Nursing Comparative Report: Evaluating Approaches to Patient Health

This nursing comparative report analyzes healthcare approaches, specifically comparing an expert's analysis with a student's perspective on a patient case. The report highlights the importance of building trust with patients, particularly within aboriginal communities where social isolation and healthcare disparities contribute to depression. It contrasts the expert's focus on social determinants of health and community support with the student's emphasis on managing physical ailments like vision loss and hepatitis C. Effective communication and community partnerships are identified as crucial interventions, aligning with research on chronic disease self-management and the benefits of assistance in instrumental activities of daily living (IADL) for visually impaired individuals. The analysis underscores the significance of addressing social isolation and health inequalities to improve mental health outcomes, while also recognizing the role of self-management in conditions like diabetes. Desklib provides this document along with a wealth of resources to support nursing students in their academic journey.

Running head: NURSING COMPARATIVE REPORT
Nursing Comparative Report
Name of the Student
Name of the University
Author Note

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NURSING COMPARATIVE REPORT
The first health issue identified in the expert’s analysis is the building of trust with
Paul as he his identity has been previously denied by the healthcare system. The person-
centred goal highlighted to resolve this issue include development of relationship with Paul in
order to built trust. According to Kingsley, Townsend, Henderson-Wilson and Bolam (2013)
aboriginal people residing in Australia experiences high level of health care disparity coming
in the form of social isolation, stigmatization and discrimination. This isolation increases
their level of depression and thereby hampering his health and well-being. The first issue of
the problem highlighted in the student’s analysis is also depression. However, the main
problem highlighted against it is eye problems due to cataract surgery and infection of
hepatitis C. Though, lack of proper vision and development of fatal disease infection
increases a sense of depression among the people, but in case of aboriginal people social
exclusion lack of proper identity are more prone in inflicting a sense of chronic depression.
This same concept has been highlighted in the second identified issue in the expert’s analysis.
The second issue highlights that social isolation along with temporary loss of vision and
feeling blue due o hepatitis C virus is increasing the sense of social isolation. The
interventions highlighted in order to manage the sense of depression in aboriginal Paul by the
student’s analysis highlighted the use of effective communication as person-centred goal.
However, management of lack of vision or hepatitis C infection cannot be done in a
significant manner via effective communication. The effective communication can help to
manage the sense of depression arising out of social isolation as highlighted in the
interventions and actions in the expert’s analysis and the same has been supported by the
research conducted by Coventry et al. (2014). In order manage the loss of vision and feeling
blue towards the development of Hepatitis B, proper community partnership and proper
assistance in the instrumental activities of living (IADL) is important as highlighted in the
expert’s analysis. The ISAP of the student highlights lack of proper knowledge about his

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(Paul) current health issue. The same has been highlighted in the ISAP of the expert. Expert
highlighted that he is not taking proper medication due to the lack of proper information in
the disease progression and importance of medication. In order provide proper education the
expert highlighted the importance of the guidance coming from the community health nurse.
The same intervention has been highlighted by the ISAP of the student. According to Ahn et
al. (2013), community based interventions helps in proper disease education among the
aboriginal workforce.
Thus in the new knowledge identified in relation to the case study is, social isolation
and increase level of health inequalities are principal factors underlying the increased sense
of depression among the aboriginal members. Another new learning in relation to the case
study, people who are suffering from vision loss, assistance in IADL can be proved to be
effective in increasing their overall mindset. According to Liu et al. (2013), assistance in
daily activities helps to increase the mental health and wellbeing of the visually impaired
people Moreover, the expert analysis also help to understand that how self-management of
the blood glucose level helps in managing diabetes. This again aligns with the theory of the
self-management of both type 1 and type 2 diabetes mellitus (Powers et al., 2017).

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References
Ahn, S., Basu, R., Smith, M. L., Jiang, L., Lorig, K., Whitelaw, N., & Ory, M. G. (2013). The
impact of chronic disease self-management programs: healthcare savings through a
community-based intervention. BMC Public Health, 13(1), 1141.
https://doi.org/10.1186/1471-2458-13-1141
Coventry, P. A., Hudson, J. L., Kontopantelis, E., Archer, J., Richards, D. A., Gilbody, S., ...
& Bower, P. (2014). Characteristics of effective collaborative care for treatment of
depression: a systematic review and meta-regression of 74 randomised controlled
trials. PloS one, 9(9), e108114. https://doi.org/10.1371/journal.pone.0108114
Kingsley, J., Townsend, M., Henderson-Wilson, C., & Bolam, B. (2013). Developing an
exploratory framework linking Australian Aboriginal peoples’ connection to country
and concepts of wellbeing. International journal of environmental research and
public health, 10(2), 678-698. doi:10.3390/ijerph10020678
Liu, C. J., Brost, M. A., Horton, V. E., Kenyon, S. B., & Mears, K. E. (2013). Occupational
therapy interventions to improve performance of daily activities at home for older
adults with low vision: A systematic review. American Journal of Occupational
Therapy, 67(3), 279-287. doi:10.5014/ajot.2013.005512
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., ... &
Vivian, E. (2017). Diabetes self-management education and support in type 2
diabetes: a joint position statement of the American Diabetes Association, the
American Association of Diabetes Educators, and the Academy of Nutrition and

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Dietetics. The Diabetes Educator, 43(1), 40-53.
https://doi.org/10.1177/0145721716689694