Case Study: Jean Apply To Your Selected Chronic Illness ✓ Solved
Case study Jean Apply the case study to your selected chronic
Case study Jean Apply the case study to your selected chronic illness: (Diabetes) Nominate an area or district: Western Sydney Local Health District. Jean is a 55-year-old woman. She has previously been diagnosed with a chronic condition and recently experienced an exacerbation of symptoms. Jean does not like attending the hospital as she has stated that everyone is in a rush, and that no one really listens to her. She is concerned about the lack of privacy when clinical staff discuss her condition and she is worried about the support she will receive once she has been discharged from the hospital. Jean is taking regular medication, although she confides that it is sometimes difficult to remember her medication, particularly when she is feeling unwell. Jean describes her marriage of 36 years as fairly happy, and she enjoys spending time with her children and grandchildren. Jean smokes ten cigarettes a day; she knows this is not good, however finds it difficult to quit as her husband also smokes. Jean had noticed some weight gain over the years, and she felt embarrassed at her last clinic visit when the nurse suggested a weight management plan. During the week, dinner mainly consists of takeaway with a few fruits and vegetables. She does not drink alcohol, however, has six cans of soft drink a day. On the weekend, Jean has the family over as she cooks a traditional meal and they socialise.
1. Research the selected chronic illness and optimal patient care. Consider person-centred, holistic care in which all aspects of the patient’s wellbeing are considered. Key factors: Provide a summary of evidence explaining key factors for optimal care delivery for people living with the chosen chronic illness.
2. Empowerment: Critically discuss the ways in which nurses can facilitate empowerment and self-management for patients and their families in order to achieve a good quality of life for the chosen chronic illness and case scenario. Consideration of person-centred holistic care, in which all aspects of the patient’s wellbeing are considered. Clear, accurate and relevant definitions of powerlessness, empowerment and patient self-management are included.
3. Local resources: Identify the recommendations for patient care using resources available within one particular local area or health district. Investigate local resources available, specific to a designated local area or health district. Outline recommendations for patient care in both acute and primary healthcare settings. Discuss recommendations for patient care in both acute and primary healthcare settings.
4. Challenges: Link patient care recommendations to the available resources and discuss potential challenges or barriers. Implementation of the plan of care is outlined and clearly related to available local resources and specific to the chosen case study designated local area or health district. In this section, the student links the patient care recommendations to the available resources and discusses potential challenges or barriers to implementing patient care recommendations.
5. Nursing Actions: Provide three specific nursing actions to take into future nursing practice to optimise patient care in chronic conditions. Discussion demonstrates explanation of how learning will influence future nursing practice. For example, discusses characteristics and skills required for professional engagement and effective lifelong learning.
6. Referencing: Discussions must be supported with high-quality sources (including journals, textbooks or government policy). Additional references, beside the subject materials are essential to inform optimal care and management for this assignment. Overall quality of writing and referencing Writing is clear and coherent (including appropriate sentence structure, spelling and grammar). The case study assignment should be written in ‘third person’ academic style. Discussion is well supported with evidence (at least ten high-quality and appropriate research papers). Correct paraphrasing using APA referencing style. No more than 10% direct quotes. There are no grammatical or vocabulary errors. Expression is clear and coherent. Use of evidence is convincing and correct. Ten high-quality and appropriate research papers have been included. Correct paraphrasing and referencing are evident.
Paper For Above Instructions
Chronic illnesses, such as diabetes, present a significant challenge to healthcare systems and require comprehensive, person-centred care models to enhance the quality of life for patients. The case study of Jean, a 55-year-old woman living with diabetes, highlights critical aspects of chronic illness management in the context of the Western Sydney Local Health District. This paper will explore optimal care delivery for individuals with diabetes by integrating person-centred and holistic care approaches, while addressing empowerment, local resources, and nursing actions that can support self-management and quality of life.
Understanding Diabetes: Optimal Patient Care
Diabetes is a chronic metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both (American Diabetes Association, 2023). For patients like Jean, optimal care delivery encompasses various factors, including education, lifestyle management, mental health support, and regular monitoring. Research indicates that diabetes self-management education (DSME) plays a critical role in improving health outcomes as it empowers patients to make informed decisions about their care (Powers et al., 2020).
The importance of a holistic approach cannot be overstated, as chronic illnesses often intertwine with psychological and emotional well-being. Addressing Jean’s concerns regarding hospital care, privacy, and post-discharge support is essential for fostering trust and open communication with healthcare providers (McCoy et al., 2016). Consequently, evidence-based practices should involve tailoring educational programs and care plans to align with Jean’s personal beliefs, socioeconomic status, and lifestyle preferences.
Facilitating Empowerment and Self-Management
Nurses play a pivotal role in facilitating patient empowerment and self-management for chronic illnesses. Empowerment can be defined as a process through which patients gain the ability to make informed choices about their health, while self-management refers to the active participation of patients in their own care (Coulter & Ellins, 2007). To empower patients like Jean, nurses can implement strategies that include collaborative goal-setting, developing a care plan that accommodates individual challenges, and providing ongoing emotional support.
For instance, facilitating Jean’s understanding of diabetes management and addressing her medication adherence challenges is instrumental in enhancing her self-efficacy (Miller & Rollnick, 2013). The incorporation of motivational interviewing techniques can help nurses engage Jean actively in her care, allowing her to explore ambivalence towards lifestyle changes, including smoking cessation and dietary modifications (Rollnick et al., 2008). This patient-centred approach can enhance Jean's confidence and lead to better health outcomes.
Utilizing Local Resources for Patient Care
Within the Western Sydney Local Health District, numerous resources are available to support individuals with diabetes. These include diabetes education programs, community health centers, and support groups that foster peer connection and shared experiences (NSW Government Health, 2021). Recommendations for Jean's care can be developed around these resources, ensuring a comprehensive approach that spans both acute and primary healthcare settings.
In acute settings, Jean should have access to diabetes care teams that can provide specialized services, medication management, and nutritional counseling. Primary healthcare settings can offer long-term support through clinics that focus on regular monitoring of blood glucose levels, dietary education, and mental health consultations (Australian Diabetes Society, 2022). This dual approach can ensure that Jean receives consistent care across the continuum of her treatment journey.
Addressing Challenges and Barriers
Implementing care recommendations often comes with challenges and barriers that need thorough consideration. For Jean, potential obstacles may include accessibility issues, health literacy deficits, and the socio-economic factors impacting her lifestyle choices (Marmot et al., 2008). It is crucial for nurses to assess these challenges and develop tailored strategies to mitigate them.
For example, engaging family members in care discussions can foster a supportive environment and encourage behavior change in Jean’s household, particularly regarding her smoking and dietary choices. Additionally, creating an easy-to-understand educational toolkit can address health literacy barriers, making diabetes management more accessible for Jean and her family (McCoy et al., 2016).
Nursing Actions for Future Practice
To optimise patient care in chronic conditions like diabetes, three specific nursing actions can be integrated into future practice. Firstly, nurses should adopt a holistic assessment framework that considers all aspects of a patient’s life, including physical, emotional, and social factors. This approach ensures that care plans are individualized and responsive to patients' unique circumstances.
Secondly, incorporating regular feedback mechanisms is essential. By establishing open communication channels with patients like Jean, nurses can continuously evaluate the effectiveness of care strategies and make necessary adjustments (Gonzalez et al., 2020). Finally, ongoing professional development is vital for nurses. Engaging in continuing education related to chronic disease management and person-centred care will enhance nurses’ skills and knowledge, ultimately improving patient outcomes.
Conclusion
In conclusion, managing diabetes effectively necessitates a multifaceted approach that prioritizes person-centred and holistic care. By understanding the complexities of chronic illness, empowering patients through informed choices, and utilizing local resources, healthcare professionals can enhance the quality of life for patients like Jean. Furthermore, incorporating strategic nursing actions will ensure that future practices are aligned with the evolving needs of chronic disease management, paving the way for improved patient outcomes across the continuum of care.
References
- American Diabetes Association. (2023). Standards of Medical Care in Diabetes—2023.
- Australian Diabetes Society. (2022). Diabetes resources and guidelines.
- Coulter, A., & Ellins, J. (2007). Effectiveness of strategies for informing, educating, and involving patients. BMJ, 335(7609), 428.
- Gonzalez, J. S., et al. (2020). Strategies to improve diabetes care through patient engagement. Diabetes Spectrum, 33(3), 250-256.
- Marmot, M., et al. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health.
- McCoy, L., et al. (2016). Understanding the patient experience and care delivery. Health Affairs, 35(3), 421-428.
- Miller, W. R., & Rollnick, S. (2013). Motivational Interviewing: Helping People Change (3rd ed.). Guilford Press.
- Powers, M. A., et al. (2020). Diabetes self-management education and support in type 2 diabetes. Diabetes Care, 43(Supplement 1), S52-S64.
- Rollnick, S., et al. (2008). Motivational Interviewing in Health Care: Helping Patients Change Behavior. Guilford Press.
- NSW Government Health. (2021). Local health district resources and services.