NURS3046 Nursing Project
Question:
Background Information
Patients and families are often on the receiving end of care and are thus positioned well to reflect, comment and share their care experience to key stakeholders who goals are to improve patient safety, quality of care and the patient/family experience. Improving the patient care experience can be challenging and nurses need to be equipped with knowledge about relevant theory. For example the nursing governances and nursing philosophies that guide the application of nursing care practice, and other related theory and strategies that will help engage nurses with patients and their families to improve their future care experiences.
Instructions:
Select one of the two following ‘patient experiences and partnering in care’ cases and write a 1200 word essay that draws upon the relevant theory that analyses the patient/family experience with the goal to improve the care experience of patients and their families.
Draw upon relevant literature (theory) to strengthen and support your assignment. For example:
- Relevant literature (theory) taught this semester. For example the weekly topics such as person centred care,
- family centred care,
- nursing governances – Code of Ethics for nurses, etc.,
- other governances such as – the National Safety and Quality Health Service Standards etc., and framework/s – for example Erikson’ 8 Stages.
- Other relevant literature (peer reviewed journal articles) you have researched, using the USQ library data bases.
or
Answer:
Introduction
Application of a holistic approach in the treatment of chronic diseases is crucial in achieving the desired medical results. The content of this essay therefore analyses and makes application of various aspects of the a holistic care theory to the case of the 40 year old aboriginal woman whose medical results show undesired outcomes as preluded within the interview. The theory of a holistic approach was designed by Bridge and has been supported by various doctors such as doctor Bock Chisholm the first director general of the World Health organization. The theory includes various aspects such as patient centered care, family centered care as well as the family networking model which are all relevant to the chosen case scenario one. The essay argues that the provision of patient medical care ensured by all the involved departments is required for a proper patient recovery. The content further illustrates how various tools within the holistic theory can be implemented to achieve the desired medical outcomes (Liaw et.al 2011).
Patient Care Theories
Based on the selected case study scenario the most appropriate theory and the frame work to be applied is holistic theory and family networking care. The holistic theory as suggested by Bridge is composed of various activities such as supportive services, social care, family as well as the individual care. These components of the theory are important to nurses as applied to the context of the case as noted within the content. The goal of a holistic care program is enhance treatment efficiency and care provision through pooling together the available resources as well as the existing resources enabling nurses with as easy task. The above components of the holistic theory such as family centered care, individual patient care, family networking care support as well as nursing governance policies are crucial as they guide nurses in their daily practices. These theories are relevant to the as there would have been a networking model and a holistic theory involved in the patients care her condition should have not reached the current stage (Hales, 2018). The networking models has one main purpose which is to ensure that patients receive the most appropriate care. However, the above theories have some negative aspects which most of the nurses may find difficult to adopt. According to Gonda & Hales, 2015 a nurse should ensure that any patient in their care is well recovered and the only way to this is through the application of the aspects of a holistic care theory and family networking care as well as the Erickson’s 8 steps such as generality and stagnation. According to the these two stages of development an individual adult feels to belong to a bigger picture thus the nurses involved would have applied family centered care to help Raelene Ward based on the fact that at her age she have desired to contribute the community and would still work with her condition.
Case analysis
The selected care scenario shows various ineffectiveness such as poor communication between the family of the patient and the nurses as well as between the nurses and the patient Raelene Ward. In analyzing the communication of the above provided case scenario, it is quite evident that at the age of 40 the patient was too young to be diagnosed with a serious illness such as diabetes. The confirmed age of the disease prevalence is age 65 year composed of older adults (Heaton, 2015). The 40 year old aboriginal Raelene Ward is too young is therefore too young to be suffering from the disease. In the interview it is evident that the patient used direct insulin injections which should have not been the case as she should have resorted to other means. The above mistake can be assumed to have been due to the lack of a holistic care partnership leading to the patient using direct injection of insulin for seven years (Gonda & Hales, 2015).
In close evaluation of the case in of the study, there is evidence of lack of a proper communication between the patient’s (Raelene Ward) family and the involved team of medical providers within the hospital taking care of her condition. As a result of the lack of the communication, the patient has been noted to be working hard with less ours for rest as required for her health thus her condition and being administered for direct insulin treatment which to her looks like she is treated that way due to her pregnancy.
Moreover, the case of the 40-year old aboriginal shows some aspects of nursing ethics. According to various scholars, nursing ethics is one of the major concerns which should be observed by medical practitioners as it is linked to their care to the patient. Within the interview Raelene Ward narrates a story of one of the patients suffering from head concussion who died as a result of an affective judgment made by the caring nurse (Cheng et.al 2015).
Raelene Ward narrates that after receiving medical instructions from the clinician and goes further and assumes that the patient was drunk and did not give the required medical treatment leading to death. This is evidence of failure to observe nursing ethics as the nurse should have taken appropriate actions as informed by the doctor or she was to communicate with the doctor to save the man’s life. This is because she would have observed the patient’s dignity as well and provided him with the required care instead of just looking at the man and making unfair judgments which led to the man’s death. Raelene Ward suffered from stress and depression as a result of being diagnosed with diabetes. she suffered this condition based on the fact that majority of the medical practitioners assigned to her treatment assuming that by the virtue of being a doctor she required no counselling thus being sent home without any proper advice regarding her medical condition (Giger, 2016).
Application
The patient in the case would have also been helped through patient centered care where the medical professionals involved in her treatment should have explained everything entailing her treatment to her. The patient Raelene does not receive patient centered care and have been left to judge everything for herself such as medicine, work and she further judges being put on direct insulin injection as a result of her pregnancy (Fitch, Fliedner & O’Connor, 2015). She confirms that had she had a professional doctor she could have been placed on a proper diet rather than direct insulin injection in order to manage the situation.
Depression is a state which is usually related with most patients of patients. Depression is normally evident among older patients and it is also accompanied with stress. Typically, the condition comes as a result of fear of taking medicine as well as trying to make the ends meet in terms of needs. In order to overcome such situations, the best solution is for such conditions is a well-organized family centered care (Zyga, 2015). A well-organized family centered care from the health group taking care of the patient with the condition integrated with support from the patient’s community, might make lead to quick recovery among patients. As per one of the articles written on depression, reduced condition among patient leads to reduced days of treatments, improved physical conditions as well as a reduced medical cost.
Moreover, a well-organized family centered between the nurses and the family should have been organized a counselling program in order to show her love from both the family and the health care providers during that period would in order to help her recover (Mackey & Bassendowski, 2017). She admits having too much of a shock but since there was no emotional support from anyone, the case kind off worsened. This made the doctors jump straight into insulin injection for her. As a nurse I would have employed the communication model known as family networking for appropriate communication in order to learn of the patient’s condition at home and more about her during her treatment.
Conclusion
In conclusion, the knowledge regarding holistic medical care approach such us personal centered care, family centered care and the family networking care are useful for a desired medical results. The theory is crucial and key in ensuring patient’s well-being. Through the analysis of the 40 year old aboriginal Raelene ward, the study has argued that it is important for medical professionals to apply the holistic theory while handling chronic diseases. The content of this essay in relation to the case of Raelene has suggested various ways in which medical professionals can employ the scope and components of the holistic theory in order to achieve the desired medical outcomes. In summary, the study found argued that Raelene suffered as a result of the failure of the nurses to apply holistic care approach. Finally the paper suggested that every individual involved in treatment of a patient should undertake their rolls and communicate with both the family and the individual patient as well as other departments in the order to avoid cases like the one preluded in the study interview.
References
Cheng, C. J., Tietjen, G. T., Saucier-Sawyer, J. K., & Saltzman, W. M. (2015). A holistic approach to targeting disease with polymeric nanoparticles. Nature reviews Drug discovery, 14(4), 239. Retrieved from: https://www.nature.com/articles/nrd4503
Fitch, M. I., Fliedner, M. C., & O’Connor, M. (2015). Nursing perspectives on palliative care 2015. Annals of palliative medicine, 4(3), 150-155. Retrieved from: https://apm.amegroups.com/article/view/7034
Giger, J. N. (2016). Transcultural Nursing-E-Book: Assessment and Intervention. Elsevier Health Sciences. Retrieved from;
Gonda, J., & Hales, M. (2015). Health care delivery systems. In A. Berman, S. Snyder, B. Kozier, G. Erb, T. Levett-Jones, T. Dwyer, … D. Stanley, (Eds.), Kozier and Erb’s fundamentals of nursing (3rd ed., pp.110- 126). Melbourne, Victoria: Pearson Australia.
Hales, M. (2018). Health care delivery systems. In A. Berman, S. Snyder, T. Levett-Jones, T. Dwyer, M. Hales, N. Harvey, … D. Stanley, (Eds.), Kozier and Erb’s fundamentals of nursing (4th ed., pp.108- 126). Melbourne, Victoria: Pearson Australia.
Heaton, L. (2015). Regional, rural and remote nursing. In A. Berman, S. Snyder, B. Kozier, G. Erb, T. Levett-Jones, T. Dwyer, T. … D. Stanley, (Eds.), Kozier and Erb’s fundamentals of nursing (3rd ed., pp.157-172). Melbourne, Victoria: Pearson Australia.
Liaw, S. T., Lau, P., Pyett, P., Furler, J., Burchill, M., Rowley, K., & Kelaher, M. (2011). Successful chronic disease care for Aboriginal Australians requires cultural competence, Australian and New Zealand Journal of Public Health, 35, 238-248.
Mackey, A., & Bassendowski, S. (2017). The history of evidence-based practice in nursing education and practice. Journal of Professional Nursing, 33(1), 51-55.
Mooi, J. K., Whop, L. J., Valery, P. C., & Sabesan, S. S. (2012). Teleoncology for Indigenous patients: The responses of patients and health workers, The Australian Journal of Rural Health, 20, 265-269.
Zyga, S. (2015). Assessing Patients Spirituality: A New Age Holistic Approach or a Forgotten Nursing Practice?. Health science journal, 9(3), 1. Retrieved from: https://pdfs.semanticscholar.org/2f36/2af203cabed88d1bc2eebc8996c0b2e223fd.pdf
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