Graded Unit Essay

As a HNC Health C ar student I am required to proffer evidence of the following principal aims and objectives to integrate knowledge, theory and practice, to develop and concur a broad knowledge and skills and to de colorful an individual forbearing/ leaf node focus in my practice. To achieve all of the above I am required to complete project in a form of place Unit which consists of three stages planning, development and evaluation. by and by consultation with my bet obtain mentor and lead lecture (appendix 1 and 2) it was agreed, the project pull up stakes be a nursing activity, weighing a patient , which testament be carried out within an ambulatory cargon settings which is my current placement . This will take place on Monday the 22nd of April. The chosen activity is a resolve of the patients treatment care plan and its aims maintaining patients rubber eraser device related to correct medicine administration as well as to detect potential expression effects associate d with pharmacological treatment. In pact with applicable law (Data certificate Act 1998) and to maintain patient confidentiality and concealment the name of the patient has been changed. I will be referring to the patient as Cinderella. The patients personal information had been obtained with her consent and knowledge (NMC Code of Conduct 2008).Cinderella is a 26 years old patient attending the Peter burn down Centre at Aberdeen Royal Infirmary where she has been receiving Hepatitis C (HCV) treatment since November 2012. Cinderella lives unsocial in high rise block of flats in one of Aberdeen urban center Council estate. She left school at the age of sixteen with no qualifications and utilise drugs for several years. She was brought up by single parent her mother, and has no siblings. With the overhaul from local drug rehabilitation team she managed to stop using drugs for quintuplet years. Currently she works as a ho hirekeeper on a part time bases in one of the hotels i n the city centre. Recently, she has reduced the design of working hours due to the side effects of medication which make her observe very tired. She also complains of an upset stomach and lack of appetite. After having a chat with Cinderella she has told me that her social life and circle of friends is quite limited as her income is now much lower. She also mentioned that is quiet difficult to make pertly friends while you cave in drug use history.When speaking to Cinderella it became evident to me that cosmos HCV positive makes her facial expressions worse than others and reminds her of when she was using drugs. It is wellevidenced that people who befool both history of drug use and disease which stop be sexually transmitted such is HCV, are likely to experience chump and discrimination in their life (Gilman 1999).Stigma and discrimination are socioeconomic factors which have a damaging health, social and financial consequences ( nurse Standard 2008). It is commitd that those who are stigmatised and discriminated are more likely to have a lower income and due to this cannot concede to purchase better quality food, better housing, live in safer environss and have worse access to healthcare and education. Cinderellas low socioeconomic situation and negative social attitudes evidently put her sensible and mental bene conk at risk. Stigma and discrimination may relate to Social symbolic Interaction Theory and in particular to the idea of labelling and its negative cushion on people behaviour and self- concept (Miller J, Gibb S 2007).This would also fit with Carl Rodgers Person- Centred Theory and his idea of self- concept. Self concept in other linguistic communication is how we perceive and value our self. Rogers believes that humans need a positive environment to achieve fulfilment in their lives. In Cinderellas case both her socioeconomic status and unfavorable social attitudes may make her feel negatively about herself and stop her from so cial integration. I also believe that Abraham Maslows Hierarchy of Needs can be applied to the patient situation. According to this psychological perspective every person is motivated by their needs and cannot achieve his/he full potential (self-actualization) if some of these are not met.I feel that this may relate to Cinderellas safety, bed and belongings needs. Limited social contacts, stigma and fear caused by her illness may stop her from moving on to the next level temper development. To support people in similar to Cinderellas circumstances the Scottish Government launched the Hepatitis C Action Plan in 2006. The aim of this form _or_ placement of government is to improve health care services for people living with HCV and to tractor trailer HCV- related social stigma, by rising public awareness and ever-changing the way HCV is portrayed in media.I have decided to use Roper Logan and Tierney twelve activities of daily living (A DLs) to asses Cinderellas needs. The reas on for this is that I find it to be the nursing model which is very effective in assessing basic day to day activities which have its own importance to the extract of lifealso it follows the objectives of my graded unit. For the purpose of this project I will focus on maintaining safe environment in relation to Cinderellas HCV antiviral therapy. Cinderella had been referred to Peter Brunt Centre at Aberdeen Royal Infirmary by her GP due to the result of stock test which revealed Hepatitis C antibodies. After a number of blood tests and liver biopsy Cinderella had been diagnosed with Chronic Hepatitis C with genotype 1 and mild liver damage. HCV is a disease caused by blood borne virus Hepatitis C, which infects the liver and causes its inflammation (British Liver Trust 2010). The term degenerative describes illnesses that last for a long period of time (more than six months) or for the whole life. The liver is an organ which is a part of the digestive system and carries out num erous important jobs such as detoxification, aiding digestion or extracting nutrients.These frolic a vital role in maintenance of equilibrium of the proboscis internal environment, known as a homeostasis. Due to prolonged liver inflammation scaring of liver tissue occurs (fibrosis) and permanent liver damage is likely to occur (cirrhosis, liver cancer). As a result liver work capacity fashion impaired and the whole body may become poisoned (WHO 2011). There are several effective HCV treatment options available all the same none of them gives a one hundred percent guarantee. Nevertheless, nicely matched therapy can permanently clear the virus from blood and prevent liver from provided damage. Cinderella after consultation with liver specialiser doctor and liver specialist liver nurse decided to undergo HCV treatment known as a triple therapy which is recommended by National Institute for Health and clinical Excellence (NICE) The effectiveness of treatment among other factors la y in an adequate dosage and duration of medicine intake.Both too low or too high dosage as well as side effects of medication may negatively impact Cinderellas physical health and put her life at risk. To maintain the patient safety it was agreed that Cinderella will be visiting PBC every Monday for blood tests and fish checks. To ensure Cinderellas safety I will follow portion NHS procedures and policies (NHS Procedure guidelines Weighing the patient 2008) in line with the Health and recourse at Work Act (1974). To perform chosen activity I will require specific resources which I listed in Appendix 3 and project timescale (see Appendix 4). I have obtained consent from a diverse patient who is also visiting PBC this day if for some reason I will not be able to complete it withCinderella.ReferencesHealth Protection Scotland a division of NHS National Services Scotland. (2009). Blood Borne Viruses & intimately transmissible disorder . Available http//www.hps.scot.nhs.uk/bbvsti/ hepatitisc.aspx. plump accessed 25yh March 2013. The Scottish Government (2011). The Sexual Health and Blood Borne Virus Framework 2011-15 . Edinburgh Scottish Government. p31- 42. Grundy G, Beeching N . (2004). understand social stigma ii women with hepatitis C. Nursing Standard. 19 (4), 35-39. Gilman S (1999) Disease and stigma. Lancet. 354, Suppl, SIV15. World Health Organization. (2012). Hepatitis C . Available http//who.int/mediacentre/factsheets/fs164/en/index.html. stopping point accessed fifth April 2013. Nicole Cutler. (2007). Breaking the Hepatitis C Social Stigma. Available http//www.hepatitis-central.com/mt/archives/2007/08/breaking_the_he.html. Last accessed 7th April 2013. British Liver Trust. (2011). Facts and functions of the liver. Available http//www.bbc.co.uk/health/physical_health/conditions/in_depth/liver/liver_facts_functions.shtml. Last accessed 11th April 2013. Maslow, A. H. (1970). Motivation and Personality. New York Harper & Row Rogers, Carl. (1951). Cl ient-centered Therapy Its Current Practice, Implications and Theory. capital of the United Kingdom Constable. Miller,J and Gibb, S (2007). Care in practise for Higher Second Edition. Paisley Hodder gibson. 202-204. Nursing and Midwifery Council (2008). The code Standards of conduct, performance and ethics for nurses and midwives. London NMC. p2- 8. Roper, Logan, Tierney (1980). The elements of nursing. Edinburgh Churchhill livingstone. 141.