Nursing management of a chronic illness - diabtetes type II
The impact of diabetes mellitus is manifold and adapting to and managing diabetes has been described as a fine balancing act (Lubkin & Curtin, 1990). It involves balancing the demands of diabetes management with the desire to live a 'normal' life. This is an intricate process, requiring compromises between self-control and professional expertise. It is arguably the role of the nurse to strive to understand the complexity of this balance and to offer realistic advice, support and education that pertains to the individual and not just prescriptively to the illness. Person-centred care is currently one such approach and is certainly the buzzword of current literature (Paterson, 2001). From a professional perspective it is imperative to examine the impact of diabetes mellitus, a condition that affects not only the individual but also their respective families. Diabetes is an all-encompassing condition and is one of the biggest health challenges of the twenty first century (Diabetes UK, 2011). Experts agree that the UK's diabetes prevalence is on the increase and the impact of the condition is manifold (WHO, 2004). Despite recent strides in the self-management of diabetes, many sufferers do not achieve optimal outcomes and suffer devastating complications of macrovascular and microvascular disease (Kumar & Clark, 2002). Indeed, the list of complications is endless; sufferers are
Counselling. Peplaus Theory Peplau has given four phases of nurse-patient relationship i.e. orientation, identification, exploitation and resolution. And during these phases nurse has to perform variety of roles and from which one of the most importan
INDEX S.no Topics P.no. 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 20 21 COUNSELLING * Definition * Concept * Meaning * Models of counseling * Behavioral counseling * Rogerian counseling * Elements in the counseling process * Elements that hinder counseling process * Need of counseling * Attributes & skills required for a counselor * Qualities of a counselor * Principles of counselling * Techniques of counselling * Phases of counselling * Types of counseling * Genetic counseling * Family counseling * Psychoeducation programme * Peplau theory * Counseling in HIV/AIDS * Role of nurse COUNSELLING Counseling denotes "giving advice". It is a wider procedure concerned with emotion as well as giving information. Peplau (1952) said that the "counseling" in nursing have to do with helping the client to remember and to fully understood fully what is happening to him in the present situation so that the experience can be integrated with rather than disassociated from life." Peplau (1962) believed that nursing interventions should aid client in recognizing their dysfunctional behavior, help them to describe the behavior verbally, connect to the causes and consequences of their behavior, search for more functional behavior and transfer the improved behavior to other situation. Nurse therapist has developed skills through intensive supervised
decision making by a nurse
Analysing a decision made by a nurse in the practice setting We are going to analyse the decision taken by a nurse to use compression bandages therapy onto a patient who had a venous leg ulcer. This decision was taken using guidelines and suggested methods, along with their ability to critically question practice in an organise manner, consequently developing the process of decision making (Lipman et al, 1997). Using these and prior knowledge and understanding of the areas we work, an evidence and knowledge based decision can be made, giving the patient options so that they can decide what care they wish to receive. Many studies show that most patients prefer to be involved in decision making, sharing information and decicions with the patient usually means a satisfied patient. It is important to maintain an effective holistic care management and assertive behaviour to create accurate decisions based on all facts and opinions of both parties (Nursing times, 2004). It is essential to have ethical principles in order to provide and maximise the effectiveness of the care provided (Doh, 2006) and ensure that the patient can lead the best possible life that they wish to, for as long as possible. The patient being cared for is a fifty-three year old man who had various wounds in his right leg. The patient suffers from type II diabetes and is obese; his past medical history is
The aim for this literature review is to use specific information on the use of cannabis and cannabis based products to reduce pain in the patients with multiple sclerosis (MS). The rationale for choosing this subject was that the author had experienced a
Contents Introduction..................................................................................page 2 Background of MS...........................................................................page 3 Background of Cannabis....................................................................page 3-5 Literature search..............................................................................page 5-11 Summary of Findings........................................................................page 11 Implications and Role of the Nurse...........................................................................page 11-12 Reccomendations.............................................................................page 12-13 Conclusion....................................................................................page 12-13 References....................................................................................page 14-16 Bibliography..................................................................................page 17 Introduction A literature review focuses on a research issue, it is a process of reviewing current knowledge, analysing previous studies and it helps the author note similarities and differences in research results. It also evaluates the strengths and weaknesses and will identify any gaps in the literature (Timmins and McCabe 2005). A
This essay will discuss the effect of a panproctocolectomy with a permanent ileostomy on a 65 year old lady and explain the different physical and psychological changes Alice has had to adjust to.
Adjustment to Ileostomy care This essay will discuss the effect of a panproctocolectomy with a permanent ileostomy on a 65 year old lady and explain the different physical and psychological changes Alice has had to adjust to. A Panproctocolectomy is an operation that removes the entire colon, rectum and anal canal. It will discuss the main psychological problem that effected Alice and how her coping strategies were implemented by the nurse to enable Alice to adjust to her stoma. This essay will analyse a comprehensive coping model to help develop an understanding around the impact of changes in body image from a stoma. This patient will be referred through out this essay as Alice as recommended by the Nursing and Midwifery Council code of conduct (2009) to protect the identity and to maintain confidentiality; I have obtained consent from Alice to write about her experience. Alice is a 65 year old retired widow who was diagnosed with colorectal cancer 11 months ago and has undergone chemotherapy to shrink the size of the carcinoma before removing it. Alice lives independently in a two- bedroom bungalow and until recently enjoyed socialising with her good circle of friends and family. The support she receives from this circle enables Alice to do her weekly shopping and attend her hospital appointments. Alice responded well to her chemotherapy due to her family and friends
Disposal Of Sharps In Diabetic Care
Disposal Of Sharps In Diabetic Care Introduction This essay is about sharp disposals in diabetes, in relation to competency number 1. Every nurse will encounter people with diabetes during his/her nursing carrier. The management of this group of people has increasing emphasis on education in psychological care, there by increasing the role that nursing plays. Improved glycaemic control is strongly linked to reduce morbidity and possible mortality from diabetic complications. To achieve this, the patient has to play the largest part in his/her care. A role the individual is often ill prepared for, and may be unwilling to take on. ADA (1995) describes diabetes mellitus as a condition in which the glucose in the blood is completely high because the body is no longer able to use its fuel. There are two important reasons for optimizing diabetes control. The first is to eliminate symptoms, and the second is the longer term of aborting the development of diabetic complications. These can be achieved by monitoring the blood glucose levels and it is done by using finger pricking devices to obtain a capillary blood sample. These devices should be disposed off properly to avoid complications and infections. The Rational Behind This Essay BMA (1992) defines sharp as anything which can puncture the skin and may be contaminated with blood or other body fluid. Safe disposal of sharps
The aims and objectives of this essay are to analyse a critical incident from a practice based situation.
The aims and objectives of this essay are to analyse a critical incident from a practice based situation. I will provide an overview of the incident, and the discussion it provoked during a group presentation. I will then go on to analyse the situation and the effects that it had on the persons involved. In order to help me with my reflection I have chosen Gibbs (1988), as a model to help guide my reflective process. This is an 'Iterative' model, with six stopping points, using these six stopping points I will be able to reflect fully on the incident. So, what is reflection? According to Boyd and Fale (1983) 'It is the process of internally examining and exploring an issue of concern triggered by an experience which creates and clarifies meanings in terms of self, and which results in a changed conceptual perspective.' Paul (1992) describes critical thinking as 'It is the art of thinking about your thinking while you are thinking in order to make your thinking better, more clear, more accurate and more defensible. Alfaro-Le Fevre (1995) believes that reflection is a critical thinking process and that critical thinking is reasoning. Critical thinking is a requirement for nurses to be safe, competent and skilful practitioners (Girot, 2000). It can also enhance personal and professional learning (Atkins and Murphy 1993, Jarvis 1992, Palmer et al 1994), and also
Hungry in hospital?
HUNGRY IN HOSPITAL? The Hungry in Hospital report concerns the importance of food in relation to nutrition, and how nutrition is important when people are ill in terms of the healing process. It explores how food is therefore part of a patient's treatment, the reputation of hospital food, and suggests that health is being seriously affected when people in hospital do not eat or drink enough. The aims and recommendations of the report highlight the importance of nutrition in hospital, why patients leave hospital undernourished, it examines whose role is it to feed patients. The Hungry in Hospital report was written in January 1997, the rationale in choosing this particular report stems from a mixture of personal patient experience and now, a decade later, the concerns of the report are evident in everyday practice in my role as a student nurse. The report highlights factors that may contribute to a patient not eating and drinking in hospital, this paper will examine several of these issues, together with the impact malnourishment has on recovery from illness, and whether it is, or ought to be the role of the nurse to feed patients. The issues examined will relate to a surgical ward within a local trust. Hospital catering is an essential part of patient care. Patients need nutritious, appetising food that they are able to eat in order to aid their recovery. If patients do
To describe why I chose nursing as a career, my goals, ambitions, and my total respect for the field of nursing. Included in this paper will be my personal ideas and concepts of how I felt about nursing before I enrolled
Reflective Paper 2 My intentions for this paper is to describe why I chose nursing as a career, my goals, ambitions, and my total respect for the field of nursing. Included in this paper will be my personal ideas and concepts of how I felt about nursing before I enrolled in the program and how I feel now. By using current literature and journals, I will be reinforcing what I have learned throughout the program to prepare to become a nursing professional upon passing of the NCLEX. Lastly, I will list my goals after one year and five years upon completion of the University Of Guam's nursing program. While I was in the military, I had the opportunity to provide client care to active duty, retired personnel, and dependents. As a Hospital Corpsman, my scope of practice was much more liberal than my civilian counterparts. I had learned a lot from the education and training I received from the military that I wanted to take it to another level and advance my knowledge in this field. I was fascinated by how nurses knew disease processes and interventions. I knew how to perform client procedures and administer medications but sometimes I would not know why they were being done. On January 2001, I had to make a difficult decision whether to stay in the military and make it a career as I originally planned or get discharged from the military without any kind of plan of what
Counselling Case Study
Counselling Case Study The following intervention analysis will utilise a planned verbal interaction, which occurred as part of ongoing care, during a 15-week placement on a Psychiatric Acute ward catering for Women aged 18-65. The client's informed consent was gained verbally, to use this conversation within my assignment. The client will be referred to as Carol. These measures are in accordance with the UKCC (1998) guidelines regarding consent and confidentiality. A client centred approach is to be employed as an aid to critical analysis of the intervention. It will firstly give a rationale for why this particular intervention was chosen and for the theoretical approach utilised. Biographical details of the client including events leading up to this point, previous conversations and incidents which are relevant to the chosen intervention, can be found in Appendix A. It will outline what a client centred approach involves. Firstly by defining its beliefs and essential core conditions, then by calling on the more practical micro-skills involved. The interaction will be analysed as each of these core conditions and skills are stated, thus helping in illustrating the helpful and not so helpful aspects of the interaction. Throughout the analysis, I will reflect upon how the intervention could have been more effective offering alternatives, which could have been more