NUR2102 Chronic Care Across The Lifespan B

NUR2102 Chronic Care Across The Lifespan B

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NUR2102 Chronic Care Across The Lifespan B

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NUR2102 Chronic Care Across The Lifespan B

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Course Code: NUR2102
University: University Of Southern Queensland is not sponsored or endorsed by this college or university

Country: Australia


Learning Outcomes:
At the end of this case study the student will be able to:

Describe the causes, symptoms, and consequences of coronary artery disease, by assessing, teaching and collaborating with the patient with heart failure.
Apply clinical reasoning to the assessment, planning and evaluation of nursing care for the patient with heart failure in the acute phase of their chronic condition illness trajectory.
Apply clinical reasoning to the assessment, planning and evaluation of nursing care for the patient with heart failure in the non-acute phase of their chronic condition illness trajectory.
Demonstrate clinical skills and knowledge appropriate to the clinical setting including for e.g.: discharge planning, motivational interviewing.
Collaboratively prepare a self-management care plan to address therapeutic needs of the patient including goal setting.


In this reflective assignment, I will utilize the Gibbs Model. This model has certain processes that can assist an individual to look at an incidence keenly then think of their thoughts and feelings as well (Love, Sidebotham, Fenwick, Harvey, & Fairbrother, 2017).I chose the Gibbs Model since it is easier and more detailed as opposed to the Kolb model. Reflective skills are important to any medical student and practioners as they assist one to think of what should be done in an event whereby the same case arises. My patients will not be directly referred by their real names in my reflection as this ensures their confidentiality as stipulated by the Nursing Codes of Conducts.
At the end of my lunch break while at the training, I came back to the ward and realized that there was a certain conversation going on about a certain patient who was experiencing some obstacles in making changes in their life regarding their health status and wellbeing. Little had we finished discussing that than a patient came in. He was a man aged 45 years. I conducted a physical examination and the patient was very weak. On interviewing him about his medical history, the patient explained that he has been suffering from asthma for quite some time. The patient complained of how he was experiencing difficulties in adjusting to having to walk around with his inhaler as other people are discriminating him.
Throughout the session, I felt very sympathetic for the patient. Despite the fact that asthma is a chronic infection, it is not advisable for people to discriminate those suffering from the condition .Besides, I also felt very nervous handling a patient with asthma as this was my first patient ever suffering from that particular disease. To a further extent, I also felt ashamed or embarrassed with such cases since they are very undesirable.
After that particular incident, I started to think on how well patients with chronic conditions like asthma can be handled well within the society both at home, schools and even at the hospital. Cases of discrimination are also common and exercised by some healthcare experts (Hudelson, Kolly, & Perneger, 2010). This is not correct as all medical experts take oaths to treat or rather handle all patients equally. During the laboratory session, I also learnt how special religion plays in giving hope to the patients suffering from chronic conditions.
I kept on wondering why someone would be discriminated just because they are sick. All the sick people should be handled in good manner just the way anyone would wish to be handled whenever they are sick (Grytten, Skau, & Sørensen, 2011). Holistic intervention is also necessary especially to patients with chronic conditions as it offers hope for recovery. Nurses and Doctors should therefore encourage patients even if they are on hospital beds to engage in spiritual activities like reading verses from their holy books. Spiritual leaders should also be allowed to make visits in hospitals to offer guidance to the patients.
My reflection from this scenario seeks to explore or rather create awareness of how discrimination still exist in our society. Actually, we are living in a century where discrimination should not be practiced by anyone. The society should realize that no one really wishes to be sick, diseases just occur by chance and they should not be used as the basis for discriminating others. In fact, when one is sick, he is supposed to be handled with a lot of love and care. I actually feel embarrassed as medical expert that this things actually exist.
I would also wish to encourage other patients out there who are discriminated to come out and report such cases. There are several departments at the hospital like the guiding and counselling that can assist such patients cope up with such nasty behaviors.
During the nursing laboratory procedure, I also learnt different skills and knowledge that will assist me in future during the holistic nursing practice .I actually learnt that whenever one is sick, they tend to seek holistic intervention. As nurses, we should therefore encourage or rather seek out from the patients their religious beliefs then assist or encourage them to seek religious interventions especially when they are suffering from chronic conditions like kidney failure.
Action Plan
In order to prevent discrimination or rather to enable patients adjust to their health and wellbeing, they need encouragement from the society and the health care experts. I also learnt how important religion is especially to those patients who suffer from chronic conditions as they offer hope for better lives or quick recovery. As nurses, we should therefore understand the religious doctrines of the patients before the condition worsens so that they can seek spiritual intervention.
Grytten, J., Skau, I., & Sørensen, R. (2011). Do expert patients get better treatment than others? Agency discrimination and statistical discrimination in obstetrics. Journal of Health Economics, 30(1), 163-180. doi:10.1016/j.jhealeco.2010.10.004
Hudelson, P., Kolly, V., & Perneger, T. (2010). Patients’ perceptions of discrimination during hospitalization. Health Expectations, 13(1), 24-32. doi:10.1111/j.1369-7625.2009.00577.x
Love, B., Sidebotham, M., Fenwick, J., Harvey, S., & Fairbrother, G. (2017). “Unscrambling what’s in your head”: A mixed method evaluation of clinical supervision for midwives. Women and Birth, 30(4), 271-281. doi:10.1016/j.wombi.2016.11.002

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