Healthcare is always evolving and the demand to improve patient outcome is tremendous and it has changed the way we provide service. This paper will first review the phenomenon of interest, and then discuss about nursing meta-paradigm, grand nursing theory, middle range nursing theory, complexity science, and ethical framework and how they are applied to my POI.
A quick description of the Phenomenon of Interest that will be the basis of the discussion for this paper is about the challenges of medication adherence to antipsychotic medications in patient’s diagnosed with schizophrenia and how it increases relapse and readmission rate (Maddad, Brain, & Scott, 2014). It also talks about their cognitive impairment, which is a characteristic of
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It is based on the relationship between the patient who is going through a period of life altering event and their environment. It explains the patients ability to transcend beyond self when facilitated by health providers such as nurses, therefore, they can expand intrapersonally, interpersonally, temporally, and transpersonally, leading to develop a new perspective and meaning of life. The theory inquires knowledge beyond qualitative data, as it requires the patient participate so their perspective and experience are being …show more content…
Treating patients with schizophrenia is a lot more complex than it appears as statistic demonstrates that 74% discontinue their medications after being discharged from treatment (Higashi, 2013), despite the significance of antipsychotic medications. The complexity of healthcare today is too sophisticated for hierarchal or vertical organizations to manage according to Butts and Rich (2015). The authors continued to say that it will require components of complex adaptive systems (CAS) to deal with the pace and significant amount of knowledge to process and according to Mitchell, Wynia, Golden, McNellis, Okun,Webb, Rohrbach, and Kohorn (2012), traditional means of treating patients by an individual provider is outdated because the rate in which the health care is evolving is simply too much for one person to function in isolation (as cited by Spear, 2005). When treating patients with schizophrenia, I will need to construct an innovative team that consists strategically of diverse interdisciplinary members who knows how lead in their specific practice as agents and whose strengths are much different than mine. According to Malloch (2014), working with a diverse group is challenging but will produce a high-capacity team that can attain an unimaginable amount of work. Wynia et al.
Classical antipsychotic treatments are commonly used to treat schizophrenic patients with major positive symptoms of schizophrenia, such as Thorazine, Haldol, and Stelazine (Gleitman et al., 2011). Antipsychotic treatments are usually administered with a variety of psychosocial treatments including social skills training, vocational rehabilitation, supported employment, family therapy, or individual therapy (Barlow & Durand, 2014). This is to reduce relapse and help the patient improve their skills in deficits and comply in consuming the
Nursing theories are based on four meta-paradigms which are commonly accepted in the nursing profession. These include nursing, person, health, and environment. These meta-paradigms are represented in Dr. Barnard’s Nursing PCI
Schizophrenia is a deteriorating progressive disease, consequently, it is resistant to treatment for the individual suffering schizophrenia. (Catts & O’Toole, 2016). In most cases the individuals suffering from schizophrenia, are resistive to treatment, in most cases, individuals suffering from schizophrenia, and are resistive in taking antipsychotics. (Catts & O’Toole, 2016). Jeremy doesn’t see himself as a “schizophrenic”, he states that “he’s happy naturally”, and often he’s observed playing the guitar and doing painting in his room. Weekly, he has an intramuscular medication to treat his disorder, crediting the support of his wife. It is indicated that the morality rate, in patients suffering from schizophrenia is higher, despite the considerable resources available, in Australia. New data show that in 20 countries, including Australia, only 13.5% meet the recovery criteria, which means that 1or 2 patients in every 100, will meet this criteria per year. (Catts & O’Toole, 2016). This means that there’s a decline in providing support and services to individuals like Jeremy suffering from a mental illness such as Schizophrenia. Many individuals become severely ill before they realise they need medical treatment, and when receiving treatment it is usually short-term. (Nielssen, McGorry, Castle & Galletly, 2017). The RANZCP guidelines highlights that
According to Gamble and Brennan (2000), the effectiveness of medication for schizophrenia to relieve patients from psychotic symptoms is limited. Although patients have adequate medication, some received little or no benefit from it and almost half of them still experience psychotic symptoms. They are also more likely to suffer relapse (Gamble and Brennan, 2000). Furthermore, Valmaggia, et al. (2005) found that 50% of patients who fully adhere to anti-psychotic medication regimes still have ongoing positi...
The purpose of this paper is to provide an introduction, purpose, and rational for selecting a nursing theory. I will describe the theory by identifying the purpose, concepts/definitions, relationships/structure, and assumptions. I will use the Chinn & Kramer evaluation criteria to critique this chosen theory. Finally I will describe a plan for implementing the theory into my practice setting, identifying any barriers and challenges.
Based on a study there is about 80% of patient who experienced episodes of relapse due to poor medication compliance (Frankenburg, 2015). It is likely predicted that 50% of patients with chronic illness such as schizophrenia are likely to result in poor compliance with their medication after six months due to several factors such as hectic schedule, inconvenience to their daily activities or simply perverse refusal to take medications due to contributing factors in their environment, social or personal problem that has a direct impact to self esteem and perceived role as a parent and as part of the community (Barkhof, Mejer, de Sonneville,
John is a five-year-old African-American male residing in a single-family home in Homestead, FL; John resides with his 36-year-old mother, 34-year-old father, 13-year-old sister and four-year-old sister. John’s mother reported that he likes to test boundaries with authority figures. John states that his primary concern for himself is to improve his reading skills; John denies any behavioral problems. John’s teachers report that John is unable to sit still and often breaks his writing utensils. Mrs. Jones states that John is defiant with his grandmother; Mrs. Jones expresses that she thinks John’s grandmother enables him by allowing him to get away with spitting at her and raising his hand as if he is going to hit her. Mrs. Jones states that John’s behavior with his grandmother is inappropriate.
Schizophrenia is a type of psychological disorder that affects a person’s brain and affects how they think and act on a daily bases. The disorder is known to be one of the most disabling and puzzling psychological disorder. People that suffer from this disorder have stated experiences that it is almost like a break from reality. It seems that schizophrenia in the past years has become a larger issue in our society. Moreover, people who develop the disorder seem to be disengaged from the common things in our lives such as working a job and having a relationship with others. There are many reasons why schizophrenia is one of the most bizarre and disabling types of mental disorders.
Theories create a difference in health care. “In nursing, theories are systematic explanations of events in which constructs and concepts are identified; relationships are proposed; and predictions are made to describe, explain, predict, or prescribe practice and research. Without nursing theory, nursing activities and interventions are guided by rote, tradition, some outside authority, or hunches, or they may simply be random” (McEwen, & Wills, 2014, 72). The foundation of nursing profession is rooted in theory. Through theory, nursing has emerged as independent, self-directed practicing profession leading to innovations and evidence-based practice. The idea of nursing theories stems from the extensive work of Florence Nightingale whose belief and values lied in cleanliness, fresh air, sanitation, comfort, and socialization that is necessary to healing (McEwen & Wills, 2014). Each of the key nursing theorists who have contributed to the excellence of professional nursing practice adopts the four key concepts that are essential to the practice of nursing: person, environment, health and nursing (Hood, 2010). This paper aims at identifying the importance of theory in relation to Sister Callista Roy and her adaptation model.
BIBLIOGRAPHY Arasse, Daniel. Complete Guide to Mental Health. Allen Lane Press,New York, 1989. Gingerich, Susan. Coping With Schizophrenia. New Harbinger Publications, Inc. Oakland, 1994. Kass, Stephen. Schizophrenia: The Facts. Oxford University Press. New York, 1997. Muesen, Kim. “Schizophrenia”. Microsoft Encarta Encyclopedia. Microsoft Corporation, 1998. Young, Patrick. The Encyclopedia od Health, Psychological Disorders and Their Treatment. Herrington Publications. New York, 1991.
Concept analysis is fundamental to nursing theory and nursing practice. Words carry random ideas until used in the context of a thought and meaning is given to the word. The meaning of a word is best identified through concept analysis and the attributes or themes associated with the concept. According to McNeill (2013), time can change the word meaning as well as experiences; both lived or learned. This paper will evaluate the concept of health expanding consciousness and its meaning as defined by Margaret Newman’s theory.
This interactive grand theory is grounded in humanist philosophy, which expresses the belief that humans are unitary beings and energy fields in constant interaction with the universal energy field. This model guides the nurse who is interested in “physiologic” and “psychological” adoptions (McEwen & Wills, 2014, p. 177). This model views the nurse as holistic adaptive system constantly interacting with different stimuli. And also explains how different sets of interrelated systems maintain a balance between various stimuli to promote individual and environmental transformation (Alkrisat & Dee, 2014). This model creates a framework to provide care for individuals in health and “in acute, chronic, or terminal illness” (Shah, Abdullah, & Khan, 2015, p. 1834). It focuses on improving basic life processes of individuals, families, groups of people; nurses see communities as holistic adaptive systems. It consists of three basic assumptions: philosophical, scientific, and cultural. And it also contains many defined concepts about the environment, health, person, goal of nursing, adaptation, focal, contextual, and residual stimuli, cognator and regulator subsystem, and stabilizer and innovator control processes (McEwen & Wills, 2014, p.
Although, there are numerous barriers to medication adherence, including: forgetfulness (organic/nonorganic), intentional (felt better/felt worse), lack of information, attitudes/beliefs towards medication taking, complex regimens, etc (Breen & Thornhill, 1998; Razali & Yahya, 1995). There are also many risks involved with being non-adherent which include: increase risk of relapse, hospitalizations, poor long-term course of illness, and higher yearly medical costs (Gilmer et al., 2004; Omranifard, Yazdani, Yaghoubi, Namdari, 2008). It is estimated that the United States spends $2 billion a year on readmission inpatient hospitalizations for patients diagnosed with schizophrenia alone (Weiden & Olfsen, 1995). Hence, it isn’t surprising that individuals diagnosed with schizophrenia have non adherence rates ranging from 40 to 50% (Bulloch & Patten, 2010) and can run as high as 70 to 80% (Breen & Thornhill, 1998). Other mental health illnesses, such as depression, have shown to have non-adherence rates up to 60% (Lin et al., 1995). Since individuals with schizophrenia are notorious for being noncompliance, majority of research is dedicated to this
Nursing philosophy is central to nursing practice. Nursing philosophy, whether followed consciously or unconsciously, is what guides a nurse’s practice and shapes her interactions with every patient and fellow caregiver. In order to provide the utmost care with the best possible outcomes for patients, I consider the four metaparadigms of nursing and how they relate to one another. Each concept
Nursing theory is the foundation in which the nursing profession stands on. Nurses learn about nursing theories and determine which theory or theories is a best fit. Those theories guide their profession, and nurses study to put those theories into practice. Doing so ensures the welfare of the patients, and the integrity of the profession is protected as well.