University Patient Care Report: Raelene Ward's Case Study Analysis

This report analyzes the case of Raelene Ward, a 40-year-old Aboriginal woman diagnosed with gestational diabetes. It examines the quality of care provided, highlighting instances of both effective and ineffective treatment, and explores the patient's experience within the healthcare system. The report identifies the application of family-centered and patient-centered care strategies, along with the use of Erikson's 8-stage framework to assess and improve patient outcomes. It emphasizes the importance of ethical nursing standards, effective communication, and patient involvement in the treatment process. The analysis evaluates strategies to enhance the quality of care, providing recommendations for healthcare professionals to improve service delivery and ensure positive patient experiences, as well as the importance of patient autonomy and informed consent. The conclusion emphasizes the importance of equitable access to healthcare and the need for healthcare providers to actively involve patients in their care plans.

Running head: PATIENT CARE
PATIENT CARE
Name of the Student:
Name of the University:
Author Note:

1PATIENT CARE
Introduction:
Health is an important component that must be guaranteed to individuals equally
irrespective of their cultural and ethnic background. It is pivotal to include quality health care
facilities so as to ensure that the individuals availing the services are equally benefited. This
paper would discuss the case scenario of Raelene Ward, who is a 40 year old aboriginal
woman and has been reported to be affected with the medical condition of gestational
diabetes. The paper would focus on the kind of medical care provided to the patient and
discuss about the healthcare experience of the patient. It can be said in close association to
the revelations made by the case study that while availing treatment invention, there are
various instances when the client received effective and ineffective treatment. This paper
would delve deeper into evaluating strategies that could possibly enhance the quality of care
provided. The paper would further discuss patient care strategies such as the application of
Erikson’s 8 stage framework to provide a better patient experience. At the same time
strategies to effectively improve patient communication strategies and the importance of
following the code of ethics to deliver quality patient outcomes for health care professions
would also be discussed in relation to the provided case scenario.
Identification and application of relevant theories:
Family centred and patient centred care have been identified as strategies that
effectively enhance the satisfaction level of clients and promote positive patient outcomes
(Coyne,2015, p.808). In the context of this case scenario, the treatment intervention would
depend upon the providence of a family and patient centred care. Moreover, it is also
suggested that the care givers engaged in the patient care comply strictly with the ethical
conduct of the nursing standard to ensure quality in terms of providing care (Kitson et al.,
2013,p. 10). In accordance to the details furnished by the case study, it can be said that the
client was not provided with a detailed explanation about the intervention that would be

2PATIENT CARE
undertaken to treat the client. This can be counted as an instance of violation of ethical
nursing standards. While devising treatment care plan, it is important to take care of patient
autonomy that involves obtaining consent of the patient and intimidating the patient about the
care plan (Kulnik,2016,p. 70). In addition to this, applying Erikson’s 8 stage framework
model would help in significantly detecting 8 instances of positive and negative care scenario
of the patient that could be improvised in order to facilitate quality care (Holmes et
al.,2013,p.1880). Hence, it can be said that effective application of these theories would help
in the detection of the existing lacuna in terms of providing effective health care facilities and
accordingly undertake steps to improvise the service quality (Zaretzsky,2013,p.308).
Evaluation and analysis of the case scenario:
The case study suggests the delivery of two care strategies to treat the client. The
details portrayed in case study suggest the prevalence of effective and ineffective care. While
effective care can be defined as the strategies implied to provide and administer a holistic
patient centred care. Ineffective care deals with the providence of inappropriate or inefficient
care to successfully treat the medical condition of the client (Hibbard & Greene,2013,p.208).
The client has reported that her professional background had played a major role in
determining the quality of health care to the patient. The client has clearly stated being
unaware of the treatment regime that was undertaken to treat her medical condition. This can
be identified and associated as a case of ineffective treatment. Moreover, the subject of the
case study has further stated that she was diagnosed with gestational diabetes and was
administered insulin. No information about her care plan or about her diagnosed medical
condition was provided to her. There were no efforts undertaken to modify her nutritional
intake or engage her in any kind of fitness routine. These instances can be tightly linked to
the incidence of ineffective treatment procedure.

3PATIENT CARE
However, it can be said that the nursing professionals responsible for taking care of
the client administered insulin on account of the elevated blood glucose level. The criticality
of the medical scenario required immediate administration of insulin to regulate the elevated
blood glucose level. Administration of insulin have been reported to monitor and regulate the
blood sugar level instantaneously as per the scientific literatures (Dunning,2013, p.70).
Hence, in this regard it can be said that the client was assisted with proper care. Also, a
dietician had been visiting the client on regular basis and it can be expected that the dietician
maintained a close track on the nutritional intake of the client. Hence, these instances can be
linked to the providence of effective treatment intervention.
Application of theories in practice:
The application of the chosen theories would help in adhering to the social and ethical
framework and dispense quality services (Kelly et al., 2014). The guidelines would provide
an effective framework to enhance the standard of patient care service. It is important to
involve the patients actively while providing intervention so as to improve patient
participation (Cameron et al., 2014,p. E12). The care would be based upon standard care
practices and would involve educating the patient about the concerned medical condition and
seeking her consent while proceeding with the treatment strategies (Nielsen et al., 2014,p.
192). In addition to the above mentioned framework, inclusion of family centred care would
comprise of involving the family members at every step so as to keep them informed about
the ongoing treatment procedure and the critical decisions undertaken in association with the
treatment procedure (Shields,2015,p. 140). Moreover, the application of Erikson’s 8 staged
development framework would help in providing care according to the expectation level of
the client and engage the professionals in critical thinking so as to elevate the standard of
patient care provided. Complying with the Erikson’s 8 staged developmental model would
also help in assisting patients to take control over their treatment and accordingly progress

4PATIENT CARE
with the treatment plan (Pulvirenti et al., 2014,p. 308). Therefore, on complying with these
theories it can be expected that the standard of providing health related services can be
significantly improved.
Conclusion:
Access to health care has been categorized as a basic right that must be guaranteed to
every individual irrespective of their professional, ethnic or cultural background. It has been
significantly witnessed that there are major instances where the quality of health care services
is heavily compromised because health care professionals engage in providing discriminatory
health care facilities. The case study clearly mentions an instance where the medical
condition was diagnosed and treated in an inadequate manner. No efforts were undertaken to
obtain consent from the patient or inform the patient about the treatment care plan. This
method of providence of care can be categorised as ineffective care. Appropriate strategies
such as complying with the standard of Erikson’s eight staged framework, patient centred
care and family centred care can be undertaken to provide a better health care service
delivery. Better health care service delivery would effectively lead to positive patient
outcomes. It is indispensable for the care givers engaged in providing care to the patients to
actively involve the patients in the treatment plan and keep the patient informed about each
step undertaken and the rationale behind the inclusion of the step in the care plan.

5PATIENT CARE
References:
Cameron, B. L., Plazas, M. D. P. C., Salas, A. S., Bearskin, R. L. B., &Hungler, K. (2014).
Understanding inequalities in access to health care services for Aboriginal people: a
call for nursing action. Advances in Nursing Science, 37(3), E1-E16.
Coyne, I. (2015). Families and health‐care professionals' perspectives and expectations of
family‐centred care: hidden expectations and unclear roles. Health
expectations, 18(5), 796-808.
Dunning, T. (2013). Care of people with diabetes: a manual of nursing practice. John Wiley
& Sons.
Hibbard, J. H., & Greene, J. (2013). What the evidence shows about patient activation: better
health outcomes and care experiences; fewer data on costs. Health affairs, 32(2), 207-
214.
Holland, K. (2017). Cultural awareness in nursing and health care: an introductory text.
Routledge.
Holmes, G. M., Morrison, M., Pathman, D. E., &Fraher, E. (2013). The contribution of
“plasticity” to modeling how a community’s need for health care services can be met
by different configurations of physicians. Academic Medicine, 88(12), 1877-1882.
doi: 10.1097/ACM.0000000000000026
Kitson, A., Marshall, A., Bassett, K., &Zeitz, K. (2013). What are the core elements of
patient‐centred care? A narrative review and synthesis of the literature from health
policy, medicine and nursing. Journal of advanced nursing, 69(1), 4-15.
Kulnik, S. T. (2016). Patient centred care.

6PATIENT CARE
Nielsen, A. M., Alice Stuart, L., & Gorman, D. (2014). Confronting the cultural challenge of
the whiteness of nursing: Aboriginal registered nurses’ perspectives. Contemporary
nurse, 48(2), 190-196.
Pulvirenti, M., McMillan, J., & Lawn, S. (2014). Empowerment, patient centred care and
self‐management. Health Expectations, 17(3), 303-310.
Shields, L. (2015). What is “family-centred care”?. European Journal for Person Centered
Healthcare, 3(2), 139-144.
Zaretzky, L. (2013). Patient-centred care. Canadian Pharmacists Journal: CPJ, 146(6), 308.