Assessment 2: Evaluating Patient's History and Developing a Holistic Plan of Care
Verified
Added on  2023/06/05
|8
|2593
|270
AI Summary
This report evaluates the patient's history and related pathophysiology to identify problems, develops a holistic plan of care, formulates nursing interventions, and considers cultural awareness and diversity considerations.
Contribute Materials
Your contribution can guide someone’s learning journey. Share your
documents today.
ASSESSMENT 2
Secure Best Marks with AI Grader
Need help grading? Try our AI Grader for instant feedback on your assignments.
Table of Contents INTRODUCTION...........................................................................................................................3 MAIN BODY...................................................................................................................................3 Evaluating patient's history and related pathophysiology process to identify the problems.......3 Comprehensive assessment related to disease.............................................................................4 Explaining Holistic plan of care developed by setting goals.......................................................4 Formulating the nursing interventions and treatments and effectiveness of actions...................4 Considering the relevance of specific standards, code of conduct and relevant legislation........5 Adhering to the cultural awareness and diversity considerations................................................5 Considering the patient centred care and other practices.............................................................6 Considering and explaining the current/future nursing practice and research implications.......6 CONCLUSION................................................................................................................................7 REFERENCES................................................................................................................................1
INTRODUCTION The current report will outline about the patient's history and the related pathophysiology to identify the problems. Further this report will outline the specific tools and holistic plan that helps to develop the specific goals. Moreover the current report will also put focus on the interventions and nursing standards in order to maintain the cultural awareness. At last this report will outline the patient centred care, trauma informed practice, etc. and future nursing practice. MAIN BODY Evaluating patient's history and related pathophysiology process to identify the problems The patient in the current report is facing lots of problems which makes him to suffer a lot in his life. Patrick Smith is the 33 - year old single male which is facing disability and used to live in Supported Residential Service (SRS). The patient has diagnosed with the Paranoid Schizophrenia that is basically treated with the antipsychotic medication from the last five years. Further Patrick was also diagnosed with the type 2 diabetes from one year. This makes him to takes lots of medication and by this he has put on his weight which makes him to suffer a lot. Schizophrenia is defined as the complex disorder that used to involve the dysregulation in the different pathways in its pathophysiology. This disease used to affect the Dopaminergic, matriculateandothersystemsandbyhavinginteractionsinthesethisusedtocaused pathophysiology of the schizophreniaMcCutcheon, Marques and Howes, (2020).This disease can be defined by recognizing the various features that includes hallucinations, delusions and thought disorder which makes the person mental disorder. Further it can be considered as one of the toughest disease which makes the person out of his mind. It also includes some abnormalities in some aspects that includes thoughts, emotions and cognition. This can be developed by having the depression or some accidental things that can imbalances the brain of the personMüller, (2018). The another disease that is faced by the patient was type 2 diabetes from the last one year. This type of disease can be very serious and may affect thelife of the person.This disease without having treatment can cause the high level of sugar level in the blood can damage the parts of the body. These are many complications related to such disease which lifelong affect the person's lifeBarron and et.al., (2020). The pathophysiology of the type 2 diabetes is featured by peripheral insulin resistance, impaired regulation of the glucose production and declining the
blood cells function, etc. The patient must focus on such pathophysiology which helps him to reduce the level of disease in the body. Comprehensive assessment related to disease The patient was facing the schizophrenia from the last five years which is considered as one of the complex diseaseas this imbalance the brain of the person. Patrick was taking the medicationrelated to such disease which makeshim to survive without and harm. The medication he was taking was Olanzapine 20mg and Quetiapine 200 mg BDFonseca and et.al., (2020). These were some medications that he was given in order to get recover. Another disease he was facing is type 2 diabetes he was not taking the proper medication as he smokes 30 cigarettes per day which makes him suffer a lot in his life. As the SRS staff was having the workload which makes them difficult to take proper care of patient and have insulin for such disease. This disease is considered at the more priority as if there is increase in the blood level it will have great impact on the mindset of the person. As type 2 diabetes used to have various side effects if they are not managed and diagnosed well. This type of disease was having the mental impact on the Patrick which makes him more ill day by day. Explaining Holistic plan of care developed by setting goals The holistic plan refers to such plan that used to provide support to look the person as a whole not according to its mental health. This support basically consider the physical, emotional and spiritual well being. The mental health is the priority of the patient as this makes him to so wrong things and harm himself as well as otherBerbudi and et.al., (2020). He must be advised to do some meditations and physical exercise which makes him calm towards this harmful activities done by them. The nurse who take care ofPatrick must note the symptoms of their diagnosis and provide him better treatment by developing goals for them. This holistic plan must consider the person as its whole rather than focusing on its illness and disorders. The nurse must support the patient and have the best contact with them and seek the best therapist or counsellor in order to maintain illness and disorders. As the patient was suffering from type 2 diabetes the nurse who w as taking care of him must make the holistic plan. This must include the losing weight techniques, eating well and doing exercise on the daily basis. If the diet is not properly planned so this will imbalances the
Paraphrase This Document
Need a fresh take? Get an instant paraphrase of this document with our AI Paraphraser
blood sugar of the patient. This can be cured by providing the medications for the diabetes and insulin therapy which was not properly taken by the Patrick. Formulating the nursing interventions and treatments and effectiveness of actions There are various interventions that the nurse must be aware of while providing the treatment to such type of patients. The nurse must make him to do some walk after taking lunch and dinner that helps him to reduce the weight gain he is suffering from. This will be very helpful for Patrick to ensure their safety and maintain better life. The another intervention for the nurse is that they must make them do some meditation and physical exercise that makes their mind calm and happyCannon and et.al., (2020). The meditation is considered as very helpful for the patients who are suffering from any mental and health disease. Nurse must also provide the proper nutrition which keeps their body healthy. As the patient was having paranoid schizophrenia which is basically characterized by grandiose delusional thought content. This used to experience the auditory hallucinations by having lack in symptoms that is loose associations, incoherence, etc. This type of diagnostics can be resulted by having the test that can be CT scan or it may be MRI that made rule out the disorders that can cause psychosis. In order to recover this the medical management must be managed by the nurses by consulting with the doctorsBakris and et.al., (2020). They can also help them out with the proper therapy which reduces the depression and other symptoms. The nurse must also recognize the stage of schizophrenia and establish the trust and rapport without teasing the patients. The type 2 diabetes can be cured by taking proper care of the patients and providing them insulin therapy and proper medications. Metformin is the most common and beneficial medicine that is used for type 2 diabetes. This helps Patrick to manage the blood sugar at healthy level. These are some management strategies that the nurse must follow in order to have better recovery of the patient suffering from diabetics. Considering the relevance of specific standards, code of conduct and relevant legislation Mental Health Act (2014): This act was came into effect on July 2014 and this used to authorize the treatment in certain situations. This used to provide recovery oriented practice and used to minimize the treatment that are mandatory in order to protect the people that are living with illnessAllison and et.al.,(2021).Nurse who is taking care of patient must be very well known about such act that helps her to provide better treatment for diabetes.
The Mental Health Nursing Standards by Australian College of Mental Health Nurse (2013): This is the broad concept that used to care about the clients that are unable with their mental health. The nurses must support the mental, physical and social health that help the person to have better recovery. The standards mentioned in such act must be followed by nurses who are working in SRS. Medical treatment planning and decisions Act (2016): This act used to establish the single framework in order to have the better medical treatment decisions for the people. This is taken by having and decision making capacity that used to ensure the person in order to receive the medical treatment.This act used to ensure that the Victorians must have the confidence in the health system which helps them to respect their decisions related to medical treatment of type 2 diabetes. The SRS must follow this act in order to make the better decisions for patient. Adhering to the cultural awareness and diversity considerations It is very important for the nurses to maintain the culture awareness and diversity while treating the patients in SRS. As the nurse in SRS it has to face the people with different and diverse identities and they used to face social determinants by having lack of education, imbalances brain and other things. The purpose of nurse should be to maintain equality with the patients as they are having mental health and other illness as well. Considering the patient centred care and other practices Patient centred care:This is about respecting and valuing the individual preferences that makes the patient feel respected and valuable. It basically used to involve the needs and respect to make the better decisions related to health. The nurse must follow this practice in order to help Patrick make them recover related to their diseaseWong, Mavondo and Fisher, (2020). This helps the patient by providing them better care and response and ensures them values related to clinical decisions. This approach usually need the true partnership with the individuals and nurses. The patient must take the customized care that make them fulfil the need according to their internal values and choices. Recovery oriented: Recovery oriented approach in the mental health refers to the application by having the set of capabilities that used to support the people in order to recognize and take the responsibility in order to have recovery and well- being. This is very important approach for nurse as this helps them to control over their life and maintain the emotional
experience. As Patrick was facing schizophrenia so nurse must follow this approach in order to recover him faster. Trauma informed practice:This practice or principle refers to the strength based tool that is made in order to understand and respond to the impact of trauma. This usually emphasized on the physical, psychological and emotional safety of the patients. By working as nurse in SRS it must follow this practice as this used to create opportunities for the survivors in order to rebuild and have sense of control. There are basically five principles of this practice which are safety, choice, trustworthiness, collaboration and empowerment. This help the patient to feel safety while taking medication in SRS that makes them feel valuable and respected. Considering and explaining the current/future nursing practice and research implications The nurses must understand the patients which are facing a lot in their life and they are different from other normal peopleLin and et.al., (2020). The practice and research has seen that the role of nurse is to help the people while they are going from such disease and provide them better treatment for their better recovery. CONCLUSION From the above report it is concluded about thepatient's history and the related pathophysiology to identify the problems. Moreover, this report has evaluated about th specific tools and holistic plan that helps to develop the specific goals. Furthermore, the report has also explained about the interventions and nursing standards in order to have the cultural awareness.
Secure Best Marks with AI Grader
Need help grading? Try our AI Grader for instant feedback on your assignments.
REFERENCES Books and journals Allison, S. & et.al.,(2021). Emergency department–focused mental health policies for people with severe mental illness.Australian & New Zealand Journal of Psychiatry.55(6). 533-535. Bakris, G. L. & et.al., (2020). Effect of finerenone on chronic kidney disease outcomes in type 2 diabetes.New England Journal of Medicine.383(23). 2219-2229. Barron, E. & et.al., (2020). Associations of type 1 and type 2 diabetes with COVID-19-related mortality in England: a whole-population study.The lancet Diabetes & endocrinology. 8(10). 813-822. Berbudi, A. & et.al., (2020). Type 2 diabetes and its impact on the immune system.Current diabetes reviews.16(5). 442. Cannon,C.P.&et.al.,(2020).Cardiovascularoutcomeswithertugliflozinintype2 diabetes.New England Journal of Medicine.383(15). 1425-1435. Fonseca,L.&et.al.,(2020).SchizophreniaandCOVID-19:risksand recommendations.Brazilian Journal of Psychiatry.42.236-238. Lin, I. & et.al., (2020). Patient-centred care: the cornerstone for high-value musculoskeletal pain management.British Journal of Sports Medicine.54(21) 1240-1242. McCutcheon,R.A.,Marques,T.R.,&Howes,O.D.(2020).Schizophrenia—an overview.JAMA psychiatry.77(2). 201-210. Müller,N.(2018).Inflammationinschizophrenia:pathogeneticaspectsandtherapeutic considerations.Schizophrenia bulletin.44(5). 973-982. Wong, E., Mavondo, F., & Fisher, J. (2020). Patient feedback to improve quality of patient- centred care in public hospitals: a systematic review of the evidence.BMC health services research.20(1). 1-17. 1