Optimizing Care for Fatima

Introduction

This case study will examine Fatima’s current health condition regarding her obesity and difficult sleeping. The nurse will assess the patient’s physical, psychological and sociological needs whilst using the Roper et al. (2000) model. This model allows nurses to assess patients holistically. Roper et al’s. (2000) framework contains the twelve-activity daily living assessment which is widely used to assess patients a cross the UK. Roper et al. (2000).

The five components of the nursing process are assessment, diagnosis, planning, implement and evaluation. The nursing process is a problem-solving method which provides an individualised and systematic way of providing care. Roper et al. (2000). It is a framework to guide nursing practice as it enhanced efficiency by standardising nursing practice. It creates a unified language for nurses and allows the focus to be on the patient or client at the centre. The nursing process promotes critical thinking by using a decision-making process. Rushforth, H. (2009)

Assessment is a crucial part of the nursing process. It provides an organised and systematic approach intended to collect information from the patient's medical history. Assessment is a method performed by the nurse to recognise the patient's needs. When undertaking a complete assessment, it requires observation skills, critical thinking and excellent verbal and non-verbal communication skills to establish possible problems. Rushforth, H. (2009).

Research literature

An appraisal must be completed properly, to forestall any blunders; in any case, the remainder of the nursing procedure may get ineffective. There are two sorts of information got during appraisal, objective and emotional information. The abstract information that is accumulated during the meeting is emotional, which is the data that the patient tells advise the medical attendant, for instance, a patient illuminating that they are in agony or they have lost craving. Essential data is achieved from the patient (She and Bender, 2019). Optional information is acquired from family, carers and family members. This data reveals to us how the patient is adapting, or they notice the patient is getting thinner. Target information is information that can be estimated, for example, pulse, respiratory rate, temperature. Furthermore, a medical caretaker additionally watches the patient's general conduct, including confusion or level of correspondence. Besides, physical, mental, social, profound and sociological prerequisites should be mulled over the appraisal. Nursing and Midwifery Council expresses that every single "Enrolled nurture organize the requirements of individuals while surveying and assessing their psychological, physical, intellectual, conduct, social and otherworldly needs. (NMC, 2018).Moreover, it featured that data got during evaluations to recognize the needs and necessities for individual focused and proof based nursing mediations and backing. (NMC, 2018)

Every single enlisted attendant ought to acquire assent from the patient before completing any appraisal or treatment (NMC, 2018). The medical attendant must advise the patient regarding the term of the evaluation and what it involves; hence, the more the patient comprehends, or how well they are prepared for the appraisal, the less anxious or awkward they will feel. This demonstrates they will participate well and not be reluctant to share their sentiments (Carthey, 2018). To construct a remedial connection between the attendant and patient, it is fundamental since it expands the patient's recuperation and improves their experience; consequently, restorative connections urge the patient to open up. This upgrades the medical caretaker to shape a strong obligation of trust with the patient. Consumes (2019)

The medical caretaker will evaluate Fatima's eating regimen as she is fat and has begun to put on weight. As per the (National Health Service, 2015) it expresses that being overweight can build the danger of creating numerous conceivably genuine wellbeing conditions, including type 2 diabetes, coronary supply route malady, stroke and malignancy. Fatima’s eating and drinking will be surveyed by a medical attendant to recognize her dietary pattern, and how frequently a day she eats. About the case situation, it uncovers that Fatima is from a Turkish foundation, so in this manner it is basic to build up whether she requires a nourishment inclination (Ali et al. 2019). Besides, the medical attendant needs to discover from Fatima whether she is eating a fair eating regimen which is significant to the body, for instance, proteins, and nutrients. From the case situation, Fatima has diabetes, just as being hefty, so the medical attendant needs to set up if Fatima devours the sugar in an eating regimen since eating and drinking contains a significant level of sugar which can build the danger of getting corpulent. (NHS, 2020). It is likewise fundamental to inquire as to whether she is eating a lot of foods grown from the ground to finish five part rules NHS (2020)

The Nurse is comparatively expecting to evaluate if Fatima is drinking enough water each day and what number of litres so as to stay away from drying out. Absence of physical action is another indispensable factor identified with heftiness. Evaluating Fatima’s degree of wellness is vital, is she ready to do any activity, would she be able to figure out how to walk a couple of steps or whether she needs help. Practicing can lessen hypertension and general wellbeing and prosperity NHS (2020). Numerous individuals start to eat nourishment to help them through a distressing time, for example, a prospective employee meeting or an assessment which can affect the measure of nourishment they devour and whether it is more than what they need (Fleming, 2019). This mental effect can make a drawn out issue that could bring about stoutness. For somebody to be a solid eater, they are required to increase a comprehension of planning nourishment effectively while knowing the job of the primary supplements. This is essential for realizing how to make dinners as adjusted as could be expected under the circumstances. There is a known custom of individuals that eat for the span of viewing a film or TV while additionally superfluously nibble with undesirable nourishment and drink (Trinchero, Farr-Wharton and Brunetto, 2019). The way toward expending nourishment can rely upon factors, including the degree of craving yet additionally their hunger that relies upon their enthusiastic state and conduct.

There are a great deal of sociocultural factors in eating and drinking. Numerous families either choose to sit all together or eat independently. A couple of courteous ceremonies could be embraced, for example, not eating, until everybody is served. For 30 days called Ramadan, Muslims don't eat or drink from dawn to dusk. Each Saturday, Many Jewish families get together and celebrate with a major family dinner called the Sabbath. These variables are a few different ways eating and drinking can add to stoutness, however it can likewise add to parchedness and insufficient nourishment being expended (Smits, Bowden and Wells, 2016). Culture can assume a noteworthy job with regards to nourishment and drink. Explicit culture, for example, Asian culture will in general find bigger ladies progressively alluring which can cause pointless weight on ladies by them devouring enormous suppers.

Resting is basic for any living being. Everybody needs to rest; be that as it may, not every person can rest soundly. Fatima experiences issues in dozing implying that she thinks that its difficult to rest. It is discovered that temperaments can influence how well rest so individuals must think about solid way of life decisions to have a decent night rest. The medical attendant needs to discover Fatima’s thinking that it’s difficult to rest. She could be normally awakening in the night, or she could be upset by commotion around her. Possibly she is having rests during the day coming about in Fatima not feeling tired around evening time. Fatima's medicine ought to be checked on as they could be causing issues. The evaluation should incorporate rest apnoea as it is connected with dozing troubles (Akologo, Abuosi, and Anaba, 2019). It should be set up whether Fatima is getting the suggested 8 hours of rest for a grown-up or whether she is restless. As indicated by the NHS, if Fatima isn't getting enough rest, her disposition would be influenced, and she could be discouraged.

Nursing rules of conduct

The Nursing and Midwifery Council's Code (2018) expressed that medical attendants should utilize a scope of verbal and non-verbal specialized strategies, and think about social sensitivities, to all the more likely comprehend and react to individuals' close to home and wellbeing needs (NMC,2018). Speaking with patients is fundamental for the appraisal to be effective. The medical attendant should take a gander at the circumstance from Fatima's perspective and attempt to make it as agreeable for her as could be expected under the circumstances. As Fatima can't lucid herself in English, the medical caretaker is required to discover various approaches to impart adequately. This could be a composed, non-verbal, or to utilize an interpreter so as to draw out the most ideal result and express her sentiments (De Brun et al. 2020). This could be a relative; notwithstanding, the medical caretaker needs to see if Fatima is loose, imparting her feelings to a relative or whether it ought to be somebody she is curious about with. The medical attendant likewise needs to evaluate whether she can communicate in her language.

Individuals must rest soundly so as to be dynamic the following day. There are mental elements to how well the individual rest, including whether the individual snoozes during the day or in the event that they go to huge social affairs around evening time. This can be the individual's mind-set or how energized they are for the following day, for example, a wedding or gathering. It is essential to have a dozing design and not to break it. On the off chance that it is broken, it can prompt being restless which at that point brings about nervousness and sorrow (Reyes, 2017). Fatima is battling to rest soundly that can bring about a drawn out mental effect.

There are social and social convictions that influence rest. Normally having get-togethers late around evening time can be a social factor. A few societies have a snooze during the evening, which brings about them not having the option to rest around evening time. On the off chance that things are tanked, for example, caffeine and liquor around evening time, these fixings make it harder to rest. A few people want to rest early, get up right on time and work during the day, not at all like individuals who like to rest late, get up late and work during the night. Numerous individuals living in a western culture rest in a bed, dissimilar to individuals living in Japan who like to rest on the floor (Li et al. 2018).

Theory of care

Leininger's Culture Care Theory works on providing culturally competent care of nursing through the implementation of culturally tailored aspects of care that is highly supportive. The influence of culture on health is immense. It works on influencing perception of health, death and illness, beliefs related to illness being experienced. Following are the things to be considered while promoting culturally competent care is offered to the patient (Wehbe-Alamah, 2018):

Culture is a pattern of customs and behaviour shared by a group of people which is constantly evolving

However, the speed of cultural evolution is variable and gradually increases

Patients and healthcare professionals are equally seen to struggle between cultural disparities. Most of the older patients belong from the older culture and tend to remain rigid

It is important to understand whether culture is collective or individualist in the difference between both can help the professional for tailoring are right kind of treatment plan. The influence of culture on health is immense and effects perception where patience equal and the type of treatments preferred are rightly underlined. Practice and patience are influenced by their respective culture. In case of Fatima food habits and believes in healthcare is influenced by culture (Van et al. 2017). It is therefore equally important to exhibit high level of awareness about the patient's culture that can work on fostering trust and better healthcare for improving the adherence to treatment

Conclusion

The aspect of care can be highly confusing when there exist a cultural disparity. In case of Fatima and the associated medical condition it becomes important for the professional to establish a sense of security and trust that can be achieved by getting to know Fatima as a person, her culture beyond the domain of patient. Gaining trust to the patient can help in understanding the possible worries exhibited by the fission and the things that are allowed in a culture making for more open to medical activities

Reference list

Akologo, A., Abuosi, A.A. and Anaba, E.A., 2019. A cross-sectional survey on patient safety culture among healthcare providers in the Upper East region of Ghana. PloS one, 14(8).

Ali, E., White, D., Bouchal, S.R. and Tough, S., 2019. Single Room Maternity Care Model: Unit Culture and Healthcare Team Practices. International Journal of Nursing Student Scholarship, 6.

Carthey, J., 2018. Improving Safety Culture in Healthcare Organisations. In Patient Safety Culture (pp. 167-186). CRC Press.

De Brun, A., Rogers, L., O'Shea, M. and McAuliffe, E., 2020. Understanding the impact of a collective leadership intervention on team working and safety culture in healthcare teams: a realist evaluation protocol. HRB Open Research, 2(5), p.5.

Fleming, S., 2019. I launched an anti-bullying campaign to change culture in healthcare. Bmj, 365, p.l2325.

Li, Y., Zhao, Y., Hao, Y., Jiao, M., Ma, H., Teng, B., Yang, K., Sun, T., Wu, Q. and Qiao, H., 2018. Perceptions of patient safety culture among healthcare employees in tertiary hospitals of Heilongjiang province in northern China: a cross-sectional study. International Journal for Quality in Health Care, 30(8), pp.618-623.

Reyes, A.V., 2017. Culture of healthcare safety and quality: challenges for nursing Practice. Enfermeria clinica, 27(2), p.68.

She, R.C. and Bender, J.M., 2019. Advances in rapid molecular blood culture diagnostics: healthcare impact, laboratory implications, and multiplex technologies. The journal of applied laboratory medicine, 3(4), pp.617-630.

Smits, S.J., Bowden, D.E. and Wells, J.O., 2016. The role of the physician in transforming the culture of healthcare. Leadership in Health Services.

Trinchero, E., Farr-Wharton, B. and Brunetto, Y., 2019. A social exchange perspective for achieving safety culture in healthcare organizations. International Journal of Public Sector Management.

Van, K.A., Nogueira, L., Gustafson, D., Tieu, W., Averch, T.D. and Kim, F.J., 2017. The Culture of Patient Safety Practice: Systematic Review. Urology practice, 4(4), pp.296-301.

Wehbe-Alamah, H.B., 2018. Leininger’s Culture Care Diversity and Universality Theory. Annual Review of Nursing Research, Volume 37: Transcultural and Social Research, p.1.

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