NRSG372 : Recurring Health condition and Impacts on Quality of Life - Nursing Assignment Help

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Chronic Illness is an ongoing, long-term or recurring health condition that impacts on quality of life. A chronic illness is usually prolonged in nature, present for at least three months, requires ongoing treatment, can rarely be completely cured and may gradually deteriorate independence (Johnson & Chang , 2018) . Asperger’s syndrome is part of the autism spectrum disorder (ASD) which is characterised by social and communication difficulties, repetitive actions and narrow interests. This essay will discuss the pathophysiology, pharmacology and culture of ASD as well as the impacts this chronic illness has on a person’s developmental, social, cultural and lifespan factors. The Roper-Logan-Tierney model will be used to holistically assess and develop a nursing care plan for the patient, Tim Jones (pseudonym) and the Levett-Jones’ Clinical Reasoning Cycle will be implemented to plan safe, evidence-based person-centred care.

Background (CRC 1 & 2):
The interviewee, Tim Jones, is an 18-year-old Caucasian male who has Autism Spectrum Disorder (ASD). It is a developmental disorder where an individual has difficulty with social interactions and communication causing social isolation. There is no current literature surrounding a clear cause of ASD, however, genetics or environmental factors can contribute to the development and course. Tim is unaware if it is gene related, however, it is unlikely as he doesn’t know anyone in his family to have ASD. Environmental triggers are the most likely cause for Tim’s diagnosis, however, there are no clear risk factors identified in literature. Tim was previously diagnosed with Asperger’s Syndrome (AS) at the age of 10, although, in 2013, his diagnosis changed to ASD as the DSM-5 stated both conditions were not distinct enough to have a separate diagnosis. The DSM-5 identifies ASD by two psychopathological domains such as deficits in social communication and restricted, repetitive patterns of behaviour. Tim’s parents noticed signs of ASD at the age of two as there were concerns regarding his delayed development as an infant. ASD is recognised in early childhood and it is related to how the brain develops. Due to his limited symptoms, Tim was not officially diagnosed. He was involved in comprehensive assessments which included his developmental history including a review of his social, behavioural, verbal and non-verbal communication. Tim was directly supervised using the Autism Diagnostic Observation Schedule which is conducted by practitioners such as paediatricians, psychologists or psychiatrists (Kim, 2018). Tim’s treatment involved non-pharmalogical techniques by exposing Tim to social gatherings with family and friends, play dates with children from school, after- school care activities and educational supports. Pharmacological interventions were introduced when Tim got older due to his increase in mental illness. At the age of 14, Tim’s symptoms quickly progressed and presented as level 2 in ASD which includes: requiring substantial support for deficits in social communication and requiring substantial support for restricted, repetitive behaviours. During school, Tim found it difficult to read and write to the standard of his peers and was provided with support in special education classes. Tim isolated from children in his class and he was unable to understand jokes as he would take everything literal. This was caused from the inability to understand social cues and his poor social abilities. As a result of this, Tim was bullied throughout high school and was involved in multiple fights both verbally and physically. He had difficulty establishing friendships due to his short fuse. A symptom that was significant throughout high school was his obsessive behaviours with the band ‘kiss’ as he wanted to be the drummer.

  • Clearly identify two nursing care priorities/health education areas of need that you have developed with your interviewee
  • Discuss goals of care that you have developed with your interviewee using the NSQHS
  • Partnering with consumers standard

 

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