Patients With A Progressive Chronic Illness

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Patient M.B has been diagnosed with a progressive chronic illness, a severe form of Autonomic Dysfunction, Multiple System Atrophy (MSA). “MSA is a sporadic, progressive, adult-onset disorder characterized by autonomic dysfunction, parkinsonism and ataxia (a failure of muscular coordination) in any combination” (Autonomic Disorder Consortium, n.d.). Since there is no cure, focus of care is solely on treatment of symptoms. Furthermore, “There is a progressive loss of physical functions until general debilitation develops. Early death is likely” (Autonomic Disorder Consortium, n.d.). This diagnosis has been life-altering to this young mother and wife, as well as, her active duty husband and 2 young sons. Care Management has been…show more content…
Outcomes/Planning: The family members demonstrate competence in role by meeting client’s needs. The family members demonstrate verbalization of ways to adapt to role and lifestyle changes. The family members report positive interactions with one another (EHS, 2012). Nursing Implementation/Interventions Rationale / Reference Assess for sign and symptoms of interrupted family processes (e.g. inability to meet client’s needs, statements of not being able to accept client’s diagnosis or make necessary role and lifestyle changes, inability or refusal to participate in client 's care, negative family interactions) (EHS, 2012). Having this information will help the nurse develop an individualized plan (Swearinger, 2016, p. 85). Identify components of the family and their patters of communication and role expectations (EHS, 2012). Having this information will help the nurse develop an individualized care plan (Swearinger, 2016, p. 85). Assess previous adaptive behaviors (Swearinger, 2016, p. 85). How the family has dealt with problems in the past may be a reliable predictor or how they will adapt to current issues (Swearinger, 2016, p. 85). Assist family members to gain a realistic perspective of client’s situation, conveying as much hope as appropriate (EHS, 2012). Ensures family member’s adjustment to client’s diagnosis and altered family role
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