Personal Statement On Self Management

With the development of the nurses understanding, the nurse will be able to clearly communication across relevant information. This will promote patient participation (Tobiano, Marshall, Bucknall, & Chaboyer, 2016) and empower the patients voice by actively involving them in the decision-making process. Per the Health and Disability Act (1994, as cited in Medical Council of New Zealand, n.d) patients should have their treatment explained to them, including the benefits, risks, alternatives and costs; as well as having the option to change their mind at any time. This all contributes to the development of a partnership and ensures that the patient will cooperate with tasks at hand. However, the lack of communication with the patient regarding their treatment can cause severe anxiety and ultimately a breakdown in the trust between the patient and the nurse. The successful implementation of this in practice can be seen in an observational study conducted by Tobiano et al. (2016).

As a Registered Nurse who knows the duties that his work demands, I have to demonstrate deeper understanding of the Health Directorate's core values of care, excellence, collaboration, and integrity in my professional nursing practice and patient care. To conform to the above mentioned values, I endeavor to appreciate that improving a patient's experience is integral in patient care. This can be achieved by doing away with fear and anxiety that protracts patients' healing process. Enhancement of the communication between my patients and I will also go a long way in hastening their recovery and their self-management.

Emotional Support and encouraging involvement of family and friends- Listening to patient with undivided attention .Providing clear, timely and meaningful information regarding the illness. Providing enough information regarding the patient’s illness. Respecting and acknowledging the family and friends’ support in patient care and providing supportive environment.

The nurse’s role would be to evaluate first the patient’s level of understanding of their disease. It is important to also include a patient’s support system when teaching. The nurse must give the patient information about his or her condition in a form he or she can easily understand so the patient can develop a genuine comprehension of the disease process. After the patient has a good comprehension of the disease, he or she can then apply this knowledge to his or her own situation. When this knowledge is applied to a patient’s own situation, the patient is then able to ask questions and form a new way of thinking about living with the disease. When these steps are accomplished, the patient will then be able to create a plan that would help in achieving his or her goals in regards to living with the disease process. As nurses caring for patients with chronic illnesses, recognizing where patients are at in their journey with learning about their chronic illness, and meeting them where they are will help when educating and guiding them to the next step.

Communication is key to effective healthcare practices. According to American Journal Of Critical Care (2014), Patient-centered care starts with “effective communication, being empathetic and available, avoiding personal prejudges, and listening therapeutically are integral parts of patient-centered care” (Riley, White, Graham, Alexandrov, 2014, p. 320). This will improve communication; promote patient involvement in care, which creates a positive relationship with the healthcare provider and medical team. This results in improved adherence to treatment plan. Clinical practice guidelines need to be implemented for the patient and family members to be able to be involved in informed decision-making regarding healthcare needs. The fundamental core of nursing is to have a partnership with the patient and their family regarding the patient’s outcome.

Henry and his wife care process involves effective communication of their plan of care with them, their daughter in law, and their healthcare team. Periodical assessments of their health and updates of their care plan are essential for their continuum of care. “Patients, their families, and the care team should jointly create this plan. Ideally, it should reflect current and long-term needs and goals for care (Agency for Healthcare Research and Quality, 2012, p.

Lacking explanation or miscommunication for changes in the treatment plan or level of care can cause many medical errors and result in patient harms. There are complaints from patients, and their families regarding nurses do not spend the time to inform them of their daily medical conditions and help them to understand their diseases,

acutely ill patients. The nurse should allow the family to observe care and explain the

Individuals need specific care tailored to them, it is vitality important to have the correct professional and appropriate personal care. In order to receive this we need to get the patient involved in the decision process, listen to their views and opinions and receive the relevant, accurate, professional and medical information. Once all the information is collaborated a personal care package can be put into practice.

Also, I will assist patients with scheduling appointments and provide information to help my patient understand his diagnosis and treatment options as needed. He is 60 years old, he is living on his own in the apartment; as a result I will provide him a caregiver, who has a good understanding about the different needs of my patient to keep him safe. In addition, I will refer him dietitian to improve his appetite and prevent wait loss. As a patient navigator to ensure patient can get insurance coverage and insurance continuity, I will help my patient find the best affordable insurance. I will negotiate and work with billing offices to get a discounts and payment plans to cover medical bills for my patient. Also, I will help my patient with managing and filing insurance paper works for all expensive procedures and treatments. As a patient navigator to ensure the patient receives culturally competent services, I will complete cultural assessment, religious and spiritual beliefs, values and practices to determine clear and detail needs of my patient. Culturally appropriate care will improve participation of my patient in his care. The cultural care that my patient receives will be respectful, confidential, and mindful of the patient

Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.

Within this assignment it will be exploring the care of a patient using evidence based practice. The patient being explored is one met during a community nursing placement, though all identifying evidence will either be changed or not used to keep the patient’s confidentiality (as with the nmc code). The patient is currently residing in a residential home in Derbyshire. The patient is a man who is in his fifties. He had been put into the residential care following a hospital admission for a brain tumor, a family member living with the patient had flagged patient safety issues at home and social workers thought it be best for the family to have a respite period and to give the patient more care in a residential home for an undetermined amount of time. The patient themselves seemed very happy to accept this. The patient’s current medical history is that he suffers from diabetes which is kept under control through two insulin injections a day, morning and afternoon. As previously mentioned above he also suffers from a brain tumor, at the moment the effects of this on himself are unknown. It has been recorded that the patient has some difficulties in maneuvering himself and needs some assistance as well as assistance and prompting to eat and drink. Due to the patient’s current medical history three care aspects have been chosen to explore that are considered relevant to this patient. The following are - Infection control / standard precautions, medicine

Moreover, the family understands the specifics about the individual's condition and their daily routines. This can help health care professionals to decide if the person is following the proper steps in their therapy. Once this takes place, is the point that health care professionals can make adjustments to reflect changing realities. Those patients, who have their families involved, will be able to receive better care by ensuring that nothing is overlooked. This is the point that physicians will have a more complete picture surrounding their underlying levels of health. (Saleeba, 2009)

Peter Drucker argues that we live in an age of unprecedented opportunity; that people can make it to the top no matter where they start (Drucker, 2005). However, no matter what natural talents you may possess, people still need to learn how to manage their lives and their careers over a fifty or more year period. He asks people to ask five primary questions honestly about their career.

In the health environment, the interaction between the staff involved in the patient care is constant, and without them, it is impossible to achieve the result that is expected to be the recovery of the health of the patients. To guarantee excellence in health care, they interact with each other daily as a team. This team is composed, among others, of the doctor, the nurse, the staff of the medical support services (laboratories, radiology, pharmacy, physiotherapy, etc.) and administrative services (nutrition, nutrition, cleaning and computer services, etc.). The doctor as a professional of the highest level in this binomial and, generally, leader of the health team can support the nurse in various fields such as: in the direct care of the patient, in continuing education and overcoming the nurse, in the scientific research and in the publication of the results of it.