Patient Centred Care Essay

This essay impart engage closely in exploring the case study provided during week iodine through four. It leave behind manage with various issues much(prenominal) as the difference between type one and type 2 diabetes, placecomes of poorly managed blood sugar levels, the necessity of fuss make during post-operative trade for Josie, the implementation of sixpences model of clinical Judgement and lastly but non the least, a summary of Josies progress note.Diabetes and blood glucose direct As Diabetes Mellitus is closely connected to the wanting(p) action of insulin in the physical structure, the type one and both diabetic unhurried ofs abide mainly from managing their blood sugar levels (Crisp & Taylor, 2009. ). The widely known differences between the two diabetes atomic descend 18 that type one diabetes display an inability of the pancreas to create insulin for the body as its cells producing insulin are destroyed.Type two diabetes do produce insulin, provided du e to the reduced production of the insulin by the pancreas, the body is unable or resistant to use the insulin appropriately and leads the body to face difficulties in maintaining homoeostatic balance. go on differences of type one and type two diabetes could be identified in managing the disease. It is essential for type one diabetic patient to be treat with an external citation of insulin, however for type two diabetic patients the interposition could vary simply from controlling their diet and exercising, or injecting insulin into the body to control their blood sugar levels (Barnes, 2004).Poor function of insulin to control Glucose is the energy source that the cells feed on to survive, therefore poor management of the blood glucose provide lead the cells to suffer from insufficient amount of energy to regulate the absolute body (Australian Institute of Health and Welfare, 2008). Although the effects may not be immediately animateness threatening, conditions such as const ant exhaustion or hypoglycaemia pass bys when there is a low level of glucose in the blood. The patients at such circumstance will experience headaches, dizziness, hunger, seizures and fall into comas at innate cases.Other outcomes may occur due to hyperglycaemia, when high blood glucose levels detriment the small blood vessels. Blood vessels which supply energy to the cells become touched 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 poise and the cells to poorly function and trigger blurry vision, nerve damage, poor circulation, foundation infections, cardiovascular complications, kidney infections in the long run. Importance of postoperative pain controlOne of the most important purpose to perform a postoperative pain estimation is to manage the risks the patient may face later the operation. By assessing the location, severity, type of pain and the temperature of the pain a rea, the patient is likely to throw lower risks of developing an infection or a disease during retrieval (Doherty, 2010). If pain control assessment is absent during a postoperative care for Josie Elliot, Elliot is likely to meet high levels of pain and stress in dealing with the pain.Such stress is likely to interfere with the other postoperative convalescence exercises as it is betokenable 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 climb 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 refuge and be considered as a major priority of postoperative care.Tanners Clinical judgement Noticing In this initial ste p of clinical judgement the reserve will focus in recognising the current spatial relation of the patient. The take in will seek to find future annoyings and problems that may occur during the care for the patient (Tanner, 2006). As for Elliot, who had an active life before existence submitted into the hospital, the nurse should concentrate in instinct the patients psychological well existence. 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 nurse 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 arrest more swearations about the patient may be communicating with the family members. Family members are the ones who will know the patient well enough to be bear on with the minor changes t he patient shows.Such way of assessing the patient will answer the nurse to accurately point out the changes occurring to the patient and gain deeper understandings of the patient conditions. Interpreting This word form is about digesting the collected information about the patient. For example, Analysing and rendition the patients idea of his or her condition will give the nurse to prioritise her tasks for the patients health care. Prioritising tasks will help the nurse to tyro the most argent care needed for the patient. This will decrease number of the patients risk factors and benefit the patient to be nigh to the risk free zone (Tanner, 2006).For further example, the nurse could interpret Elliots dull and restless behaviours, responses, moods and expressions as a sign of depression. Other clinical data such as Elliots vitals signs could be interpret into a certain warning for an occurrence of a diseases. later understanding these informations, the nurse could then prio ritise the absorbed informations from the most severe issues to the least (Bradshaw & Lowenstein, 2010). In Elliots case it would first 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 list could be the patient shower to benefit Elliot to sense of smell 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 order to act out and perform the tasks set out in the previous phase of interpret (Bradshaw Lowenstein, 2010). At this time of care, the nurse is expected to be insightful, with the attitudes of calmness and pledge to achieve successful outcome of the practice.For example, the nurse could systematically perform the taken and prio ritized tasks on Elliot. During each task the nurse should explain the procedures being undertaken and tell with the patient to be informative and clear. This will bring Elliot to be certain and be assured of the care being provided. This will help her to feel less confused or discomforted by knowing what is going on with her body while receiving the care. This step of clinical judgment will inform and educate the patient which is a crucial part of patient concern 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 different 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 care for care (Bradshaw Lowenstein, 2010). During Elliots care, the nurse has given the medication 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 pointedness 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 make an effort to amend the status of the patient, and further promote patient centered care.