• Internal Code :
  • Subject Code : NSB303
  • University : Queensland University of Technology
  • Subject Name : Nursing

Collaborative Partnerships and Chronic Disease

Table of Contents

Introduction

Part A

Part B

Part C

Conclusion

Reference List

Introduction

Collaborative partnership can be referred to the collective approach of caring for a service user with the inclusion of different professionals and their clients where partnership between the care providers, expert professionals, care users and their family member involve in shared decision making process for the treatment of the client. It has been observed that collaborative approaches are way more useful that individualistic care. The current study will focus on the complex chronic disease scenario, the scenario of 85-year-old man, Ron who is diagnosed with Parkinson’s disease and will critically discuss about the same from the perspectives of a collaborative partnership.

Part A

Chronic Illness

Ron, an 85 years older adult was diagnosed with Parkinson’s disease 8 years ago. It has eventually become difficult for Ron to communicate with other and mobilize. The client is also becoming frustrated as he cannot make his wife understand his requests. Another reason that is working behind this frustration is Ron finds it difficult to take care of him. Parkinson’s is a one of the chronic degenerative and progressive disease which reduces an individual’s ability to move and communicate effectively. As observed in the current case study, the client Ron is also finding it difficult to make understand others about his needs and requirements. Parkinson’s disease may reduce a person’s communicability by affecting his or her speech, voice, expression, handwriting and others (International Parkinson Disease Genomics Consortium, 2019. p.10). The body languages may also lack spontaneity and gestures may also get affected.

Apart from that, an individual with Parkinson’s disease may face difficulty in moving and taking care for him/herself. The self care activities include taking bath independently, having meals, and dressing, sleeping and even walking. Parkinson’s disease eventually affects these activities and makes these difficult to achieve in daily life. Therefore, it becomes frustrating for a person to ask for help every now and then to assist them in completing these tasks. Therefore, it can be stated that chronic diseases such as Parkinson’s may decline an individual’s physical as well as mental health eventually (Radder et al., 2017.p.935).

However, it can be stated that after being diagnosed with this disease may not acutely disable a person to do the daily tasks and taking self care. It also may not affect the speech right after the diagnosis. It is an eventual process that slowly affects the neural connections in the bran making a person disabled. Therefore, the current case study is also detecting towards the same disability of Ron that is being eventually visible and due to the same the frustration level of the person is becoming higher.

Part B

The Interdisciplinary Collaborative Team

A collaborative partnership approach may be applicable to meet the requirements of Ron and make him mobile so that he can take care for him and it will be the aim of this approach. The current care study highlights the issues faced by an individual with Parkinson’s disease where a collaborative partnership team will include a neurologist, Physical therapist, Speech-Language Pathologist. The role and responsibilities of these key healthcare professionals are described as below:

The neurologist

The role of a neurologist is widely varied in the case of treating individuals with Parkinson’s disease. Neurologist is the person that primarily in association with the client and is responsible for making all the treatment related decisions. First of all the neurologist is responsible to detecting the chronicity of the disease in the particular care and level of disability a person is facing (Adams et al., 2018.p. 90). Depending of the prescription provided by a neurologist Ron will be required to take medications and further requirements such as speech therapy and physical therapy and their required extensiveness will also be suggested by the neurologist.

Physical therapist

Physical therapist can be referred as a trained professional that is able to treat mobility and movement issues. As the current client Ron is finding difficulties in moving and accomplishing the daily life works, it has become crucial to take assistance from a physical therapist. This professional particularly may help being mobile through exercises, movement therapy and others and may also assist in learning how to use the mobility aids.

Speech-Language Pathologist

It has been found from the case study that Ron finds it difficult to make others understand about his requests and communicating effectively has become difficult for him. Therefore, considering the current requirements of Ron, it can be suggested that he needs assistance from a speech therapist. Speech therapist may help in improving the facial expression while communicating (Ji et al., 2019.p.1260). A speech therapist or Speech-Language Pathologist will be able to work with Ron for assessing, diagnosing and treating speech, language, cognitive communication, social communication and even swallowing disorders common in the individuals with Parkinson’s disease.

Part C

The Nurses Role in The Collaborative Partnership

The nurses that deal with individuals diagnosed with Parkinson’s disease may cover major areas of assistance required by the client for managing self and managing own health and wellness. Primarily a nurse will be responsible for providing assistance with medication that is required to be consumed on a regular basis. The role of a nurse also includes referring the client to the professionals such as Speech-Language Pathologists and physiotherapists. The nurses are expertise in their role to understand how the chronic disease will affect Ron’s daily life. A nurse will coach Ron on how to take care for self using the mobility aids.

Nurses will also help in developing self regulation skills and abilities so that the client can manage the frustrating situation that might make the condition worse in some cases. As per the views of Pedersen et al., (2017.p.12), individuals diagnosed with Parkinson’s disease might lack social communication abilities such as issues in socializing as their speech and expressions get affected. Nurses are responsible for providing social facilitation that may help Ron in achieving effective social relationship. This may eventually help in reducing frustration.

Wellbeing can be defined as a state of overall health, happiness and prosperity and content. As per the views of Lenka, Padmakumar & Pal, (2017.p.385), wellbeing can be detected through having a good mental health, higher life and self satisfaction, meaningfulness in life and effective stress management. Nurses are also capable of handling the issues faced by Ron as they can empathise with the condition Ron is going through. Nurses may help Ron in practicing mindfulness that will help the person in relaxing from the daily hassle faced. This may increase life satisfaction of Ron and may help him to achieve overall wellbeing.

Conclusion

In conclusion, the collaborative partnership approach taken under consideration for Ron the client diagnosed with Parkinson’s disease has to focus on the area of self management and communication as these two areas are highly affected in this case. Along with this, the client is frustrated due to the current health conditions which are also required to be managed. The collaborative partnership team will consist of a neurologist, a Speech-Language Pathologist and a physical therapist. All the medications and other treatment requirements will be directed by the neurologist in this case. On the other hand, nurse will also play a critical role in helping the client in self management and increasing overall wellbeing.

Reference List

Adams, J., Draux, H., Jones, P., Osipov, I., Porter, S., & Szomszor, M. (2018). Dimensions-A Collaborative Approach to Enhancing Research Discovery. Digital Science, 89-93.

International Parkinson Disease Genomics Consortium. (2019). Ten Years of the International Parkinson Disease Genomics Consortium: Progress and Next Steps. Journal of Parkinson's Disease, (Preprint), 1-12.

Ji, G.J., Ren, C., Li, Y., Sun, J., Liu, T., Gao, Y., Xue, D., Shen, L., Cheng, W., Zhu, C. and Tian, Y., 2019. Regional and network properties of white matter function in Parkinson's disease. Human brain mapping, 40(4), pp.1253-1263.

Lenka, A., Padmakumar, C., & Pal, P. K. (2017). Treatment of Older Parkinson's Disease. In International review of neurobiology (Vol. 132, pp. 381-405). Academic Press.

Pedersen, S. W., Suedmeyer, M., Liu, L. W., Domagk, D., Forbes, A., Bergmann, L., ... & van Laar, T. (2017). The role and structure of the multidisciplinary team in the management of advanced Parkinson’s disease with a focus on the use of levodopa–carbidopa intestinal gel. Journal of multidisciplinary healthcare, 10, 13.

Radder, D. L., Sturkenboom, I. H., van Nimwegen, M., Keus, S. H., Bloem, B. R., & de Vries, N. M. (2017). Physical therapy and occupational therapy in Parkinson's disease. International Journal of Neuroscience, 127(10), 930-943.

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