Nursing Report: Bio-psycho-social Approaches to Patient Care Analysis

This report delves into the bio-psycho-social factors affecting a patient's behavior and health, analyzing the impact of these factors using the health belief model. It examines relevant legal frameworks and ethical principles related to medicine management, focusing on the Disability Discrimination Act and Consumer Protection Act, and their implications for patient care. The report identifies and discusses evidence-based therapeutic interventions, including cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness-based cognitive therapy, and their application to address patient needs. Finally, it explores evidence-based communication strategies, such as the BATHE technique, to enhance partnership working among nurses, patients, families, and other healthcare professionals, emphasizing the importance of effective communication in improving patient satisfaction and care outcomes. The report uses the Kingston University Harvard referencing system.

Therapeutic Interventions in Nursing Bio-psycho-social Approaches

Contents
Question 1: Examine the bio-psycho-social factors influencing the person’s behaviour and the
health changes described in this scenario (400 - 500 words ).........................................................3
Q2 In relation to medicine management, examine the legal frameworks and ethical principles
most relevant to this scenario (400 - 500 words).............................................................................5
Q3 Discuss how the evidence-based therapeutic interventions identified in the scenario can be
applied by the nurse to address the person’s needs (400 - 500 words)............................................6
Q4 Discuss evidence-based communication strategies which should be employed by the nurse to
enhance partnership working with the service user, their family/ carers and other health
professionals in this scenario. (400 - 500 words)............................................................................8

Question 1: Examine the bio-psycho-social factors influencing the person’s behaviour and
the health changes described in this scenario
The health belief model was established in the year 1950 by us public health service for
analysing and understanding failure of individuals in adopting disease prevention
strategies. This include screening tests for early detection of disease. This model is
derived from psychological and behavioral theory and it consists of foundation that is
linked with health related behaviour and desire for avoiding illness. There are basically
six elements that construct health belief model. These test of following factors
Perceived susceptibility – In context of MRS Allen, it is concluded that she is an ex
publican and she has been and ex-smoker. Lower legs of MRS Ellen are extremely
edematous. She is not able to manage home properly and so she has to take care of
dressing of legs that is negatively impacting the mobility and mood.
Perceived severity - it is defined as feeling of person on serious Ness of contracting and
illness or disease. In context of MRS Ellen, it is considered that a person has to
effectively consider medical consequences like death or disability along with social
consequences like relationships, family when there evaluating severity of the disease.
Perceived benefits -. This is defined as analysing perception of person for the
effectiveness of different actions needed for minimising threat of disease or illness. Mrs
Allen was facing problem when she was using her legs for managing the household
activities. This also affected her family members.
Perceived barriers - it is known as perception of individual to know what are the various
steps that can be taken to manage the threat of illness and disease. There are different
variations for or managing individuals barriers and impedance that lead to cost or
benefit analysis. There are various people who are involved in managing action
effectiveness for analysing what is expensive and dangerous or time-consuming. In
context of MRS Allen, there are several consequences of operating the leg as she is old
and suffering from various illness.

Cue to action - it is considered as stimulus which is required for or making decision
process for or a health action. There are different it cues which can be internals like pain
or wheezing which are faced by Mrs Allen.
Self efficacy –This is defined as confidence of people regarding his or her ability for
managing successful behaviour. It consists of managing model so that behavioral
theories are directly linked with de desired behaviour of patient or individual.

Q2 In relation to medicine management, examine the legal frameworks and ethical
principles most relevant to this scenario
The disability discrimination act was established in 1995 and according to this act of
parliament of UK s nowadays known as equality act 2010. Main objective of this law is
to respect all individuals at workplace which are in relation to employment service,
goods transport and education. It is considered that the floor has to be culmination of
public campaign and there are regulations for people working in the company. These
are associated with monitoring and evaluating employee’s rights (Sideli, and et.al.,
2020). These have to be managed properly in order to avoid discrimination for
disability people. According to this act, there is proper system of protecting disabled
people especially those who are having mental health issues. There is need of
enhancing proper ruling within UK in order to establish unlawful activities which are
subjecting individuals to determine effective justifications. There are various cause of
managing the proceedings such as rent areas which are caused by housing benefit
and these have to be non-response to correspondence and managing disability
caused to the individuals.
Consumer protection act which was established in 1987, it is stated that the UK
Government implies directive measures for the company by evaluating act of
parliament. There is proper civil liability for the damage to riches caused by any
product or defect. If there is damage to any individual like a personal injury or death or
damage to land or property due to the functioning of working of organisation then it is
known as a crime in front of government. In case of MRS Ellen, it is considered that
both these laws are applicable for managing as well as enhancing the conditions in
which she is living and managing to do all the household activities. They have to work
in a proper manner to avoid various forms of economic loss. Medicine management an
important role by managing various legal frameworks as well as ethical principles
which are to be followed in order to establish and manage proper functioning of all the
services provided to individuals (Kallivayalil, 2020). There is increment within services
so that individuals satisfaction level is increased and they prefer to take service from
the chosen organisation. Both the laws stated above demonstrate that all the
individuals must be provided quality and effective services so that organisational

reputation is maintained.

Q3 Discuss how the evidence-based therapeutic interventions identified in the scenario
can be applied by the nurse to address the person’s needs
The evidence based therapeutic interventions are defined as evidence based therapy needed for
managing the effectiveness of peer reviews experiments. There are basically three types of
behavioural therapy. These are mentioned below –
Cognitive behavioural therapy – This is known as psychotherapies that is involved in
helping the people for overcoming various test functional thought patterns as well as
the way in which they were reacting or behaving. There are various psychotherapies
involved which consists of various characteristics and these have to be managed
properly for affecting on actions and emotions (Schneeberger, Stöger, and Holzinger,
2020). There are different effective requirements which are used within treatment of
MRS Allan for general anxiety disorder, insomnia depression and bipolar disorder. This
is used for managing the medication in effective manner so that individual will get
benefit for long term.
Acceptance and commitment therapy – The type of psychological intervention which
is acceptance and commitment therapy is associated with psychological flexibility e
and the ability for managing and accepting negative thoughts regarding any
judgement. There is requirement of various therapies for Mrs Ellen that will help in
defining set of core values as well as ethics in order to manage the goals properly.
There are various value and limits as well as restrictions which are imposed upon
managing different conditions faced by this old lady. The six type of principles of
acceptance and commitment therapy on the basis of which message Allen is provided
service includes diffusion contact with present scenario, acceptance, committed action,
value and observing self. Latest effectiveness for treating anxiety stress and
depression as well as Alzheimer so that the mental health issue can be resolved
effectively.
Mindfulness based cognitive therapy - Mindfulness based stress reduction is known as
a program which was given by Zinn the main purpose of this program is to manage
yoga as well as meditation for improving health of client. It is very important to fully

engage and involve in present moment for not worrying about past or future events
and focusing upon present context that is associated with Buddhist psychology
(Berensmeier, and Schulze, 2020). This is provided to Mrs Allen for managing
integrative medicine and providing effective services.

Q4 Discuss evidence-based communication strategies which should be employed by the
nurse to enhance partnership working with the service user, their family/ carers and
other health professionals in this scenario.
Take a seat – This is informed that nurses can use effective communication while
managing the family, carers or health professionals of clients. There is need of
managing and developing strong communication for enhancing the way of improving
patient satisfaction and enhancing perception of patients (Kishor, and Ekanand, 2020).
The physician of Mrs. Allen has to visit her every week so that they will understand the
problem which is faced by this old lady. There is requirement of enhancing the
teaching processes so that there are proper setups of treatments, isolation precautions
and hygiene concerns. There is need to have sitting for bedside so that nurses can
have effective impact on client who is Mrs Allen in this scenario.
Expect to be more – There are few time and scenes where nurses feel pressed for
time and this becomes natural for maintaining the control over managing agenda and
timelines. There are various mindset for influencing the purchasing behaviour of
patients. It is helpful for maximising the chances of receiving care which is required by
resource utilisation (Tchero, and et.al, 2019). There are different group in which
agenda is there is need for developing and managing the effectiveness of working of
physisciatists.
Bathe the patients – This is a technique which involves patient interview technique
which includes different components. These are part of psychotherapy that includes
questioning of nature provided to prospective of various social concerns (Montgomery,
and et.al, 2019). Evidence suggests that exploring these concerns, whether during
inpatient inmate role rounds or during the day-to-day bustle 24-hour interval -to-day
fuss of outpatient care, can both enhance understanding savvy of a patient's life
experience and improve patient satisfaction and empowerment. expiation and
empowerment .
BATHE Technique
Background “What is going on in your life?”
Affect “How is it affecting you?”

Trouble “What troubles you most about the situation?”
Handling “How have you been handling this so far?”
Empathy “That sounds very (scary, frustrating, sad, etc.)”
These are used by nurses for attracting the patients and clients towards managing
their treating. There is requirement of developing and enhancing the skills and
managing the problems faced by clients and patients. This technique must be applied
with Mrs Allen so that she will get well soon. There is need to manage her as she is
living alone and managing to work for her wellbeing. She has broken her leg and it is
difficult for her to manage the daily operations that she has to do everyday (Ayvat, and
et.al, 2020). The BATHE technique will help the carers to know more about the feeling
from which this lady is going though. It will help in looking for her problems deeply. It
will be more convenience to manage the case of treating Mrs. Allen.
Be reassuring - This is another way for managing and developing proper ways to
manage the effectiveness of treating patients. This is associated with proper managing
of patients problems and developing effective needs (Aoyama, and et.al, 2019). Before
treating any person, there is need to manage the way in which his or her behaviour
can be managed properly.
Reference List
These should be listed using the Kingston University Harvard referencing
system.
Kishor, M. and Ekanand, D., 2020. Structured action plan for mental and behavioral
preparedness against virus COVID19 outbreak in India (SAMBAV Bharath): Proposal
for augmenting mental health services. International Journal of Health & Allied
Sciences, 9(5), p.55.
Montgomery, F.J., and et.al, 2019. Apparatus and Method for Generating Nitric Oxide
in Controlled and Accurate Amounts. U.S. Patent Application 16/375,410.
Ayvat, P., and et.al, 2020. Does Preoperative Anxiety Decrease with BATHE Method?
A Prospective Randomized Study. Archives of Neuropsychiatry, 57(2), p.141.
Sideli, L., and et.al., 2020. Childhood adversity and psychosis: a systematic review of

bio-psycho-social mediators and moderators. Psychological medicine, 50(11),
pp.1761-1782.
Kallivayalil, R.A., 2020. Psychiatry–From Biological Reductionism to a Bio-Psycho-
Social Perspective. World Social Psychiatry, 2(1), p.3.
Schneeberger, D., Stöger, K. and Holzinger, A., 2020, August. The European legal
framework for medical AI. In International Cross-Domain Conference for Machine
Learning and Knowledge Extraction (pp. 209-226). Springer, Cham.
Berensmeier, N. and Schulze, J., 2020. German Family Practitioners' Attitude toward
the Legal and Economic Framework of their Professional Work. Gesundheitswesen
(Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)).
Tchero, H., and et.al, 2019. Hidradenitis suppurativa: A systematic review and meta-
analysis of therapeutic interventions. Indian Journal of Dermatology, Venereology, and
Leprology, 85(3), p.248.
Aoyama, H., and et.al, 2019. Assessment of therapeutic interventions and lung
protective ventilation in patients with moderate to severe acute respiratory distress
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