Jane’s Case: Physical and Emotional Impairments and Limitations
Write about the Professional Health Competencies Case Study.
Jane is a 22 years old and college level student at the moment. The lady was diagnosed with paranoid schizophrenia for many years ago. She experiences a lot of physical impairment like the fatigue, lethargic, low level of energy and lack of appetite. Many of the weakness within her body results from the poor functioning of her brain that overwhelms instances of losing motivation, difficulties in concentration and lack of emotion regulation (Blais, Hayes, Kozier & Erb, 2015). These impairments cause a lot of limitations to several activities. For example, carrying out her usual daily activities like eating and washing due to levels of energy. The postpone of such duties results to challenges in her education in the fact she almost leaves her exams and finding it difficult to concentrate in class thus impacting her grades (Busse, Aboneh & Tefera,2014) negatively. Personal conflicts like being in the pressures of completing her college level of studies make her participation and the attendance of school premises to drop. Jane has also been struggling with her image the leads to avoid the school activities and any social gathering. The external aspect of relationships has been challenging for her. Jane had always given excuses especially when the family members and her friends tried to reach.
As a nurse profession in the hospital of mentally challenged individuals, my significant role is making Jane feel free and open when represented in the hospital for the first time. This can only be achieved by using my profession to make her think my sympathy for her about the depression condition she was undergoing. According to (Crisp & Chen,2014) it is vital to connect with the feelings of the patients with mental illness to make them feel free to express their experiences to you. This connection is what made Jane open up to me. I was also thoroughly concerned that the idea of Jane being brought to the hospital was a significant event. The family of Jane would have chosen to abandon her condition and continue suffering. In respect to (Cruess, Cruess & Steinert,2016), many young individuals view stigma and the embarrassment as an impediment to accessing the healthcare. Hence would be possible for Jane and her family to have neglected from seeking any medical attention. Thus, creating a limited range of emotions during Jane’s consultation hence reaffirming that nursing profession was enjoyable and I enjoyed giving health care services as much as possible. It was, therefore, necessary to offer Jane with genuine and quality health services.
The Importance of Connecting with Patients’ Feelings
The international classification of functioning, disability (ICF) has changed disability into a neutral from the negative description of the impairment to body structure’s story, activities, operation, and participation (Davis,2014). An additional change has been included that imply the environmental aspects as part of the classifications. These environmental factors contribute significantly to the functioning of body structures or can be a limitation to individuals with paranoid schizophrenia. The international classification procedure is essential for comprehending Jane’s condition in all her dimensions that overwhelm her impairment at the functioning level of her body structures that limit her daily activities, her interaction with other members of the community and participation in her coursework. Each of these levels encompasses the basis of various interventions that can be implemented to help Jane regain her healthy life. For instance, rehabilitative measures and her functioning improvement. I expected when Jane’s paranoid schizophrenia issue lessens, and she would be able to take part in her treatment processes as well. She would assist me together with other medical professionals in operation and to focus on the primary objective regarding her condition (Englander, Cameron, Ballard, Dodge, Bull & Aschenbrener,2013). Jane’s capability to carry out various tasks on her own was critical. For instance, there is need to continue with her essential duties like attending her lectures, eating and washing.
Upon the arrival of Jane at the hospital, she seemed not ready for any intervention, and she never acknowledged having any mental illness. Only the members of her family who shown their interest despite Jane adamantly opposing the whole idea. I had to involve a psychiatrist profession who diagnosed Jane with an ICD- 10 and the results proved she had the paranoid schizophrenia. The code of ICD linked her mental illness to psychoactive components like the alcohol and other drug substances (Finkelman & Finkelman, 2012). Further, the psychiatrist professional incorporated the international classification of functioning and disability framework to create Jane’s image of functioning that was primarily on some multidisciplinary examinations, nurse’s observation, and the inpatient intervention. The psychiatric used the international classification Functioning and disability (ICF) to offer an ordered procedure and a well-structured basis of formulating Jane’s admission and controlling her progress for a given period.
For the functioning of the body, the general classification functioning and disability utilizes one qualifier in indicating the impairment level. This can be ranging from the absence of impairment to full impairments. Hence a necessity for the participation and the activities require two qualifiers namely the performance and the capacity. The first one focuses on Jane’s performance in the college environment she is living in and the other one concentrate on her ability. Clinically, it’s very vital to relate the two qualifiers to functioning in Jane’s usual environment and operating in interaction settings. Acquiring the structural functioning intervention may not translate to a healthy life automatically and the environmental barriers that affected her normal functioning. However, Jane will be able to be accessed by a clinical context through the standardized procedures, mostly relate to capacity assessment.
Incorporating the International Classification of Functioning and Disability Framework
One of the universal aspects of the nursing profession is beneficence non-maleficence. The feature depicts the code of conduct that requires a professional nurse to protect a patient from incompetents and unethical practices (Goldie, 2013). Hence raising an issue that I should advocate to protect Jane from any incompetent behavior. I had to consider that the moment Jane of any misconduct within the profession she might doubt our healthcare services. Other than being royal to Jane and her caring, I had also to maintain a good relationship with the other bureaucratic and hierarchical systems of the hospital. In this case, am only required to share Jane’s information with the psychiatrist.
The next characteristics vital to my nursing profession is upholding honesty (Horevitz & Manoleas,2013). This means telling the truth in most cases and the truthfulness that involved directly with Jane’s condition. In her situation, am only required to engage the integrity of the law, open to Jane’s knowledge towards her health condition to psychiatrist and individuals involved in her treatment. As a professional nurse, it is my role to take care of Jane and take proper actions to offer protection to Jane’s safety.
Ever nurse professional should uphold the respect as an attribute that ensures any nurse minds about the environment of the patient. Regarding Jane’s case, I should show respect to her opinions and her feelings through providing comfort, listening, and advice. A nurse must be able to resolve the condition of the patient and relieve the patient from the mental illness. Therefore, I should be able to achieve this by explaining to Jane her treatment progress, about the service, cost, and options clearly (Riley & Kumar 2012).
In many cases, the informant is positive within the healthcare in making decisions (Schreiner et al. 2014). I will use this strategy to stress on Jane’s intervention with a lot of respect to avoid making her feel under care. This will significantly help in case any other person might suggest a different idea concerning her treatment. For any person with mental illness like Jane, may feel discouraged and tend not to take any initiative towards her intervention but if someone is there to push her, it would like a fun. Some health professionals define such strategy as an important especially when a person with the schizophrenia infections is accompanied by activities like the gym to guide them (Hargarter et al. 2015). Hence, the approach is essential in sharing and encouraging her to be positive towards other individuals and participating in such activities. It’s my duty, therefore, to inform Jane when to engage in some events.
Advocating for Patients’ Rights and Safety
Mental illness can be termed as a barrier to physical activities (11). That means I helped Jane to avoid some of the several additional events within the day or week to ensure she never felt any stress while preparing for physical activities. The strategy is helpful in initiating Jane’s actions, and the moment she begins it might be very easy for her and complicated in breaking it, Medical researchers suggest that individuals need to take caution at the beginning and very strenuous exercises. Other than indoor activities, the health professionals should also involve activities like aerobics, cycling, skiing and the yoga teachings.
References
Blais, K., Hayes, J. S., Kozier, B., & Erb, G. L. (2015). Professional nursing practice: Concepts and perspectives (p. 530). NJ: Prentice Hall.
Busse, H., Aboneh, E. A., & Tefera, G. (2014). Learning from developing countries in strengthening health systems: an evaluation of personal and professional impact among global health volunteers at Addis Ababa University’s Tikur Anbessa Specialized Hospital (Ethiopia). Globalization and health, 10(1), 64.
Crisp, N., & Chen, L. (2014). Global supply of health professionals. New England Journal of Medicine, 370(10), 950-957.
Cruess, R. L., Cruess, S. R., & Steinert, Y. (Eds.). (2016). Teaching medical professionalism: supporting the development of a professional identity. Cambridge University Press.
Davis, A. (2014). Core Communication Competencies in.
Englander, R., Cameron, T., Ballard, A. J., Dodge, J., Bull, J., & Aschenbrener, C. A. (2013). Toward a standard taxonomy of competency domains for the health professions and competencies for physicians. Academic Medicine, 88(8), 1088-1094.
Finkelman, A. W., & Finkelman, A. W. (2012). Leadership and management for nurses: Core competencies for quality care. Pearson.
Goldie, J. (2013). Assessment of professionalism: a consolidation of current thinking. Medical Teacher, 35(2), e952-e956.
Hargarter, L., Cherubin, P., Bergman, P., Keim, S., Rancans, E., Bez, Y., … & Schreiner, A. (2015). Intramuscular long-acting paliperidone palmitate in acute patients with schizophrenia unsuccessfully treated with oral antipsychotics. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 58, 1-7.
Horevitz, E., & Manoleas, P. (2013). Professional competencies and training needs of professional social workers in integrated behavioral health in primary care. Social Work in Health Care, 52(8), 752-787.
Riley, S., & Kumar, N. (2012). Teaching medical professionalism. Clinical Medicine, 12(1), 9-11.
Schreiner, A., Bergman, P., Cherubin, P., Keim, S., Rancans, E., Bez, Y., … & Hargarter, L. (2014). A prospective flexible-dose study of paliperidone palmitate in nonacute but symptomatic patients with schizophrenia previously unsuccessfully treated with oral antipsychotic agents. Clinical Therapeutics, 36(10), 1372-1388.
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