Nursing theory and practice five ANUR 603

Learning outcome 3 is design for students to explore nursing care and management on how to provide care to a complex patient.

1. ANUR 603 YEAR 3 SEMESTER 5 CLASS 2023 TELESIA.T 2025

2. LOC:3 Develop nursing knowledge in managing hospitalized patients with chronic illnesses

3. KEY PERFORMANCE CRITERIA

4. SESSION OBJECTIVES

5. Chronic Condition, Chronic Disease, and Chronic Illness

6. Characteristics:

7. Chronic Disease, definition,characteristics , Focus Definition: A specific type of chronic condition that is characterized by a derangement in biological function or structure, usually diagnosed with specific criteria. Characteristics   Often has well-defined pathophysiology.    Requires ongoing medical management and intervention. Examples: diabetes mellitus, chronic obstructive pulmonary disease (COPD), heart disease. Focus:  Disease management, prevention of complications, adherence to treatment protocols.

8. Chronic Illness

9. SOAPIE BREAKDOWN

10. CASE SCENARIO Transferring a patient from the emergency department to the surgical unit. ISBAR Breakdown: I:  "Hello, this is Nurse Jones from ED." S:  "I’m calling about Mr. Smith, who is scheduled for a knee replacement." B:  "He has a history of hypertension and is currently stable." A:  "Currently, he is anxious but responds well to reassurance." R:  "I recommend preparing a pre-op briefing for the patient."

11. CASE SCENARIO A  patient, Ms. Garcia, diagnosed with metastatic cancer, is feeling hopeless. Demonstration: Active Listening:  "I can hear that you feel overwhelmed. Can you tell me more?" Empathy:  "It's understandable to feel this way given what you are going through." Open-Ended Questions:  "What are your biggest concerns about your treatment?" Validation:  "Your feelings are valid, and it’s important we address them together."

12. CASESCENARIO • A Native American patient, Mr. White, prefers holistic therapies. • Approach: Identify and respect traditional healing practices. • Collaborate with family and integrate spiritual care. • Oversee pain management while respecting cultural beliefs. • Outcome:  Mr. White reported feeling more at peace, integrating both traditional and Western medicine.

13. Case scenatio • A stroke patient, Mrs. Lopez, is in rehab. • Strategies: • Person-Centered Approach:  Tailor therapy sessions to her preferences (music therapy). • Interdisciplinary Team:  Physio- therapist,  working together with the community nurse. • Technology Utilization:  Use of tele rehabilitation and fitness apps for home exercises.

14. Case Scenario: • A young adult, Mr. Clark, with a spinal cord injury. Strategies: • Inclusive Policies:  Ensure accessible facilities and communication methods. • Support Services:  Connect him with vocational rehabilitation services. Empowerment Programs:  Educate on self-care and disability rights advocacy

15. Nursing care process

16. Continue • Patient Profile:  Mr. Johnson, 55 years old, with uncontrolled diabetes. • Nursing Diagnosis:  Ineffective health management. • Goals:  Mr. Johnson will demonstrate proper use of medication and dietary choices by next visit. Interventions: • Educate on carbohydrate counting and medication timing. • Schedule biweekly follow-ups for accountability. • Evaluation Criteria:  Improvement in glucose levels and adherence to the regimen.

17. References • Kozier&Erb’s.2012,Fundamental of Nursing concept, Process, and Practice,  9 th edition