Essay On Patient Care Program


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Patient Care Program

The nursing profession has increased its obligation duties towards patient care. Nurses have advanced their professional maneuvers aimed at improving the quality of patient care. Advanced practice nursing aims at providing safe, effective, patient-centered, timely and efficient nursing services to patients. Nursing practices are no longer limited to clinical practices. Nursing practitioners are now compelled to engage in a patient follow up to ensure the effects of their diagnosis towards various patients are positive.

The thesis of my essay is to design a holistic care plan for a diagnosed patient. The care plan entails my nursing assessments, diagnosis and interventions towards the patient. The depth of my nursing interventions should cover the patient’s support system and it should ensure the diagnosis is effective after the clinical treatment.

The patient is a 52 year old Irish American who was lately discharged from hospital after an emergency admission after suffering from angina symptoms. The patient suffered from massive chest pains, which lead to his emergency admission to the hospital. According to the patient’s medical history, the problem started months ago and he thought it was a heart attack and he was afraid of seeking medical help. Prior to admission, the problem was relieved with rest. He has never sought therapeutic help before, thus I am dealing with a first time therapy patient.

I am carrying out a follow-up program for the patient to ensure the effects of his diagnosis are well perceived by the patient to prevent a similar situation in the future. Further, I aim at reducing the patient’s condition to a mild state or curing the condition completely. In order to achieve this, various nursing measures come into play. I am required to design a holistic patient care plan for the patient.

In order for me to create the most functional care plan for the patient it is vital for me to assess the risk causing factors. The patient has been diagnosed with a chest disorder. According to the lab results and the patient history, there are many risk factors prevalent on the patient. The risk factors include; high blood pressure, positive family history, type 2 diabetes, cigarette smoking, hypercholesterolemia and android obesity.

According to the lab results, the patient has high levels of cholesterol present in his body. Further, the chest x-rays show that the patient has a hyperinflation of the lungs. In addition, the patient needs to have a regulation of his sugar intake levels because the lab results simulate a high level of blood sugar level, which may cause diseases or complicated conditions in the future.

In order to reduce the prevalence of risk causing factors, various measures should be put in place. First, the high blood pressure calls for regular check-ups to measure the level of blood pressure. There are multiple ways to reduce high blood pressure. The patient must keenly follow medication prescription without skipping prescription. In addition, patient education is necessary in order to reduce the chances of the condition reaching emergency levels (Mahan, Trybulski, Polgar & Sandberg-cook, 2013). For instance, the patient should engage in regular exercises since he admits that he rarely engages in exercises.
Further, he should lose considerable weight since obesity is one of the predisposing factors to the condition. The patient needs to engage in therapeutic practices to reduce his consumption of cigarettes. In addition, the patient should take healthy meals and avoid skipping meals. In a patient diagnosis, the patient revealed that, he usually takes one meal a day.

Consequently, the hypercholesterolemia and type 2 diabetes risks require proper medical help. In order to reduce the prevalence of the predisposing factors, I engaged the family in a medical therapy consultation aimed at improving their awareness towards the type 2 diabetes condition and the hypercholesterolemia. The effectiveness of medications should consider engaging the family and community in solving the problem (Rickles, Wertheimer & Smith, 2010). I advised the family to consider their health issues as a matter of family concern. Thus, in order for them to incorporate positive measures, I designed a meal intake program and an exercise program.

Furthermore, the family requires regular therapeutic check-ups in order to increase the effectiveness of the medication.

The program included a list of locally available fruits and vegetables that the family should start taking in their meals. Consequently, I encouraged the family to participate in regular exercises at a local gymnasium. This was to increase their health status considering the patient’s obesity condition and preventing a similar health condition for his wife. Nonetheless, the patient care plan included regular therapeutic visits to measure the level of blood pressure and chest hypertension. As an advanced practice nurse, I also carried out a regular check up on the family (Dossey & Keegan, 2013). I ensured that they followed the patient care plan and they took medications as prescribed. In addition, I engaged the entire extended family in a health awareness program to ensure they all sought medical help to measure their prevalence towards the type B diabetes, which appears to be genetically replicated in the family.

The patient’s health state and working conditions call for a routine change. According to the patient, he rarely takes rest or vocations from his work since he is the sole breadwinner for the family. Therefore, I advised the patient to consider taking breaks and increase his resting time until the condition is stabilized. With reference to advanced nursing practices, self-care should be at the centre of holistic care services. This is because the family should learn how to independently apply healthy measures in order to reduce the risk of the condition happening again in the future (Hamric, Hanson, Tracy & O'Grady, 2014).

It is vivid that the patient has emotional stress. The situation worsened because he had no one to talk to about his situation. Thus, I arranged for a psychology therapy for the patient as an extension of the patient diagnosis services. This would enable the patient learn various ways of improving his stress tolerance measures in the future.

I also sketched a patient-care program that I was obliged to follow as part of the patient’s diagnosis implementation plan. I engaged myself in a weekly visit to the patients’ family and I also wrote various reports considering the patient’s health. For instance, I worked collaboratively with the gymnasium and the therapists involved in the diagnosis in order to assess the effectiveness of the patient-care program. Further, the family also gave me feedbacks and any emerging situations such as the level of fatigue gained from numerous exercises. Considering the age of the patient, the exercises should not be extreme as they may affect the rest periods of the patient (Wolper, 2004).

Advanced practice nursing advocates for extensive patient care services that are aimed at increasing the effectiveness of the diagnosis for patients. Scientific evidence should be properly analyzed to create the best healing conditions for patients. Nonetheless, the nursing practices should cover all medical aspects such as disease diagnosis, reduction of the risk causing factors and prevention of the disease from reoccurring. The holistic patient care program extends its services to wide levels such as patient follow-ups. These increase the potential of nursing services and the effectiveness of the services.

References
Mahan, T, B., Trybulski, J., Polgar, P, B.,Sandberg-cook (2013): Primary Care. Fourth edition, 9780323075015. Elsevier-Health Sciences Division.
Dossey, B. M., & Keegan, L. (2013). Holistic nursing: A handbook for practice. Burlington, MA: Jones & Bartlett Learning.
Hamric, A. B., Hanson, C. M., Tracy, M. F., & O'Grady, E. T. (2014). Advanced practice nursing: An integrative approach. St. Louis. Missouri publications.
Wolper, L. F. (2004). Health care administration: Planning, implementing, and managing organized delivery systems. Sudbury, MA: Jones and Bartlett Publishers.
Rickles, N. M., Wertheimer, A. I., & Smith, M. C. (2010). Social and behavioral aspects of pharmaceutical care. Sudbury, Mass: Jones and Bartlett Publishers.