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...
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... 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
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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.
Client shared numerous physical concerns that should be tackled right away. Client explained a fall at home was the initial reason for the visit. While client refuses to go to see a doctor it would be advised client check to make sure there’s no fractures in the bones. At the doctor it would be detrimental to discuss if the diabetes played any effect into the fall. Lastly, it would be ideal the client got a professional opinion on whether her medications are adequate. It’s evident that in order to tackle the psychological barriers, the physical concerns are also priority.
This author met with a patient named JB to assess her current health status as well as her needs to ensure her health and well being or as she put it to “make sure she is her in the future for her children”. JB was an engaging and honest patient that had the eagerness and desire to improve her curren...
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
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.
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.
Norris SL, Lua, J, Smith SJ, Schmid CH & Engelgau, MM 2002, ‘Self- Management Education for Adults With Type ‘Diabetes’, Diabetes Care, Vol. 25 no.7, July, pp.1159-1171.
It is evident that Lisa is subjected to medication and hospitalization for her treatment. However, this method of treatment was not effective for her, because despite her being hospitalized for the last eight years; she still does not take her medicine. Since for those eight years no significant changes have been made following her diagnosis, another mode of treatment would be advisable. I would recommend the self-help strategies. Although many healthcare providers overlook this treatment method, it seems to be very
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
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.
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
... the context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
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.
Women’s Voice Enacting Cures: Providing Attention to Ending the Illness of Isolation in Health Illness does not discriminate nor does it pick and choose those in which it affects. Sickness has a trajectory of its own accord, with the ability to conversely create a difference of life for the ill person and for those who surround the sick as caregiver, family, friends, and even society. It creates a particular circumstance of becoming something no longer considered normal, something which breeds loneliness and isolation for those it touches. Through the voice of women, one can see how this birth of isolation out of illness may begin to phase into a greater sense of community.
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?