A 24-year-old Pakistani immigrant woman has given birth to a healthy boy. She expresses sadness that her family cannot be there to see him. The nurse is confused about why the mother is not happy.
What is the cultural context of her sadness?
A child brings a great deal of joy and love to the family. It is the genesis of generation perpetuation and also preservation of the family members lineage. A 24-year old Pakistan immigrant woman has effectively given birth to a baby young boy though there are worries. There is child reference culture in the family of Pakistan (Atif et al., 2016). Kids are desired most compared to little girls and also accorded close attention to education as well as provision of standard needs. This is why the lady is sad now that the household is not near to see what is taken into consideration the best gender in culture. According to Atif et al. (2016 ), child preference in Pakistan’s society has actually remained to put pressure on women. Female discrimination has remained to occupy the center stage of the male-dominated culture in Pakistan. Ladies have continued to be offered minimal, insufficient authority on making contraceptive use choices.
Lots of families in Pakistan have continued to witness gender predisposition. Kid choice is an intricate problem; therefore, the 24-year old Pakistan female might have intended to share the joy with the family members. Boy preference is so widespread in Pakistan despite health care professionals’ initiatives to handle his fossilized thought. Atif et al. (2016) state that there has actually been antenatal murder of little girls, and even if they are birthed effectively, ladies are discriminated till death. Consequently, the lady was fretted that such expected gender should certainly have actually been well invited in culture by doing numerous routines.
What can the nurse do to assist her?
Postnatal care of the mommy and also child is such an instrumental role in calming moms impacted by cultural myths and also affiliations in society (Amouzou et al., 2017). The registered nurse should take the very first step to direct the mommy that, without a doubt, the kid is risk-free in spite of the lack of the family members. The mommy must be provided with specialist guidance on just how to look after the baby kid during the initial days and also neglect the absence of the relative. The registered nurse needs to connect effectively with the mother, give functional advice, and also any kind of professional assistance that might be taken into consideration to relax the mother and safe safety for the infant boy (Amouzou et al., 2017). In connecting with the mother, the registered nurse ought to bear in mind to make use of straightforward as well as appropriate language.
A registered nurse must deal with the function that the mother elevates her infant with a lot of respect even if the concerns may appear unnecessary. It is the registered nurse’s candid function to maintain depend on with the mom to make sure that the mommy will come for her solution next time should there be a need (Amouzou et al., 2017). Moms, especially new moms, require a lot of support and peace of mind that the child is fine and also must not be attached to the social practices. The mother should be assured that she will care for the child, who will meet the family members someday. The mom needs to be encouraged to do some points on her own such as spiritual alleviation with petition, meditation, singing, chatting, a nature stroll, and also meeting a pal.
A 55-year-old man is hospitalized for an opportunistic infection and asks for his partner to be with him overnight. He stated that previous hospitals did not allow his partner to visit and that is why he chose your hospital.
What are the ethical issues and what framework would you use to analyze the situation?
Among the ethical issues is having the person’s companion disagree with many health care aid. An individual might wish to opt for a particular clinical choice, while the partner might find the choice inappropriate (Gupta et al., 2017). Selecting the issue might take some time, and physicians might have problem persuading either the companion or the individual. Such disputes may limit patients from obtaining ideal support, especially in emergency situations. Chances of having clinical personnel sustaining family-based disputes is another ethical concern one needs to take into consideration before allowing the person’s companion to stick with the companion overnight. Debates throughout such minutes create a hold-up in aiding the client appropriately. Having continuous existence of the individual’s partner produces instances of communicating with the companion by telling what physicians are doing. In case of emergency situation, the partner may develop blockage that might restrict the health and wellness employees from doing what is intended in guarding the person (Mackie, Marshall & Mitchell, 2020). Having the partner remain overnight requires doctors to ask the partner to give the medical staff room to do what is called for while aiding the individual. The structure to utilize in analyzing the situation is applying priority setup. Concern setting would certainly include placing the demands of the client’s initial. The priority setup’s very first consideration is confirming if the companion remaining overnight will impact the person’s condition. Having a patient’s health getting damaged negatively as a result of the partner’s stay would certainly affect medical practitioners from disallowing the stay. In cases that indicate the individual’s spirits and feeling of recovery will increase, after that enabling the partner to remain is an exceptional concept, where no injury comes to the individual during the remain of the companion. Deciding to have the partner about is necessary in aiding the client feel much better as well as not experience distress throughout the keep.
Describe the research that may support the request.
Study sustaining the demand of having family members stick with clients throughout healthcare facility admission defines just how having family members at the client’s bedside advertises the patient’s healing (Kipps et al., 2020). Additionally, household existence is most likely to decrease the time one remains in the healthcare facility. Upon seeing loved ones surrounding and also urging the client to improve, the person chances of recuperation rise. Presence of the member of the family promotes individual’s state of mind that mentally assists the client get better. Boost in person reports of convenience takes place because the person does not need to stress over loved ones at home. Given that decreasing the length of keep for the client in the medical facility is the best goal, enabling member of the family to stay helps medical practitioners to attain the goal. Based on research study proof, having household encouraging as well as cheering on the individual on the path to recovery makes certain that patient feels enjoyed as well as looked after, which is the most effective means of promoting recovery. Doctor end up being the largest percentage of the people the patient connect with while supplying medical care services. According to Kipps et al. (2020 ), taking care of a person includes helping and looking after that patient’s household. Consequently, health care service concentrates on health care provision that includes household of the client. As a result, recognizing that patients in a health center setting are impacted by family members visibility encourages having open visitation plans that concentrate on enhancing client’s wellbeing. Consequently of having visitation plans, both healthcare providers as well as clinical centers are influenced by the client’s family’s presence. In addition, household visibility enhances connection of care and interaction if the person is not mindful to react to certain treatments.
The Impact Of Living
With A Long-Term Condition Exam (We Deliver Top Grades)
There is increasing
prevalence of people with long term conditions within the UK population
(Department of Health, 2012). Long term conditions are chronic diseases which
cannot be cured; however, they can be managed by medication and other
treatments (The King’s Fund, 2017). Treatments given to patients for long term
conditions seem to be more effective when their focus is on promoting overall
wellbeing and functional independence, instead of solely focusing on treating
medical symptoms (The King’s Fund, 2013). Therefore, this essay will discuss
the impact of living with a long-term condition. The chosen condition for this
essay is arthritis as approximately ten million people in the UK have this
condition (NHS, 2016). Specific reference will be given to the most common form
of arthritis, osteoarthritis (NHS, 2016). The physical, social and
psychological impact of arthritis will be discussed. Furthermore, the essay
will explore further complications of this condition.
The initial impact of
osteoarthritis on an affected joint is the degeneration of the cartilage
lining. As joint cartilage allows bones to glide over each other, degenerated
cartilage causes the joint to have difficulty in performing its usual movements
(NHS, 2016). Also, as the cartilage of the affected joint gradually thins out,
the tendons and ligaments of the joint have to work harder to create movement,
which results in joint inflammation and the formation of Osteophytes. This
eventually results in the bones of the affected joint rubbing against each
other (NIH, 2016): hence patients of osteoarthritis often report pain as a
major issue. However, the intensity of pain experienced by patients varies and
it is influenced by a variety of factors including medical conditions, age,
psychosocial factors and physical changes, including which joint is affected by
the condition (Arthritis Foundation, 2016; Backman, 2006). Knee osteoarthritis
patients often report intermittent weight-bearing pain which later changes into
a more persistent pain (Neogi, 2013).
Knee osteoarthritis
can severely impact the physical ability of patients. This includes difficulty
in walking and climbing stairs (Motiwala et al,
2016). As joint mobility is maintained by physical activity, limited movement
or maintaining the same position for prolonged periods of time can cause joint
stiffness (Kalunian, 2014; NIAMS, 2016). Joint
stiffness can cause the individual to take longer to perform their daily living
activities, such as getting out of bed in the morning. It can be difficult for
an osteoarthritis patient to manage the conflicting demands of staying mobile
whilst experiencing pain. The impact of limited movement significantly affects
all the dimensions of Health-Related Quality of Life, including a possible
impact on the emotional and mental health of the patient. Hence, improvements
in emotional and mental health were recognized in patients who had undergone a
successful total knee anthroplasty operation and no
longer faced the barriers of Knee osteoarthritis (Fernandez-Cuadros,
2016).
Similarly, limited
movement can influence the individual’s involvement in society, such as not
being able to physically attend or perform leisure and social activities
(Vaughan, 2016). Limitations may include events which are important to their
happiness and wellbeing such as participating in religious programs (Aghdam et al, 2013). This can influence the individual’s
self-esteem and self-image (Sheehy et al, 2006) and possibly cause the
individual to experience negative emotional states of depression and anxiety
(Murphy et al, 2012). Despite a lack of research having been conducted on the
psycho-social consequences of osteoarthritis, it seems like ageing adults may
be at higher risk of developing depression, and they may also be more likely to
experience a higher intensity of pain in comparison to those who are not
depressed (Dziechciaż et al, 2013). A patient
suffering from co-morbidities such as chronic depression and a form of
arthritis is more likely to have worse health outcomes than their counterparts
who suffer from only one condition (Margaretten et
al, 2011). If the individual is diagnosed with chronic depression, they are
also likely to be subject to more pharmacological interventions such as
anti-depressants as well as pain management medication. This puts the
individual at increased risk of adverse effects of medication (EUMUSC, 2013).
Employed individuals with osteoarthritis need to ensure that
their abilities balance the external environmental factors of their workplace.
This will more likely allow the individual to work and manage their symptoms in
comparison to an unfavorable situation which may cause an individual’s symptoms
to further deteriorate (Hubertsson, 2015). Most
individuals with osteoarthritis continue to suffer with pain throughout their
life, and over time their function decreases (Saulescu,
2016). This can result in them being unable to work due to very poor mobility.
Hence, unemployment can cause financial distress and complications for the
individual. Also, they may require support and care from others. Often, care is
provided informally by relations and a formal care plan is usually not in place
(Barker et al, 2016). Despite this care being beneficial to the individual with
osteoarthritis, it can negatively create stress and impact upon the lives of carers.
Current research still has not successfully identified why the
pain experienced by osteoarthritis patients is extensively varied (University
of Manchester, 2014). Therefore, the impact of living with osteoarthritis can
differ incredibly amongst sufferers. This is reflected in a study which
analyzed pain experienced by depressed and non-depressed women with
fibromyalgia and/or osteoarthritis. The study suggested that depression did not
change the pain experienced; however depressed women recovered only when they
experienced positive moods in comparison to their counterparts who recovered in
both positive and negative moods (Davis et al, 2014). Hence, exploring the
impact of osteoarthritis on the psychological wellbeing of a patient can be
extremely important in managing the condition. This can encourage the
individual to form truer attitudes towards their functional capability and gain
a better understanding of the disease (Purdy et al, 2014). osteoarthritis
patients may choose to access psychological therapies such as talking therapies
to support them with managing depression (NHS, 2015b; Arthritis Research UK,
2016a). Symptoms of anxiety and sleep disturbances have also been reported by
patients’ (Harris et al, 2012; Busija et al, 2013).
Sleep disturbances have been associated with pain and depression
amongst patients with knee osteoarthritis (Parmelee, 2015). Patients
experiencing high levels of pain are more likely to have sleep disturbances,
hence putting them at higher risk of developing depression. Long term sleep
deprivation can also impact bodily immunity, hence putting individuals at
higher risk of developing infections (Ibarra-Coronado et al, 2015).
Furthermore, recent research suggests that sleep deprivation can trigger immune
system abnormalities, hence possibly causing autoimmune disease (Sangle et al, 2015). Therefore, the impact of
osteoarthritis can lead to further complications on the health and wellbeing of
the individual.
Possible complications of osteoarthritis include developing gout
(Arthritis Research UK, 2016b). gout can be an extremely painful disease due to
the sudden pain attacks the individual experiences (NHS, 2015a). The management
of gout includes lifestyle changes e.g. dietary changes to prevent further
attacks from the condition. Hence, an individual suffering from osteoarthritis
and gout has the difficulty of managing their pain as well as making specific
lifestyle changes. Maintaining a healthy weight is important for the management
of both conditions and beneficial to the overall health and wellbeing of the
patient. arthritis generally seems to be more prevalent in individuals with
limited physical activity or who are obese (Furner et al, 2011). Hence,
overweight patients with osteoarthritis need to lose weight to reduce the
stress on weight-bearing joints to promote mobility and reduce the risk of
developing further health problems (NIAMS, 2016). However, maintaining a
healthy weight can be extremely difficult for an individual who is suffering from
pain, depression, anxiety and sleep disturbances as their physical limitations
and emotional state may act as a barrier. osteoarthritis is also a leading
cause of disability worldwide. Patients of osteoarthritis are at an increased
risk of mortality due to the risk of developing comorbidities (EUMUSC, 2013).
To summarize, the impact of living with
osteoarthritis varies amongst sufferers. Due to osteoarthritis being a
progressive disease all individuals suffer from the degeneration of the
cartilage lining, which can cause physical changes such as the rubbing of bones
and osteophytes. The impacts of these physical changes are joint inflammation
and stiffness, which predominantly determine the severity of pain experienced
by the individual and their ability to function. Individuals often face
limitations in the daily living activities they can perform. The pain
experienced by individuals varies and it is dependent on a variety of factors
including age. However, further research is needed on why some individuals
experience greater pain than others. osteoarthritis can also have psycho-social
impact on the individual through sleep disturbances, depression and anxiety.
Sleep disturbances can negatively impact the immune system, making the
individual more vulnerable to developing infections. There is a strong
association between depression and arthritis: hence individuals suffering from
both are more likely have worse health outcomes.
