Assignment Sample on Digital Narrative

Introduction

• A Healthcare journey is defined as the sequence of events that a patient experience under a healthcare system(Ellen, et al., 2018).
• The Healthcare journey of a person involves planning and delivery of services as well as co-ordination between the family and care providers.
• This presentation focuses on delivering a person’s healthcare journey through the digital narrative.

The Healthcare journey involves the care of a person for the long term. Theoretically, it is defined as the series of experiences that a person went through during the care. It includes planning and delivery of healthcare services as the key component. However, coordination between the family members and care givers also includes the concept of the healthcare journey. This presentation includes the healthcare journey of a person through the digital narrative.

Contextualize

• The patient considered in the digital narrative is diagnosed with pancreatitis for whom the healthcare journey has been narrated.
• The patient is a woman aged 65 years and lives with her husband.
• I have met with the patient during the internship where I had a visit to the hospital.

In this digital narrative, a 65 years old woman diagnosed with pancreatitis has been considered for narrating the healthcare journey. The woman lives with her husband who is also diagnosed with diabetes for a long time. I have considered this patient as I was involved in the care of the patient during my internship in the hospital.

Contextualize

• The patient was admitted to the hospital with an emergency situation where she had severe pain.
• The context involves observation of the patient for three days in the hospital setting and it was a part of care support to the patient during my internship.
• The context of the setting has influenced the delivery of care as the woman was going through severe pain and her husband was alone so no one with the person to provide support.

The context of setting involves care for the patient for a specific time period under the hospital setting. The lady lives with her diabetic husband which has made the setting of the care a critical one. This is because the husband is unable to take proper care of his wife and facing difficulties to provide mental support during the hospital admission. At the time of admission in the hospital, the lady had symptoms like fever, higher level of heart rate and pain at the upper level of belly. Symptom of diarrhea has also been identified in the condition of the lady.

Description of the case

• The lady has medical history of high blood sugar and blood pressure level.
• The lady was a regular drunker until the last year.
• Her husband is diagnosed with diabetes which is quite severe.

The lady in the case is diagnosed with cancer along with other old age diseases like high blood pressure, diabetes. The lady’s blood sugar level is 189 mg/dL which resembles her prediabetic condition. The blood pressure level of the lady was 140/88 mmHg. The husband of the lady is also diagnosed with diabetes which ranges 220 mg/dL. The lady was a regular drunker until the last year.

Description of the case

• In order to assess the health needs of the lady, the activities of daily living or Roper Logan theory can be considered.
• The activities of daily living involve eating, bathing, getting dressed, mobility, continence, and toileting(Mlinac & Feng, 2016).
• With the consideration of activities of daily living, certain health needs have been identified for the lady(Adib-Hajbaghery, et al., 2017).

Activities of daily living is a healthcare model that has been used to identify the health needs of the lady. Activities of daily living are eating, bathing, getting dressed, mobility, continence, and toileting. It is identified that lady has each of health needs expect the need of eating.

Description of the case

• The health needs have a significant impact on the lady as well as her husband.
• The situation made it difficult for the husband to take care of personal health and provide support to his wife during the hospital admission and following the discharge from the hospital.
• Both psychologically and mentally, the situation has impacted on family(Seo & Cha, 2016).

The identified health needs have been found as critical for the lady and her husband. This is because the health needs create difficulty for the husband to take care of his own health and provide mental support to his wife. The situation has also made an impact on the psychological health of both persons. This is because the cost of treatment is a major issue to develop psychological health issues.

Justification

• Considering the existed care plan, the biopsychosocial model has been used for the analysis of situations and health associated conditions(Brownie, et al., 2016).
• The biopsychosocial model involves three factors which are biology, psychology, and social(Lehman, et al., 2017).
• Considering the model different factors have been identified for the plan.

The biopsychosocial model involves three dimensions which are biological, psychological, and social. By applying the model, it is identified that the biologically physical health and drug effects are the factors to consider for the plan. The area of drug effects has been considered to avoid medicines which can increase the level of blood sugar and blood pressure. While psychologically mental health and coping skills have been identified as the factors for considering in the plan. In the case of social, the identified factors are related to family circumstances. This is because the lady and her husband no one have any other person to take care of.

Justification

• Based on identified factors, monitoring of temperature, and other physical health conditions have been monitored as a part of assessing the side effects of the drug as well as complication related to pancreatitis.
• A psychological counselor has also been arranged for the lady as well as her husband to control the mental health issues.
• In order to deal with the family circumstances as a social factor, the plan has also arranged counselling sessions on a weekly basis following the discharge from the hospital.

By considering the biopsychosocial model, the care plan has focused on biological, psychological, and social dimensions. The biological factors are enforced to monitor body temperature and other drug related side effect issues. Further, the complications related to pancreatitis has also been considered to measure the heart rate, nausea, vomiting, fever and pain. While counselling session with a psychological counsellor for mental health issue has also been considered. Weekly counselling session has also been arranged for the family circumstance issues related to social factors after the discharge from the hospital.

Justification

• The responsibility of executing the care plan was given to me during the visit to the hospital and undertaking the charge of the lady.
• A psychological counsellor and a social care worker have also been considered for psychological and social support.
• The plan has been formulated by considering the NHS care plan development policy and procedures(NHS UK, 2021).

During my visit to the hospital, I had encountered with the lady and as a part of my role during the internship development of care plan has also been given to me. Along with me, the care plan has also included a psychological counsellor and a social care worker. The care plan has been developed by considering the NHS nursing care plan development policy and procedures. The care plan has also included a communication plan for the family and lady.

Reference and discussion

• The considerable policy for the development of the care plan is NHS care plan development guidelines.
• Further, the Mental Capacity Act (2005) has been considered in the care plan.
• These policies and acts have been considered to create the base of the research(Butcher, et al., 2018).

The care plan has been developed by considering the legal policies and cats. These have been considered to develop an ethical care plan by following the legal aspects. The NHS nursing care development plan includes the consideration of goal setting, action plan, safety, support which have been considered for the lady too. While the Mental Capacity Act (2005) provides decision making power to the patient as well as a family which has been maintained too. Decision on further treatment of the lady following the discharge from the hospital has also been executed under the policies and acts.

Reference and discussion

• The NHS guideline on the development of care plans has been effective to consider the important dimension of care.
• For example, mutual expectation, sharing stories, goal setting, and support are the key aspects of the plan(Mlinac & Feng, 2016).
• While the Mental Capacity Act (2005) ensured the decision making power of the patient.

With the consideration of NHS guidelines, important aspects like mutual expectation, sharing stories, goal setting, and support have been considered in the plan. With the consideration of the aspects, support and motivation have been given to the lady. The support given to the lady was effective to improve mental health. While the Mental Capacity Act (2005) has ensured decision making power or power making choices for the patient.

Apprise

• In order to reflect on my role as a nurse, the Gibbs Reflection model will be considered.
• The Gibbs Reflective model consists of six stages which are description, feeling, evaluation, analysis, conclusion, and action plan(Potter, 2015).
• Considering the model, I would describe the situation as critical learning for my career.

The Gibbs Reflective model has been used for reflection on my role. the model involves six stages. the stages are description, feeling, evaluation, analysis, conclusion, and action plan. Considering the description, I would explain the situation as critical and important for my career development.

Apprise

• Initially in the delivery of care, I felt nervous due to lack of experience.
• In the later stage of the care delivery, I improved my confidence and try to provide better care.
• During the care, my mental emotional support to the lady and her husband was effective as both of them were quite attached to me.

During the initial stage of care delivery, I felt nervous which impacts the quality of care delivery. However, I improved my ability and tried to deliver better care. I was quite emotionally attached to the lady and her husband which was effective to provide mental support.

Apprise

• I considered the care plan as important learning in my life as it would help in my professional career too.
• It can be concluded that the care plan has been effective to learn about new things related to nursing.
• I would say that the written communication skill is the area in which I need improvement for working as a better nurse.

The care plan has been effective for me to learn about the skills and rules required to follow for nursing. The care plan has also been effective for me to improve the chance of executing work with efficiency in my professional career. Though, I need to improve my written communication.

Conclusion

• It is to conclude that the patient requires continuous monitoring along with psychological support.
• The patient’s husband also requires mental health support.
• I would explain my experience as a critical one for the future of my professional career.

It is to conclude that the lady needs to undergo proper care with help in daily life activities. The lady is also needed to continue her medication and visit a doctor for once in a month. The recovery of the woman will take long time which also needs proper support in the home care setting. Mental health support is also required for the lady and her husband. I consider this experience as an important dimension in career and knowledge development.

References

Adib-Hajbaghery, M., Adib, M. & Eshraghi Arani, N., 2017. Evaluating the quality of randomized trials published in Persian nursing journals with more than 10 years of publishing using the CASP checklist. Iran Journal of Nursing, 30(109), pp. 1-9.

Brownie, S., Scott, R. & Rossiter, R., 2016. Therapeutic communication and relationships in chronic and complex care. Nursing Standard, 31(6), p. 54.

Butcher, H., Bulechek, G., Dochterman, J. & Wagner, C., 2018. Nursing Interventions classification (NIC)-E-Book. 01 ed. London: Elsevier Health Sciences, ISBN 9780323100113.

Ellen, M., Shach, R. & Balicer, R., 2018. Helping patients help themselves: supporting the healthcare journey. Patient education and counseling, 101(9), pp. 1708-1711.

Lehman, B., David, D. & Gruber, J., 2017. Rethinking the biopsychosocial model of health: Understanding health as a dynamic system. Social and Personality Psychology Compass, 11(8), p. e12328.

Mlinac, M. & Feng, M., 2016. Assessment of activities of daily living, self-care, and independence. Archives of Clinical Neuropsychology, 31(6), pp. 506-516.

NHS UK, 2021. Writing Good Plans. [Online]

Available at: http://oxleas.nhs.uk/site-media/cms-downloads/Writing_Good_Care_Plans_Oxleas.pdf

[Accessed 26 August 2021].

Potter, C., 2015. Leadership development: an applied comparison of Gibbs’ Reflective Cycle and Scharmer’s Theory U. Industrial and Commercial Training, 1(1), p. 1.

Seo, E. & Cha, N., 2016. Relationships among nursing professional values, bioethics and death ethic perception in nursing students. Journal of Digital Convergence, 14(5), pp. 349-358.

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