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The Nursing Care Management - Case Study Example

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This is care study related to a patient whose identity will remain undisclosed for confidentiality and ethical reasons. For the purpose of this work of care analysis, her case will be taken, and she has been nicknamed Patricia. …
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The Nursing Care Management
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The Nursing Care Management

When she is stressed, anxious, or having manifestations of manic depression despite having regular medications, extra support from a community nurse is available on the grounds of deterioration of her mental health. In this work, the care of Pat will be analyzed on the basis of the theoretical framework of nursing process where the role of learning disability nurses would be examined as far as clinical governance, ethical issues, and evidence from current research are concerned. This would also include critical analysis of emerging issues and implications on professional practice when it is delivering a care that is person-centred along or in collaboration including therapeutic interventions that are suggested by evidence from research. The planned care would then be critically analyzed and evaluated based on the principles of clinical governance and research evidence. Finally, everything should culminate into learning as far as learning disability nursing is considered.
Theoretical framework to provide structure: This is the story of a young woman with learning disability, where her clinical situation has been complicated by detection and diagnosis mental health disorder such as manic depression and other medical disorder. This is a complex process due to her limited vocabulary and insights, and skill deficits. Therefore, the nursing assessment process that would lead ultimately to a care plan would need to include details of her skills and abilities, nature and pattern of behaviour in a diverse range of environments, relationships and understanding of her own emotions and of other people around her. To be able to implement these in practice, a theoretical framework is very necessary. These theoretical frameworks for practice have been derived from nursing theories....
This paper approves that medical history indicating stressors of long-term illness of complex partial seizures, mental illness of manic depression, medications against mental illness and seizures, and learning disabilities. A combination of these would lead to emotional disabilities. Conditions such as these can isolate individual who feels disconnected from others, resulting in difficulty relating in social situations. Presence of visual or hearing impairments are to be noted since presence of these in her case may lead to a situation where she may find communication barriers are increased, social interaction is affected, and interventions need to be designed to promote involvement with others in positive ways.
This report makes a conclusion that the nursing care management must take care of the need to establish therapeutic relationship using positive regard for the person, active-listening and providing safe environment for self-disclosure. Client who is having difficulty interacting in social situations needs to feel comfortable and accepted before she is willing to talk about self and concerns. Client needs to learn social skills, because she has never learned the elements of interacting with others in social settings. Role-playing one-on-one is less threatening and can help individual identify with another and practice new social skills. Having client to participate in a controlled group environment, for example Pat and Jim, provides opportunities to try out different behaviours in a built-in social setting where members can make friends and provide mutual advice and comfort. Positive reinforcement for improvement in social behaviours and interactions should be provided since this encourages continuation of desired behaviours/efforts for change. ... Read More
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