Essay Based on Interview of Chronic Illness Person

Running head: ESSAY BASED ON INTERVIEW OF CHRONIC ILLNESS PERSON
ESSAY BASED ON INTERVIEW OF CHRONIC ILLNESS PERSON
Name of the Student:
Name of the University:
Author’s Note:

ESSAY BASED ON INTERVIEW OF CHRONIC ILLNESS PERSON1
Introduction
In the past decades, the predominance of the chronic disorder among a number of
people whose quality of life is affected. The health-related quality of life is stated to be a
multidimensional aspect that involves certain domains, including psychological, physical, and
social, that affects both the disease and the treatment process. According to the World Health
Organisation (WHO), health is defined as a state of complete physical, social, and mental
wellbeing. Quality of life is the perception of the individual on the position of life in the
context of culture, values, goals, expectations, standards, and concerns (Who.int, 2020). The
aim of the essay is to demonstrate two Roper, Logan, and Tierney factors that involve the
identification of two nursing care priorities or areas of health education to discuss the goal of
care. A phone interview was conducted upon a patient, Mr Jones, who was suffering from a
major spine injury that affected his life in an extensive manner. The use of Roper, Logan and
Tierney model for nursing as a framework and use of Levett-Jones Clinical Reasoning Cycle
for identification of care priorities.
Background
Mr. Jones is the pseudo name of the interviewee who lived in a different country for
pursuing the medical course. However, he suffered from a major spinal cord injury during ice
skating that affected him at the C6-C7 level of his neck area. This led to dropping out of the
study and he was on opioid medication. According to Bruno et al. (2019), this has a severe
impact on brain functioning lead to various effects on the body. As per the information, he
felt drowsiness; as a result, one of his friends helped me in waking up in the morning, and he
was unable to move his head. For a year, he tried to pursue his medical course; however, the
treatment had a toll on his financial status. This lead to a financial crisis where he was unable
to pay his rent and was forced to move back to his native country that is Australia. All his

ESSAY BASED ON INTERVIEW OF CHRONIC ILLNESS PERSON2
friends completed their degrees and were in a good position life; on the other hand, he was
unable to complete his degree; thus, he affected his social wellbeing to a large extent.
According to the study conducted by Keller et al. (2018), the degree and quality of social
interaction have a significant impact on the life of a person. Social functioning can be defined
as the qualitative and quantitative aspects of the relationship, interaction and social
integration. From the evidence of Faronbi and Olaogun (2017), improper social interaction
may have a negative impact on the mental wellbeing because of which, it affects the recovery
from physical illness. Mr. Jones wanted to be in isolation and were not comfortable to stay
with friends. The pain in the spinal cord is continuous and he administered painkillers such as
targin and endone for an extended period (Ponizovsky et al., 2018). The pain score is five,
which has an impact on his sleeping. The use of cervical epidural steroid injection was used
for treating the pain; however, it did not work and physiotherapy was the only option that
helped him in conducting Activities in daily life (ADL). The overall quality of his life
deteriorated in a negative manner for him and the option of surgery at this young age may
create various complications in later life. From the study of Chiafery and D'Angio (2020), the
cultural difference was one of the factors that affected the quality of life in the case of chronic
illness. This was found as the individual had to move to his native country due to economic,
social and psychological aspects.
Discussion
As per the opinion of Muszalik et al. (2016), the quality of life is stated to be an
important aspect in the case of chronic illness as due to it, various aspects are affected. From
the interview, it was found that Mr Jones was severely affected due to the spinal injury that
critically affected his health and mental wellbeing. It not only affected his life as well as his
family. The suffering was found to be for life- long and his pain was unmanageable in nature.
The only option available for him was surgery; however, surgery at his age would be

ESSAY BASED ON INTERVIEW OF CHRONIC ILLNESS PERSON3
detrimental for his old age. Williams (2017) opined that RLT model of nursing help in
guiding the nurses in evaluating the ability of patient in each of the activity within the
lifespan, dependence level and influential factors incorporated in the plan of care. As per the
opinion of Nelson and Carey (2016), practice theories are stated to be as goal-oriented action
and the model is used for supporting and assisting the patient’s ability to attain independence
at each stage of care. It is stated to maintain a safe environment that related to patient care by
the nursing activities. Wilson, Woollands and Barrett (2018) opined that care settings are
stated to be an example of how the human right of a person can be compromised. From the
case study, it can be seen that Mr Jones’s entire life is affected due to the spinal injury. This
educational career was hampered; as a result, it affected his professional career. All his
friends are well settled; on the other, he was busy managing his pain on a daily basis. He was
trying all the possible options; however, it was futile (Croft et al., 2018). This affected his
mental status, where he becomes emotionally distressed and the financial burden was
increasing that affected him and his family’s living standards.
Care priorities and goal setting
The two nursing care priorities or areas of health education that need to be focused in
the case of Mr Jones are mobility and pain using of Levett-Jones Clinical Reasoning Cycle
(Hunter & Arthur, 2016). The pain score assessed by the registered nurse was observed to be
five out of ten. This indicated that the patient was in a distressing condition and the severity
was distracting as he feels pain all the time that leading to ADLs. As per the study of Treede
et al. (2019), pain is a subjective and unpleasant sensation in the body that causes lethal
stimulation of the sensory nerves. On the other, the issue of mobility has an impact on the
social interaction of the interviewee. Baron et al. (2017) opined that mobility is affected by
events and thus, the use of nursing intervention can help enhance the body function and
ability of recovery. The care priorities need to set by identification and thorough evaluation