Patient and Family Involvement Care †Free Samples to Students

Question: Discuss about the Patient and Family Involvement Care. Answer: Introduction The current assignment focuses upon adult nursing care practices and the implication of the same in designing an effective care plan for the patient. The nursing care approaches and interventions could be supported with the help of a number of evidence based programs. The two such nursing interventions which have been adopted over here are the Millers functional consequences theory and the Levitt Jones clinical reasoning cycle. The evidence based model help in the development of priority base nursing care. Additionally, the development of a priority based nursing plan helps in the development of a person centred approach. The person centred approach helps in adjusting to the individual care needs of the patient. For the current assignment, the case study of Amalie Jones has been taken into consideration. She is an 89 years old woman and is suffering from a number of co-morbid conditions such as hypothyroidism, macular degeneration and rheumatoid arthritis and requires effective nursing care. Amalie Jones lives alone in a one storeyed apartment after the death of her husband. Recently, the development of poor vision along with growing pain owing to rheumatoid arthritis has made independent dwelling difficult for here placing more importance on nursing care. On effective examination of the patient, it was found that the patient had past history of hypothyroidism, rheumatoid arthritis and macular degeneration. Amalie had always enjoyed visiting her German association but poor eyesight made driving and visiting her friends difficult for her. A range of other complications were noted in the nurse such as joint stiffness, swollen feet and enlarged joints, limited or restricted movement , occasional dizziness and significant amount of weight loss. As commented by McSherry et al. (2017), the medications for hypothyroidism can further trigger the development of autoimmune disorder such as rheumatoid arthritis in the patient. The restricted movement capacity has also damaged the s elf confidence of the patient to a considerable level, where she felt the need to depend upon nursing professionals for getting sufficient help and support Based upon some of the cues represented by the patient effective nursing interventions could be designed. Amalie was suffering from rheumatoid arthritis which could have been triggered due to old age. As mentioned by Evan, Walker-Tweed, Paunovic, Olafson Easton (2016), the rheumatoid arthritis is an autoimmune disorder and often results in destruction of the own body cells and tissues. The patient also reported to feeling dizzy and tired, which could be related to low levels of thyroxin produced in the body of the patient. As supported by Stayt, Seers Tutton (2015), subclinical hypothyroidism is associated with insulin resistance and is related to dylsipidemia in rheumatoid arthritis. The low levels of thyroxin have been associated with increased out flux of potassium triggering the situation of osteoporosis in the patient. Here, 665 mg of paracetamol was administered to the patient three times a day, which was supplemented by 400 mf of ibuprofen. The patient was further out on hig h doses of hydrochloroquine, which further reduced the pain owing to rheumatoid arthritis in the patient. Processing information Painful joints particularly in the knee, hip, finger and back- the painful joints around the knee, hip and fingers could be related to the development of rheumatoid arthritis in the patient. As mentioned by Adam (2017), the rheumatoid arthritis causes inflammation of the joints causing them to become swollen and stiff, which restricts the movement around them. Vision deficit- the visions deficit could be attributed to the development of dry macular degeneration in the patient. Under this, small or yellowish deposits called drusen form over the retina causing the vision to deteriorate over time. Occasional dizziness- the occasional dizziness experienced by the patient could be attributed to low levels of thyroxin present in the body of the patient which results in the development of fatigue (Shih,., Buurman, Tynan?McKiernan, Tinetti Jenq, 2015). Non-significant weight loss- the weight loss could be attributed to the development of hypothyroidism in the patient. Additionally, the patient that is Amalie, had been living alone and had no to take care of her diet all by herself which often resulted in careless and missed diets . As commented by DeVon, Rice, Pickler, Krause-Parello Richmond (2016), low thyroxin levels has been seen to affect the metabolism in the patient which also affects the food intake capacity of the patient. Developing nursing intervention based upon identifies issue A number of clinical nursing priorities and interventions can be developed for the patient over here. Amalie suffered from a number of co-morbid health conditions such as macular degeneration, rheumatoid arthritis and hypothyroidism. Since the patient was suffering from a progressive macular degeneration along with rheumatoid arthritis she was at increased risk of falling. Therefore, based upon the assumption fall risk management could be suggested as one of the important nursing interventions. The excessive pain and stiffness around the joints had resulted in restricted movements for the patient. Hence, Amalie had to cut down from some of her daily activities of living such as driving to her German community to meet her friends. She could also manage very little of her daily activities such as cooking and managing the household by herself. Additionally, the excess pain made the patient feel helpless. Therefore, effective pharmacological and non-pharmacological pain management strate gies could be designed for the patient. The health condition of the patient caused her to be socially isolated from her community which could lead to the development of depression within the patient. Hence, effective counselling support programs could be designed for the patient. The nursing professional needs to plan the care strategy of the patient based upon the Millers functional consequences theory. The millers functional consequences theory lays importance upon the old age of the patient and the related conditions which are taken into consideration for designing of the nursing care plan (Morgen, Denison-Vesel, Kobylarz Voelkner, 2015). The goal of the Millers functional consequences theory is to foster the feeling of dignity and value in the patient (Hunter, 2012). The millers pyramid encompasses the functional areas from knows to does and further help in enhancing the skills, knowledge and attitude of the nursing professional (Mpouzika et al., 2017). It focuses upon applying the concepts of wellness in geriatric nursing where individual strengths are built to optimize the overall well being of an individual amidst day-to day life situations. Based upon the clinical condition of the patient a number of nursing care goals and priorities could be designed for the patient. The goals had been further represented in the form of specific, measurable, attainable, realistic and time bound framework. Both macular degeneration and rheumatoid arthritis are progressive degenerative condition (Olding et al., 2016). Therefore, effective nursing care goals are required to be set for the patient. The patient to be educated and helped with self management of medication. Since, the patient had vision impairment therefore colour codes could be attached with the medicines to help the patient remember the particular medicines and doses to be taken. The pain could be monitored in the patient on a scale of 1-5 with the help of Braden scale. The patient needs to be educated on using aids which could help the patient move around freely by her own self as well as manage her activities of daily living (ADL) (Boev, Xue Ingersoll, 2015). Reduction in pain as well as more autonomy noticed in the patient after the care treatment The recovery in the overall health of the patient to be achieved within a time period of three months. Action plan An effective nursing care plan was designed for the patient based upon the present health condition of the patient. The patient complained of stiffness and pain around the joint areas, which restricted here ADLs making her more dependent upon the nursing professional. Therefore, effective pain management intervention could be employed for the patient with the help of both pharmacological and non-pharmacological methods. As mentioned by Devon et al. (2016), the non-pharmacological methods focused more upon the inculcation of light weight training and stretching exercises for the patient. Reports and evidences have suggested that patients with sufficient amount of physical activities complained of less RA pain comparison to patients without much physical movement. Moreover, providing Amalie with sufficient psychical activities could help her regain more control over here body, which reduced the chances of fall in the patient. Amalie had complained of poor vision, she also failed to take her medicine doses properly. Therefore, setting up an alarm for the patient which will remind her regarding the medicines to be taken every few hours could be beneficial. The patient reported feeling helpless and expressed possessing little control over here day-to day activities. Therefore, making the patient a part of the community networks where community based healing programs will be provided would be beneficial (Tisminetzky et al., 2017). Evaluation of the patient outcomes The above nursing plan was conducted for a time period of three months after which the patient was monitored for the improvement in health condition. At the end of three months Amalie expressed more autonomy over her daily care activities and reported better control over her pain. She felt much positive about getting better and resuming her daily life activities. Conclusion The current assignment focuses on the aspect of designing nursing care priorities for an older adult. Here, the patient had a number of co-morbid health conditions such as hypothyroidism, macular degeneration and rheumatoid arthritis. The deterioration in the present health condition of the patient offered her with little or no options but to be reliable over a nursing professional to help her with some of her daily care activities. However, the assignment focuses upon the implementation of a clinical reasoning cycle which had been used for designing an effective clinical care plan for the patient. With the help of such evidence based approaches, a person centred approach is established for the care of the patient. References Adam, S. (2017).Critical care nursing: science and practice. London: Oxford University Press, 125-135. Boev, C., Xue, Y., Ingersoll, G. L. (2015). Nursing job satisfaction, certification and healthcare-associated infections in critical care.Intensive and Critical Care Nursing,31(5), 276-284. DeVon, H. A., Rice, M., Pickler, R. H., Krause-Parello, C. A., Richmond, T. S. (2016). Setting nursing science priorities to meet contemporary health care needs.Nursing outlook,64(4), 399-401. 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