As a HNC Health Care scholar I was required to present evidence of the next principal seeks and targets: to integrate knowledge, theory and practice, to develop and apply a diverse knowledge and skills and have an individual patient/client focus in my practice. To achieve all of the above I am necessary to complete task in a kind of Graded Device which includes three stages: planning, advancement and evaluation.
After discussion with my personal work experience mentor and lead lecture (appendix 1 and 2) it had been agreed, the project would have been a nursing activity, weighing someone, which will be completed within an touristic care options which is my personal current placement.
This will take place on Mon the twenty second of Apr. The chosen activity can be described as part of the patients’ treatment proper care plan and its aims maintaining patient’s basic safety related to accurate medicine government as well as to find potential side effects associated with pharmacological treatment. In accordance with applicable law (Data Protection Act 1998) and to preserve patient privacy and personal privacy the name of the sufferer has been altered.
I will be referring to the person as Cinderella. The patients’ personal information had been obtained with her approval and knowledge (NMC Code of Carry out 2008).
Cinderella is a 21 years old patient attending the Peter Burnt off Centre for Aberdeen Noble Infirmary in which she has recently been receiving Hepatitis C (HCV) treatment seeing that November 2012. Cinderella lives alone in high go up block of flats in one of Aberdeen City Authorities estate. The girl left college at the age of of sixteen with no qualifications and utilized drugs for several years. She was brought up simply by single parent ” her mother, and has no bros. With the help from local drug treatment team the girl managed to quit using medications for five years. Currently she is actually a housekeeper on a part time bases in one of the accommodations in the town centre. Lately, she has lowered the number of working hours due to the side effects of medication that make her feel tired. She also complains associated with an upset abdomen and lack of appetite. After having a talk to Cinderella this wounderful woman has told me that her interpersonal life and circle of friends is fairly limited because her salary is now much lower. She also pointed out that is quiet difficult to generate new good friends while you have got drug work with history.
When speaking to Cinderella it became obvious to me that being HCV positive makes her feels worse than others and reminds her of when ever she was using drugs. It is wellevidenced that people with both; good drug employ and disease which can be sexually transmitted this kind of is HCV, are likely to encounter stigma and discrimination in their life (Gilman 1999). Stigma and discrimination are socioeconomic factors which have a harmful health, sociable and economic consequences (Nursing Standard 2008). It is assumed that those who also are stigmatised and discriminated are more likely to have a lower cash flow and for this reason cannot afford to acquire better quality foodstuff, better real estate, live in less dangerous environments and still have worse entry to healthcare and education. Cinderella’s low socioeconomic status and negative social attitudes evidently put her physical and mental wellbeing at risk. Stigma and splendour may connect with Social Representational Interaction Theory and in particular towards the idea of labelling and its bad impact on people behaviour and self- principle (Miller M, Gibb S i9000 2007).
This could also fit with Carl Rodgers Person- Centred Theory great idea of self- concept. Personal “concept quite simply is how we perceive and value each of our self. Rogers believes that humans desire a positive environment to achieve fulfilment in their lives. In Cinderella’s case the two her socioeconomic status and unfavorable sociable attitudes may make her truly feel negatively regarding herself and stop her coming from social integration. I as well believe that Abraham Maslow’s Pecking order of Requirements can be put on the patient situation. According to this psychological perspective every person can be motivated by their needs and cannot obtain his/he total potential (self-actualization) if some of these are not fulfilled.
I feel that this could relate to Cinderella’s safety, take pleasure in and things needs. Limited social associates, stigma and fear caused by her disease may quit her from moving on to the subsequent level individuality development. To aid people in similar to Cinderella’s circumstances the Scottish Govt launched the Hepatitis C Action Plan in 2006. The aim of this policy should be to improve healthcare services for people living with HCV and to handle HCV- related social stigma, by rising public understanding and changing the way HCV is described in mass media.
I have decided to use Roper Logan and Tierney a dozen activities of daily living (A DLs) to asses Cinderella’s needs. The reason for this is that we find it to be the nursing version which is very effective in evaluating basic day to day activities which have its very own importance towards the survival of life; also it comes after the objectives of my personal graded product. For the purpose of this project Let me focus on retaining safe environment in relation to Cinderella’s HCV virocide therapy. Cinderella had been labeled Peter Brunt Centre for Aberdeen Noble Infirmary by simply her GP due to the result of blood check which exposed Hepatitis C antibodies. After a number of bloodstream tests and liver biopsy Cinderella had been diagnosed with Chronic Hepatitis C with genotype 1 and mild lean meats damage. HCV is a disease caused by bloodstream ” in the mind virus Hepatitis C, which in turn infects the liver and causes its swelling (British Lean meats Trust 2010). The term chronic describes health problems that previous for a long period of your time (more than six months) or for the entire life. The liver can be an organ which is a part of the digestive system and carries out numerous important jobs’ such as; cleansing, aiding digestion or removing nutrients.
These kinds of play a huge role in maintenance of equilibrium with the body inside environment, known as a homeostasis. Because of prolonged hard working liver inflammation scaring of hard working liver tissue arises (fibrosis) and permanent hard working liver damage probably will occur (cirrhosis, liver cancer). As a result liver work capacity become impaired and the whole body may become diseased (WHO 2011). There are several effective HCV treatment plans available nevertheless none of them of these gives a one hundred percent guarantee. On the other hand, adequately matched up therapy can easily permanently obvious the computer virus from blood and prevent liver organ from even more damage. Cinderella after discussion with hard working liver specialist doctor and liver specialist liver nurse chose to undergo HCV treatment termed as a ‘triple therapy’ which is advised by Countrywide Institute intended for Health and Clinical Excellence (NICE) The effectiveness of treatment among elements lay within an adequate dose and life long medicine absorption.
Both lacking or too much dosage along with side effects of medication may possibly negatively influence Cinderella’s physical health and set her existence at risk. To keep the patient security it was arranged that Cinderella will be visiting PBC just about every Monday intended for blood assessments and weight checks. To ensure Cinderella’s basic safety I will stick to appropriate NHS procedures and policies (NHS Procedure rules: Weighing the individual 2008) in line with the Health and Safety at the job Act (1974). To perform picked activity Let me require certain resources that we listed in Appendix 3 and project timescale (see Appendix 4). I use obtained permission from another type of patient that is also going to PBC this very day if for whatever reason I will be unable to complete this withCinderella.
Recommendations
Health Security Scotland ” a trademark NHS Countrywide Services Ireland. (2009). Blood vessels Borne Infections & Sexually Transmitted Disease. Available: http://www.hps.scot.nhs.uk/bbvsti/hepatitisc.aspx. Last seen 25yh 03 2013. The Scottish Government (2011). The Sexual Health insurance and Blood Borne Virus Structure 2011-15. Edinburgh: Scottish Govt. p31- 42. Grundy G, Beeching D. (2004). Understanding social stigma ii women with hepatitis C. Breastfeeding Standard. 19 (4), 35-39. Gilman H (1999) Disease and judgment. Lancet. 354, Suppl, SIV15. World Well being Organization. (2012). Hepatitis C. Available: http://who.int/mediacentre/factsheets/fs164/en/index.html. Last accessed 5th 04 2013. Nicole Cutler. (2007). Breaking the Hepatitis C Interpersonal Stigma. Offered: http://www.hepatitis-central.com/mt/archives/2007/08/breaking_the_he.html. Previous accessed 7th April 2013. British Hard working liver Trust. (2011). Facts and functions of the liver. Readily available: http://www.bbc.co.uk/health/physical_health/conditions/in_depth/liver/liver_facts_functions.shtml. Last accessed eleventh April 2013. Maslow, A. H. (1970). Motivation and Personality. Ny: Harper & Row Rogers, Carl. (1951). Client-centered Therapy: Its Current Practice, Significance and Theory. London: Constable. Miller, J and Gibb, S (2007). Care in practise to get Higher Second Edition. Paisley: Hodder gibson. 202-204. Nursing jobs and Midwifery Council (2008). The code: Standards of conduct, overall performance and integrity for rns and midwives. London: NMC. p2- eight. Roper, Logan, Tierney (1980). The elements of nursing. Edinburgh: Churchhill livingstone. 141.
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