Sunday, January 27, 2019
Community Health Nursing Essay
As a registered nurse of only third years, I am often generation referred to by my peers as a baby nurse. However, in those short three years of practice I do swindleed and continue to learn many things whether medical, personal, or humanitarian. My personal nursing experience has been in functional trade services. The vast majority of the uncomplainings I have cared for are those undergoing elective course procedures. They have chosen to have joint arthroplasty or some other type of procedure.I have overly had the great fortune to care for those who have been diagnosed with terminal illnesses much(prenominal) as pubic louse and leukemia. Many times I see these uncomplainings in the infancy of their disease process, but I also see them on a continue basis during intercessions such as blood or platelet transfusions. The difficulties faced by long-suffering s such as these are varied and bring with all(prenominal) a different set of needs to be appraiseed and address ed. You become non just a nurse but a caregiver, advocate, therapist, and more often than not a friend.It is when working with these endurings that the dynamics of quality versus quantity of liveness become central to care. In many cases family concerns, whether well meaning or not, may overshadow the patients wishes. Our selfish need to take place loved ones with us substructure blur the line as to the patients own wants and needs. In dealing with this you must also assess your own beliefs as to end of life decisions.My role as a nurse must be to advocate for my patient, to develop trust in the relationship, and to follow by means of with their wishes. All the while promoting compassion in our interactions, In this case scenario, there are three strategies in which I would enforce to address Mrs. doubting Thomas as a patient. After assessing the patient and her part referrals should be made for therapy modalities both physical and occupational, home health, and psycholo gical/ psychic health for both Mrs.Thomas and her spouse/caregiver.Physical and occupational therapy could measure Mrs. Thomas and initiate a picture of treatment to increase stamina and range of motion to keep the patient at an optimum take aim of functioning. Physical improvement even in small increments gutter have a positive effect on the patients outlook. fireside health could evaluate Mrs. Thomas and her need for fuss control as well as her fear of dependency. Education at this juncture is imperative mood to patient outlook as well as outcome of treatments. With pain management in place, physical therapy could progress, thus increasing the level of patient participation. Also a mental health/psychological referral could be priceless to both Mr. and Mrs. Thomas. Mrs. Thomas could be assisted in working through and understanding the stages of her illness, as well as her depression and sadness concerning her family relationships.It could also help Mr. Thomas with his depr ession and allow them both to connect with certify groups or individuals within the community with whom they hind end share experiences. One of the best(p) resources for breast cancer patients is the Susan B. Komen Foundation. As a certified breast cancer educator, I have had the pleasure of working with both survivors and their families. Education is truly important to all concerned in a medical diagnosis of breast cancer. Understanding of the disease process and its effects are also essential to a healthy outlook. The Komen Foundation offers support to patients, survivors, caregivers, and family members. It would be an fine resource in which both Mr. and Mrs. Thomas could receive individualized treatment and support.The team approach is also necessary for working with patients, families, and caregivers. As a nurse you must accept that an individual cannot meet all patient needs so you draw upon other health care passkey s to accomplish the highest levels of care.A wide vari ety of team members can be utilized in the care of the Thomas. Physicians who offer ingest clinical care and disease pathologies, social workers/clinical case managers who can assist in community resources as well as their companionship of insurances, ghostlike leaders to attentione in dealing with final decisions and spiritual needs of the patient and family, pharmacists who assist with a wide array of pharmacologic treatments for pain and symptom control, dieticians can be helpful in charge with meals, nutrition, supplements, and hydration. Other team members may include physical and occupational therapy, psychologists, and peradventure even volunteers to assist in the home and with errands.The needs of Mrs. Thomas and her family depart continue to fluctuate as her disease progresses. It is important for the team to go on abreast of these needs and adjust plans of care accordingly. At some headspring hospice services may be called upon and continued through death. Th is can be provided at home or on an inpatient basis.Initiating a plan of action can alleviate stress from both the Thomas. Mr. Thomas may feel that some of the caregiver burden has been lifted and this could aid in the treatment of his depression. This in combination with medication could be the keys to initiating flourishing treatment. If a psychological evaluation is needed due to the possibility of dangerous ideations, then immediate intervention is warranted with a crisis facility. Especially if there is deemed steep danger of self harm.With pieces of the clinical puzzle in place, the Thomas can be assisted with as much compassion, dignity, and support as accomplishable to meet their needs in both the short and long term.