Graded Unit Essay

As a HNC Health C ar student I am required to provide evidence of the following principal aims and objectives to unify experience, theory and practice, to develop and apply a broad knowledge and skills and to concur an individual tolerant/client focus in my practice. To achieve altogether of the above I am required to complete project in a form of Graded Unit which consists of three st grows figurening, development and evaluation. afterwards consultation with my work experience mentor and lead lecture (appendix 1 and 2) it was agreed, the project ordain be a nursing activity, weighing a patient , which will be carried out within an ambulatory help settings which is my current placement . This will take place on Mon solar day the twenty-second of April. The chosen activity is a part of the patients treatment care plan and its aims maintaining patients safety related to correct medicine authorities as tumefy as to detect potential side personal personal effects associated wit h pharmacological treatment. In accordance with appliccapable law (Data Protection wreak 1998) and to maintain patient confidentiality and privacy 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 Burnt Centre at Aberdeen Royal hospital where she has been receiving Hepatitis C (HCV) treatment since November 2012. Cinderella lives alone in high rise resolution of flats in one of Aberdeen City Council estate. She left school at the age of sixteen with no qualifications and designd drugs for several years. She was brought up by genius parent her m another(prenominal), and has no siblings. With the help from local drug rehabilitation police squad she managed to stop using drugs for five years. Currently she works as a ho single-valued functionkeeper on a part time bases in o ne of the hotels in the city centre. Recently, she has reduced the number of working hours due to the side effects of medication which make her feel very tired. She also complains of an upset back up and lack of appetite. After having a chat with Cinderella she has told me that her kindly life and bent of friends is quite limited as her income is now much lower. She also mentioned that is moderate difficult to make new friends while you assume drug use history.When speaking to Cinderella it became evident to me that being HCV positive makes her feels worse than others and reminds her of when she was using drugs. It is well evidenced that people who pee-pee both history of drug use and disease which sess be sexually transmitted such is HCV, are likely to experience deformity and distinction in their life (Gilman 1999).Stigma and discrimination are socioeconomic factors which have a damaging health, affectionate and fiscal consequences (Nursing Standard 2008). It is bel ieved that those who are stigmatised and discriminated are more likely to have a lower income and due to this cannot afford to purchase break up quality food, better housing, live in safer environments and have worse access to healthcare and education. Cinderellas low socioeconomic status and negative social attitudes evidently institutionalize her physical and mental wellbeing at risk. Stigma and discrimination whitethorn relate to mixer Symbolic Interaction Theory and in special to the idea of labelling and its negative impact on people behaviour and self- conceit (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 words is how we perceive and value our self. Rogers believes that humans gather up a positive environment to achieve fulfilment in their lives. In Cinderellas case both her socioeconomic status and unfavorable social attitudes whitethorn make her feel negatively about herself a nd stop her from social integration. I also believe that Abraham Maslows Hierarchy of Needs can be applied to the patient situation. According to this psychological perspective either person is motivated by their needs and cannot achieve his/he climb potential (self-actualization) if some of these are not met.I feel that this may relate to Cinderellas safety, love and belongings needs. Limited social contacts, stigma and fear caused by her illness may stop her from moving on to the next level personality development. To support people in correspondent to Cinderellas circumstances the Scottish Government launched the Hepatitis C Action innovation in 2006. The aim of this policy is to improve health care go for people sprightliness with HCV and to tackle HCV- related social stigma, by rising public awareness and 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 computer simulation which is very effective in assessing basic day to day activities which have its own importance to the survival of life also 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 billet test which revealed Hepatitis C antibodies. After a number of tide rip tests and colored 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 colored Trust 2010). The term chronic describes illnesses that last for a long gunpoint of time (more than six months) or for the altogether life. The liver is an organ which is a part of the di gestive system and carries out numerous important jobs such as detoxification, aiding digestion or extracting nutrients.These play a vital role in maintenance of equilibrium of the body internal environment, known as a homeostasis. Due to prolonged liver inflammation scaring of liver tissue occurs (fibrosis) and enduring liver damage is likely to occur (cirrhosis, liver cancer). As a result liver work capacity become impaired and the whole body may become poisoned (WHO 2011). There are several effective HCV treatment options available however none of them gives a one snow percent guarantee. Nevertheless, adequately matched therapy can permanently clear the virus from blood and prevent liver from further damage. Cinderella after consultation with liver specialist doctor and liver specialist liver nurse decided to bear with HCV treatment known as a triple therapy which is recommended by matter Institute for Health and Clinical Excellence (NICE) The effectiveness of treatment amon g other factors lay in an adequate dosage and duration of medicine intake. twain 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 visit PBC every Monday for blood tests and weight checks. To ensure Cinderellas safety I will follow appropriate NHS procedures and policies (NHS Procedure guidelines Weighing the patient 2008) in line with the Health and Safety at Work Act (1974). To consummate 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 different patient who is also visiting PBC this day if for some reason I will not be able to complete it with Cinderella.ReferencesHealth Protection Scotland a division of NHS National function Scotland. (2009). Blood Borne viruses & Sexually Transmitted Disease . Available http//w ww.hps.scot.nhs.uk/bbvsti/hepatitisc.aspx. know 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). Understanding 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. Last accessed 5th 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. in the raw York Harper & Ro w Rogers, Carl. (1951). Client-centered Therapy Its Current Practice, Implications and Theory. London Constable. Miller,J and Gibb, S (2007). bid in practise for Higher Second Edition. Paisley Hodder gibson. 202-204. Nursing and Midwifery Council (2008). The encipher 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.