Evidence-Based Practice Nursing Interventions and Treatment for Systemic Lupus Erythematosus
Pain. Fatigue. Rashes. Depression. These are a few of the manifestations associated with systemic lupus erythematosus, an autoimmune disease that affects millions of people worldwide with eighty percent of them being women ages 15-45 (Tretheway, 2004). Systemic lupus erythematosus is a disease where the body literally attacks itself. For reasons that are not known, the body loses the ability to recognize cells or tissues as self and treats them as foreign, triggering a defensive immune response (Ignatavicius, 2010). SLE is a chronic and progressive disease that is complex, can lead to many complications and may be fatal. Proper treatment and addressing multiple manifestations as soon as they present can avoid further complications or damage to other body systems.
Levels of Care
Primary Care
As with any patient, appropriate measures to be taken to prevent systemic lupus erythematosus is the goal of primary health promotion. When considering primary measures it is important to educate the patient on multiple aspects that affect their life. Primary health promotion that would apply to anyone includes teaching about a healthy lifestyle, choosing nutritional food, safety measures when participating in certain activities, such as wearing a helmet when riding a bike or wearing sun block when exposed to the sun, and most importantly to advise and encourage the patient to have routine check-ups, regular exams and screenings along with receiving the appropriate immunizations. A more personalized approach for primary care would be the control or limitation to exposure of hazardous chemicals at work or at home, which leads to secon...
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...ioral Medicine, 35(1), 5-13. Retrieved November 2, 2011, from the CINAHL database
Ignatavicius, D.D. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th Ed.). St. Louis, MO: Mosby Elsevier
Pagana. K. D., & Pagana. T. J. (2010). Mosby’s manual of diagnostic and laboratory tests (4th Ed.). St. Louis, MO: Mosby Elsevier
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Vazquez, Y. R. (2011). Evidence-Based Practice Nursing Interventions for Systemic Lupus Erythematosus in Middle-Aged Women. Unpublished Research Paper, Central Arizona College, Coolidge, AZ.
Wheeler, T. (2010). Systemic lupus erythematosis: the basics of nursing care. British Journal of Nursing (BJN), 19(4), 249-253. Retrieved November 2, 2011, from the CINAHL database.
The purpose of this paper is to critique a qualitative research article in all phases of the report. For this purpose, the article that will be used is “Lamentation and loss: expression of caring by contemporary surgical nurses” written by Carol Enns and David Gregory. This paper will address the problem statement, literature review, conceptual underpinnings and research questions, research design/method, ethical considerations, sampling, data collection, data analysis, confirmability of the findings, interpretation and discussion of findings, additional considerations, and rating the scientific merit of a research report.
While SLE is an autoimmune disease, the precise causes that initiate the autoimmune response are unknown; however genetics, hormones, environment, and medications have all been suggested as having a role in the development of the disease. (“Systemic Lupus Erythematosus”, 2012).
When someone has lupus they have a different outlook on life. For patients with this disease, even the easiest task can be painful to the body or joints. Lupus is not contagious. “Lupus is a disease of the immune system. The immune system protects the body from inflection”(http://lupus.webmd.com). With lupus, the immune system attacks the tissue in many parts of the body. Lupus affects women more than men(www.womenshealth.gov). There are many different types of lupus, and each symptom affect different parts of the body. With treatment you can obtain and fulfill a healthy lifestyle.
Point #1: “Lupus is a chronic (6 wks. -Years), autoimmune disease that occurs when your body’s immune system damages any part of your body such as the skin, joints, and organs.”
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier University. Taylor, C. (2011). The 'Standard'. Introduction to Nursing -.
Having been diagnosed with Lupus and other chronic illnesses since she was 15 years of age, for over 18 years, Christine Miserandino did not let her chronic illnesses hinder her from life but instead have used her experiences with it to fuel her role to be an advocate for everyone who’s also diagnosed and are suffering. She is an award winning author. A speaker who has founded the “Spoon Theory” which is also published in her website ButYouDontLookSick.com. She is an active member of various groups that aims to raise awareness on the illness by helping as much people, not just the families and friends of the diagnosed but also including Physicians and other medical professionals understand what it’s like to suffer from it to gain an advance
“But you don't look sick.”. “If you just exercised more you would feel better.” , “It's all in your head.” , “You are just being lazy.”. These phrases are just a hand full of unkind things that people have said to me, simply because they do not understand my disease. Who could blame them? Doctors do not understand it. Researchers do not understand it. My parents do not understand it. My boyfriend does not understand it. Even I cannot understand it. I have Lupus. It is an unresolved disease that millions of people suffer with. Though there are numerous people diagnosed with lupus, there are very few people who know what it is, and how it impacts us from the time we wake up, to when we finally escape our pain with sleep. In this essay, I will explain what we know about lupus, what the symptoms are, and what kind of treatments are accessible for lupus.
DO you know what Lupus is? Or do you know anyone with Lupus? You’ll be surprised to know that over 1.5 million people are affected by Lupus and of every 170 people 9 out of 10 of them are women. Even though that Lupus can be dated back to the Greek physician Hippocrates many people are still blind to this disease. Lupus can affect you, your love ones and the people around you because, like many other autoimmune diseases Lupus does not discriminate. I’m surprised that not many people know what Lupus is, especially when someone is diagnosed with lupus every 30 minutes. When I was diagnosed I was relieved to finally know I was not going crazy and there was actually something wrong, but at the same time scared out of my mind because there is no cure. (Rupavate, 2014)
In this event, the matter that is unusual can be the fact that I have experienced and witnessed the process for interprofessional collaboration between the community nurse and other professionals that I have never knew about before. This event made me realize that there are many aspects of community nursing that I have knew about before where in this situation it is the importance and accountability of interprofessional collaboration. From my nursing theory course I have learned that interprofessional collaboration is when the nurse forms relationships with other professionals that enable them to achieve a common goal to deliver care and strengthen the health system and clients involved in it. (Betker & Bewich, 2012, p.30) In this event, our mutual goal is to provide the appropriate care for the patients/residents so they can restore their health after their hip or knee surgery. In the nursing leadership and management textbook it stated “interprofessional practice removes the gatekeeper and allows client access to all caregivers based on expertise needed.” (Kelly & Crawford, 2013, p.35) In this event, my preceptor and I gained knowledge about Revera and will pass on this information to patients who are interested in staying at a retirement home after they discharge from the hospital. One literature talked about how according to the Institute of Medicine, it is critical to have the capacity to work together as part of the interdisciplinary team to assist in delivering high quality, patient-centered care. In addition, effective collaboration among health care professionals results in improved patient care and outcomes. (Wellmon, Gilin, Knauss & Linn, 2012) This indicates the importance of interprofessional collaboration to provide...
Handbook of Laboratory and Diagnostic Tests with Nursing Implications (3rd edition). Philadelphia: F.A. Davis Company.
Ignatavicius, D. D., & Workman, M. L. (2013). Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier Saunders.
Collaboration is the foundation to success in any team. In the healthcare setting, interprofessional collaboration (IC) has been a significant trademark among numerous highly successful innovations. Collaboration between nurses and other healthcare providers improves the quality of care, coordination, and communication between the team leading to increased patient safety. Working in a team to achieve common goals implies open communication, respect for others, mutual trust, and honesty. The purpose of this paper is to discuss the meaning of interprofessional collaboration, its implications for practice, describe the role of IC in the provision of patient and family-centered care,
The demands on health care providers to provide the best quality care for patients is increasing. With added responsibilities and demands on our health care workers, it is hard not to become overwhelmed and forget the reason and purpose of our profession. However, there is a way where all professionals can meet and come together for a common cause, which is the patient. A new approach to patient care is coming of age. This approach allows all health care professionals to collaborate and explore the roles of other professions in the hope of creating a successful health care team.
Davenport, Joan M., Stacy Estridge, and Dolores M. Zygmont. Medical-surgical nursing. 2nd ed. Upper Saddle River, N.J.: Pearson Prentice Hall, 2008, 66-88.