Mrs. Mary Tonkin Nursing Needs | Assignment Help
Introduction
The patient’s name is Mrs. Mary TONKIN. She is an old widow aged 79 years who lives alone in a house in the suburb of Marion in metropolitan South Australia. In the course of recent years, she has seen her wellbeing declining which has made it hard for her to do exercises around the home, for example, cleaning and planting as she is getting drained and periodically, diaphoretic and short of breath. Mary’s parent also had diseases that she has been genetically transmitted in her like cardio problems, and breathing issues. She was admitted to the hospital because she had a scene of dazedness, the brevity of breath and exhaustion. The specialists at the emergency clinic felt that Mary may have had a concise time of fast atrial fibrillation (AF) at that point following a demonstrative, transoesophageal echocardiogram and cardioversion. Mary has three children, two live in Queensland and her most youthful child Sam lives with his better half and their 4 small kids in a suburb 20 minutes away from Mary. Sam is very caring and concerned and visits his mom three times each week. Rachael, Sam’s spouse is anyway unhappy with this demonstration and needs Mary to be admitted to an old home for care. Mary stays back alone and lives (with her two felines) freely in the huge family home. Mary is turning out to be progressively absent-minded of late as she wound up putting solidified nourishment things in the pantry as opposed to the ice chest. Mary has some left-sided leg hemiparesis following her ongoing stroke however figures out how to stroll with the guide of a mobile stick.
Complex and chronic needs
The increase in chronic diseases and the progressive aging of the population is a source of concern and occupation for the different organisms that are responsible for health care (Aalaa, 2012). This has led to the generation of a multitude of documents focused on the analysis of the situation and care of chronic diseases, as well as WHO recommendations for countries and health services to design and implement strategies to address existing demand, control and prevent chronic diseases (Aalaa, 2012). Parallel to this threat, the need arises to respond to the demand that chronicity generates in all its dimensions, and from the different systems, it goes away, with increasing force, manifesting the need for multidisciplinary teams, in the nurse gets more and more value (Peters, 2015). While chronicity is a threat due to the costs it generates, it is also an opportunity for nursing to be where advanced care is required, carried out by professionals with advanced and recognized clinical skills, to carry out case management and monitoring and control of complex chronic patients (Aalaa, 2012). The different services of the National Health System are incorporating, although not with the development that would be desirable, nurses who perform various roles (Peters, 2015).
It is, therefore, the moment for the health authorities to determine in the list of functional positions the figure of the Advanced Practice Nurse (Pennbrant, 2013). With this, it will be possible to advance in the development of unified competences throughout the Health Systems (Aalaa, 2012). From the experiences carried out, we have learned that the Advanced Practice Nurses are a resource that facilitates the sustainability of the services, due to the demonstrated efficiency in the results obtained in the care of chronic and complex patients (Reinhard, 2012).
Chronicity and Complexity Implications for the health system for Mary
Caring for chronic patients is one of the main challenges for most health systems (Aalaa, 2012). In Mary’s case, there is a high concern for designing and implementing strategies to deal with it, derived from the existing situation because of the progressive aging that she has and also the disease she encompasses (Naylor, 2012). For Mary’s case, it is a situation that brings together the high cost of services and benefits that addressing these health problems has for the System and for the different Health Services of the autonomous communities that comprise it (Reinhard, 2012).
Mary has chronic diseases like diaphoretic and short of breath and leg hemiparesis already and they are complex too so after analyzing different models and strategies for chronic care at the hospital (Naylor, 2012). One of their conclusions is that if the quality and effectiveness of chronic diseases are to be improved, the interventions carried out must combine, at least, organizational strategies, care design and self-control of the disease by patients if good clinical results are to be achieved (Aalaa, 2012). In this study, they state that it is necessary to adopt a systemic vision with proactive patients and the healthcare system, to improve the quality of care and the effectiveness of interventions in chronic diseases (Matthews, 2012). Patients must be made “active protagonists” in the management of their disease (Reinhard, 2012).
Complex care needs
Nursing understood as the science and art of care, stands out for the delivery of care from a biopsychosocial perspective, with the relationships established with patients being essential (Matthews, 2012). The Nursing discipline considers care as the axis of its work, in the care and provision of health services in health, with a commitment to the delivery of care not observed in another discipline (Aalaa, 2012). Caring is the moral basis on which professional and ethical obligations are developed; constitutes the foundation from which professional nursing practice is governed (Reinhard, 2012). Yes Mary has complex care needs because she is staying alone at first. There is no one to take care of her except for the two cats.
Caring for the patient with chronic pathologies is not a novelty in the context of Primary Health Care (PHC) (Reinhard, 2012). However, the increased survival of these people has facilitated the existence of a new group of patients, with chronic diseases and various situations, which hinders their quality of life beyond the characteristics of said disease (Aalaa, 2012). The health centers are overwhelmed, and with them, the emergency services, the hospital floors of practically all medical specialties (Reinhard, 2012). Give Emotional Support, which points to how the patient perceives the relationship with the Nursing professional through a bond of trust (Lukewich, 2014). Mary needs complex care needs and they are;
It considers the nurse’s actions related to respectful physical contact, response to the need for accompaniment, pain relief, and Mary’s comfort (Aalaa, 2012).
The capacity of nursing professional is to establish an empathic relationship with the Mary to put themselves in their place, favoring the expression of feelings (Sargent, 2012).
Qualities of the doing of the Nurse:
Qualities in the delivery care of the nursing profession, that is, their availability, cordial treatment, which is capable of identifying their needs and educating them for Mary (Aalaa, 2012). The elderly do not only have illnesses but are affected by their perceptions of being or not ill, many of them conditioned, among others, by situations of an economic, food, family, social environment and the particular forms of each individual to face and perceive the health that makes their needs be valued in different ways (Aalaa, 2012). In many cases, old age comes along with the presence of many diseases and illnesses, but this is not absolute; therefore, to better understand the health/disease pairing, it must be seen as a state of self-perception of what it is to be sick or healthy (Lukewich, 2014). Mary has diabetes, breathing issues, a fracture, and atrial fibrillation too. All this has an impact on the Memory (Aalaa, 2012).
Potential barriers to this care
The problems that aging societies must face are known. These consist primarily of increased demand for health care and services associated with the growth of a population with a higher prevalence of functional limitations, and greater burdens on families, among other aspects (Sargent, 2012).
Social barrier:
To face the problems of population aging, it is necessary to take into account the role played by the family, which is an important component in the structure of society that functions systemically as an open subsystem, in interconnection with society and the other subsystems that make it up (Lartey, 2014). Society, community, and family are not sufficiently prepared to face the increase in population over 60 years of age in the territory (Sargent, 2012). Consequently, it is of great interest for all those sectors involved in the health and well-being of older adults to work together to confront this phenomenon (Aalaa, 2012). Knowing the social and economic impact of it is of vital importance (Hemsley, 2012). Based on the work experience accumulated in this health area, we consider that population aging is having a strong impact at the family and social level, and it is increasingly evident that the conditions that respond to the demands and needs of this health care are not yet prepared (Fiabane, 2013).
Cultural barrier:
Older adults studied identified instability in health services in primary health care as the main perceived barrier (Eliopoulos, 2013). In this sense, they expressed concern about the frequent changes of family doctors and nurses due to their incorporation into other functions (Sargent, 2012). They also considered the disappearance of services that they consider essential due to the reorganization of health services to be of negative impact (Aalaa, 2012). These findings are considered of special relevance for a population group in which significant levels of morbidity and disability are manifested. Furthermore, doctors and community leaders identified overload as the main perceived barrier (Eliopoulos, 2013).
Rationale for needs
This article analyzes the nurse-patient relationship through the theories of interpersonal relationships, their importance, and aspects that mark this type of relationship within nursing therapeutics (Dale, 2018). The communication elements that favor the relationship are taken into account so that they allow reciprocal relationships and contribute to the professional role of the nurse (Clancy, 2017).
Identity disclosure:
Nurse and patients begin to see each other as unique individuals. From it, a link is established that will lead to the relationship (Aalaa, 2012).
Sympathy:
It is recognized by the capacity to share the other individual’s understanding (Clancy, 2017). The consequence of this compassion procedure is the capacity to anticipate the conduct of the individual with whom this type of relationship is kept up (Sargent, 2012).
Compassion:
This goes past sympathy and happens when the medical attendant needs to lighten the reason for the ailment or the patient’s affliction (Aalaa, 2012). An individual contribution is gained that permits successful choices to be taken, which prompts utilizing one’s character intentionally, to attempt to set up connections and structure the nursing mediation (Sargent, 2012).
Penetration:
The nurse and the patient are related as human beings and the latter places their trust, their faith in the former (Clancy, 2017). For this, it has the knowledge and training necessary to help patients, in addition to having the ability to perceive, respond to and appreciate the patient’s individuality (Aalaa, 2012).
The model of relationships between human beings expanded the theories of interpersonal relationships; the fundamental difference is revealed regarding the therapeutic human relationship between the nurse and the patient (Clancy, 2017).
