Case Study Rationale
An RN’s role in healthyageing is to identifya nd utilise th e strengths ofthe older adult to ma )dmisetheir independence, and to minimise th e im pacts ofdisabilitya nd disease (Moyle, Parkera nd Bramble, 2014). This case studywill develop yo ura bilityto identifyfactors which inhibit independence and diminish q uality of life in the older a dult experiendnga ch ron ic diseasediagnosis, a nd advocate fo r comm unity based strategies or s u pports th at will increase your patients’ holistic wellbeing.
Learning Outcomes 1, 2, 3,4, 5 a nd 6
Case Study Outline
Patrick, 66 years old, was diagnosed with earlyonset Parkinson’s Diseasetwo weeks ago by his Neurologist. Symptoms at the time of diagnosis include a slighttremor in his R hand at rest, decreased sense of smell, and poor sleep quality. He is a current primaryschool teacher (grade 5), who lives with his 68-year-old, supportive husband, Michael, a Subwayfranchiseowner operator. Patrick is a fitand healthy gent, who runs 5km per day, with no comorbidities, no regular medications,and otherwise “perfect” health. Patrick has now been commenced on Levodopa 50mg three times a day, and Clonazepam0.5mg nocte.
Patrick and Michael haveseen their GP followingthe diagnosis. As a primary health care RN, working in the same practiceas the GP, you areasked to review the above scenario, with a focus on the following identified issues: a. Impact of a chronic incurablediagnosis, b. Safety considerationsfor this stageof the diseasetrajectory,and c. Maintainingthedignityof a young-old older adult.
For each issue, you are askedto outlinethe following:
1. RELEVANCE OF ISSUE • Broadly explain howthe issue is relevantto Patrick • For example, what is the impactof Patricics diagnosis?). • Demonstrate your critical thinkingskil Is and understanding of person-centred care— avoid being descriptive.This applies tothe entirety of the assignment • Support your writing with intext references. 2. PRIMARY HEALTH CARE NURSING INTERVENTIONS (PHC Nrsglx) • Identify FOUR primary health ca re i nterventi ons an RN would initiate, relevant to each issue(you will have 12 PHC Nrsg lx in total for the whole assignment,4 per issue) • For example, what would we do as a nursefor this issue,what strategies can we implement, what do we need to discuss or encourage? • Support your writing with intext references. • Ensure that you a re using person centred care for these interventions. • Please remember that this is NOTa biomedical care plan —You are not asked to treat the PD, but to holisticallysupport Patrickand Michael with a very new diagnosis. EVIDENCE BASED PRACTICE RATIONALE • Providethe evidence based rationalefor each nursing intervention (4 EBPR x3 issues =12 EBPR for whole assignment) • For example, why are we doingthis, again supported by intext references. • Ensure that all research is linked back to Patricics personal circumstances.
The limit of overseeing astounding and sudden events that irritates gatherings and changes in affiliation culture is known as crisis organization. Of late we have had the ability to palpate transboundary crisis, that have impacted accomplices in various structures. For example, the 2011 tsunami of Japan, which meddled with stock system wherever all through the world, especially in the auto business (Crandall, Parnell and Spillan, 2010). This art of overseeing crisis requires aptitudes and data to deal with accomplices' recovery. Crisis organization prepares the person to make aptitudes in an unanticipated and troublesome conditions inside the relationship of an emergency response with fortitude and confirmation. The coordination of the emergency responses to a more broad event that undermines to hurt and pulverize structures, ability to work sufficiently and beneficially. The continuum appraisal of the orchestrating and customized scene response transforms into an imperative bit of the methodology in a crisis organization plan. Legitimate resources available in a crisis in Dominican Republic. According to Crandall, Parnell and Spillan (2014) there are countries and social orders that are known as "crises masterminded", in light of the way that they have had the ability to get ready and reinforce any crisis needing to overcome their inadequacy. The Dominican Republic isn't the exceptional case, when a crisis rises the gathering and Dominican Civil Defense are the first to respond to the emergency, as individuals available to come back to work. Regardless, few out of every odd individual is set up to help another person or acknowledge a piece of specialist amid the time spent an emergency crisis. The national emergency and correspondence system, known as the Center for Emergencies Operation, [COE], in its piece of the principle office the nation over in a crisis, and responding affiliation has had the ability to make ability and abilities to enable potential crises and manage the ones that over the long haul to happen. The Center for Emergencies Operation, [COE], is met all requirements for make, study, execute and plan work power, volunteers and the gathering in reference to the national game plan and organization for emergencies the nation over. The Dominican Civil Defense, are the individual available to come back to work for the scene of a calamitous occasion or crisis. This is one of the emergency social occasions, in any occasion, most alluded to in the country as readied experts available to come back to work for an emergency. The Dominican Civil Defense began their gathering benefits as a social event of volunteers to the gathering by giving correspondence benefits as radio fledgling by 1963. Their first expert help to the gathering was with Hurricane Flora, where they exhibited how they were effective in giving correspondence the country over under an emergency catastrophe as an ocean whirlwind. The Dominican Red Cross empowered them to station their central correspondence inside their center. By, 1966, the Dominican government approved the Law 257, which made the Dominican Civil Defense as an official living being to help emergencies. Therefore, transforming into an official state foundation under the umbrella of the Center of Emergencies Operation, COE. In September 22, 2002, the organization approved the Law 147-02 by which the risk organization, transformed into the official emergency authoritative Agency responsible for working up the national emergency and correspondence outline close by its controls. As general norms they follow to guarantee, sort out, share, indicate balancing activity and decentralize organizations. Their basic goal is to maintain a strategic distance from or decrease loss of lives and point of confinement property damages of customary residents and government from destructive occasions or fake disasters. The Dominican Civil Defense, is one the living creatures under the umbrella of COE, and furthermore the Dominican Red Cross, Energy Conservation Department, Fire Department, Police Department, Dominican Port Authority, Health Department, Environment and Natural Resources Department, Dominican Seismological Institute, National Housing Department, among others, have been seen as an emergency crisis gathering of specialists and specialists neighborhood, national and generally for its work bunch in light of a legitimate concern for those in require and the gathering. By virtue of the Dominican Civil Defense, their work is made out of 95% of reliable arranged volunteers, an official, an officer corps, and departmental executives who, according to their educational arranging begin working for the gathering and the benefit of the country. As demonstrated by Treurniet, Van Buul-Besseling and Wolbers (2012) the gathering may be portrayed as a social affair of people living in a comparable zone and having a particular characteristics in like way of being a man. Additionally, in that limit, they will have a place with different social affairs and gatherings, sharing their understanding of an authentic dynamic gathering work, towards each other. By 2014, the Dominican Republic completed unprecedented for its history the organizations of 911. As one of the new emergency resource organizations center, its specialists in control needed to teach massively the people about the usage and favorable circumstances of 911. The correspondence technique was extraordinarily used (TV and radio) in the midst of the going with two months previously the order of the 911 system the nation over. Pearson and Mitroff (1993) conveyed that there is a need of cooperating with the gathering, since it gives a sentiment being part powerful inside the gathering. In addition, they illuminated that the gathering can share their wants, looking over their prerequisites and destinations of the people who are needing support. Amidst crisis, the learning of cooperating formally or calmly with relationship in accomplishing one target of helping another person transforms into a solid direct (James and Gilliland, 2013). In the Dominican Republic, Center for Emergency and Communication Operations, [COE] would be practically identical in its ability to what FEMA is in the United States. The Dominican Civil Defense is circulated under the umbrella of the COE. This Center would be part essential of the Crisis Management Team, CMT and the Crisis Management Plan, CMP. COE masterminds predictable trainings with national and worldwide associations who are in like manner overseeing emergencies and crisis remembering the ultimate objective to exchange experiences and get ready with new methodology. Today, the Dominican Civil Defense has ended up being one of the foundations of the Government that has uncommon contrasted with other correspondence sorts out in the country after the Armed Forces. They have a correspondence system in the UHF band or ''ultra-high repeat" starting late presented, and a fleet structure is national in scope, despite standard phones. Starting at now, the Dominican Civil Defense has a radio station, which is the soul of the association in crisis and emergencies that work 24 hours consistently and the 365 days of the year (Dominican Civil Defense, 2014). Crisis Theories. Theories impact a couple of suppositions with a particular true objective to give an illumination of a given situation. A couple of makers, for instance, James and Gilliland (2013) clears up that the Eclectic Crisis Intervention Theory includes an intentional and ponder particularly planned considerable thoughts and strategies to help the losses from different techniques. This particular speculation begins filling in as an errand arranged theory, instead of using thoughts. A couple of significant assignments recognized in this theory are: Perceive segments in all structures and to arrange them into an inside dependable whole giving a more correct behavioral data to be elucidated. Consider each existent theory, systems, and standards for surveying and controlling clinical data according to the impelled learning of time and place. The need to identify with no specific speculation, with an open standpoint and relentlessly investigate diverse roads in regards to those plans and frameworks that convey triumphs. This particular theory consolidates two unavoidable points. The first of those subject is that people and all crises are stand-out and unmistakable, subsequently can apply to anyone and any kind of culture. Besides, all people and all crises are practically identical. Subsequently, James and Gilliland (2013) grasps that these suppositions are seen as on a very basic level disconnected. The blended approach, according to James and Gilliland (2013) allow to different systems and hypotheses, thusly, it empowers the possibility of having the ability to review the setback's needs with a particular ultimate objective to apply and plan the best possible techniques redid to the person. The counsel, of course, will put it all on the line and will have the energy to change an approach to manage another strategy paying little heed to whether the first had work. In any case, the Interpersonal theory essentially clears up that people can not deal with an individual state of a crisis for long, if they genuinely confide in themselves and in others. Having assurance, the individual will wind up self-finished and overcome the crisis (James and Gilliland, 2013). Crandall, Parnell and Spillan (2014) illuminated that the foremost goal of the crisis organization gathering, CMT is to plan for potential crises and manage those crises that over the long haul happen. In this way, it will be seen in three points of view, crisis response affiliations and review their association between affiliations. Moral and true blue challenges. Crandall, Parnell and Spillan (2014) gave an appreciation of the essentialness of good and authentic obligations and challenges while overseeing affiliations and their social obstacles. The ethical culture of the affiliations most of time is being flawed in light of the exploitative lead performed by its agents, and paying little notice to their made code out of ethics. For example, unlikely goals of affiliations, may lead specialists to implausible fundamental administration. In this way, delegates may feel, that they should cause in corrupt direct to get the target by undermining various leveled systems (Crandall, Parnell and Spillan, 2014). >GET ANSWER