Introduction
Community nursing is important to caring for patients as part of a holistic approach. By using Chronic Disease Self-Management (CDSM) and Trans-Theoretical Lifestyle Model of Change (TTM) nurses can ensure that care is specific to the patient, which can increase their compliance with their new program. Having the patients as involved as possible in their own care allows them to take back some of the power that health care can take away. By self-managing their chronic condition patients can live fuller lives than if they were reliant on the health care team for all planning and implementing of care. One such example of a patient who is using the CDSM is C.G., a close family friend of Nicole LeSage. C.G. suffers from rheumatoid arthritis.
Body
C.G. is a 58-year-old female who lives in Vancouver, British Columbia with her husband. C.G.’s daughter, a doctor, also suffers from rheumatoid arthritis, and C.G.’s husband has had leukemia for the past two years. Since the whole family has to deal with (chronic) health concerns and the rest of their family lives in the Interior B.C, Nicole’s family is close to C.G.’s as Nicole’s mother grew up with C.G. and now they have also become a support system. C.G. finds it hard to focus on any positive aspects of her health. However, she is willing to try anything to change her negative mind-set on her health in order to improve the health of her family.
As the whole family has to deal with health concerns on a daily basis, her perspective on health is grim. She has been misdiagnosed by two doctors, and has tried many medications to get her symptoms under control but nothing has worked for her. Although undergoing mistrials and missteps in her journey, she has maintained good relationsh...
... middle of paper ...
... more likely that they will continue with the set routines and health care plan, thus giving them a better future with less health care problems.
References
Canadian Nurses Association. (2014). PHC Conceptual Model. Retrieved February 19, 2014, from http://www.cna-aiic.ca/en/on-the-issues/better-health/primary-health-care/phc-conceptual-model
Glasgow, R.E., Emont, S. & Miller, D. (2006). Assessing the delivery of the five "As" for patient-centred counseling. Health Promotion International, 21 (3), 245-255
Lorig, K., & Holman, H. (2003). Self-Management Education : History, Definition, Outcomes, and Mechanisms. Palo Alto, CA: The Society of Behavioural Medicine.
University of Rhode Island Cancer Research Center (n.d.). Transtheoretical model: Detailed overview of the Transtheoretical model. Retrieved from http://www.uri.edu/research/cprc/TTM/detailedoverview.htm
Being diagnosed with a chronic illness is a life-altering event. During this time, life is not only difficult for the patient, but also for their loved ones. Families must learn to cope together and to work out the best options for the patient and the rest of the family. Although it may not be fair at times, things may need to be centered on or around the patient no matter what the circumstance. (Abbott, 2003) Sacrifices may have to be made during difficult times. Many factors are involved when dealing with chronic illnesses. Coping with chronic illnesses alter many different emotions for the patients and the loved ones. Many changes occur that are very different and difficult to get used to. (Abbott, 2003) It is not easy for someone to sympathize with you when they haven’t been in the situation themselves. No matter how many books they read or people they talk to, they cannot come close to understanding.
This paper will explore and analyze assessment and interventions pertaining to self-concept and patient behavior. It will also define and compare methodology and nursing process. This paper will be responding to the case studies and questions provided on Canvas.
The conceptual model guiding this paper is A Middle-Range Theory of Self-Care of Chronic Illness. The theory defines self-care as a process of maintaining health using health promoting practices and management of illness. It emphasizes that self-care should be performed in both healthy and ill states. In addition, the theory further emphasizes that it is imperative for every individual to engage in some level of self-care from day to day by making informed food choices and rational healthy living styles. An individual in stable condition can maintain health without the need of moving into illness care. However, after an ill and illness management
... the context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
...health while going through cancer. In this case, their family leads to the emotions that can impact the patient’s health and decision-making.
My interest in this topic is a result of recent experiences with Diabetes Mellitus, Type 1 (DMI), especially with the following two instances: a young adult patient admitted at the hospital following a DKA episode during one of my nursing rotations and one of my instructors with type 1 diabetes. Also, my father was diagnosed with type 2 diabetes, this has increased my eagerness to study and explore more about the disease.
She’s been struggling everyday of her life for the past 10 years; battling and fighting this horrible disease has made it hard on her and her family. The cancer has now metastasized, making it difficult for her to take care of everyday responsibilities and participate in daily activities. Her 13-year-old daughter is watching as her mother suffers and becomes brittle and weak.
According to the Healthy People Database, in 2010 the aging population was estimated at 40 million, this number is expected rise to nearly 70 million by the year 2030 (National Center for Health Statistics, 2000). At the forefront of health concerns for this aging population will be the intervention, management and treatment of chronic diseases. This increase in both this specific population as well as the required medical care will place a significant amount of stress on an already distressed healthcare system, which in turn will affect the availability of recourses and costs. Including patients in their self care with strategic health promotion such as encouragement and education geared towards specific socioeconomic groups will be more cost effective and beneficial in the management of chronic disease. Studies indicate that patients involved in self management of disease processes often have better patient outcomes.
Polonsky, W.H (2006). ’Encouraging effective self-management in diabetes.’ In: k101 An introduction to health and social care, resources, Block 3, pg19, Milton Keynes, The open university.
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments deviate on an individual level. Nevertheless, some circumstances require
The purpose of this paper is to review the theory of self-regulation and how it can be applied to practice in health care settings to improve patient outcomes. According to Johnson (1997), more than 25 years of research has influenced the development of the self-regulation theory, which is about coping with healthcare experiences. Health problems have shifted from acute to chronic where it has been identified that personal behaviors are linked to over half of societies chronic health problems (Ryan & Sawin, 2009). As the modern nurse strives to provide specialized care and improve patient outcomes, the utilization of nursing theory continues to gain importance. This theory explains how patients use specific types of information to cope with health care events thus providing a rational for selecting information that can be expected to benefit patients. The concept of self-regulation has been a part of nursing practice in a circumlocutory fashion for years. It has been most commonly referred to as self-management creating considerable ambiguity and overlapping of definitions for that term and self-regulation (SR). For the purpose of this paper these terms will imply that people follow self-set goals introduced by their health care provider.
This approach is based on four principles which are; to teach patients to assume their responsibility, to be well informed about their prevailing health issues, make them realize that their cooperation and willingness in treatment and prevention plan is in their own benefit and, let them take their own decisions. As narrated by Taylor (2006), Dorothea E. Orem's Self-care deficit theory of nursing emphasize that "People should be self-reliant and responsible for their
Person-Centred Counselling established its origins in the late 1940 during a conference when Carl Rogers gave a talk entitled ‘New Concepts in Psychotherapy’. The summarisation of the talk resulted in the theory that the client in a counselling relationship should be at the center of the relationship and lead the counselling process. The Client, in effect became the expert on their life and/or problems. The fundamental belief is that an individual is capable of change, growth and fulfillment (self-concept). Person-Centred counselling looks at ‘the here and now’ and how to make changes that affect the future. Person-Centred Counselling generated a system known as the ‘Core Conditions Model’ which emphasized three key components: Empathy, Congruence and Acceptance.
Miller, C. (2011). An integrated approach to worker self-management and health outcomes: chronic conditions, evidence-based practice, and health coaching. AAOHN Journal: Official Journal Of The American Association Of Occupational Health Nurses,59(11), 491-501. doi:10.3928/08910162-20111025-02
2. What course concepts from the course textbook or nursing research from community health/public health nursing journals did I use and apply to nursing practice during this rotation?