TASK #10

Based on your clinical exposures/experiences in various affiliated health care facilities, which
hospital or station/unit of a hospital adapts the following models of care:

A. Functional Method

This is the oldest nursing practice modality. It can be best described as a task-oriented method
in which a particular nursing function is assigned to each staff member. One RN is responsible for
administering medications, one for treatment, one for managing IV administration, and nursing
attendants make linens. This method divides the work to be done with each person being responsible to
the senior nurse.

B. Case Method

In the case method of nursing care, one nurse is assigned to one patient for the delivery of total
care the nurse plans, coordinates, implements, evaluates, and documents the nursing care she has given
during her shift. His or her entry point is anytime of the patient’s illness. The one-on-one pattern to a
common assignment for private duty nurses, for nurses in special care units such as the critical care
units or those in isolation, and for nursing students.

C. Primary Nursing

Primary Nursing as a form of assigning responsibilities for patient care, is an extension of the
principle of decentralization of authority. Each registered nurse is responsible for the total care of a
small group of patients from admission to discharge. The primary nurse is assigned to take care of
patients’ total needs for the duration of hospital stay.

Responsibility calls for a 24-hour period with other nurses providing care when the primary nurse
is not there. The care given is planned and prescribed totally by a primary nurse.

D. Team Nursing

RN as team leader coordinates care for a group of patients. Evolved in the 1950s to improve
patient satisfaction. Goal was to reduce fragmented care. Common use areas—most inpatient and

outpatient areas.

Primary care is the day-to-day healthcare given by a health care provider. Typically, this provider acts as
the first contact and principal point of continuing care for patients within a healthcare system, and
coordinates other specialist care that the patient may need. Provides mostly basic health care. It is
generally regarded as the ‘gateway’ to receiving more specialist care. All of this various affiliated health
care facilities I experienced in BPH hospital that adapts the following models of care during my duty in
any station of BPH.