Problem Based Nursing Learning Commitment – Care Example

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"Problem Based Nursing Learning Commitment" is a great example of a paper on care. Nursing is a process that does not only require therapeutic knowledge but is rather a fine and balanced mix of therapeutic and humanistic knowledge. Nursing is a therapeutic, psychological, and interpersonal connection that ties a nurse and a patient in a relationship that heals the patient’ s misery and pain (Leininger, 1988). Nurses need to comfort patients and their relatives despite the psychological stress they feel by witnessing the pain of the patient and concerned people. They need to control their own emotions, interact with the patients to avoid the feeling of being detached or isolated, and treat every patient as an important individual rather than a burden (Zuzelo, 2010). Patience is of the utmost importance when dealing with an elderly patient.

Nurses must sit at a little distance from the elderly patient, talk in a slow and low-pitched voice and ensure the room has enough light to ensure lip-reading if he has heard impairment (Lippincott Williams & Wilkins, 2002). The scenario under consideration lacked even the basic humane manners and behaviors that we expect.

Nursing is a much sensitive and compassionate professional to provide care to patients. Elderly, in addition, require much more care, time, and better treatment than others. Nurses need to grasp knowledge about ‘ transitional care’ that involves transferring patients from one stage of medical care to the other. In doing so, they must ensure the involvement of doctors, patients, and concerned relatives in the decision-making process. They should not take decisions on their own and as per their individual knowledge but rather a proper decision requires input from other people as mentioned. Discharge planning is yet another concept that was missing in the proposed scenario.

An identified problem is the inability of nurses to take a patient’ s relative in confidence leading to the greater distress of the patient and the overall quality concern of the healthcare facility provided (Fitzpatrick, 2002). Rather than rushing to the discharging step, the need is to properly evaluate the condition of the patient, provide post-discharge guidance, and lead the patient and the concerned people toward a more satisfactory exit from the healthcare facility. Research shows that factors that increase satisfaction, comfort, and proper sleeping levels among elderly patients include cleanliness, appropriate lighting, eradication from distractions like noises, and proper room temperature (Hegner, Acello & Caldwell, 2009).

All these factors were missing in the scenario under consideration and clearly caused a great deal of trouble, worsened health conditions, and added to the distress of the patient. Nurses need to show their commitment toward every patient individually. They need to understand the state of mind, increasing anxiety, and lack of sleep and the unique needs of elderly patients (Garber, Gross & Slonim, 2010).

Unlike other patients, they need more care, time, and concentration to be satisfied. They should be given positive feedback, gestures, and verbal and non-verbal cues to comfort them along with congruence in their actions and words (Rana & Upton, 2009). The scenario is abundant with a failed nursing care facility and a failure of the nursing staff.


Hegner, B. R., Acello, B., & Caldwell, E. (2009). Nursing assistant: A nursing process approach. Clifton Park, N.Y: Delmar Learning.

Fitzpatrick, J. J. (2002). Annual review of nursing research: Volume 20, 2002. New York: Springer.

Rana, D., & Upton, D. (2009). Psychology for nurses. Harlow, England: Pearson Education.

Leininger, M. M. (1988). Care, discovery, and uses in clinical and community nursing. Detroit: Wayne State University Press.

Garber, J. S., Gross, M., & Slonim, A. D. (2010). Avoiding common nursing errors. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

Zuzelo, P. R. (2010). The clinical nurse specialist handbook. Sudbury, MA: Jones and Bartlett Publishers.

Lippincott Williams & Wilkins. (2002). Illustrated manual of nursing practice. Philadelphia: Lippincott Williams & Wilkins.

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