The Patients with Stroke - Assignment Example

?To begin with, the patients with stroke, Parkinson’s, and multiple sclerosis deal with the disorders in the nervous system. Cerebral injuries withinthe brain cause all of these disorders in patients. However, it is vital to state that there too many reasons why people leave their normal activities out due to an increase of one among aforementioned illnesses. The help of a professional broad-minded and skilled nurse is, perhaps, the most efficient way out. It does not mean that all three diseases are likely to be healed completely. It is all about how well a nurse assists a patient in accordance with the six dimensions of nursing, namely cognitive, interpersonal, ethical, nursing skills, nursing process, reflective nursing. Thus, a clear-cut, professionally applied intervention in dealing with patients suffering from stroke, Parkinson’s, and multiple sclerosis is a credit card of a smart nurse complying with the Asclepiades' Oath. First of all, assessing preventive care methods for patients with stroke, a nurse has to provide the palliative care needs. Thereupon, one has to keep a strict eye on patient’s optimal symptom control and medical conditions, assist a stroke patient in prevention from psychological morbidity and physical distress (Williams & Perry, 2010). In other words, cognitive and ethical dimensions of nursing are to go first in the overall clinical observation of the stroke patients. Needless to say, it is a responsibility of a hard-headed nurse in assessing the religious and spiritual issues, family and social issues, and independence and activity issues in strict coherence with the physical symptoms and psychological distresses (Williams & Perry, 2010). Bearing it in mind, there comes a clear understanding of the link between the nursing interventions needful for stroke and Parkinson’s patients. The idea is that the palliative implications in medical care of Parkinson’s also relies on the anti-disease (antiparkinson) drugs along with effective airway clearness (evident for reflective nursing dimension), strong evaluation of nervous instability and capability of depression, and impaired verbal communication (the main feature between stroke and Parkinson’s) (Comer & Jaffe, 2005). Thus, it is vital for a nurse to be acute and careful in evaluating and recognizing the needs of the stroke as well as Parkinson’s patients. To say more, it is a difficult process at a glance which needs a thorough look into blood tests, ECG, CT scans, and other medical interventions to be specifically assessed within a concrete time-limit. In this vein, a nurse should provide a set of practical treatments to make a patient go out of the depression caused by the neurological disorders discussed in the paper. One of the approaches is to pinpoint the exact source of anxiety among the Parkinson’s and multiple sclerosis patients (Lewis, Heitkemper, Dirksen, Goldsworthy, & Barry, 2006). It is a mandatory step for promoting efficacy through accuracy in nursing. On the other hand, what unites the three diseases in accordance with nursing intervention is the need for the “ask-tell-ask (also known as “Elicit-Provide-Elicit”) communication technique” (RNAO, 2010, p. 7). This is one of the general similarities in coping with the stroke, Parkinson’s, and multiple sclerosis patients. Needless to say, most clients with a chronic neurologic disorder will experience feelings of depression and hopelessness, and, therefore, a nurse’s care should be focused on this in the interpersonal dimension of care. Besides, to relieve the anxiety among Parkinson’s patients, a nurse is to have a set of procedures and implementations to be run during the whole process of an intensive medical care. It touches upon a set of practical grounds of the care plan. The former presupposes the introduction of physiotherapy (enhancement of aerobic activity with improvement of functional independence, as in case with the stroke patients, suggesting steps for safety within the home environment), occupational therapy (cognitive assessment, improvement of self-care activities, transferring mobility, increasing family roles and leisure activities), and speech and language therapy (vocal loudness, efficient means of communication) (Royal College of Physicians, 2006, p. 16). Hence, the way in which a professional nurse should cope with the therapeutic intervention is sequential in this case. Whereas, it is up to each nurse individually depending on a definite situation and circumstances under which the intervention is applied. Third, multiple sclerosis presupposes that along with the assessment of medication and provision of emotional and psychological support for the patient, a nurse should be proficient in the overall process of monitoring fluid intake and regular urination as well as keep an eye open on bowel and bladder functioning through possible insertion of the catheter into the urethra “until the urine stops flowing” (Halper & Holland, 2010, p. 88). Hence, to make the whole thing more convenient for a nurse, there should be a qualified knowledge background (nursing process) along with nursing skills (critical thinking and psychomotor). What makes multiple sclerosis similar in nursing intervention to stroke and Parkinson’s is the need for keeping up with specific interventions in a home setting and in participation with the family caregivers (Alexander, Fawcett, & Runciman, 2006). This is why by providing an effective treatment of multiple sclerosis; a nurse should be both mature and qualified ethically, psychologically and morally as well. However, all three diseases require a nurse to be helpful in daily exercise, i.e. walking, swimming, jogging, etc. That is to say, there is a direct link between the mental and physical health. The latter serves a so-called drive for initiating improvements in emotional and psychological stability of patients. Once again, it is all about the cognitive competencies of nurses. By the way, modern nurses ought to be eligible not just in supporting of but participating with the patients suffering from stroke, Parkinson disease, and multiple sclerosis. In this respect it is well-known today that “nursing care has advanced a “support service” to a partnership in the disease-management approach” (Halper, Advanced concepts in multiple sclerosis nursing care, 2007, p. xiii). This is why a sense of partnership is too significant to make sure the patient feels a hand of support every now and then. In case with the Parkinson’s and multiple sclerosis patients it is even more essential than for the stroke patients. It goes without saying that a personal background of a nurse should be well justified and checked as the work with the aforementioned patients needs a solid training. In other words, blood testing or ECG is easier to apply in contrast to catheter insertion or spontaneous muscle anastalsis and convulsions. Of course, these measures are to be set as the paramount since the very start of nursing and medical intervention. For instance, the Parkinson’s patients may take advantage of dietary implications, constipation and mobility with improvements in sensory activities (Szigeti, 1988). It is the same for the patients with multiple sclerosis. The question is that physical mobility helps dampen the new cases of anxiety and physical abnormality. On the other hand, a nurse should be practically proficient in evaluating signs and symptoms for each among the three disorders. It saves time and makes a particular intervention useful. That is, a palliative care is to be assessed first, but only after a deep critical evaluation of the most troublesome factors and evidences of disease in hand. Dealing with the aforementioned patients requires personal devotion as if this patient is a close relative for a nurse (Lewis, Heitkemper, Dirksen, Goldsworthy, & Barry, 2006). It is a focal point to provide the clients with a sigh of relief after long hours of anxiety and depression. Thereupon, the states of low mood, anxiety, and poor concentration evident among the stroke patients have to be quickly identified and caught with a set of medical care interventions at the moment (Williams & Perry, 2010). Just a thorough look taken at these features would make the nursing practice more improved at a definite hospital or medical unit. Disturbed thought process among the Parkinson’s patients differs from patients with other disorders. It is a result of chronic depression, wrong or incorrect belief system popular within the family setting, misperceptions and chronic illness (mostly of genetic nature) (Comer & Jaffe, 2005). To realize these features and why they spring up and in what vein they will follow is a responsibility of a proficient nurse wasting no time for clarifying some details as of the disease at large. Relating more to the physical techniques among multiple sclerosis patients seems to be the most practically efficient way. To conclude, nursing interventions for the stroke, Parkinson’s, and multiple sclerosis patients unite in identifying nervous disorders, scanning brain images, stabilizing emotional and psychological well-being, and improving on physical mobility. However, the extent and the nature of each disease separately require nurses to cope with a set of specific interventions presupposed with the adverse effects relevant to each disease. Reference Alexander, M. F., Fawcett, J. N., & Runciman, P. J. (2006). Nursing practice: hospital and home : the adult (3 ed.). Amsterdam: Elsevier Health Sciences. Comer, S., & Jaffe, M. S. (2005). Delmar's geriatric nursing care plans (3 ed., Vol. 1). Upper Saddle River, NJ: Cengage Learning. Halper, J. (2007). Advanced concepts in multiple sclerosis nursing care (2 ed.). New York, NY: Demos Medical Publishing. Halper, J., & Holland, N. (2010). Comprehensive Nursing Care in Multiple Sclerosis (3 ed.). New York, NY: Springer Publishing Company. Lewis, S. L., Heitkemper, M. M., Dirksen, S. R., Goldsworthy, S., & Barry, M. A. (2006). Medical-Surgical Nursing in Canada: Assessment and Management of Clinical Problems. Ottawa: A Mosby Canada Title. RNAO. (2010, September 4). Strategies to Support Self-Management in Chronic Conditions: Collaborations with Clients. Clinical Best Practice Guidelines , 7-9. Royal College of Physicians. (2006). Parkinson's disease: national clinical guideline for diagnosis and management in primary and secondary care. London: Royal College of Physicians. Szigeti, E. (1988). Nursing care of patients with Parkinson's disease. Neuroscience Biobehavior Review , 12 (3-4), 307-309. Williams, J., & Perry, L. (2010). Acute Stroke Nursing. Hoboken, NJ: John Wiley and Sons. Read More