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Integrated Nursing Practice

Table of Contents

Introduction.

Part one.

Analysis and assessment findings.

Part two.

Interprofessional care and management plan.

Part three.

Recommendations.

Conclusion.

References.

Introduction to Integrated Nursing Practice

Health is the utmost need for life. Health is an ability to live a happy, peaceful and satisfying experience. Medical workers are a true blessing as they work day and night to help people become healthy and cure of their physical and mental illnesses (Amrith,2017). This project helps to analyze and assess the problems of a patient by viewing his medical history and the present condition. This analysis will identify the issues of the patient. It will help to gather all the details about the patient so that he can be treated the right way and becomes able to get back to normal. This project will allow regulating the patient's interprofessional care and management plan. It will also help to prepare a discharge plan for the patient so that the patients can be provided with the best medical workers and can also increase their practice and experience.

Integrated Nursing Practice - Part 1

Analysis and Assessment Findings

Mr. Sam Kwon, a 74-year-old man, had been bought to the hospital within a condition where the right side of his brain was paralyzed, he was unable to speak, and his face was also drooping. After the review of his medical history, it was found that he is also a patient of hypertension (it is a sudden fall in the blood pressure which leads to significant health issues), congestive cardiac failure (occurs when our heart muscle doesn't pump blood as well as it should) and type 2 diabetes mellitus (it is a form of diabetes with high blood sugar, insulin resistance and relative lack of insulin). Then he takes oral hypoglycaemic agents and is also a smoker for the last 40 years. After the review of history, doctors took his necessary observations, which are as follows

Temperature

Heart rate

Respiration rate

Blood pressure

Sp02

36^C

98bpm

24/min

140/105mmHg

96% (room air)

These are not satisfying that Mr. Kwon was transferred for a CT scan, which revealed the unexpected death of some left-side brain cells due to a shortage of oxygen and because the blood movement to the brain is damaged by blockage or breach of an artery to the brain. This is identified as a left-brain cerebrovascular happening and is caused by deficiency or insensibility of a part of the body that is part of a complete loss of willing movement or sensation in the arm or leg (Friedman et al., 2014). It can also create speech difficulties and flabby facial tissues, which can lead to palpitations. Nearly the same symptoms were also seen when he was brought to the hospital. An increase in the density of the left middle cerebral artery was also observed, which is caused due to embolic and atherosclerotic occlusion of the artery. If the middle cerebral artery keeps on becoming dense, it can be blocked, and if it is an entirely blocked person suffering from it will become fully immobile and early signs of dropsy, which is fluid retention in the body (Rocha et al., 2014). It causes damaged tissue to become swollen as Mr. Kwon's face tissues were already damaged. The results also showed that it is also expected that Mr. Kwon may also experience homonymous hemianopia, which Damage to the left side of the brain that occurs in the failure of the right half of the visual experience of the individual eye and vice versa. This is due to a blockage in the blood supply and bleeding inner the brain. This also leads to difficulty in communication at this stage and would require a communication board to communicate ( Harteveld et al., 2016). Mr. Kwon's BGL (blood glucose level) is 9.4mmol/L, which is greater than await and it is increased because the diet of the person is not appropriate. The above observations were withdrawn after examining Mr. Kwon.

Integrated Nursing Practice - Part 2

Interprofessional Care and Management Plan

Ethical and legal implications

Ethical implications that imply in Mr. Kwon's case are that after all the above factors, the best proper decision for the patient is that medical professionals should discuss it with each other. And proceed with the treatment of Mr. Kwon, and all the medical staff, which relates to the patient's case, is bound to keep all the information about him confidential. The legal implications which imply to medical staff are that they must protect the patient's safety and welfare. Their area of work should be delineated as a separate. They must take care of patient's privacy.

Person-centred care

Communication in any field is referred to as the exchange of ideas and opinions between two or more individuals. It is a methodology practiced on the people who somehow experienced the disease, deeply personal, a unique tactic used to influence the life of an individual by treating him or her according to his or her demands, identifying the causes, undermining proper evaluation (Castells, 2013). Therefore the implementation of strategies that would withhold personal growth and development, surviving against the drastic effects of illness. Consequently, it is seen that both clinical and individual recoveries are different from each other and used in entirely different contexts. A person has a priority over clinical Recovery because I have seen a lot of people getting benefit from this way of treatment from a miserable life.

Treating the patient as individuals and as equal partners in the processing of healing The professionals should try out some communication strategies with him. He should be asked about the improvement objects (BroadBent, 2013). The patient would have better Recovery, improved mindful and quicker rates of generalization of himself.

Health promotion strategies

Health promotion strategies should be improved at every stage of life. To gain this, there are several plans for health promotion and disease occurring in everyday practices (Corcoran, 2013). Mr. Kwon should be provided with space, too, if he is not ready to interface but will tell them that I will be available whenever they change their minds. Communication skills can be dug out a lot of strengths from patients and help them to have a successful personal recovery. 

From these plans and policies, and the difference between Mr. Kwons general aphasia therapy practice and the authentic practice, the services of Ephesia sufferers in the critically ill acute hospital are ambiguous. However, speech therapists practicing in this order have made the population aware of the contradiction in their limited services. A clear conclusion of the authoritative practice difference exists and is essential to help and support the care-oriented approach of people suffering from aphasia in critical care environments.

Integrated Nursing Practice - Part 3

Improved operation and patient treatment proved to be a review of medical CA records. Assessment of laboratory services involves some quality factor after assurance of peer review of the case. It is easy to compare the objectives of these types of methods if, under critical observation, the matter is similar happens to there is no precedent in the published literature of similar ways where patients are viewed through multiple services to review the quality of service. Leadership quality has a positive effect on the quality of mediation through which quality improvement works accordingly. The second important point of the quality of leadership is the reality and dignity of the directors with the masters (Fransen et al., 2015).

When the services are concerned with enhancing the method, it can be an essential marker that should be checked as it generally improves productivity. Nevertheless, it can be undoubtedly regulated, and, while there is the smallest level of confirmation to control efficiency, there are many models of positive correlations between quantity and production. The list of criteria for inclusion and exclusion was revised based on internal findings and has increased familiarity with the research topic because of surveys of network centers of centers in rare or less prevalent and complex diseases. Lacking information about the programs, the focus was extended to literature reviews to include networks of common ailments and injuries. The search focused on examples of adult networks such as trauma and stroke.

Mr. Kwon is being treated for a left-brain disorder that left him paralyzed on one side of his body due to the weakness of the facial muscles. It is also falling, and doctors have tried to develop their medical methods. Communication skills between Mr. Kwon and him so that he could talk again because he was unable to speak and managed to shake his head only when he was asked questions or answered with a question board but the treatment. After that, they are slowly improving. The weight in his left middle cerebral artery was also decreasing, and his gait was stable and unaided. With the help of all the techniques of speech, his speech has improved, but still, it has twisted and the part of his body that was paralyzed, only a little was left. After 14 days in Mr. Kwon, the doctor released the following discharge plan after all the treatments and observations of improvement in Mr. Kwon.

Elements

Patients current physical and mental status

Ability to move

Functioning ( activities of daily living and emotional quality)

Awareness

Medical conditions that may influence the health, emotional and social status of the patients in future

Patients predicted physical and mental status

Ability to move

Purpose ( function)

 Awareness (Cognition )

Patients circumstances

Family carers are available or not, and there willingness to take care of the patient after discharge

Pre-admission living arrangement and environment after discharge

Pre-admission use of community health and other support services

The supportiveness of the environment to which patient returns, in terms of facilitating patient's independence ( ease of accessing food, hygiene, moving around safely, adequate heating, cooling and medical care going on )

Patient's wants and priorities

Aspects of care for which patients require assistance now and in the future.

Patients priority towards the place of discharge

Recommendations on Othello Syndrome After Cerebrovascular Infarction

After conducting an extensive literature review and applying the assessments to an independent case, Choice, opinions, and self-sufficiency is the critical part helping the initiation of a relation or the practitioner and the patient, and this relation is strengthened during the last stages of the treatment. Further research is conducted to show these factors affect the medical observance of the practitioner. He clear set of rules is provided and is to be followed both to imply the law and to create an efficient treatment process. The efficiency can be ignored for developing the essence of the relationship. The efficient doctor/patient relation leads to quality of life and manages to show the growth facilities for the patient, and he recovers more rapidly. It is imperative to deal with specific cases with respect and concerning previous similar topics. This can enhance the whole process as each patient has a different and owns unique traits that result in an individual set of requirements for effective treatment.

Conclusion on Othello Syndrome After Cerebrovascular Infarction

It is concluded that the fundamental problem found in this study was the non-disability of the patient towards the instructions and advice of the practitioners. The general goal is to qualify the research maker to perform an independent case study targets and links to this field of practice and is supported by prior research things. Besides, I was able to present some recommendations that will help this area, of course, with the exercise of the Recovery on independent cases. It is clearly understood that Recovery is essential for both observing medication and the whole treatment process. Patients and health professionals discuss the decision that using the recovery model will make out a more efficient result. Also, there are health conditions in most states, empowering the fact that Recovery should be the initial provision of care in all areas in the health sector. The rules and regulations also lead to the acquisition of medical observations using re-occupation. However, there are some limitations in the literature review, where data sources capture the rehabilitation effects and mental health symptoms on the entire treatment regimen. Explain the details, and some people also did specific things.

References for Othello Syndrome After Cerebrovascular Infarction

Amrith, M. (2017). Caring for strangers: Filipino medical workers in Asia.

Broadbent, D. E. (2013). Perception and communication. Elsevier.

Castells, M. (2013). Communication power. OUP Oxford.

Corcoran, N. (Ed.). (2013). Communicating health: strategies for health promotion. Sage.

Fransen, K., Van Puyenbroeck, S., Loughead, T. M., Vanbeselaere, N., De Cuyper, B., Broek, G. V., & Boen, F. (2015). The art of athlete leadership: Identifying high-quality athlete leadership at the individual and team level through social network analysis. Journal of Sport and Exercise Psychology, 37(3), 274-290. https://doi.org/10.1123/jsep.2014-0259

Friedman, J. I., Tang, C. Y., de Haas, H. J., Changchien, L., Goliasch, G.,

Dabas, P., ... & Narula, J. (2014). Brain imaging changes associated with risk factors for cardiovascular and cerebrovascular disease in asymptomatic patients. JACC: Cardiovascular Imaging, 7(10), 1039-1053. https://doi.org/10.1016/j.jcmg.2014.06.014

Harteveld, A. A., van der Kolk, A. G., Zwanenburg, J. J., Luijten, P. R., & Hendrikse, J. (2016). 7-T MRI in cerebrovascular diseases: challenges to overcome and initial results. Topics in Magnetic Resonance Imaging, 25(2), 89-100. doi: 10.1097/RMR.0000000000000080.

Rocha, S., Pinho, J., Ferreira, C., & Machado, Á. (2014). Othello syndrome after cerebrovascular infarction. The Journal of Neuropsychiatry and Clinical Neurosciences, 26(3), E1-E2. https://doi.org/10.1176/appi.neuropsych.12120408

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