Wednesday, February 19, 2020

Practitioner Values in Dementia - Portfolio 2 Essay

Practitioner Values in Dementia - Portfolio 2 - Essay Example 872). These symptoms have been very evident on one of my residential home care patients named Ms. X. Ms. X is an 80-year old residential home care patient who is pleasant and receptive. She does not want to ask the help of others frequently but acknowledges the advice of the medical practitioners. Although her doctor told her that she has memory problems, Ms. X reports that it does not affect her daily life, except that her niece has to remind her of most of the things to do like turning the stove after cooking, closing the faucets, and even looking for her eyeglasses. Ms. X does not want to take a bath. Often, she would yell at me if I tell her that it’s time to take a bath. As she is receptive towards the help of others, she always insists on dressing up herself but got confuse and wears her underwear over her regular clothes. She wants to do the cooking and laundry in the nursing home but her frequent forgetfulness often leads to accidents such as making the residential hom e care at risk for fire and switching the powdered milk for laundry detergent. When I would remind her of these things that she cannot do, she would yell at me and humiliate my caring abilities. I felt much stressed about the full-time responsibilities of caring for Ms. X in the residential home care setting and this stress has escalated over the past few months because of the frequent yelling of Ms. X. She is also very impatient towards the nursing care I’ve given to her and there comes a time when I would like to quit from caring her but got guilty feelings towards these thoughts as there is no nearby family who could help her. In a case like this, I began to question myself of how would I personally explore and incorporate issues relating to my best interest, advocacy, and empowerment. Then, maybe, I have not yet fully understand the situation of Ms. X. I could have understood her clinical situations but not her personal shortcomings. It was not easy to have dementia and w orst, to be far away from your family which serves as your major social support in life. In addition, it must be also sad for her that she does not have a partner in life which could help her in her fight for dementia. If I would explore and incorporate issues related to my best interest, I would probably resign and request to not take good care of Ms. X as her frequent yelling is humiliating my status and morals as a nurse. However, I also think that staying and caring for her would also be promoting my best interest as this experience will help me grow professionally and will guide me in handling future patients with dementia. In the latest report of (http://nursingstandard.rcnpublishing.co.uk, 2013), the nurse has the full responsibility in exploring and incorporating issues of advocacy; thus, being a patient advocate may mean that a nurse assists, defends, pleads, or prosecutes for the patient while having collaboration with other professionals. In the case of Ms. X, I should ac t as an advocate in referring to the medical provider her progress report while inside the residential h

Tuesday, February 4, 2020

Pathophysiology Essay Example | Topics and Well Written Essays - 250 words - 1

Pathophysiology - Essay Example To manage his lifestyle, the patient should minimize the fat intake through consumptions of energy dense foods that lack fiber contents. He should engage in breads prepared from whole wheat flour and exclude the use of any oil. The patient should also consume a lot of vegetables and fruits that should be eaten raw instead of juice. He should completely avoid alcohol, cakes, pastries, sweet meat, cheese, ice-creams, gathia, puris, red meat and jam (Balakrishnan, 2004). The patient is advised to take part in regular exercise, for instance, a brisk walk early in the morning for around 30 minutes. This is helpful because exercise increases blood circulation, lowers blood lipids, increases HDL, minimizes platelet adhesiveness and increases fibrinolysis (Balakrishnan, 2004). It is proved that tobacco smoking increases atherosclerosis throughout the whole cardiovascular system. A lot of chemicals in cigarettes supply to atherosclerosis. Smoking is believed to directly destroy the inner lining of the artery, the endothelium which enhances the initiation of atherosclerosis. Smoking also promotes the blood to clot easily. Clotting incorporated with hardening and narrowing of the arteries result to blockage in the coronary artery that may result to sudden cardiac death (Schneider & Fields 2006). Everyone in the society experiences some form of chronic stress. All kinds of stresses that is emotional, social and psychological maximizes the risk of heart disease and hypertension. This should be avoided because chronic stress enhances other risk factors of heart disease for example smoking, high cholesterol, physical inactivity and obesity (Schneider & Fields, 2006). People tend to be exposed to more risk of cardiovascular diseases as they get old. The blood pressure of old people tends to increase constantly with each passing year. Although old people engaged in daily routines and activities, their blood pressure does not increase with age. For the old