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Person-Centered Care - PDF

   

Added on  2021-06-16

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Person-centered careStudent’s nameProfessor’s nameInstitution affiliationDateRelevance of IssuePHC Nursing IxEvidence Based Practice RationaleReferralIssue One: Impact of DiagnosisNUR341 Case Study _ Semester One, 2018_ Your Name _ Your Student Number _ Your mobile number

Parkinson's disease (PD) isa debilitating and a complexcondition that needs anindividualised nurse care fitted tosymptoms and improves the life.The disease affects mostly oldpeople of over 60 years old. Theeffect of Parkinson's disease areboth motor and non-motorsymptoms makes it difficult forthe patient to undertake his or herdaily living activities. Parkinson'sdisease is known to be amovement disorder as it impairsmovement. What it causes isknown to be a result ofinsufficient dopamine which isproduced by the death of nervecells in the brain. Change1a. The nurse has to stay close toPatrick's environment to monitorand manage instances like sleepdisorder. At early stages of thedisease, sleeping disorders have asignificance on caregivers and alsoto the patient's nurse. The moodsand other influential effect revealthe fundamental issues of distressand depression which interferes withquality sleep.Clear communication is afactor to consider when handling aParkinson's disease patient. Askingthe patient about rigidity, stiffness,balance, tremor and slow movementis very important. The language inwhich a nurse uses in asking suchquestions matters a lot (Wildevuur1b. For example, the patient would relatethe term "shake" with the term tremor of"feeling dizzy" with "falling backward".Old people like Patrick lose their balancequickly especially when they stand up orstand for too long. It is the role of themedical practitioner to know if the patientfeet become stuck when he is trying towalk if he feels stiff, achy or isexperiencing any pain while moving.Asking readily obvious questions assessesthe motor symptoms and providessignificance effect on daily functions.Referring a patient for further medicaltreatments and instructing him and hisfamily to prefer shoes with even glidingsoles to shoes that are tricky and sticky tothe floor (Olde-Rikkert, Long, & Philp,2013). Good communication enables bothWHO: A GP and pharmacist.WHY: For Patrick’s clinical management.Accurate diagnosis, initiate treatment anddevise a treatment plan. A pharmacist tohelp Patrick on the medicinal prescriptionand advice on any change in dosageaccording to the disease conditions.WHEN: At the early stage of Parkinson’sdisease.HOW: Booking an appointment as thepatient’s condition is not too severe. NUR341 Case Study _ Semester One, 2018_ Your Name _ Your Student Number _ Your mobile number

becomes slower in the absence ofdopamine. Such a case affects thepatient's personal and social dutiesa lot (Halter, 2017). Medication is the bestoption of treatment in such asituation in which Patrick has justcommenced to medicines likelevodopa 500 grams three times aday and clonazepam 0.5 gramsnocturnal. The disease affectsperson's emotional, mental andphysical wellbeing and it bringsimpact to one's lifestyle. Due to awide range of service needed forPatrick's care regarding his ageand the disease condition, a nursespecialist is required to act as acoordinator of Patrick's hospital& Simonse, 2015). the patient and family members tounderstand and have a knowledge ofdisease progression. 2a. In medication considerations,registered nurse should ensure thepatient take medicine prescribed bythe pharmacist and guide him toavoid the risk of forgetting. The bestway for Patrick to prevent furthercomplications or side effect is tofollow the pharmacist medicalinstructions. 2b. The nurse should adjust themedication timing to help in eliminatingtroubling symptoms. It's alwaysrecommended to ask the patient about thetype of medications that useful inmanaging rare case like trembling forexample levodopa (Kuntz et al, 2014). 3a. The nurse is supposed toevaluate and examine the feeling ofPatrick after his physical exercises(Young, Miyamoto, Ward, Dharma,Tang-Feldman, & Berglund, 2014).Running 5 kilometres a day is a3b. The timing of a PD medication aboutphysical health exercises according to theage of the patient helps in achievingmaximum benefits from the program. As anurse, one's supposed to seek for a seniorexercise program in the communityNUR341 Case Study _ Semester One, 2018_ Your Name _ Your Student Number _ Your mobile number

and community services. Patrickneeds a GP and pharmacistintervention to provide with allessential primary healthcareservices. good physical exercise to Patrick.The nurse has to find somecompanions or some people mostprobably his husband or age matesto encourage and accompany him insuch running activities. The purposeof running mates is to help Patrickon the way in case of any arisingcomplications. A particular studyshowed that in the middle ifParkinson's disease moods andmotor functioning can be improvedthrough sports activities. recreation centres to promote specialisationand give the caregivers and the family arelief. The referral is necessary to aParkinson's patient if the symptomsmanagement are at optimum and are noteasily controlled through nurse closecontact interventions with the patient.Patrick's husband who is very supportive ismade aware of the referral to beresponsible (Hibbard & Greene, 2013). 4a. In such a case of Patrickcondition, the role of the nurse touse Parkinson's disease Rating Scalefor assessment and plan anddocument on the care required. It isthe nurse specialist to have direct or4b.. A nurse plays a role in primaryhealthcare intervention by providingemotional support and when necessary seethe patient to a professional counsellor.Well, documentation and planningstrategies help the nurse in planning theNUR341 Case Study _ Semester One, 2018_ Your Name _ Your Student Number _ Your mobile number

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