Assignment on Aspect of Nursing Policy and Procedures
Added on 2020-04-29
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Running head: NURSING ASSIGNMENTNursing AssignmentName of the studentUniversity nameAuthor’s note
1NURSING ASSIGNMENTTable of ContentsIntroduction..................................................................................................................................21. Brief case history of a person with co-morbid physical and mental illness.............................22. Causative factors of the physical health problem and its impact on the life of the person......3Current and potential medical treatment options.............................................................................43. Nursing interventions...............................................................................................................6Rationales for interventions and expected outcomes.......................................................................9Conclusion...................................................................................................................................9References..................................................................................................................................11
2NURSING ASSIGNMENTIntroduction The current assignment focuses on the aspect of nursing policy and proceduresimplemented in the care of the ones suffering from co-morbid mental and physical conditions.The current study highlights the potential nursing interventions and the plausible outcomes of thesame in dealing with the ones suffering firm co-morbid illness conditions. Some of the majornursing procedures have been highlighted throughout the assignment such as the policies oftherapeutic communication and active listening for comprehending the problem situation of thesupport users.Additionally, the implementation of a patient centred approach is useful in understandingthe grievances faced by the patient. Also, such programs put the patient at the centre of the careprocess along with the implementation of the policy of informed decision making. The goal is toprovide sufficient autonomy to support service user along. The nursing practices are again basedupon the aspects of the development of trust and emotional bonding with the patients. Therefore,the nursing strategies need to implement care and empathy as the backbone of the services.1. Briefcase history of a person with co-morbid physical and mental illnessThe current assignment emphasizes upon a particular case history where the patient hadco-morbid physical and mental illnesses. The patient here is a 48-year-old lady named as SD hadbeen suffering from a number of mental and physical issues. The patient had been seen to havelong-term chronic conditions such as type 2 diabetes, insulin resistance syndrome, osteoarthritis,obesity, irritable bowel syndrome, Gastroesophageal Reflex Disorder (GORD) andhyperchylomicronaemia among the few. The patient had been a long-term smoker with a historyof Constructive Obstructive Pulmonary Disorder (COPD) and urinary incontinence.
3NURSING ASSIGNMENTAdditionally, the patient had been exposed to a number of mental health conditions suchas bipolar disorder, anxiety disorder, personality disorder and acrophobia. The patient here oftenexhibits argumentative and verbally abusive behaviour. She also threatens to self-harm herself incase of her needs and demands not being satisfied. The patient had been abandoned by hermother when she was only 11 years old and from then had been living with her grandparents.Therefore, early separation from parents might have been the catalyst in the deterioration of thepatient health. SD had a brief working history in the different food industry, take away shops andsupermarkets for a while. She is a divorce and had four children, who had also separated fromher owing to her present and aggravated mental condition. The patient also has a history ofosteoarthritis which makes movement difficult for her. Therefore, she had to take the support ofa 22-inch long wheelchair for managing her daily activities. Therefore, the assignment aims atthe application of theory to practise for the development of a management plan.2. Causative factors of the physical health problem and its impact on the life of the personThe complex physical condition of the patient could be attributed to a number ofcausative factors. The patient had been suffering from chronic type 2 diabetes mellitus, which ischaracterised by the presence of high levels of high levels of blood sugar, insulin resistance orlack of sufficient insulin in the body. As commented by Knowles et al. (2013), the presence ofelevated levels of blood sugar level could be related to a number of clinical symptoms such asdiabetic neuropathy resulting the damage of the nerve cells of the arms and legs, restricting themovements of an individual. The patient had been seen to be obese and possess conditions suchas osteoarthritis. This could be attributed to the presence of elevated levels of blood sugar levelresulting in conditions of diabetic neuropathy. As commented by O’Neil et al. (2012), the
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