What does a holistic approach mean?
Taking into account all of our patients’ needs (including personal ones)
What are the four key steps of the nursing process (A PIE)?
-Assessment
-Planning the care that is to be administered.
-Implementing care
-Evaluating the care given
What two distinct parts are involved in assessment?
-Assessment of the patients condition
-Assessment of the patient as an individual (how do they normally live)
When would the assessment be carried out?
-During admission with owner
-Own observations
What is the assessment phase?
Collecting information from the owner or through observation about the animals needs. Taking into account the injury/illness and also how they live normally as an individual.
What does the planning stage involve?
Deciding what you want to achieve for the patient and how you’re going to reach these goals (making a care plan).
What type of goals do you want to establish during the planning stage?
Short-term goals I.e maintain oxygen
Long-term goals I.e dog breathing on own
What is the implementing stage?
The doing phase where you carry out the nursing care (including documenting on chart).
What happens during the evaluation stage?
Reflect on what you’ve done, whether it worked and what you would improve. Has the goal been achieved?
What does SOAPIER stand for?
Subjective
Objective
Assessment
Plan
Implement
Evaluate
Reassessment
What happens during the subjective phase?
Observation of the animal
What happens during the objective stage?
Obtaining data through examination of the animal.
What happens during the assessment stage of SOAPIER?
Assessment of the needs based on the subjective and objective findings.
What happens during the planning stage of SOAPIER?
Planning treatment to address the needs identified from the assessment phase.
What happens during the implement stage of SOAPIER?
Carrying out nursing interventions
What happens during the evaluation stage?
Evaluate how effective the plan was
What happens during the reassessment phase?
Review the plan and start again
I.e were the goals realistic, were interventions carried out properly, has anything changed, was the problem identified.
What is a careplan?
Document stating the treatment goals for an individual patient and the interventions needed to address them.
What is a care bundle?
Collection of best practice interventions that can be used to manage certain conditions or procedures
What is a dynamic clinical plan?
A flexible, practical plan optimising ongoing clinical decision making.
What is a nursing model?
A framework to guide the nurse in planning care for a patient (ability model, RLT, Orem’s).
What 2 models have been adapted for use in veterinary practice?
Roper, Logan and Tierney (RLT) activities of living model
Orem’s self care model
What are the five parts of the RLT model?
Activities of living
Lifespan
Dependence
Factors influencing the activities of living
Individuality in living
What is included in the activities of living?
Safe environment
Communicating
Breathing
Eating/drinking
Eliminating
Personal cleansing and dressing
Controlling body temperature
Mobilising
Working and playing
Expressing sexuality
Sleeping
Dying
