AN ENHANCEMENT MODEL OF NURSING

This model sees the patient as a person with many innate and learned capacities who, through living has grown, developed and acquired some or many skills and aptitudes, but who through suffering from mental illness becomes dependent in some degree on the help, support and care of others. It sees the nurseas a person who, primarily, identifies the strengths and capabilities of the patient, and devises strategies to ensure these are exercised and enhanced. Secondarily, but concurrently, she uses her personal attributes and learned skills to ensure the patient's safety and well-being, and to alleviate or minimise difficulties and disabilities in accordance with medical philosophy and prescribed treatments.

It sees two individuals who meet on each ones life path in a nurse-patient relationship, each bringing to the encounter their unique personalities, their strengths and weaknesses and the totality of their experiences. They have in common their 'humanity' and in this, neither is better nor worse than the other and this must underpin the nurse's authority in the relationship. Through their interactions the two get to know each other and build a bridge of trust between themselves and while this is happening they both contribute to the assesment and profile that will be recorded.

Throughout the subsequent nursing they will both give and take from each other in varying degree, with the nurse encouraging contribution from the patient and accepting it.

The nurse will use her various skills to ensure that any prescribed treatment is carried out safely and with maximum benefit and will utilise all the physical, social and recreational resources to enable the patient to participate and contribute safely and beneficially, whether at home or in hospital. Increasingly, as the patient becomes less dependent on the nurse he comes to feel less a patient and more a person. This can be true even when the illness is chronic or severe.

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