Chronic Condition Care: Reflective Assessment, CPC105, University

This report presents a reflective analysis of a case study involving a sixteen-year-old female, Joi Anderson, diagnosed with sickle cell anemia, and her family, focusing on the provision of nursing care for individuals with chronic conditions. The assessment explores the patient's ability to engage in self-care practices, considering religious and disease-related barriers. It delves into the impact of the student's beliefs, values, and attitudes on the development of a therapeutic relationship and the implementation of person-centered care. The report further examines how respect for the patient's choices and lifestyle influences the nursing care provided, including ethical considerations. The student reflects on how completing the assessment has broadened their understanding of patient care and its implications for nursing practice, including care planning, and highlights the importance of respecting diverse beliefs and values in healthcare delivery. The report emphasizes the need for nurses to be aware of their own biases and the importance of patient and family involvement in care decisions.

Running head; Care of Persons with a Chronic Condition 1
Care of Persons with a Chronic Condition
Student name
University Name

Care of Persons with a Chronic Condition 2
1. Do you believe Joi and her family are able to engage in self‐care and lifestyle
practices that promote her chronic health condition? Are there any religious or
chronic disease barriers to this engagement in self‐care? Explain your answer.
I believe that Joi and her family can engage in self-care and lifestyle practices that can
promote her chronic condition. Sickle cell disease, which may present with anemia like
symptoms, can be managed by reduction and adherence to some lifestyle practices. She is
presenting with symptoms of breathlessness when she goes to the toilet. Joi should, under the
instruction of Sharyn, reduce her participation in strenuous activities. She should be assisted
when she visits the toilet to wee. This will reduce the energy she uses, thus preventing symptoms
such as breathlessness and feeling tired. The patients, in most cases, play a major role in the
management of chronic diseases through adhering to the treatment and self-care (Poku, Caress,
& Kirk, 2018).
There are religious and chronic disease barriers to the engagement of Joi and her family in
self-care. Sharyn belongs to the Jehovah Witness faith. This sees Joi's active participation in
church activities twice a week and masses on Sundays. She interacts with other children during
these days, which are heavy exercises she should not participate in. Children of her age engage
in-game interactions during such church meetings. Sharyn does not also give maximum care to
Joi because she considers that it is taking much of the time she should be participating in her
church activities. She demands maximum care from her now that she suffers from a chronic
condition. This, unfortunately, is not met.
Sharyn is hypertensive and also a type one diabetic older woman. These are chronic diseases
that prevent her from giving much care to Joi. She also should consider her health and reduce her
participation in church activities and focus on maintaining much rest. The existence of many

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responsibilities in elderly and hypertensive people are barriers to self-care (Gholamnejad, Kakhki
Ahmadi, & Rohani, 2018).
1. Reflect on how your beliefs, values, and attitudes might affect the development of a
therapeutic relationship with Joi and her family and the implementation of person-
centred care.
My beliefs, values, and attitude towards Joi and her family could affect the development
of our therapeutic relationship. The first interaction with the family could build a negative
attitude towards them. Sharyn’s refusal to allow blood transfusion shows her failure to
comply with health care instructions. I also could consider religion as a lame thing to prevent
want from getting health care. In most instances, health care providers think that we are the
final decision for health care. Our decisions and instruction should be followed effectively.
This finally results in a poor therapeutic relationship between us.
A poorly built relationship between the clients and healthcare providers results in poor
care provision. The clients will always consider that as being side-lined and ignored. Their
compliance with healthcare will be corrupted. Nurses should be aware of their own beliefs,
values, and attitude. They should endure those of others and not use them against one at any
time (Miciak et al., 2018)
2. How will your respect for Joi and her family’s choices and lifestyle impact the
nursing care provided to Joi?
I should respect Joi and her family's choices and lifestyle. This, however, will affect my
nursing care given to Joi. Sharyn's decision not to allow Joi to be transfused, on the grounds
of her religion, would affect the care given. Joi needed blood to improve on her anemic

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condition. This will necessitate other health care interventions, such as administration of
medication to improve on red blood cell production since direct replacement has been denied.
I also should be available to provide care to Joi. This is because of the unavailability of
her parents and the nature of her grandmother; age and health condition. Clients suffering
from anemia should be protected from suffering boredom and the development of
psychological stress. Her immediate caregiver will be the nurses. This validates the need for
my presence anytime she is in need. The parents also should be educated on how to balance
employment with family care (Nishimoto, 2017).
4. Has completing this assessment changed, broadened, or challenged your beliefs and
attitudes? Explain your answer?
This assessment has surely changed, broadened, and challenged my beliefs and attitudes.
I was not in the knowledge of beliefs which denies one some crucial medical interventions
such as blood transfusion. I am convinced that there are more beliefs out there which I will
interact with at some point in my nursing practice. It has challenged me on the necessity to be
a respecter of other peoples’ values and beliefs.
Nurses will not always find clients in need of our services who will have the same beliefs
and values as ours. We, therefore, should stand on neutral ground to always accommodate
them and give our services them. Although some of the values and beliefs may be at war with
our vast knowledge of healthcare, they should still be respected.
3. Identify how you can use this learning in relation to the provision of nursing care
and care planning for patients with chronic conditions.
This learning scenario has impacted a new way of provision of nursing care and care
planning to my clients. I should banish the assumption that we all have the same beliefs and

Care of Persons with a Chronic Condition 5
values. I, first, should be keen to listen to every detail of my client’s information before starting
on the care plan. There should be no scenarios where I’ll be providing care before putting into
consideration a client's values and beliefs. This reduces instances of healthcare provider and
client conflicts. In instances where the caretakers of my clients are not fully available to provide
care, I should be there to fill in the gap to ensure maximum health care provision.
I should involve the client and their family in making crucial decisions during care planning.
Healthcare providers can make key decisions on the care to be given to clients without their
participation. In events where the client and their families have contrary decisions, on the
grounds of their values and beliefs, healthcare provision may fail. Families should always be key
players in decision making since they act as a gate pass to the patient's world (Chambers-Evans,
2016). Families are the sole source of information needed mostly for minors such as Joi. They
are the ones to give their opinions and worries about healthcare provided to their loved ones.

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References
Chambers-Evans, J. (2016). The family as a window onto the world of the patient: Involving
patients and families in the decision-making process. Canadian Journal of Nursing
Research Archive, 34(3).67.
Gholamnejad, H., Kakhki, A. D., Ahmadi, F., & Rohani, C. (2018). Barriers to self-care in
elderly people with hypertension: a qualitative study. Working with Older People.
Miciak, M., Mayan, M., Brown, C., Joyce, A. S., & Gross, D. P. (2018). The necessary
conditions of engagement for the therapeutic relationship in physiotherapy: an
interpretive description study. Archives of physiotherapy, 8(1), 3.
Nishimoto, M. (2017). Choices of Leave When Caring for Family Members: What Is the Best
System for Balancing Family Care with Employment?. Japan Labor Review, 14(1), 45
Poku, B. A., Caress, A. L., & Kirk, S. (2018). Adolescents’ experiences of living with sickle cell
disease: An integrative narrative review of the literature. International journal of nursing
studies, 80, 20-28.

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