Chronic illness essays

Submit via the DropBox site on LMS. Please disregard the submission due date if it is different – it is simply a computer setting that may vary.
The paper is intended to address the themes of:
o Understanding the impact of chronic disease on the individual
o Identifying and analysing a healthcare model applied to the management of the patient with the chronic condition/s
o Applying therapeutic communication.
2 Further information
As this paper is the final assessment task for NSG2NCI, results will be withheld until after the Chief Examiner’s meeting in early December.

1. What is best possible outcome and what is the worst case scenario? What is the residual chronic illness the person will be left with after this hospitalization?
2. What is “best practice” for the treatment of this illness and its chronicity?
3. What is the impact of this chronic illness?
a. Impact on the client
b. Impact on the family and/or significant others
c. Impact on society
d. Impact on nursing
e. Financial impact
4. Problems faced by this client and issues he or she will have to deal with
a. Physical
b. Psychosocial
c. Sociocultural
d. Spiritual
e. Economic
f. Ethical
5. Interventions that could improve quality of life
6. The clients personal adaptation to chronic illness
a. Accepting help to maintain maximum functioning vs. being passive and dependent
b. Support groups
c. Community resources in or near Grays Harbor County to assist adaptation
7. The impact of the nurses in this case
a. Change agent
b. Teacher
c. Advocate
d. Ethics and the nurse
i) Ethical dilemmas in this case study
ii) How these ethical dilemmas were resolved
6. How could the nurses have intervened more effectively for this patient throughout the course of this hospitalization?

Introduction
The central theme in this review will cover empowerment and spirituality for chronically ill individuals in the aging population with an emphasis on gender and differing cultural backgrounds. I attempt to show how the literature on this subject has advanced to the point where crucial factors of cultural background, spirituality and belief systems affect how the chronically ill improve health and wellbeing through being empowered by their spiritual and cultural background.
Body
In the available literature, (Johnson, Elbert-Avila, Tulsky, 2005) shows how the influence of spiritual beliefs and practices affect the specific culture of Africans Americans in a positive, healthy beneficial way for the chronically ill aged. In the study it was shown that AAs request specific life sustaining therapies at the end of life much more than Caucasians. Spirituality seems to serve as one of the main sources of meaning and purpose and is also used a as a framework for people to interpret their life experiences.
An elder Native American women’s perspective is expressed in an academic paper (Levi, 1998). In the indigenous religious experience Mother Earth and Father Sky are utilized for guidance and healing along with the Sundance and Ghost Dance and others. The Shaman or Medicine Man uses herbs and techniques and also contacts the spirit world for assistance in healing. The Native American woman elder is connected with nature and the natural healing power of herbal medicines and healing energies. It also involves the aspect of Native American spirituality and healing of the chronically ill by restoring their cultural self identity and participating with the community in soul and physical healing practices and to also with th...


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...uence of spiritual beliefs and practices on the treatment preferences of African Americans. Ethnogeriatrics and Special Populations, 53(4), 23-34.
Leetong, A. (2010, Jan). The model of quality of life improvement for chronic patients in community by using social support. Journal of Social Sciences, 6(1), 29-33.
Levi, J. (1998, Mar). The embodiment of a working identity: Power and process in Ramamuri ritual healing. American Indian Culture and Research Journal, 23(3), 13-46.
Metcalfe, J. (2005, July). Management of patients with long term conditions. Nursing Standard, 19(45), 53-61.
Wells, M. (2010, Oct) Resilience in older adults living in rural, suburban, and urban areas. Online Journal of Rural Nursing & Healthcare, 10(2), 45-53.
Zola, I. K. (1989, Oct-Dec) Aging and disability: toward a unified agenda. Journal of Rehabilitation 55(4), 6-9.

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Then, you know, people were getting better and that was great, but some, darn it, they just didn’t get better.  What were we missing?  And it didn’t take too long before complement with C3a and C4a came along.  Every year.  VEGF would be one thing, and gliadin antibodies another.  It wasn’t too long before we had this cast of characters that took about 30 tubes of blood to diagnose.  Fascinating development, and this was not funded by NIH.  This was not funded by my good friends at the CDC.  They didn’t like what the acronym actually stood for, which is the Centers for Discussion Crushin’.  But nonetheless, you know, it was a fantastic idea.

Chronic illness essays

chronic illness essays

Then, you know, people were getting better and that was great, but some, darn it, they just didn’t get better.  What were we missing?  And it didn’t take too long before complement with C3a and C4a came along.  Every year.  VEGF would be one thing, and gliadin antibodies another.  It wasn’t too long before we had this cast of characters that took about 30 tubes of blood to diagnose.  Fascinating development, and this was not funded by NIH.  This was not funded by my good friends at the CDC.  They didn’t like what the acronym actually stood for, which is the Centers for Discussion Crushin’.  But nonetheless, you know, it was a fantastic idea.

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