Specialized Care Management Essay

The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse’s care. Lovick (2009) defines sepsis ‘as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of two or more of the following symptoms ‘temperature >38 degrees Celsius or 90 beats per minute, respiratory rates greater than 20 breaths per minute and white blood count higher than 12,000 cells per microliter or lower than 4000 cells per

1 Understand the requirements of legislation and agreed ways of working to protect the rights of individuals at the end of life.

According to recent statistics from the Centers for Disease Control, approximately 1.2 million individuals in the United States have HIV (about 14 percent of which are unaware of their infection and another 1.1 million have progressed to AIDS. Over the past decade, the number of HIV cases in the US has increased, however, the annual number of cases remains stable at about 50, 000 new cases per year. Within these estimates, certain groups tend to carry the burden of these disease, particularly the gay, bisexual, and men who have sex with men (MSM) and among race/ethnic groups, Blacks/African American males remain disproportionately affected. (CDC)

Ever since the first cases of what eventually came to be known as AIDS were diagnosed in the early 1980s, people with HIV/AIDS have been stigmatized. Over time, there have been many misconceptions about this disease. Even though there have been many discoveries, and treatments for HIV have improved over time, there are still many people who understand very little about this disease. This lack of understanding, along with fear, misinformation about how the disease is transmitted, and “moral” judgments made about the types of people who contract HIV, all have led to stigmatization of, and discrimination against, people who are living with HIV/AIDS. Understanding the stigmatization of people with HIV/AIDS is an important social justice issue because that stigmatization can result in people with HIV being insulted, rejected, gossiped about, excluded from family and social activities, fired, and even jailed. People with HIV are no different from people suffering from other chronic diseases. Instead of being alienated, they have a right to be treated with fairness, respect, and dignity.

1.2 – Assess a child or young person’s development in following areas :- physical, communication, intellectual/ cognitive, social, emotional and behavioural and moral.

Human Immunodefiency Virus has become all too common in my hometown Baton Rouge, Louisiana. Rapidly this city has taken the number one spot leading the nation cases per capita of 100,000 people, according to Rene Taylor, Executive Director of Family Services of Greater Baton Rouge. (Feb., 2018). Baton Rouge holds its highest HIV cases in the North Baton Rouge area, where African Americas account for 95% of the residents. Studies show that age, poverty and education level is concurrent with most people infected with the virus. Baton Rouge has many organizations and government funded programs for all residents but coherence is proven to be low. Therefore, I posed the question: How do we decrease the HIV percental in Baton Rouge? I suggest we decrease the HIV epidemic in Baton Rouge by first, providing mandatory Education and statistics about the virus. Secondly, promoting

Duscuss the impact of the ACA and the IMPACT act on long term care arcross the continuum of care.

Professionals that provide services (interprofessional, one discipline, etc.): Management/Administrators, Program managers, nurses, Caseworkers, House Managers, VA Liaisons (licensed clinical social

HIV continues to be a global epidemic but the District of Columbia has seen its own epidemic with some of the highest rates of infection in the U.S. HIV/AIDS is a top health problem for health officials in the District of Columbia as many parts of the area face poverty, violence, and limited resources. This paper will introduce the HIV virus by discussing its brief history, the stages, and the current medication available. The District of Columbia will be the center of discussion as the reasons for the high rates; barriers to prevention, and prevention programs are discussed for this specific area and its population. The current prevention program and the measures of effectiveness will conclude this paper.

This assignment will reflect on and critically analyse my personal and professional development in the domain of care management over the last three years. It will additionally outline how I plan to continue to develop in this domain once I have qualified as a registered nurse. My development so far will be analysed from the perspective of the skills, knowledge and values required of a registered nurse. Through this reflection I hope to confirm that my practice meets the standards for entry onto the nursing register as outlined by the nursing and midwifery council ((NMC) 2008).

Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The

“Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter’s or sculptor’s work...” (Nightingale, 1868)

A nursing diagnosis identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular emphasis will be placed on proposed interventions to achieve Mr. Bertoli’s healthcare goals and the provision of rationales. This is important to justify the significance of the interventions and indicate

“Let’s create an AIDS/HIV-free generation”, which is not only a slogan that was proposed by President Obama but also a goal that I would like to achieve on my future career path. My practicum project at the Department of Health and Human Services was to generate dataset of new AIDS/HIV cases in Houston/Harris area required by the Center for Disease Control and Prevention, and then to use ArcGIS software to make a map describing the new diagnosed in Houston area. The final products can be spatially lined to other sources to enhance understanding of social determinants of health affecting populations impacted by HIV. This practicum experience let me realize that AIDS spreads so quickly is because most people have insufficient knowledge or misconception about the disease and prevention. Becoming a pharmacist to provide prevention service and educate people to improve their health and wellbeing is how I want to reach the goal of creating an AIDS/HIV-free generation.