Community Health Nursing Essay

As a registered nurse of only three years, I am often referred to by my peers as a baby nurse. However, in those improvident three years of practice I energize larn and insure to learn many things whether medical, personal, or humanitarian. My personal nursing date has been in surgical care services. The vast majority of the endurings I have cared for are those undergoing elective procedures. They have chosen to have joint arthroplasty or some other type of procedure.I have also had the capacious fortune to care for those who have been diagnosed with terminal illnesses such as pubic louse and leukemia. Many times I see these patients in the infancy of their illness process, but I also see them on a continue basis during give-and-takes such as blood or platelet transfusions. The difficulties face by patient s such as these are alter and bring with each a different set of involve to be assessed and addressed. You become not just a nurse but a caregiver, advocate, therapist, and more often than not a friend.It is when workings with these patients that the dynamics of character versus quantity of life become central to care. In many cases family concerns, whether strong meaning or not, may overshadow the patients wishes. Our self-serving need to keep loved ones with us can blur the channel as to the patients own wants and needs. In relations with this you moldiness also assess your own beliefs as to end of life decisions.My business office as a nurse must be to advocate for my patient, to initiate trust in the relationship, and to follow by with their wishes. All the while promoting lenience in our interactions,In this case scenario, there are three strategies in which I would implement to address Mrs. doubting Thomas as a patient. after(prenominal) assessing the patient and her situation referrals should be made for therapy modalities some(prenominal) physical and occupational, collection plate health, and psychological/mental health for two(prenominal) Mrs.Thomas and her spouse/caregiver. corporeal and occupational therapy could evaluate Mrs. Thomas and initiate a plan of treatment to increase stamina and range of motion to keep the patient at an optimum level of functioning. Physical improvement even in half-size increments can have a positive effect on the patients outlook. Home health could evaluate Mrs. Thomas and her need for distress control as considerably as her fear of dependency. Education at this juncture is imperative to patient outlook as well as outcome of treatments. With pain management in place, physical therapy could progress, thus change magnitude the level of patient participation. Also a mental health/psychological referral could be invaluable to both Mr. and Mrs. Thomas. Mrs. Thomas could be assisted in working through and understanding the stages of her illness, as well as her notion and sadness concerning her family relationships.It could also help Mr. Thomas with his depression and allow them both to connect with sustenance groups or individuals within the community with whom they can role experiences. One of the best resources for breast cancer patients is the Susan B. Komen Foundation. As a assured breast cancer educator, I have had the pleasure of working with both survivors and their families. Education is very beta to all concerned in a medical diagnosis of breast cancer. Understanding of the disease process and its effect are also essential to a healthy outlook. The Komen Foundation offers aliment to patients, survivors, caregivers, and family members. It would be an excellent resource in which both Mr. and Mrs. Thomas could secure individualized treatment and support.The team approach is also necessary for working with patients, families, and caregivers. As a nurse you must accept that an individual cannot agree all patient needs so you draw upon other health care professional s to accomplish the highest levels of care.A coarse mannequin of te am members can be utilized in the care of the Thomas. Physicians who offer direct clinical care and disease pathologies, social workers/clinical case managers who can assist in community resources as well as their knowledge of insurances, spiritual leaders to aide in dealing with final decisions and spiritual needs of the patient and family, pharmacistswho assist with a wide array of pharmacological treatments for pain and symptom control, dieticians can be instrumental in counseling with meals, nutrition, supplements, and hydration. Other team members may include physical and occupational therapy, psychologists, and perhaps even volunteers to assist in the home and with errands.The needs of Mrs. Thomas and her family will continue to fluctuate as her disease progresses. It is important for the team to stay abreast of these needs and adjust plans of care accordingly. At some point hospice services may be called upon and continued through death. This can be provided at home or on an inmate basis.Initiating a plan of action can alleviate stress from both the Thomas. Mr. Thomas may feel that some of the caregiver slant has been lifted and this could aid in the treatment of his depression. This in combination with medicine could be the keys to initiating successful treatment. If a psychological evaluation is needed due(p) to the possibility of suicidal ideations, then immediate intervention is warranted with a crisis facility. specially if there is deemed eminent danger of self harm.With pieces of the clinical puzzle in place, the Thomas can be assisted with as much compassion, dignity, and support as possible to meet their needs in both the short and long term.