Patients With A Progressive Chronic Illness

Enabling choice of specific care and services to meet the patient’s health and social care needs and preferences. 4 Providing information that is tailored to each person to assist him or her in making decisions based on the best evidence available. Assisting patients to interpret technical information, evidence and complex concepts and helping them to understand their options and consequences of this, while accessing support from other health and social care experts. 4 Supporting the person to assert his or her choices. If the individual is unable to do this for him or herself, then the nursing team or an appointed formal advocate would present and pursue the person’s stated wishes. 4 Ongoing evaluation to ascertain that care and services continue to be appropriate for each person. This involves encouraging, listening to and acting on feedback from patients and service users.

Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people

Communicational patterns are strong within the family communicating, interacting, and listening to each other. Mom and Dad have open communication between them and with the children. No dysfunctional communication observed. The decision-making process is between Mom and Dad. The role structure is as equal as can be; Mom works full time and has two part time jobs because Dad is unemployed so Dad has a larger care-giving role. Family values are based upon strong Christian faith. Family attends church every week and children are enrolled in private religious school. Prayer is said before each meal and at bedtime. The family shares a strong religious core with tradition, values, and beliefs.

As we know families as always changing and so are the dynamics. Communication is a transactional process that is changing over time. Two central scopes of family behavior are adaptability and cohesion. Each is divided into four levels to create 16 combinations. Overtime it has changed to fit into cohesion, adaptability and communication.

I was able to gather a lot of information on my patient when I was taking his health history, giving his shift assessment, and reviewing his charts. I used this step to offer effective nursing care to determine the priorities of what is the most important issue for which the patient should be treated.

In today’s world, families are dynamic and interdependent systems. The developmental processes of the children in the family are deeply affected by how the family system operates. However, a family’s structure does not determine whether it is a healthy family system or not. Today, families consist of single parents, stepparents, divorced parents, remarried parents, grandparents, aunts and uncles. They are all able to contribute to a healthy functioning family system by meeting each family member’s needs and encouraging positive communication (Jamiolkowski, 2008). Unhealthy family systems have negative and possibly

Care plan – these are made up from the social worker involved, which contain brief detail

The main symptoms and signs of Parkinson’s are bradykinesia, rigidity and rest tremor. Parkinson’s is mainly seen as a movement disorder, but other areas of health problems are associated with it. These include depression and dementia along with autonomic disturbances and pain, although considered to be rare they can present at a later stage of the condition. These rarer symptoms, as they progress, can lead to substantial disability and handicap which harms quality of life for the person living with Parkinson’s, this also has an impact on families and carer’s.

Include documentation in nursing flow sheet, nursing notes, or physician orders. Documentation should be accessible in the patient record and recorded in a standard format for data collection and quality improvement purposes.

Helpful in times of stress, such as acute or long-term illness, nursing can engage the family in focusing on their

A statement of how the patient’s information will be used with examples. For example, treatment, research or appointment reminders.

Its goals is to promote quality with professional practice and to recognize excellence in the delivery of nursing services to patients; and, to disseminate best practices in nursing services (Grant, Colello, Riehl, & Dende, 2010).

For the appropriate care to be planned for a patient it should be looked at in a holistic manner (NMC

Analyzing two families helped explain how roles can affect the strengths and weakness of all the family members. Family roles affect the expectations of the members that are included. The Shade’s observe to know who their role is. The children know the mother and father and who is the head of the household, same with themselves knowing they are the siblings, daughters and son. This family knows their roles within themselves give this family great strength. The affective roles such as the provider for food, clothing, and shelter are affected by the choices the parents make. The parents are in charge of family decisions. All the members within them offer the support and encouragement with their affective roles. The Shade’s show the five important

Jennifer, I agree that chronic illness is affecting more and more elderly each year. I think with improved access to healthcare, nurses are seeing these patients regularly. As the nurse, not only do we need to educate patients on routine testing and screenings, we need to be knowledgeable in insurance coverage. Patients over 65 years have Medicare as a supplemental insurance, but some patients only have Medicare. Over time Medicare has changed their coverage to allow patients to be seen yearly to prevent illness (Tabloski, 2014). In my office we see elderly woman, and the diagnosis is important when ordering testing, such as the mammogram. If we use the wrong code, then Medicare will not pay for the test. Therefore, nurses need to be