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Article Evaluation: Nursing assessment[edit]

-This article addresses the definition of a nursing assessment and the criteria that is involved.

-Clicking on all of the links, they work and have credible citations.

-This article has a neutral point of view by addressing different ways to do a nursing assessment, and it does not state that is this the correct way and every nurse needs to follow it.

-The benefits of this article is that it is organized, there are many nursing definitions in the text, but they link you to another page to explain in depth further, there are pictures that help express some of the ideas.

-Some weaknesses of this article are the different subjections.

-The section on safety looks like it could be more developed there are only two bullet points that do not go in depth about assess safety measures.

-In the other sections, for instance, the one labeled Head, it says what structures of the body you need to be identifying but it fails to tell you what some abnormalities would be.

-The article has been rated as Start-Class and Mid-Importance

-This article is also within the Wiki nursing project

-There is very little in the talk page about this article, one person mentions if anyone knew where the "Three elements of a nursing situation" came from. Other than that it does not seem like many edits have been made.

-Overall this wikipedia article is constructed nicely, but I think there could be more detail and editing done in the future.

Week 6: Improving articles[edit]

Caring for people with dementia

This article is was rated low importance on the talk page for wikiproject on nursing.

  • To improve this article I would first distinguish why caring for patients with dementia is difficult, this article mainly addresses that there is a significant strain on caregivers for these individuals, but not really why it is so challenging.
  • I would also add in how caring for people with dementia is different in a nursing home, hospital, at home environment
  • What challenges there are for nurses in the health field and how that affects providing adequate care.
  • Since this article is apart of the Wiki nursing project I do think it is relevant to discuss the challenges of working with these individuals as well as helpful tools/ interventions for improving care.

Person-centered care

This article is in desperate need of editing about providing person- centered care.

  • There are multiple citations that need to be made
  • All of the subsections are very vague and not really representative of the topic on Person- centered care
  • I think there needs to be sections on what is Person-centered care, why is it important, who should be doing it, how nursing plays a role, how to improve on providing care that way, and what are the benefits/ weakness from doing this type of care.
  • There are also some spelling errors in need of fixing.

Week 7 Editing an Existing Article[edit]

Caring for people with dementia

-I mentioned above how I would like to improve this article, since there are a lot of changes I would make I am only going to focus on more of the nursing aspect.

-I would like to discuss the barriers to taking care of this population for nurses and how to improve care and pain management.

Bibliography:

Brorson, H., Plymoth, H., Örmon, K., & Bolmsjö, I. (2014). Pain relief at the end of life: Nurses’ experiences regarding end-of- life pain relief in patients with dementia. Pain Management Nursing, 15, 315-323. doi:10.1016/j.pmn.2012.10.005

Dowding, D., Lichtner, V., Allcock, N., Briggs, M., James, K., Keady, J., & ... José Closs, S. (2016). Using sense-making theory to aid understanding of the recognition, assessment and management of pain in patients with dementia in acute hospital settings. International Journal of Nursing Studies, 53(1),152-162. doi:10.1016/j.ijnurstu.2015.08.

Rantala, M., Kankkunen, P., Kvist, T., & Hartikainen, S. (2014). Barriers to postoperative pain management in hip fracture patients with dementia as evaluated by nursing staff. Pain Management Nursing, 15, 208-219. doi:10.1016/j.pmn.2012.08.007

Tarter, R., Demiris, G., Pike, K., Washington, K., & Oliver, D. P. (2016). Pain in hospice patients with dementia. American Journal of Alzheimer's Disease & Other Dementias, 31, 524-529. doi:10.1177/1533317516653825

Draft for Editing Article:[edit]

Nursing Role:

In the acute care setting a far number of individuals diagnosed with dementia suffer from hip fractures. For that reason, nurses are in high demand to care for this population.[1] When taking care of the elderly who are cognitively impaired it is challenging to assess if one is experiencing pain. Pain is commonly defined as a subjective feeling that is best understood by the patient. Because of this, nurses tend to rely on verbal statements from patients to detect whether one is hurting [2]. Due to verbal skills mostly diminished in this population it can increase the risk of inadequately assessing ones needs, including if they are in pain. Research has shown that patients not being able to express themselves is the number one barrier when it comes to caring for the elderly.

As the population continues to age, the numbers of patients in hospital settings with dementia will most likely increase. To prevent the elderly with dementia from receiving inadequate recognition of pain nurses should use the theory of common sense to aid in assessments. [1] Interpreting body language has been shown effective in relieving discomfort. Another way to improve perception of pain is getting to know the patient better through family member’s eyes. Obtaining further information about the patient from family members helps make the connection to normal behaviors.[2] Although some of these strategies are beneficial there still is a lack of research focused on dementia patients in the acute care setting. As a result, this puts an increased risk of strain on nurses and patients’. 

  1. ^ a b Rantala, Maija; Kankkunen, Päivi; Kvist, Tarja; Hartikainen, Sirpa. "Barriers to Postoperative Pain Management in Hip Fracture Patients with Dementia as Evaluated by Nursing Staff". Pain Management Nursing. 15 (1): 208–219. doi:10.1016/j.pmn.2012.08.007.
  2. ^ a b Brorson, Hanna; Plymoth, Henrietta; Örmon, Karin; Bolmsjö, Ingrid. "Pain Relief at the End of Life: Nurses' Experiences Regarding End-of-Life Pain Relief in Patients with Dementia". Pain Management Nursing. 15 (1): 315–323. doi:10.1016/j.pmn.2012.10.005.

Final Evaluation[edit]

  • Critiquing articles: What did you learn about Wikipedia during the article evaluation? How did you approach critiquing the article you selected for this assignment? How did you decide what to add to your chosen article?
      • I learned during the article evaluation that the work that goes into Wikipedia is more extensive than I anticipated. I approached critiquing the my article by summarizing it and seeing what was lacking of nursing information that I could then incorporate. After that it was easy to apply nursing information descried in our theory class and then find sources that backed up my knowledge.
  • Summarizing your contributions: include a summary of your edits and why you felt they were a valuable addition to the article. How does your article compare to earlier versions?
      • I discussed in my edits, two paragraphs on how dementia pateints affect nurses. I believe that this is valuable information for other nurses and nursing students to see because now that individuals our living longer it is more likely that we could be dealing with this population more in the acute care setting.
  • Peer Review: If your class did peer review, include information about the peer review process. What did you contribute in your review of your peers article? What did your peers recommend you change on your article?
      • I had another classmate read over my edits to my article and provide feedback. She was very kind and provided me with helpful suggestions such as different wording that I could use.
  • Feedback: Did you receive feedback from other Wikipedia editors, and if so, how did you respond to and handle that feedback?
      • I did not receive much feedback from Wikipedians. However, if I were to receive feedback I would understand if they wanted to make edits to my edits because with everyones help we can make wikipedia a more credible site to discover new information.
  • Wikipedia generally: What did you learn from contributing to Wikipedia? How does a Wikipedia assignment compare to other assignments you've done in the past? How can Wikipedia be used to improve public understanding of our field/your topic? Why is this important?
      • I learned from Wikipedia that it is a lot harder than I thought to get information out into the world for everyone to see. To make this experience better I think there needs to be more direction. I feel like the learning modules helped me get an understanding but I was still lost throughout each week. Therefore I think more information needs to be supplied to us to do better in making edits.