Identifying Interventions and the Role of Nursing Attitudes and Their Effect on the Care Given - Case Study Example

Running Header: Assessment 2- Care Plan Student’s Name: Name of Institution: Instructor’s Name: Course Code: Date of Submission: Assessment 2- Care Plan Introduction Mr. Bentoli is aged and he suffers from extreme issues brought about by his condition. He has suffered from other diseases that have greatly hampered his ability to perform optimally. This creates a situation where he is weak, aged and very ill. There is need to have systems in place that create an avenue where he can be effectively cured. The cure and care that he will receive will enable him to age gracefully. Essay number one identifies communication as the first diagnosis. This is based on the fact that Mr. Bentoli is rendered unable to communicate. This is because he does not understand English. Communication, as explained is very essential. It helps one to effectively and efficiently say what they feel and how they would like to be helped. This will create a situation where the caregiver has the knowledge of how the patient is doing. This is with deep analysis and understanding of his previous mood yesterday and the following day. The second nursing diagnosis given was mobility impairment. Mr. Bentoli suffered from a stroke that he had a couple of days back. The effects of the stroke are very visible. He cannot support himself entirely. He experiences mild one side weakness and from time to time, he experiences pain in his shoulder. This has greatly hampered his ability to move from one area to the next. His movement is with the help of a walking frame. It is very visible that he struggles to walk. Movement impairment has its own repercussions. He is constantly bed ridden. This brings about other issues. They include skin integrity impairment. This is brought about by the fact that he is constantly lying down. This brings about reddened skin coupled with bed sores. This render Mr. Bentoli more uncomfortable than he already is. This propels him into depression. His depressed state does not improve his ability to eat and subscribe to proper nutrition. The lack of mobility reduces his chances of exercising. This brings in another issue. This is in relation to constipation. He has reduced bowel movement and this has impaired the flow in which food and waste are coordinated in his system. Nursing Diagnosis Other notable observations are discussed below. Mr. Bentoli can be observed to be thoroughly sleep deprived. This is because of the very many health related complications that he is experiencing. The health complications have an adverse effect on the sleeping patterns of Mr. Bentoli. Sleep is a very basic need for each and every individual. Those that need healthcare are especially in need of thorough rest. This is because the rest will enable them to take in their medicines the way that they should. Rest ensures that the absorbed medications are greatly utilised in the body. This is what Mr. Bentoli needs. He needs to rest from the effects of the stroke. These effects constantly plague him and render him very restless. This is not a positive requirement for his overall well being (Weir 2009). Risk of suicidal tendencies is another nursing diagnosis employed on the above mentioned case (Meg 2009). In many mentioned cases, the elderly are high factor cases when it comes to suicide and suicidal tendencies. This is because they feel that they have lived out their lives. This creates a picture that shows that they have absolutely nothing to live for anymore. This is because their mental mind frames are greatly reduced with age. An aging individual who is suffering from the effects of diseases and infections has very limited chances of wanting to stay alive. The thought of them being dead is very appealing. This is because they do not understand the need to stay alive. In many instances, they see themselves as actual burdens to all those around them. This gives them a really good excuse to end their lives. Mr. Bentoli is aged. This is one risk factor on its own. It does not help that he is ailing and constantly bedridden. His family is constantly worried that he is giving up on being well again. It can be observed that it could be a very big reason as to why he does not take his medication. He is increasingly becoming uncooperative with the dawn of each new day. This shows that he does not care what becomes of him or his health. General withdrawal from family and friends is also a notable diagnosis. It shows that he is detaching from all aspects of his life. This creates a situation where he has no emotional inclination to lean on during these tough times. This shows a very deep aspect of giving up. Another notable nursing diagnosis is the risk of high rate infections. Mr. Bentoli is incapacitated. He spends most of his time in bed. He is very prone and susceptible to infections. The infections can be as a result of the lifestyle that he is subjected to now that he is bedridden. He has very limited chances of having a very normal life. He is subjected to total bed rest as this is the situation his condition has rendered him in. He is prone to be infected with bed sores and the congestion of the respiratory system. This is because of inadequate exposure to the sunshine and other external factors (Lunney 2009). Nursing Interventions Mr. Bentoli should have sleep aiding pills. This should be given based on his ability to fall asleep at the required hours. They could be administered by the caregiver who constantly watches over him. After the last meal of the day, it would be advisable to give him the pills before he turns in for the night. This will ensure that he is able to get the required rest that his body rightfully deserves. The caregiver could do that with the consent from the hospital that treated Mr. Bentoli’s stroke. This will ensure that the selected sleep enhancers do not in any way harm him. The advice given to the caregiver will be based on his previous medical record. The general effects of the stroke and the effects of the sleeping pills on Mr. Bentoli now and in future will be discussed by his doctor and the caregiver. In many instances, it should be understood that this is not a long term measure. This is a temporary measure that aims to ensure that once Mr. Bentoli’s health is gradually on the rise, he can be trained to sleep and rest when his body tires. This is without the need for the sleep enhancing pills. Suicidal tendencies are a sure guarantee that someone is going through so much mental and physical stress. According to them, they actually need to rest. General wholesomeness of an individual depends on his or her well being physically, mentally and spiritually. A caregiver should ensure that it is possible to have all this. He or she should ensure that they do all that they can to alleviate the physical stress. This is by adherence to a strict physical regime that the patient can handle. In Mr. Bentoli’s case, it is essential to ensure that he gets the medicines that he requires. The medicines should be given in the right doses. He should be encouraged to stretch from time to time. These do not need to be strenuous exercises. They could be small walks from the bed to the door and back. He should be encouraged to sit or bend and just do basic stretching exercises. This will reduce the monotony of just laying flat on his bed constantly. He should indulge in some of the hobbies that he previously had. This could include playing board games, having friends over or any other activity that contributes to improving his mood. He could also listen to soothing music. Music is said to heal the soul. It should be in low tones as this will help him relax. The caregiver should vary all these activities. This is to ensure that he is not bored to death of the same tiresome activities. Spiritually he could be nourished by very many spiritual books. They could be on hope, understanding and growth. They could be selected by the family members who have known him for long. This will ensure that he is nourished in all the required aspects. Family members and friends should be advised to regularly visit him. This will improve his thoughts on family and friends. He will also understand that they love being there for him. They do not find him burdensome, and they are willing to do everything that they can to help him improve himself. The family and friends will also enable him to communicate what he likes and what he does not. This is because they may understand English. It will be a very good change from the regular one worded conversations that he has with his caregiver. It is through these interactions that the patient is able to communicate some of his likes and dislikes. The nurse will be able to know what is expected of her and what should not be done. This is with the aim of ensuring patient comfort. This will definitely aid to the patients’ quick recovery. The nurse should ensure that they vary the patient’s activities. This is in relation to bed rest and other issues. As much as Mr. Bentoli requires bed rest, the nurse should ensure that he gets out go get some sunshine. The cool weather will do him some good. It will give the nurse the much needed chance to change the beddings, aerate the room and disinfect the area where Mr. Bentoli gets his bed rest. This will create a clean environment that encourages the wholesome recuperation of Mr. Bentoli. Intervention strategies are aimed at improving the diagnosis that has been observed in any situation. They aim to improve the conditions that have been witnessed. This creates an environment where the patient will recuperate in the best known conditions. This will encourage Mr. Bentoli to ensure that he has regained his mental, physical and spiritual health (Horton 2007). Rationale As explained above, each intervention strategy is selected because of its positive effects on the patient. Mr. Bentoli should be in an environment that encourages as much rest as possible. Sleeping pills given in the right quantities at the right time, based on the doctor’s advice could contribute to the patients’ well being. The indulging in positive ideas will ensure that a positive mindset is born. Mr. Bentoli will find new ways and means despite the fact that he is bedridden and suffering from the effects of the stroke he experienced. He will enjoy the walks, the challenging games that he plays and the music. All this will have positive effects on his physical, mental and spiritual maturation. The close encounter with friends and family will create the much needed environment that shows the patient that everyone cares for him (Herdman 2009). The love and care dispensed on him will encourage him to be better and jovial for his family and friends. They could also be a great source of reduced boredom. This is because Mr. Bentoli will have a source to talk to in a language that he is familiar with. They will create memories for him. This will enable him to put on a brave fight in the face of all the health issues that he is experiencing (Fonseca 1969). Nursing Attitudes and their Effect on Health Care Nurses’ attitudes have a great impact on the health of a patient. Health care is a combination of several factors. The factors all work hand in hand to ensure that the patient has received the best in relation to the dispensed care. Nurses’ attitudes can be looked at from two diverse viewpoints. The professional angle and the personal angle. The personal angle can be represented by the personal care that the nurse dispenses on his or her patient. Aspects for example love, care and concern are essential aspects in the process of ensuring that a patient gets the best possible healthcare. A nurse should be compassionate in the way that they handle the patients. They should employ understanding towards their patients, the family and friends of the patient and ultimately their colleagues. This will show all those involved that the nurse is involved in all the required ways. This will ensure that they have confidence in the entire healthcare system. In some cases, some nurses are known to show no love for their patients. They sometimes do not give their patients food and in some instances they tend to mix some of their patients’ medication (David 2009). Professionally, it is essential for the nurse to conduct herself in the manner that is professional. Her attitudes and morals should be governed by the set codes of the nursing body. This includes her respect for life and all that it entails. She should respect the sanctity of her patient’s life. She should ensure that all her actions conform to the expectations of her patients and her profession. This will create an environment that is appropriate enough for the health care sector (Michelle 2008). The health care sector is riddled with many issues. Some are very delicate and they have long lasting negative effects on all the people involved. This creates a situation where there is the loss of lives, compromised health care and loss of faith in the practise. Nurses should ensure that they have systems in place that are going to ensure that everyone who accesses healthcare gets the best. This will bring forth a health care system that does all that it can for its patients (Brokel 2009). In conclusion, healthcare systems all over the world are at the mercy of their practitioners. It is the duty of these practitioners to raise the bar of their profession. This will ensure that they benchmark themselves with the best practises globally. This then creates an avenue for positive traits in the healthcare sector. Some of these traits include compassion, love, professional duty and responsibility. This will ensure that the healthcare sector is beneficial to many people all over the world (Lunney 2009). Conclusion Nursing diagnosis is a very essential component of every nursing situation. This is because it ensures that the correct intervention strategies are employed in the situation (Meg 2009). The intervention strategies will be the guide to defining whether the patient gets better or slumps back to illness and depression. The general process of aging is very cumbersome for very many elderly people and their families. This is even harder if the elderly are affected with diseases. This makes the situation very difficult. There are very many ways and means to live with the situation. They can be watched and encouraged to live with the conditions that they are experiencing. This will encourage their physical, mental and spiritual growth. The nurse has a task of making all the parties involved in certain aspects. She has to make them understand why it is important to do some things and not others. This ensures patient, family and friends satisfaction in the general healthcare sector. References Brokel, J & Heath, C 2009, The value of nursing diagnoses in electronic health records, Wiley-Blackwell, Singapore. Dagfinn, N 2011, ‘Understanding the importance of values and moral attitudes in nursing care in preserving human dignity’, Nursing Science Quarterly, viewed 1 October 2011, http://nsq.sagepub.com/content/17/1/86.short David, D. 2009. ‘Attitude of a nurse that will help in successful nursing practise’, Social Issues, viewed, 1 October 2011, http://www.saching.com/Article/Attitude-of-a-nurse-that-will-help-in-successful-nursing-practice-/4360 Fonseca, JD 1968, ‘Induced abortion: nursing attitudes and actions’, American Journal of Nursing, vol. 68, no. 5, viewed 1 October 2011, http://www.jstor.org/pss/3453629 Herdman, TH 2009, Nursing diagnoses: definitions and classification, Wiley-Blackwell, Singapore. Horton, K 2007, ‘The value of nursing: a literature review’, Nursing Ethics Journal, vol. 14, no. 6, pp. 716-740, viewed 1 October 2011, http://nej.sagepub.com/content/14/6/716.abstract Lunney, M 2009, Assessment, clinical judgment, and nursing diagnoses: how to determine accurate diagnoses, Wiley-Blackwell, Singapore. Meg, S 2009, ‘Nurses' attitudes toward nursing research at a metropolitan medical center’, Journal of Applied Nursing Research, vol. 20, no. 1, viewed 1 October 2011, http://www.appliednursingresearch.org/article/S0897-1897(06)00128-5/abstract Michelle, L ,2008 ‘Assessing nurses' attitudes toward death and caring for dying patients in a comprehensive cancer center’, Onlcology Nursing Forum, vol. 35, no. 6, pp. 955-959, viewed 1 October 2011, http://www.medscape.com/viewarticle/585692  Weir-Hughes, D 2009, Nursing diagnosis in administration, Wiley-Blackwell, Singapore. Read More