NSG 3300 Case Study Analysis 2

NSG 3300 Case Study Analysis 2

NSG 3300 Case Study Analysis 2

NSG 3300: Case Study Analysis Template   

Clients present to the clinic with multiple illnesses that require medical attention. Clinicians use provided subject information and the gathered objective data during diagnosis, treatment, and management of the presented condition. In this case, a 13-year-old adolescent has been diagnosed with Type 1 diabetes upon being admitted to the clinic. This paper will provide the pathophysiology of her disease. It will also cover an implication for self-care, including Maslow’s hierarchy of needs and Orem’s theory of self-care deficit theory. Furthermore, this paper will address patient education strategy and a plan of care based on self-care implications. Finally, the paper will address interdisciplinary collaboration, including nutrition, discharge, transition, and financial implications.

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Pathophysiology of the Disease

The presented client is a 13-year-old adolescent. The client was admitted two days ago to the pediatric unit after being diagnosed with Type 1 diabetes. Her mother, who is her primary caregiver, is present at the bedside. Type 1 diabetes occurs due to the destruction of some or all insulin-producing cells in the pancreas. This incident leaves the patient with no or very little amount of insulin in the blood. Lack of insulin in the body makes sugar accumulate in the bloodstream instead of entering the body cells. As a result, this glucose cannot be used by the body as a source of energy. The anticipated lab abnormalities include a significant increase in the amount of glucose in the blood. Lack of insulin in the body makes blood sugar too high, which can cause serious damage to body organs overtime.

Implications for Self-Care

This disease process has an impact on the patient’s and/or the patient’s care provider’s ability to care for themselves. This effect can be explained through Maslow’s hierarchy of needs and Orem’s theory of self-care deficit theory.

Maslow’s Hierarchy of Needs

            Maslow’s hierarchy of needs is applicable in the field of nursing. In this case, the theory will influence the patient’s and the patient’s care provider’s ability to care for themselves. Physiological needs

Needs in this level of Maslow’s theory entails the basic concerns about survival. In most cases, these needs are expressed by family members since the patients may not understand their current medical situations (Jackson, 2014). In the case of this patient, these needs are expressed by her mother, who is beside her at the hospital bed. The mother is concerned about the recovery of her daughter. On the other hand, physiological needs influence the capacity of the care provider to take care of themselves. The healthcare provider requires a decent work environment where she or he is given some time to eat, refresh, and relax (Collins, 2018). Additionally, nurses require communication tools that enable them to collaborate more efficiently with other members of the interdisciplinary team. Therefore, meeting these needs will improve the quality and safety of patient care. Additionally, nurses attain job satisfaction if these needs are met during their clinical practices.

Safety Needs

These concerns involve the emotional well-being of the patient. This need is met by preventing the client’s condition from worsening (Jackson, 2014). In this case, it involves effective management of her blood glucose levels. On the side of practitioners, safety needs are addressed by making nurses feel safe during care delivery. Healthcare facilities should equip nurses with protective devices and tools that enable them to seek immediate help when their physical safety is at risk. In most cases, this need is addressed by providing practitioners with some wearable devices that allow them to contact the management in case they are in danger for immediate help to be granted to them.

Love/Belonging         

This is the third concerns that have been discussed in Maslow’s theory. The client is concerned if the family members will continue being on her side if the condition persists. In this case, the client is worried if her mother will continue sticking at the hospital bed should her condition continue getting worse. Additionally, this need applies in the context of healthcare providers. Nurses are motivated towards providing quality care and working towards organizational goals if they feel valued and as part of the healthcare facility. Therefore, hospital leaders should engage healthcare staff while designing and formulating organizational goals and procedures (Collins, 2018). Nurses are willing to implement organizational interventions if they were involved in designing them.

Esteem            Needs

The fourth concerns entail esteem. It is concerned with if the client will achieve recovery-related goals. In this case, the client is concerned about continuing with her daily duties and education upon being discharged. On the other hand, the healthcare organization should strive to meet this need to enable the practitioners to perform their duties satisfactorily. Nurses feel good if they have achieved positive patient outcomes. Therefore, a healthcare organization should provide practitioners with modern technology and other equipment to enable them to meet this need.

Self-Actualization Needs

This is the last concerns highlighted in Maslow’s theory of human needs. It involves one’s ability to reconcile the “new normal” with the initial identity. This client is worried if her new state will integrate with her initial person before the disease struck her. This is the greatest worry of most clients since they feel that the disease has changed their lives completely. On the other hand, nurse practitioners strive to meet this need. Healthcare providers feel self-actualized if they are able to provide excellent patient care to their clients consistently (Collins, 2018).

Orem’s Theory of Self-Care Deficit Theory

            The client’s self-care can also be influenced by Orem’s theory of self-care deficit theory. Orem believed that individuals have a natural ability for self-care, thereby nursing should work towards enhancing that capacity. In particular, patients with chronic diseases such as diabetes type 1 and 2 experience various physical and mental problems, including weakness, fatigue, sleep disorders, and anxiety. Patients struggling with T1D and T2D become predisposed to various issues, loss of family and community support, depression, and social isolation due to complications of these conditions. Similarly, this client might face these issues since she is struggling with type 1 diabetes. Therefore, her self-care capacity should be enhanced to enable her to participate in the management of her healthfully to enhance the management of her condition and improve her quality of life without depending on others.

Consequently, the care team should provide the client with further information on the status of her condition and the most appropriate care plans and encourage her to take responsibility for her health status. In this case, the client should be assured that diabetes type 1 is easily managed through adherence to the prescribed medications and lifestyle modifications. The care providers should educate the client on how to monitor her glycemic levels through the CGM tool and report in case it goes too high or too low for a necessary action to be taken to prevent further complications. Adhering to the provided guidelines will improve the client’s well-being and quality of life. Thus, self-care behaviours and activities will enable the client to lead a normal functional capacity and improve her quality of life irrespective of living with this life-threatening condition.

Patient Education Strategy

The educational strategies and a plan of care for this client are based on the self-care section. First, the client should be educated on participate in her self-care fully. Thereby, the client should be educated on how to adhere to the prescribed medications and modify her lifestyle to facilitate the management of her blood glucose level. Additionally, the care plan should focus on meeting the client’s needs based on Maslow’s hierarchy theory. First, the care plan should strive to address the physiological needs of the client to assure her caregiver that she will recover. Secondly, the plan will address safety needs to assure the client that her health condition will not worsen. Addressing belonging needs will assure the client that her mother will be there despite her health status. Esteem needs will be addressed by assuring the client that she will meet her goals. Finally, her self-actualization needs will be addressed to assure the client that she will be able to integrate her former identity with her new self.

Interdisciplinary Collaboration

The members of the interdisciplinary team will be involved in providing healthcare services to this client. First, nutrition will be involved to recommend the client an appropriate diet with a limited amount of carbohydrates to prevent the blood sugar level from rising further. Primary care providers will be involved during the transition of care to educate the client on how to continue monitoring her glycemic levels while at home through GGM. According to Rodbard (2017), CGM improves glycemic control by allowing diabetes patients to monitor their blood glucose levels at close intervals. The accountants will be involved during the discharge to prepare discharge bill for the client based on the breakdown of the provided care services. The financial implication of this client is that the family might strive to settle the medical bill since her mother, who should be engaging in economic activities, is with the client in the hospital.

Conclusion

A 13-year-old adolescent has been diagnosed with Type 1 diabetes upon being admitted to the clinic. The lab diagnostics is anticipated to indicated a high amount of blood glucose due to the production of too little or no insulin in the pancreas. Maslow’s hierarchy of needs and Orem’s theory of self-care deficit theory have implications for self-care for this client. Maslow’s hierarchy of needs indicates that the patient’s needs should be addressed in the five levels. On the other hand, the self-care deficit theory implies that the client should be engaged in the management of her self-care to improve her well-being, functioning, and quality of life. Interdisciplinary team members collaborated during care delivery to enhance the outcomes of this client.  

References

Collins, R. (2018). Adapting Maslow’s Hierarchy of Needs to Nursing Communication. https://www.healthitanswers.net/adapting-maslows-hierarchy-needs-nursing-communication/

Jackson, J, C et al. (2014). Improving Patient Care Through the Prism of Psychology: application of Maslow’s Hierarchy to Sedation, Delirium and Early Mobility in the ICU. J Crit Care; 29(3): 438–444. Doi: 10.1016/j.jcrc.2014.01.009

Rodbard, D. (2017). Continuous Glucose Monitoring: A Review of Recent Studies Demonstrating Improved Glycemic Outcomes Diabetes Technol Ther.; 19(Suppl 3): S-25–S-37. doi: 10.1089/dia.2017.0035.

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Review the case study analysis topic below. Then, using the Case Study Analysis Assignment Outline, write a 6-8-page paper (including title and reference page).

You are caring for a 13-year old adolescent girl admitted and diagnosed two days ago to your pediatric unit with Type 1 diabetes. Her primary care giver is her mother who is present at the bedside.

Case Study Analysis Assignment Outline:

Introduction
Brief overview of the pathophysiology of the disease. Include:

What lab abnormalities would you look for?
What diagnostics would you expect to see?
Give rationale.

Implications for Self-Care

How does this disease process impact the patient’s and/or their care provider’s ability to care for themselves?
Consider Maslow’s hierarchy of needs
Application of Orem’s Theory of Self-Care.

Patient Education Strategy
Consider educational strategies and a plan of care for your patient based on the implications for self-care section. Support with rationale.
Interdisciplinary Collaboration
What interdisciplinary team members need to be included. Include rationale.
Consider nutrition, discharge, transition, and financial implications
Conclusion

Case Study Analysis Paper Guidelines for Submission

Name the paper with a File Naming Protocol: When you save the paper, name it: LastName_NSG 3300_CaseStudyAnalysis_1.docx
All discussion and papers should reflect clinical and professional patient/cases, and not references to personal or family issues. Please provide current and professional, work/clinical-related experiences in your papers. For recent graduates, you may provide examples from your clinical rotations.
A minimum of three references should be used in this paper. References should be no more than five years old. Exceptions include seminal works, such as original publications by nurse theorists. Use only scholarly references (peer reviewed) or authoritative resources, such as the Institute of Medicine, Centers for Disease Control and Prevention, or Healthy People 2020 websites. **If you have questions about the use of scholarly sources, please ask your course faculty
All papers should be written in APA format (6th edition). This paper should include:
Formal components, such as a title page, and APA formatting with an introductory and conclusion paragraph that summarizes the key concepts
APA-formatted level headings
APA margin, font, and paragraph spacing
APA headers (include page number)
Appropriate in-text reference citations
A reference page, in correct APA format