Discuss about the Case study analysis of Chronic Care.
The second part of this assignment is associated with a case study and based on the case study the optimal care planning and delivery of the planned care activities to help relieve the burden on the patent as much as possible and along with that being able to incorporate as much comfort as possible in the living condition of the patient. This second part will also incorporate important information from the different policy directed care programs that are applicable to the scenario based with respect to the care needed by the care professionals.
The case study chosen for the assignment emphasizes on a patient named Jean who is 55-year-old indigenous women living in the southern region of Sydney Southwest local health district. The patient in the case study had previously been diagnosed with the chronic condition osteoarthritis and she has recently been experiencing acute exacerbation of the symptoms. Further information about a patient reveals that she doesn’t like attending the hospital and issues that she had presented to the give professional for not liking the Healthcare facilities is that she feels that everyone in the Healthcare facility are in a rush and no fun performs active listening to the issues and grievances that the patient feels. Furthermore, the patient is also concerned with the lack of privacy and cultural safety when the clinical staff discusses her conditions. Lastly, she has also communicated that she worries if the care staff will be able to articulate appropriate care plan that will impress each and every health need that she is accepting and support her health on a long-term basis after the discharge.
The case study has revealed a few key information cues recording the medical condition of the patient and the emotional health of the patient. The patient has revealed that she had been taking her regular medications however she has confirmed it with the Healthcare professionals that sometimes she forgets to take her medication and it happens more frequently and her conditions are issues are well managed and she is feeling better. As per the personal information shared by the patient, it can be mentioned Jean to describe her marriage to be 36 years long and really happy with her children and grandchildren. Along with that, the patient has also mentioned that she is an active chain smoker and she smokes 10 cigarettes a day which she understands is not good for health, however, finds very difficult to quit as her husband is also an active smoker. Furthermore, the patient is also reported that she has gained some weight over the years however she was embarrassed by her last clinic visit when the nurse had suggested how to follow a weight management plan. The patient has mentioned that she tightly habits usually contain take away food for fresher also eat little fruits and vegetables and has no active habit of alcohol. Also, the patient is also reported that she drinks 6 cans of soft drink a day which is very harmful to the patient.
Analyzing the case study that has been selected for the assignment it can be mentioned that the patient is executing a varied range of different health adversities or issues. First and foremost it has been mentioned that the chronic condition that the patient has been suffering with is osteoarthritis which can have a significant impact on the health and well-being of the patient and also Lifestyle conditions and even psychological health. Along with that, the patient has mentioned that she had been suffering from exacerbation of her arthritis which can be increased join inflammation, chronic pain, and associated bone decay or osteoporosis. Hence the patient will require a detailed and extensive arthritis management care plan that focuses on pain management physiotherapy and bone decay reduction treatments (Smolen et al. 2010).
However, it has to be mentioned that the patient has also been experiencing a few associated health disorders the first of it should be mentioned as her weight management. As the patient has expressed that she had been gaining weight since past few years and a community care nurse that has already seen her has previously suggested weight management planning for the patient as well. Focusing on the dietary habits of the patient it has to be mentioned that she has takeaway fried food every single day and is also an active smoker which can add a significant burden to her already Rising bodyweight. Along with that, it can be stated that the patient is also suffering from excitation of osteoarthritis which limits and mobility. Once more or less sedentary Lifestyle that the patient leads can also be a significant burden on the obesity risk factor that the patient is under. Hence the optimal care delivery should also focus on proper weight management of the patient with respect to the mobility restrictions and pain issues that the patient has under the influence of osteoarthritis (Peters et al. 2010).
Lastly, it has to be mentioned that the patient has expressed a few cultural safety and communication issues that she has faced previously while receiving care. As mentioned by her she has experienced negligence and lack of culturally safety practices before in the Healthcare facility which has turned her into visiting a hospital. Being an aboriginal by origin she has also felt embarrassed many times when the health care staff has previously recommended had to go for weight management. Hence take a strategy for her should also focus on cultural safety and cultural competence communication under the aboriginal health and safety framework (Westwood and Westwood, 2010).
First and foremost, according to the Arthritis treatment policy in southern Australia, she will need to be put on nonsteroidal pain management treatment along with different nonpharmacological arthritic management plans. Along with that, the patient will also be requiring physiotherapy exercises best suitable for her to keep her joints flexible and enhance the muscle strength. According to the policy protocols the patients with acute Arthritis joint inflammation that are not responding to corticosteroid or nonsteroidal anti-inflammatory drug treatment can also receive glucocorticoid injections directly into the inflamed joints (Sydneyboneandjoint.com.au 2018).
For pain management, nonpharmacological interventions such as heat cold therapy, mindfulness-based meditation, and physiotherapy, joint protection to prevent strain and stress on the inflamed joints can also be given to the patient. Considering the care services that the patient can be benefited from include Liverpool Hospital rheumatology department, which can provide her occupational therapy, physiotherapy, transition care, and Arthritis care (Wslhd.health.nsw.gov.au 2018). The South Western Sydney clinical School also offers a few curated arthritis management plants that can be helpful for the patient.
Another very important aspect that has been identified in the Arthritis care strategy at the Australian policies include weight management and dietary changes for enhancing the lifestyle and living quality of the patient. The patient will have to include a few healthy dietary changes towards more antioxidant and fiber-rich, home cooked foods rather than take out food. The Westmead Hospital obesity clinic can also be accessed by this patient in the local health district that she belongs to in order to effective and functional weight management (Singh et al. 2012).
For the cultural safety management, she can have the assistance of culture liaison officer and language translator along with cultural safety officer under the policies of aboriginal cultural safety framework of Australia (Ombudsman 2010). According to the aging support framework of TAFE, Jean could have had the assistance of cultural safety officers to overlook the care activities that she receives and whether the care activities are aligned to the cultural norms and the traditional health and healing concepts of aboriginals (Swsi-tafensw.libguides.com 2018). The patient will require a culturally safe compassionate care environment which will help her with enhanced health Promotion and literacy regarding her health issues and along with that the lifestyle habits that she will have to change such as it into the lifestyle smoking and takeout food.
Lastly under the national disability insurance scheme in case the patient is incapacitated by the exacerbations of osteoarthritis she can benefit from the national disability insurance scheme in order to receive long-term high-quality support in order to help the patient with the disabling impact of arthritis and episodic as well as chronic manifestation and exacerbation of the disease (Kanakkanatt 2018).
On a concluding note, it has to be mentioned that Arthritis is a chronic condition that can have a significant detrimental impact on the living condition of the patient requiring multifaceted and multidimensional care. This assignment has articulated different care services start an Arthritis patient will need with various different commodities and how the patient can get support from care Services within the local health district the patient belongs to. Along with that, this paper has also outlined the impact of different policy protocols that can provide a useful Framework for outlining planning and implementing the care required by the patient.
References:
Aph.gov.au. (2018). NATIONAL ABORIGINAL & TORRES STRAIT ISLANDER WOMEN’S ALLIANCE. [online] Available at: https://www.aph.gov.au [Accessed 27 Apr. 2018].
Banaszkiewicz, P.A., 2014. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty: an end-result study using a new method of result evaluation. In Classic Papers in Orthopaedics (pp. 13-17). Springer, London.
Briggs, A.M., Towler, S.C., Speerin, R. and March, L.M., 2014. Models of care for musculoskeletal health in Australia: now more than ever to drive evidence into health policy and practice. Australian Health Review, 38(4), pp.401-405.
Chung, A., Lau, W., Perera, C., Raj, A.D., Khoo, K. and Tymms, K., 2013. Health Related Quality Of Life (hrqol) Outcomes In Rheumatoid Arthritis Patients On Biological Dmards: Comparison Between Regional Nsw And Metropolitan Act. Internal Medicine Journal, 43, p.14.
Kanakkanatt, S. (2018). Interactive Paper. [online] Available at: https://www.sprc.unsw.edu.au/media/SPRCFile/Arthritis_and_Disability_2014.pdf [Accessed 27 Apr. 2018].
Ombudsman, N.S.W., 2010. Improving service delivery to Aboriginal people with a disability. NSW Ombudsman, Sydney.
Peters, M.J., Symmons, D.P.M., McCarey, D., Dijkmans, B.A.C., Nicola, P., Kvien, T.K., McInnes, I.B., Haentzschel, H., Gonzalez-Gay, M.A., Provan, S. and Semb, A., 2010. EULAR evidence-based recommendations for cardiovascular risk management in patients with rheumatoid arthritis and other forms of inflammatory arthritis. Annals of the rheumatic diseases, 69(2), pp.325-331.
Ranzijn, R., 2010. Active ageing—Another way to oppress marginalized and disadvantaged elders? Aboriginal elders as a case study. Journal of Health Psychology, 15(5), pp.716-723.
Singh, J.A., Furst, D.E., Bharat, A., Curtis, J.R., Kavanaugh, A.F., Kremer, J.M., Moreland, L.W., O’Dell, J., Winthrop, K.L., Beukelman, T. and Bridges, S.L., 2012. 2012 Update of the 2008 American College of Rheumatology recommendations for the use of disease?modifying antirheumatic drugs and biologic agents in the treatment of rheumatoid arthritis. Arthritis care & research, 64(5), pp.625-639.
Smolen, J.S., Aletaha, D., Bijlsma, J.W., Breedveld, F.C., Boumpas, D., Burmester, G., Combe, B., Cutolo, M., de Wit, M., Dougados, M. and Emery, P., 2010. Treating rheumatoid arthritis to target: recommendations of an international task force. Annals of the rheumatic diseases, 69(4), pp.631-637.
Swsi-tafensw.libguides.com. (2018). LibGuides: Ageing Support: Aboriginal & Torres Strait Islander cultural safety. [online] Available at: https://swsi-tafensw.libguides.com/Ageingsupport/CHCDIV002 [Accessed 27 Apr. 2018].
Swslhd.health.nsw.gov.au. (2018). SWSLHD Liverpool Hospital – Rheumatology. [online] Available at: https://www.swslhd.health.nsw.gov.au/liverpool/rheumatology/Services.html [Accessed 27 Apr. 2018].
Sydneyboneandjoint.com.au. (2018). Arthritis Sydney | Osteoarthritis | Rheumatoid Arthritis Penrith Sydney. [online] Available at: https://www.sydneyboneandjoint.com.au/arthritis-osteoarthritis-penrith.html [Accessed 27 Apr. 2018].
Sydneyhipandknee.com.au. (2018). Arthritis Treatment Sydney | Osteoarthritis Sydney | Randwick. [online] Available at: https://www.sydneyhipandknee.com.au/arthritis-osteoarthritis-randwick.html [Accessed 27 Apr. 2018].
Westwood, B. and Westwood, G., 2010. Aboriginal cultural awareness training: policy v. accountability–failure in reality. Australian Health Review, 34(4), pp.423-429.
Wslhd.health.nsw.gov.au. (2018). Obesity Service – WSLHD. [online] Available at: https://www.wslhd.health.nsw.gov.au/Department-of-rheumatology–Westmead-Hospital-/Outpatient-Services/Obesity-Clinic [Accessed 27 Apr. 2018].
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