Diabetic patients are at risk for numerous comorbidities, including infections of the feet that could lead to amputation. In the U.S. diabetes effects more than 29 million people and is the leading cause for lower limb amputations (“Center for Disease Control and Prevention”, 2016). In addition, approximately 20% need some type of amputation after getting an infected foot ulcer (Wu, Driver, Wrobel, &Armstrong, 2007). Moreover, when a patient has a surgical procedure they require various elements in their healthcare experience in order to receive what they perceive as quality care. In diabetic adults undergoing an amputation of the toe or forefoot, what is the effect of involving patients in their treatment plan, while maintaining adequate pain relief for the patient, on the patient’s perception of quality care compared with patients who are uninvolved in their treatment plan and pain relief is not achieved?
In a research study, a group of adult diabetics were given a questionnaire about their perception of the care they received after having an amputation of an infected foot ulcer. Among the thirty patients surveyed, 83% reported effective pain relief was the most important issue while receiving care (Mehica, Gershater, & Roijer, p.94). Therefore, controlling the pain of a patient improves the patient’s perception of quality care while staying in a hospital. In addition, 77% of the participants in the study were not able to speak in private to the physician or nurse during
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).
Public health emphasizes the importance of prevention and proactively taking care of one’s body. As people grow older, they must follow certain guidelines to ensure that they age healthily and successfully. One of the biggest concerns facing the aging population is chronic diseases. Chronic diseases are long term diseases that have a slow progression. Once chronic diseases pass “certain symptomatic or diagnostic thresholds,” they become a permanent aspect of an individual’s life because “medical and personal regimens can sometimes control but can rarely cure them” (Albert and Freeman 105). One chronic condition that is a cause of concern is diabetes. Diabetes is not only one of the leading causes of death in the over 65 population but
The most common symptoms are fatigue, having to urinate more than feeling thirsty, distorted vision, and dry mouth. Type 1 diabetes symptoms are rapidly noticed with more severe symptoms verses type 2 diabetes, which have symptoms that usually are not as noticeable and develop at a slower rate.
Pain is one of the most common reasons people consult a physician, yet it is frequently inappropriately treated [St Stauver JL, 2013]. To deal with this dilemma, nurse practitioners can play an important role on the pain care team, particularly as primary care clinicians spend less time with patients and are increasingly reluctant to provide care for pain patients. As frontline providers, they can take the time to perform a thorough patient assessment and physical examination and follow through with pain treatment, while also playing an essential role in patient education and assessing and monitoring the patient’s opioid risk. Their primary goal is to develop a therapeutic relationship with patients, providing the time and space for patients to tell their pain story [Hughes, 2013], which they then can communicate to the rest of the team and which forms the basis for all subsequent decisions about treatment.
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.
Effective communication in the healthcare setting improves recovery rates and reduces pain and complication rates. (Wilkinson et al, 2003). Many complaints to the NHS are attributed to poor communication. Effective communication is reliant on the nurse working in partnership with the patient. It is essential that the nurse establishes a rapport and most of this will be achieved through the use of facial expressions. In my practice, it is important that develop a therapeutic relationship with the patients so that they can be able to put their trust in me. The therapeutic relationship is solely to meet the needs of the patient. In this relationship, there is a rapport established from a sense of mutual understanding and trust. To build a good nurse-patient relationship, I would have to show qualities of empathy, caring, sincerity and trustworthiness. During practice, if I am approaching a patient and the patient looks anxious, I should approach with empathy.
In this study, the purpose was to deal with the absence of control that patients felt over their own bodies during the lengthy stay in their hospitals. The objective was to give participants the decision- making to improve their own lives as well as their conditions prior to their deaths. For this investigation, two trials were assessed: an observational trial and an experimental intervention. In the observational trial, researchers were responsible for measuring the level of concern of physician toward their patient, whereas for the experimental intervention, patients were chosen to be given a Support therapy that would help increase the level of interaction between them and their doctors. The results of the observation trial show that physicians were unable to care for its patients efficiently. For example, they were quick to assigned their patients to conditions that they did not agreed upon or that it aided their state of suffering. Interestingly, the experiment show that physicians were still unable to satisfy the needs of their patients, even after receiving the Support therapy group. This is interesting because a Support intervention should heighten the communication between physician and its patients. However, for this study, a lack of communication was present throughout the
After reading and listening to Red’s story, the first course outcome that, I would choose is CO2 Discuss effective communication techniques with patients, families, and the interprofessional team in the care of older adults. Throughout Red’s story he had mention on several different occasions that he had not been following his doctor’s instructions in regards to his management of his diabetes by not taking his insulin on the day that he was not feeling well and not eating much, and had not taken his antibiotics as prescribed for the sore on his foot, therefore his foot continued to worsen. I would want to discuss with Red and his family the importance of managing his diabetes and by not doing could lead to other medical complication, such as,
Diabetes mellitus (DM) is a condition in the body that is related to a faulty metabolism. It means that the body’s metabolism is not functioning properly, which leads to adverse effects in the health. The food we ingest, gets broken down into blood sugar (glucose), which is what fuels our body in the form of energy. This converted glucose needs to enter our cells so that it can be used for energy and growth. And in order for the glucose to enter our cells, there needs to be insulin present, which the beta cells of the pancreas is responsible for producing. This hormone is responsible for maintaining glucose level in the blood. It allows the body cells to use glucose as a main
Many patient’s will only discuss their foot care needs, however, the nurse in this setting should be aware of other important health topics to help prevent illness. Since the patient feels like they are unable to ask other questions regarding health issues, this often prevents a teachable moment from occurring to help prevent future problems. For example, if the patient states that they have diabetes but are unaware that diabetic patients take a longer time to heal and may acquire infections easier because of this, the nurse would be able to provide the diabetic patient with ways to prevent sores on the feet. However, since the patient may not correlate diabetes to the feet, this moment of health maintenance teaching may not occur.
This is a diabetes case study of Mr. Charles D., a 45-year old male who is experiencing classic symptoms of hyperglycaemia. Recently divorced and living alone in a new home, Charles has complained of recent weight loss, excessive thirst, and frequent urination. He is a busy CEO for a major technological company. This case study for Charles will educate him as to what are the causes of diabetes: explain the presenting signs and symptoms emphasize the psycho-social impact to his amended life, and instruct him in the economic impact that he and millions share.
And next would be the patient’s family, they would be the secondary audience for my research as they will be the one who can be influential towards the patient if not, they will be the one who are the caregiver of the patient. To me, it is important for both the patient and the family members to be aware of the data, to know and understand the important to patient compliance that will have an impact towards the survival rate of the patient in additional to the quality of life of the patient, especially when it comes with treatments that involves pain management. Last but not the least is to bring awareness to the healthcare providing community regarding the topic and on growing challenges of patient compliance, so the healthcare provider can intervene and improve their communications and their outreach towards their patients and the patient’s
2. All individuals in the facility who interacted with the patients displayed positive attitudes and encouraging behaviors. Each individual presented to the patient with engaged body language and persistent concern about the patient’s overall comfort. Relationships were fostered between the patient and health care workers through a nonjudgmental environment in which
Patient provider relationships play a pivotal role in the healthcare process. This relationship helps to bridge the gap between ailments of the patient and the diagnosis and care of the provider. The need for this relationship and its propensity to create the catalyst for patients need to be fulfilled is second only to the medical knowledge of the provider and the patient 's willingness to get better. As we have moved from a biomedical perspective to a biopsychosocial perspective the relationship between provider and patient has changed from physician centered modes of communication to more of a patient centered style of communication. And with the change of view we find that a strong and cohesive bond between patient and provider is the key to the advancement and overall quality of care for the patient. According to The Impact of Patient-Centered Care on Outcomes a patient centered approach to care has a correlation to a better healthcare outcome. Focusing on the patient increases compliance of the patient.
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar)1 . In 2011 The American Diabetes Association repoted a 25.8 million people in America living with diabetes 2. Diabetes is a illness that can be caused by the body not being able to produce enough insulin and or cells in the body not responding adequately to the insulin provided. Insulin which is produced by the pancrease, regulates the amount of glucose (which provieds energy to all cells) in the blood.