the right action to take. At the same time, I had to apply the experiences that I have gained while serving such patients in this facility. Because of this, I have no doubt that I acted rightly.

Reflection on Nicholas Noble's Treatment Plan

The main reason why I attended to Nicholas is to help him improve his health condition. The main goal why I developed and implemented the treatment plan is to help the patient to recover and be able to alleviate pain, regain movement and speech capabilities. I was mainly focused on these aspects because these are the immediate needs that the patient had. According to the examination that I had carried out, I established that the patient was in the process of losing his speech and movement capabilities. That is why he was rushed to the Emergency Department (ED).

I, therefore, had to develop the treatment plan because it was appropriate for the patient. It was appropriate because it would not cause any harm to the patient or inflict any pains to him. Instead, if properly implemented plan would help in making positive contributions towards the stability of the health conditions of the patient (Spruce, 2015). Meaning, it would help in the elimination of the pain that the patient was undergoing at the time of his admission. It would also make the patient to be conscious and mentally stable. Better still; the treatment plan would end up enabling the patient to regain his speech and movement skills.

I succeeded in choosing the most appropriate treatment plan that was safe for the patient and could not harm him in any way because I had followed a standard procedure to do so. As already hinted, my treatment plan was based on the principles of EBP. I did not have to rely on my own interpretation and experiences alone. Rather, I had to combine evidence from scientific research (Wilson, et al., 2015). To achieve this, I took my time to study and review some of the most reliable, valid, and credible reference materials. I relied on peer-reviewed journals extracted from reputable healthcare databases like PubMed and PubMed Central (PMC). I did not rely on any unreliable and low-quality resources that might have compromised the quality of my treatment plan. That is why the treatment plan that I developed was superb and could even be applied to other patients in different contexts.

Influencing Factors of Nicholas Noble's Treatment Plan

I did the right thing because my decision was influenced by a number of internal and external factors. The external factors that influenced me include the availability of adequate resources at the facility, the culture of multi-disciplinary collaboration, and time constraints. The internal factors that influenced me include personal opinion, experiences, understanding, perception, and world view (Puschner, et al., 2016). In my philosophy, I always believe that I should prioritize the needs of my patients and do everything possible to assist them to alleviate suffering and improve their health within as much as I can. That is why I was motivated to come with such a treatment plan that, in my understanding, would enhance safe and exceptional service-delivery to his satisfaction. 

Improvement of Nicholas Noble's Treatment Plan

If I were to rank my performance during this activity, I would say, without fear of contradiction, that my performance was superb. Based on my own assessment, I have a conviction that I did not fail in any way. Meaning, I succeeded in developing a perfect treatment plan for my patient. However, if I got another opportunity to carry out such a treatment plan, I would make certain adjustments.

First and foremost, I would refrain from making unilateral decisions. Instead, I would have to involve the contribution of other stakeholders including the physicians and nurses. I will have to make such a change because it will improve the efficiency and effectiveness of my treatment plans. Although I made the right decision, I did not consult other experts. Maybe, they could have made certain recommendations that would have made the treatment process to be a success. Health care is a discipline that required a multidisciplinary approach (Spruce, 2015). However, by choosing to act alone, I was trying to make it a one-man show which is, of course detrimental. If I involved the contributions of all the stakeholders, I would have succeeded in developing a much better treatment plan than I did.

Secondly and lastly, I would have taken adequate time to conduct research and deliberate over the patient’s case before eventually developing his treatment plan. Although the treatment plan did not fail, I rushed it. I did not spare adequate time to conduct research so as to source for reliable information that would assist me in as far as EBP is concerned. I was in a big hurry. That is why I did not create enough time to read widely, analyze the situation, and make rational and critical decision regarding the best course of action (Warren, et al., 2016). To rectify this, I needed to have been patient. I could have dedicated a substantial amount of time to seek for reliable, credible, and authoritative resources that would assist me to make the best decision and be able to able to facilitate the recovery of the patient.

Learning of Nicholas Noble's Treatment Plan

I would like to point out that my participation in this task gave me another platform to learn and improve my skills. As a healthcare provider, I have an obligation to deliver safe and high-quality healthcare services that can satisfy the needs of my patients. In this reflection, I express my satisfaction with the commendable work I did. Overall, my performance was good. However, if I were to do such an activity again, there are certain improvements that I would make.

Most importantly, I would improve on my interdisciplinary approach. Although I am aware that I should be a team player, I did not display a high-degree of team play. Meaning, while attending to this patient, I tried to carry out most of the activities alone. That is why I did not succeed in giving a perfect intervention. In this regard, next time, I will have to rectify this by collaborating with all my colleagues. I will have to consult the pharmacists, therapists, physicians, Registered Nurses (RNs) and any other specialty who might be of help especially when attending to such emergency cases (McClelland & Albert, 2016). Besides, I will have to dedicate adequate time for research. I will have to research widely so as to get the best information from the most reliable and credible publications. Lastly, I will not rush, but create enough time to reason out so as to make critical decisions on the right action to take for the best interest of the patient.

Next time, I will have to rectify all the loopholes by taking the above-mentioned action steps. If I do this, I am sure I will succeed in developing the most appropriate, responsive, effective and efficient treatment plan for all my patients regardless of the nature of their conditions. If I take such measures, my future treatment plan would be effective and efficient in the provision of the required intervention and the facilitation of the recovery of the patient. 

References for Nicholas Noble's Treatment Plan

McClelland, M., & Albert, N. (2016). Creating a vision for nursing research by

understanding benefits. Building and sustaining a hospital-based nursing research program, 3.

Puschner, B., Becker, T., Mayer, B., Jordan, H., Maj, M., Fiorillo, A., ... & Roessler, W.

(2016). Clinical decision making and outcome in the routine care of people with severe mental illness across Europe (CEDAR). Epidemiology and psychiatric sciences, 25(1), 69-79.

Spruce, L. (2015). Back to basics: implementing evidence-based practice. AORN journal,

101(1), 106-114.

Warren, J. I., McLaughlin, M., Bardsley, J., Eich, J., Esche, C. A., Kropkowski, L., & Risch,

(2016). The strengths and challenges of implementing EBP in healthcare systems. Worldviews on EvidenceBased Nursing, 13(1), 15-24.

Wilson, M., Sleutel, M., Newcomb, P., Behan, D., Walsh, J., Wells, J. N., & Baldwin, K. M.

(2015). Empowering nurses with evidence‐based practice environments: Surveying Magnet®, Pathway to Excellence®, and non‐magnet facilities in one healthcare system. Worldviews on EvidenceBased Nursing, 12(1), 12-21.

Remember, at the center of any academic work, lies clarity and evidence. Should you need further assistance, do look up to our Nursing Assignment Help

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