Patient Centred Care Essay

This test depart engage closely in exploring the case study provided during week genius through four. It bequeath deal with various issues such as the difference between type sensation and type cardinal diabetes, outcomes of poorly managed blood sugar levels, the necessity of pain reserve during post-operative cathexis for Josie, the implementation of Tanners model of clinical Judgement and lastly but not the least, a summary of Josies hap note.Diabetes and blood glucose control As Diabetes Mellitus is closely connected to the insufficient action of insulin in the body, the type one and cardinal diabetic unhurrieds suffer mainly from managing their blood sugar levels (Crisp & Taylor, 2009. ). The widely known differences between the two diabetes are that type one diabetes display an inability of the pancreas to create insulin for the body as its cells producing insulin are destroyed. graphic symbol two diabetes do produce insulin, however cod to the reduced production of the insulin by the pancreas, the body is inefficient or resistant to use the insulin appropriately and leads the body to pillowcase difficulties in maintaining homoeostatic balance. Further differences of type one and type two diabetes could be identified in managing the disease. It is essential for type one diabetic affected role to be treated with an external source of insulin, however for type two diabetic patients the treatment could motley simply from controlling their diet and exercising, or injecting insulin into the body to control their blood sugar levels (Barnes, 2004).Poor dish up of insulin to control Glucose is the energy source that the cells feed on to survive, therefore poor management of the blood glucose go forth lead the cells to suffer from insufficient amount of energy to regulate the entire body (Australian Institute of health and Welfare, 2008). Although the effects may not be immediately livelihood threatening, conditions such as constant enervation o r hypoglycaemia occurs when there is a low level of glucose in the blood. The patients at such scene will experience headaches, dizziness, hunger, seizures and fall into comas at extreme cases.Other outcomes may occur due to hyperglycaemia, when lavishly blood glucose levels damage the small blood vessels. Blood vessels which supply energy to the cells become affected by the high glucose level which in return causes the blood to be toxic and the formation of blood clots (Zmuida, 2009). This will soon result the nerves and the cells to poorly function and trigger blurry vision, nerve damage, poor circulation, clean infections, cardiovascular complications, kidney infections in the long run. Importance of postoperative pain controlOne of the most definitive purpose to perform a postoperative pain respectment is to manage the risks the patient may face after the operation. By assessing the location, severity, type of pain and the temperature of the pain area, the patient is likely to have lower risks of growth an infection or a disease during recovery (Doherty, 2010). If pain control estimate is absent during a postoperative wish well for Josie Elliot, Elliot is likely to meet high levels of pain and stress in dealing with the pain. much(prenominal) stress is likely to interfere with the other postoperative recovery exercises as it is predictable that Elliot will be physically tensed and unwilling. Furthermore, the consequences of not acknowledging the pain areas for Elliot, could lead to overlooking problems such as swelling or internal bleeding of the operated wrist. Although the problems may be small, they are likely to grow into serious matters such as haemorrhage and amputation. Therefore, for the patients to be less at a risk of becoming susceptible to complications- pain control is the stepping-stone to safety and be considered as a major priority of postoperative fretfulness.Tanners clinical judgement Noticing In this initial step of clinical jud gement the treat will focus in recognising the current situation of the patient. The suck in will seek to find future discomforts and problems that may occur during the palm for the patient (Tanner, 2006). As for Elliot, who had an active life before being submitted into the hospital, the she-goat should concentrate in catch the patients psychological well being. Elliot being in such a contrasting environment to her daily life in the society, she could be expected to experience severe stress.For example, the maintain could initiating a casual conversation to assess any signs of depression or discomfort that Elliot may be experiencing. Through her voice, expression or gestures, the nurse will be able to notice conditions out of the ordinary. Another way to collect more informations just about the patient may be communicating with the family members. Family members are the ones who will know the patient well plenteous to be concerned with the minor changes the patient shows.Su ch way of assessing the patient will help the nurse to accurately point out the changes occurring to the patient and gain deeper understandings of the patient conditions. Interpreting This phase is about digesting the salt away information about the patient. For example, Analysing and interpreting the patients idea of his or her condition will stop the nurse to prioritise her tasks for the patients health care. Prioritising tasks will help the nurse to initiate the most argent care needed for the patient. This will decrease number of the patients risk factors and benefit the patient to be nearer to the risk free zone (Tanner, 2006).For further example, the nurse could interpret Elliots dull and spry behaviours, responses, moods and expressions as a sign of depression. Other objective data such as Elliots vitals signs could be interpreted into a certain warning for an occurrence of a diseases. After understanding these informations, the nurse could then prioritise the absorbed in formations from the most severe issues to the least (Bradshaw & Lowenstein, 2010). In Elliots case it would firstly be the pain assessment on her fractured wrist and the vital signs to identify and tightly secure Elliots overall physical health which is crucial.The next will be followed by Elliots psychological assessment to ensure Elliot will not be harmed by depression. The last task on the angle of inclination could be the patient shower to benefit Elliot to feel better and comfortable. However being at the end of the list does not indicate that this task is the least important. Responding This phase requires the nurse to be skilful in evidence to act out and perform the tasks set out in the previous phase of interpreting (Bradshaw Lowenstein, 2010). At this time of care, the nurse is expected to be insightful, with the attitudes of calmness and confidence to achieve successful outcome of the practice.For example, the nurse could systematically perform the interpreted and pri oritized tasks on Elliot. During each task the nurse should explain the procedures being undertaken and croak with the patient to be informative and clear. This will bring Elliot to be aware and be assured of the care being provided. This will help her to feel less confused or discomforted by knowing what is waiver on with her body while receiving the care. This step of clinical purpose will inform and educate the patient which is a crucial part of patient centered care. ReflectingReflecting in tanners clinical judgment refers to having the knowledge to predict what is expected as an outcome of the care provided. There are two assorted aspects of reflection which are reflection-in-action and reflection-on-action. Reflection-in-action is when the nurse assesses the patients feedback or response in coping with the tasks and the care practiced on the patient. Reflection-on-action is how the nurse learns and gains further knowledge through the patients response to a particular nurs e care (Bradshaw Lowenstein, 2010). During Elliots care, the nurse has given the practice of medicine to Elliot for pain relief.The nurse should observe and record Elliots responses to the medications. The first response the nurse will be looking for would be the complications occurring Elliots health due to the medication, such as a side effects or an allergic reaction. Secondly, the degree of effectiveness of the medication for Elliot to reduce the pain would also be analyzed. After Elliots responses have been assessed, the nurse should immediately become an effort to improve the status of the patient, and further promote patient centered care.