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McNellis, Okun,Webb, Rohrbach, and Kohorn (2012), traditional means of treating patients by an individual provider is outdated because the rate in which the health care is evolving is simply too much for one person to function in isolation (as cited by Spear, 2005).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
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
-Lieberman JA, Stroup TS, McEvoy JP, Swartz MS, Rosenheck RA, Perkins DO, Keefe RS, Davis SM, Davis CE, Lebowitz BD, Severe J, Hsiao JK. Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. N Engl J Med. 2005. Web.
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
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning on urination, and decreased urine output for three days.
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...
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.
Nursing theories developed by scientists provide a framework for the process of establishing nursing as a profession with a specific body of knowledge including nursing language, and nurse is able to communicate inside in and outside of the profession. Theory supports and defines nursing practice and is used in practice situation to provide solution to the problem, provides guidelines in patient’s quality care, and helps to resolve nursing challenges. The benefits of middle-range theories found primarily in the research studies to address particular client population, in education, patient
INTRODUCTION There are many things that affect a student’s enrolment as a nurse the student must be competent in the many registration standards that the Nursing Midwifery Board of Australia have set. The stigmas attached to students with Impairments and or Criminal histories and the ineligibility to register. Nursing is defined by the International Council of Nursing (2014) as collaborative care of individual’s any age health or ill of all communities, groups, in all situations. Health promotion, illness prevention and the care of unwell, disabled and dying people are included in the nursing practice. Encouraging a safe environment, research, contributing to shape health policies and health systems management, and education are also key nursing
I still believe that this profession revolves around the nursing metaparadigm, which involves the aspects of nursing, health, the person, and the environment (Bender & Feldman, 2015), but I now see that it is also grounded in critical thinking. This critical thinking allows for nurses to gain a deeper understanding into each aspect of the metaparadigm and without this aspect or lack thereof, Arli, Bakan, Ozturk, Erisik, and Yildirim (2017) believes that the care being provided could be negatively affected. Moreover, while reflecting on what my philosophy entails, I first inquired into what I believe nursing to be. For me, nursing is a profession unlike any other and contrary to what I used to believe in first year, only those who are registered under the College of Nurses can be a part of this profession. It is important to remember that although anyone can help bandage a cut, this does not mean that they are a nurse or part of the profession. The difference between how nurses bandage a cut and everyone else is that nurses do so in a way that is more therapeutic and patient-centred. Next, while exploring my beliefs on the concept of health, I noticed that they parallel the beliefs I had during my first year. To me, health is a holistic concept that will always convey a different meaning for each person. As a result of these differences, nurses must engage in conversation with patients about their perception(s) of their current state of health and what health means to them so that care can be guided accordingly. From here, I thought about the concept of the person and how I originally believed that a patient could only be a single, holistic individual who has specific needs that must be cared for. Despite still agreeing with this, my definition of who the person is has expanded to also encompass the patient’s family and even their community if either/or are said to be within the
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
According to nursingjounrnal (2005) Middle range theories are applicable to each aspect of the nurse profession from administration, education, and direct patient care. Since middle range theory lie between grand theory and specific situation theory. Most nurses believed that middle range theory intervention are more specific on solving problem and if implemented at the bedside as intended they will always bring positive outcomes to the patients . The focus on improved patient outcome and patient satisfaction will be the future development in nurse theory and middle range theories lend to this development. Evidence based practice developed through the use of research studies and theory will lead the nurse in to the future practice. According to Meleis (2012) “Middle-range theories are at those levels of conceptualization that could inform nursing practice and research, and thus continue the cycle of advancing foundational knowledge and enhancing quality care”. To understand responses to health and
The concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. Person refers to the person undergoing nursing care which includes individuals, families, groups, and communities (MacIntyre & McDonald, 2014, p.63). It is evident that each person may be unique with different biological, psychological, social, and spiritual depth (Thorne, 2010, p.66). Therefore, it is necessary for nurses to realize that each person at the centre of any nursing care will experience different feelings in regards to their body as a whole. The theorist, Parse, defines the concept of person as being “linked to an unfolding process, the relating of value priorities, meaning, and quality of life” (Wu, 2008, p.6). Also those human beings are free and choose in situations that arise from personal experience and becoming with the universe (Thorne, 2010, p.71). The nurses’ role in regards to this theory is to act encourage individuals in their human becoming process. Wu (2008) looks at the p...
Theory evaluation often generates new thoughts, strengths, and weaknesses about the theory being examined (McEwen, 2014). Evaluating a theory is important to better understand the structure and its need for use in practice or research. In “Philosophy and Theory of Transpersonal Caring” by Jean Watson she believes that nurses hold an impact that is strongly based on the caring relationship between a nurse and a patient. The theory focuses on how nurses care for their patients, and how that care may help promote, prevent, or restore a patient’s health. Watson states “caring is essential in nursing, and requires the nurse to have a deep connection to the spirit within the self and to the spirit within the patient” (Lachman, 2012, p.112).
The major concepts of Watson’s theory include caritas processes, transpersonal caring, and the caring moment. (Watson, 2008). Caritas is a term that identifies how nurse approaches their patient and co-workers. Positive “caritas” leads way for developing therapeutic rapport and respect. The second major concept is transpersonal caring. This basically means the connection of the outer and inner body to develop nurse-patient relationship. The last major concept of Watson’s theory is the caring moment. The caring moment happens when the nurse and patient come together with their unique life histories and enters into the human-to human transaction (Watson, 2008). Basically, this is the time the nurse and patient develop a personal relationship that can promote the healing