Analyzing Relevant Theories: Improving Patient Experience And Partnering In Care (Essay).

Select one of the ‘patient experiences and partnering in care’ cases and write a 1200 word essay that draws upon the relevant theory that analyses the patient/family experience with the goal to improve the care experience of patients and their families. Draw upon relevant literature (theory) to strengthen and support your assignment.

The Importance of a Holistic Approach for Patients with Chronic Illnesses

A holistic approach to wellbeing is required for tackling any chronic illnesses including diabetes. Neglect by any of the partnering care departments might lead to undesired outcomes in useful results as noted in the 40-year-old Aboriginal woman in the preluded interview. The holistic approach by Bridge is a theory that is also supported by re-known world doctors. Doctor Bock Chisholm, the first director-general of the WHO asserts this theory by suggesting that there cannot be mental health without physical health (Heaton, 2015). In his speech, he meant for desired patient results for any disease, all the essential people must partner and play their role accurately well. The scope of activities that are suggested by Bridge in his partnering holistic approach includes; support service, social care, individual care and family care. The goal of the partnership program is to enhance efficiency and quality of service provision. Pooled expertise, resources and power-sharing are some of the recorded benefits of partnership programs (Rosina & Fraser, 2014). Negligence of any of this partnerships might lead to weak results, as will be illustrated in the essay.

At an age of 40 years, the patient is quite young to be diagnosed with diabetes. The age prevalence of diabetes is older adults at the age of above 65 (Liaw et al., 2011). Raelene Ward the female in the interview is young to be suffering from diabetes. Even, after the pregnancy she should stop using direct insulin injections and find other means of treatment. However, it is assumed that due to lack of partnership care, she has to continue getting treated with insulin for seven years. That means she started using the insulin injections at the age of 33. That is a very young age to be treating diabetes (Mooi, Whop, Valery & Sabesan, 2012).

The networking model of partnership care is one of the most used models in nursing patient care. The partners of the affected patient receiving care meet regularly to share their practice and discuss areas of weakness and commonality of the patient. The purpose of this network is to ensure the patient is receiving the best delivery specifics. In the case reported by the Female Aboriginal woman (Raelene Ward), there is a lack of communication between her home, the family and the hospital taking care of her diabetes. For this reason, she works so hard and does not create time for the rest of her body health wise. She works long hours without rest that when she is sick, she is administered to direct insulin instead of other measures to be taken, even though she thinks it is because of her pregnancy.

Networking Model of Partnership Care

According to Gonda & Hales, 2015), nursing ethics is concerned with providing care to the patient. Emphases are placed on every day practice rather than moral dilemmas. In the scenario from the case narrated by Raelene Ward, a nurse judgement led to the death of a patient who suffered from a head concussion. The doctor shares professional communication with the nurse. The nurse having assumed the patient was drunk, did not give the required treatment. Such cases can be avoided through partnership care. The nurse is entirely unethical but, had they communicated with the doctor; the man would be alive. The nurse has unethically gone wrong through failing to upgrade the dignity of the patient just because of the unfair judgement she made.

Depression is a condition that is associated with most patients. It is very likely that older patients have depression and stress. Usually, the recession comes from the thought of being scared of taking medicine and juggling the life struggles. The best solution for depression and anxiety for such patients is family centered care. Family centered care from the health group taking care of the patient, combined with care and support from the patient’s community, might make the stress go away. According to an article by (Hales, 2018), reduced depression on any patient leads to free days, better physical conditions and lower medical cost. From Raelene Ward case, she suffered from stress and depression having being diagnosed with diabetes. Most of the health professionals handling her case assumed that being a doctor, she needed no counselling and therefore did not advise her properly. She was depressed at the thought of injecting insulin into her daily. More depression came at the death of her sister. Had there been family centered between the nurses and the family, they should have organized her a counselling program. Better still, showing her love from both the family and the health care providers during that period would have lightened her situation. She admits having too much of a shock but since there was no emotional support from anyone, the case kind off worsened. This made the doctors jump straight into insulin injection for her. They would have tried alternative solutions before jumping into direct insulin (Harvey & Park, 2015).

According to Bell, Linderman & Reid (2015), patient-centered care from health care professional involve explaining to the patient, as a nurse, all the options that they have and respecting their decisions. Raelene Ward does not receive the patient centered care she would want. She requires a dietician to help her manage her situation. She is left to juggle pregnancy, work, and home-life and manage a chronic illness. According to her, if she had a professional dietician or one who would help her in management, her condition would not have worsened. After the pregnancy, she would have stopped getting direct insulin injections. However, since she had no one to come to her rescue, she has been getting insulin injections for seven years, a condition she profoundly regrets.

Nursing Ethics in Patient Care

 On the basis of several considerations, the extent at which health care services are provided to individuals to achieve desired health outcomes that are effective, timely, efficient, equitable and people centered, are conditions to quality health care (Caffery et al., 2017). Quality health care in most cases is achieved through partnership programs of the stakeholders involved.  Such lack of quality health care is the reason behind Raelene Ward recording that the effect might lead to a nurse noticing that an Aboriginal patient who is not recognizing the English accent that they are using. These might call for the need to involve an interpreter. She further explains that spending time with the patient makes the nurse understand how to communicate with their patients. Lack of such quality health care might lead to ineffective results. That last sentiment stresses the partnership care that should exist between the family, patient and the healthcare providers.

According to Dave, Asprey, Carter & Campbell (2013), Erickson has eight framework of human growth development. At the age of 40, like the woman in the case, an individual should be at the generativity vs stagnation stage. Generativity should be giving back to the society while stagnation is failing to contribute to the society. Raelene Ward is giving back to the society since she is a doctor. She is also taking care of the family, and her three children. However, her health is at stagnation. She is struggling to maintain her health by maintaining diabetes.

 In conclusion, it is evident that a holistic approach towards the well-being of a patient is key. The welfare of Raelene Ward in her diabetes journey is compromised by failing to consider important methods such as quality health care, nursing ethics, family centered care and patient centered care as recommended by the various theories mentioned in the essay. The effects of failing to adhere to such clear instructions are visible, as mentioned they include; depressions resulting from shock and stress, stagnation of the health of the body and growth of the individual, destructed communication, worsening of the latter health condition, in this case diabetes so that instead of giving other health conditions, they prefer direct insulin injection. Regrettably, poor patient care can lead to mortality. Mortality reached because of nurse medical and medication error is unethical and at some point the responsible nurse might be laid off or sent on compulsory leave. This shows how serious patient care could be. 

References

Bell, D., Linderman, M. A., & Reid, J. B. (2015). The (mis)matching of resources and assessed need in remote Aboriginal community aged care, Australasian Journal on Ageing, 34, 171-176. Retrieved from CINAHL with Full Text database.

Caffery, L. J., Bradford, N. K., Wickramasinghe, S. I., Hayman, N., & Smith, A. C. (2017). Outcomes of using telehealth for the provision of healthcare to Aboriginal and Torres Strait Islander people: A systematic review, Australian and New Zealand Journal of Public Health, 41, 48-5

Davey, A., Asprey, A., Carter, M., & Campbell, J. L. (2013). Trust, negotiation, and communication: young adults' experiences of primary care services, BMC Family Practice, 14, 1-10.

Rosina, R., & Fraser, J., (2014). Psychosocial development and response to illness. In J. Fraser, D. Waters, E. M. Forster, & N. Brown, Paediatric nursing in Australia : principles for practice (pp. 49-76). Port Melbourne: VIC Cambridge University Press.

Liaw, S. T., Lau, P., Pyett, P., Furler, J., Burchill, M., Rowley, K., & Kelaher, M. (2011). Successful chronic disease care for Aboriginal Australians requires cultural competence, Australian and New Zealand Journal of Public Health, 35, 238-248.

Mooi, J. K., Whop, L. J., Valery, P. C., & Sabesan, S. S. (2012). Teleoncology for Indigenous patients: The responses of patients and health workers, The Australian Journal of Rural Health, 20, 265-269.

Heaton, L. (2015). Regional, rural and remote nursing. In A. Berman, S. Snyder, B. Kozier, G. Erb, T. Levett-Jones, T. Dwyer, T. ... D. Stanley, (Eds.), Kozier and Erb’s fundamentals of  nursing (3rd ed., pp.157-172). Melbourne, Victoria: Pearson Australia.

Gonda, J., & Hales, M. (2015). Health care delivery systems. In A. Berman, S. Snyder, B. Kozier, G. Erb, T. Levett-Jones, T. Dwyer, ... D. Stanley, (Eds.), Kozier and Erb’s fundamentals of nursing (3rd ed., pp.110- 126). Melbourne, Victoria: Pearson Australia.

Hales, M. (2018). Health care delivery systems. In A. Berman, S. Snyder, T. Levett-Jones, T. Dwyer, M. Hales, N. Harvey, ... D. Stanley, (Eds.), Kozier and Erb’s fundamentals of nursing (4th ed., pp.108- 126). Melbourne, Victoria: Pearson Australia.

Harvey, N., & Park, T. (2015). Concepts of growth and development. In A. Berman, S. Snyder, B. Kozier, G. Erb, T. Levett-Jones, T. Dwyer, ... D. Stanley, (Eds.), Kozier and Erb’s fundamentals of nursing (3rd ed., pp.387 - 406). Melbourne, Victoria: Pearson Australia