Wednesday, May 8, 2019
Nursing care given to a patient with paranoid schizophrenia Essay
Nursing  heraldic bearing given to a patient with  paranoiac schizophrenia - Essay ExampleThis is a nursing case study prep ared on the  foundation garment of the observations made by the author while on a practice placement. The paper discusses the observations made  almost the nursing care given to a patient with paranoid schizophrenia.The study is also intended to  commemorate the role of a nurse in care including assessment, planning, implementation and evaluation and also in the care given to the patients family. In this particular case, the method used was Orems self-importance-care model (2001) which emphasizes on  ameliorate the patients state of health and making them feel responsible for their own health. It is not  attainable to undermine the role of a nurse in this system which is mainly to promote physical, mental and  kind health through developing a good, trust-based relation with the patient. In addition, this case study will  bespeak how client-centered nursing model   s are used in which the patients interests and rights are respected and protected to the  uttermost  achievable extent. As Rogers C (1990) opines, the nursing team in this particular case develops strong relationship with the patient with real exhibition of sympathy, originality, and willingness to listen while dealing with the patient. As per the NMC (2008) directive that nurses should develop a deep and reliable relationship with the patient, the author engaged in conversation with the patient and the expected  go forth was a relationship based on respect and belief (Baker 2003). In this particular case, the patients individual freedom to decide her own  lifespan was preserved as far as possible (Ewles & Simnett, 2003). As per the definition by Lowden, (2002) autonomy means  anyowing the patient to make decisions in personal matters. The  longanimous The patient in this case study is named Mary. The name is imaginary to comply with NMC professional code of  call for (2002). She wa   s 54, and was admitted to the hospital with Paranoid Schizophrenia. Before her entry into the Ward, there was a holistic and thorough assessment by the duty doctor. The basic concepts of care The method of care is totally holistic in nature. In this case, Orems (2001) Self Care Model of Nursing is used as the basic criteria and it follows the four stage nursing  work out of assessment, planning implementation and evaluation. As Barker (2003) observes, this holistic approach will explore the physical, psychological and  neighborly spheres of nursing assessment. Assessment The nursing process starts with assessment (Roper et al 2000) which includes all the present and historical  entropy  roughly the patient This must include as much information about all spheres of life as possible including the mental health, family background, education, religion, beliefs and occupation. Family history of mental disorders and other genetic factors are also interpreted into  run acrossation. In addi   tion, adequate attention is paid to the patients lifestyle and living situations. There are a number of ways suggested by Townsend (2006) for the assessment of patients which include consultation with other health professionals,  hive away data from family members, watching and interview. In addition, according to the Oxford Nurses Dictionary (2002), a holistic assessment will consider a patients psychological, physiological and social life. In the opinion of Jenkins & Field (1996), collecting all these information from a patient will help a nurse in developing a healing relation with the patient. In fact, Mary had a long history of schizophrenia. For her, the disease had its beginning about thirty years ago but the disease was not diagnosed accurately in the beginning. The disease at first started in the form of tension along with sleeping problems and difficulty concentrating. But no  ace including her parents took the change seriously as there was a tragic incident. It was during    those days that her husband died in a car accident. When she shrank more and more into her own private world, all including her parents and friends thought it as a  give of the shock caused by her husband   
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