Theory Of Unpleasant Symptoms (TOUS)

Decent Essays

Symptom management continues to emerge as a very important aspect of nursing science (Smith & Liehr, 2014). The Theory of Unpleasant Symptoms (TOUS) was designed to assimilate existing knowledge of symptoms, based on the premise that there is an array of symptoms experienced by several different clinical situations including: COPD, asthma, angina, heart failure, pneumonia, etc. (Smith & Liehr, 2014). The purpose of this theory is to help understand symptom experience and how it correlates with various contexts to help prevent, ameliorate, or manage unpleasant symptoms and their negativity (Smith & Liehr, 2014). According to Peterson and Bredow (2011), the TOUS is used to determine the relationship between the symptoms of dyspnea, fatigue, …show more content…

Providers can uncover new and past symptoms by inquiring about patient’s and also utilizing tools, such as spirometry, for diagnostic purposes (Fromer, 2011). Professional ACNP’s should encourage patient training and education to help with disease knowledge and to help halt progression of future exacerbations (Fromer, 2011). As Damien’s ACNP, different methods to smoking cessation will be explained and encouraged. Not only are there in-person counseling sessions, but there are telephone counseling sessions, pharmacotherapy, nicotine products (patch, gum, lozenge, inhaler, nasal spray), hypnosis, laser therapy and acupuncture that can help with Damien’s smoking cessation process (Fromer, 2011). Also, stressing the importance of vaccinations, such as the flu or pneumococcal, is highly recommended for Damien’s case due to the many risk factors he imposes. According to Chorostecki et al. (2015), interprofessional (IP) care includes shared decision-making, collaborative problem solving, respect in the work field, and equal contribution among all healthcare team members. Implementing effective interprofessional collaboration can help enhance quality care in hospital, …show more content…

The health care division of the U.S. consists of clinicians, hospitals, health care facilities, insurance agencies, networks, independent practices, private sectors etc. (Advanced Practice Work Group, 2012). Allied health professionals help with the delivery of healthcare and population health as they relate to athletic training, dietetics, occupational therapy, physical therapy and respiratory therapy (Zenzano et al., 2011). Regarding the care of Damien, we must first review his highest level of education and see if he is able to reciprocate back what was taught to him. Also, it is important to ask Damien questions regarding transportation, financial state, if he is able to afford his medications, and if he has transportation to get his medications. Connecting him to a case worker or social worker will help determine if he is eligible for government funded insurance or if he can get medications at a cheaper price than what he currently pays. According to Zenzano et al. (2011), the number of uninsured individuals is on the rise due to decreasing employer sponsored insurance coverage and rising health care costs. Asking Damien questions regarding if his workplace provides insurance or workman’s comp is an important aspect to getting him the health care he needs. According to the American Heart Association (AHA)

Get Access