Application of the Worldview and the Nursing Theory in a Past or Current Practice

Application of the Worldview and the Nursing Theory in a Past or Current Practice

I previously worked in a care home where I provided care to an 89-year-old female patient with moderate Alzheimer’s disease (AD) progressing to the severe stage. The patient’s basic ADLs were gradually getting impaired, including her ability to eat, dress, groom, bathe, and toilet independently. The client’s relatives were worried that their patient had lost her capacity to care for herself, which led to significant psychological distress in the patient. Consequently, the patient would insist on dressing and going to the bath herself because she believed that she was not as incapacitated as the providers perceived. In this case, I would have applied the Activities of Living Model to assess the patient to establish what the patient could and could not do in each of the activities of living considering the physical, physiological, sociocultural, environmental, and politico-economic factors influencing the patient.

During the patient assessment, I would have documented the activities the patient could perform independently and those activities she could not perform without assistance. All the activities that could not be performed independently would have been treated as problems during the assessment. Besides, I would have identified nursing actions to address the identified problems by assessing how I would promote the patients’ independence in the activities of living (Motamed-Jahromi & Kaveh, 2021). In addition, I would have applied the worldview by implementing comforting activities to prevent complications like infections and slow AD progression.