NSG2ANB: The Australian Nursing and Midwifery Board - Liam Case Study - Nursing Assignment Help

Assignment Task:

SILOS: 

1. Analyse the Australian Nursing and Midwifery Board [ANMB] Standards of Practice for a  Registered Nurse when caring for individuals and their families presenting with acute to  chronic conditions. 

2. Critically examine the impact of hospitalisation for individuals and their families experiencing acute or chronic illnesses. 

3. Evaluate person-centred care, using the Clinical Reasoning Cycle to individuals experiencing haematological, renal, gastrointestinal and musculoskeletal disorders.

Background.  

Research indicates that the acute hospitalisation for management of exacerbations of  chronic disease can have various effects on the psychological, emotional and physical  wellbeing of the patient and their family. It is important as a nurse to understand these  influences that can be experienced by the patient and their family and implement  appropriate coping strategies to support patient and their family cope during this stressful  period. 

Tasks and Instructions: 

• Write an academic essay where you critically examine the impact of  hospitalisation on a patient and/or their family, who is experiencing an acute exacerbation of their chronic illness.  

• Ensure that you access the right assignment as determined by your cohort (Cohort  A or Cohort B) 

• Select only one scenario provided in your allocated cohort group 

• The impact for both the patient and family have been provided for you. In your discussion: 

Choose 1 impact on your patient and 1 impact on the family 

1. Provide a detailed and comprehensive explanation on how hospitalisation can impact the  patient and the family 

2. Suggest a coping strategy or strategies (could be 1 or 2) for each effect that could  support a more positive experience. The number of provided strategies is not a  focus but rather, a well justified and developed arguments validated by current  academic sources to support your discussion is expected

SCENARIO 1 

Impact of hospitalisation on a teenager and their family 

Liam is a 16-year-old male diagnosed with chronic anxiety. He has agreed to a period of  hospitalisation to adjust his medications and counselling as his symptoms have recently  exacerbated. Liam lives with his mother and stepfather and stepbrother Chris who is 8 years old.  He regularly attends counselling at his secondary school and has a solid support network  developed amongst his friends. He no longer sees his biological father.  

Impacts on a patient (LIAM) 

Changes in eating, sleeping and activity, Worried what others think, Separation from  peers, Powerlessness, Conflict and power struggles, Stress, Inability to function 

Impacts on family 

Hopelessness, Guilt, anxiety, Stress to family relationships, Difficulty understanding the  treatment and outcomes 

SCENARIO 2 

Impact of hospitalisation on a young adult and their family. 

Jenny is 34-year female who has Multiple Sclerosis. She has been admitted into hospital as she is  currently experiencing a relapse in her symptoms and requires administration of high dose  parenteral steroids. Jenny lives with her partner Grace and their 2 daughters, 13-year-old Mia and  9-year-old Claire. Jenny normally works at home part time during school hours. Grace holds a  position as a paramedic with Ambulance Victoria working shift work. Jenny is the primary carer for  their children and undertakes the shopping and meal preparation for the family.  

Impacts on patient (JENNY) 

Scared of the unknown, Guilt for not managing her disease, Worry about the family,   Financial impact, Long term prognosis and outcomes., Anger 

Impacts on family 

Changes in family roles and responsibility, Financial pressures, anxiety in children, fear of  losing their mother. Long term impact of the disease on family, Compromised family  coping 

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