The case of Juan Duran presents a critical aspect of healthcare, especially for patients with chronic diseases. Juan has diabetes and seems to have trouble administering insulin. The patient needs to be well equipped for self-care. I have also learned the importance of assessing the psychological well-being of a patient. Juan has been significantly impacted by the recent events in his life. The death of her daughter has impacted his psychological well-being. Two human theories, including the self-care theory by Orem and the model by Neuman, are appropriate for a healthcare professional to assess the patient for a care plan.
From the case study, I have learned that self-care is an important aspect of ineffective management of health conditions. I have also learned that the self-care theory has a significant impact on the health condition and effective management of their condition. Despite the state of a patient, they should be empowered to have a certain level of dependency in managing their condition. From the case study, it is evident that Juan needs to be able to administer his insulin to ensure safety when he is not in the company of his wife.
The impact of stress can also not be underestimated. The Neuman model, which is mainly made of two components that include stress and reaction to stress, should be adopted by every healthcare professional to understand the patient. Psychological, physiological, developmental, sociocultural, and spiritual aspects should be considered for stability. Mr. Juan, from the case study, has been impacted by the loss of the daughter. To implement the theory, one needs to have an adequate understanding of the patient. This requires open and effective communication.
A Comparison of The Case Study to My Nursing Practice
The case study has been a reminder of everyday experience in my practice as an emergency room nurse. In the case study, the clinical officer asks the diabetes nurse educator to fit the patient in an unscheduled appointment. The nurse educator is able to have an effective conversation with the patient, and they disclose important details that can be used to model their care. The visit was unplanned, but the nurse educator was able to identify crucial information about the patient. Everyday experience in the emergency rooms involves working in crisis and dealing with situations that one may not expect as cases handled each day varies significantly. I must quickly identify issues affecting the patient and stabilize them. One memorable experience involved a patient who had sustained severe abdominal injuries. The patient reported that they fell, but the injuries indicated physical abuse as a fall would not have resulted in the sustained injuries. Quick observation made me realize how the patient became startled at the sight of their husband with the husband answering questions on her behalf. It was later determined that it was a case of domestic violence.
Rodger’s theory of unitary human beings, which views nursing as an art and science, has been influential in my practice. According to theory, the nursing process comprises assessing, voluntary mutual patterning, and evaluation. The most influential part of my practice is mutual patterning of the environmental and human interaction that involves sharing knowledge, empowering patients, offering choices, fostering patterning, and evaluating. I have learned that patient assessment should be comprehensive and include human and environmental fields.
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