Abstract
The patient’s progress report should be the most important medium of communication in nursing practise. As a result of various factors, however, this report is today often incomplete and not serving its purpose of providing total insight into the progress and treatment of the individual patient. Possible solutions to the problems encountered are patient-centred nursing care plans and problem oriented progress reports. These are however not always practical, given the realities and needs in most nursing units in South African hospitals. The author suggests an alternative system, using elements from both the above, which can be used to eliminate the problems and to change the kardex system into the effective group communication tool which it should be. The system includes the use of a Special Nursing Care Prescriptions Card which is placed with the usual progress report, clearer reporting on the patient’s condition by eliminating unqualified phrases such as “ condition satisfactory” and a special admission form which is also placed in the kardex.
Highlights
Possible solutions to the problems encountered are patient-centred nursing care plans and problem oriented progress reports
The system includes the use of a Special Nursing Care Prescriptions Card which is placed with the usual progress report, clearer reporting on the patient’s condition by eliminating unqualified phrases such as “ condition satisfactory” and a special admission form which is placed in the kardex
Die skep van ’n omgewing van begryping is die eerste en ongetwyfeld die sleutelvoorwaarde vir die daarstelling van n milieu van veiligheid waarin die verpleegkundige en ander terapeutise gebeure sigself belekenisvol en effektief sal voltrek. (1:45) Met hierdie stelling het Kotzé verwys na die affektiewe domein van verpleging, maar dieselfde stelling kan gebruik word om te verwys na een van die belangrikste, blywendste en sterkste kommunikasiemiddels in ver pleging— die pasiëntvorderingsverslag
Summary
The patient’s progress report should be the most important medium of com munication in nursing practise. Possible solutions to the problems encountered are patient-centred nursing care plans and problem oriented progress reports. These are not always practical, given the realities and needs in most nursing units in South African hos pitals. (1:45) Met hierdie stelling het Kotzé verwys na die affektiewe domein van verpleging, maar dieselfde stelling kan gebruik word om te verwys na een van die belangrikste, blywendste en sterkste kommunikasiemiddels in ver pleging— die pasiëntvorderingsverslag. Een van hierdie aspekte is die wyse van rekordhouding oor ’n pasiënt se sorg en vordering. ’n Holistiese of totale beeld van ’n pasiënt kon slegs met baie moeite verkry word, want elke dag se verslag was op ’n ander bladsy, tussen die van ander pasiënte. Elke pasiënt se vorderingsverslag vorm 'n eenheid vanaf die dag van toelating tot met ontslag. Daar was minder tydvermorsing en minder skryfwerk — verpleegpersoneel het nou meer tyd om aandag aan hul pasiënte te skenk
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