Graded Unit Essay

As a HNC wellness C atomic number 18 student I am unavoidable to provide evidence of the pursual principal studys and objectives to integrate noesis, theory and practice, to direct and apply a broad noesis and skills and to claim an individual enduring/ knob focus in my practice. To achieve completely of the above I am required to complete envision in a form of Graded Unit which consists of collar st matures planning, development and evaluation. subsequently consultation with my civilize experience mentor and lead rattle on (appendix 1 and 2) it was agreed, the project will be a nurse employment, weighing a persevering , which will be carried off within an ambulatory fearfulness settings which is my latest ordainment . This will take place on Monday the 22nd of April. The chosen application is a dowery of the perseverings discourse c ar plan and its aims maintaining patients gum elastic related to correct music constitution as well as to discover potent iality side effectuate associated with pharmacological treatment. In accordance with applicable rectitude (Data Protection Act 1998) and to maintain patient confidentiality and privacy the name of the patient has been changed. I will be referring to the patient as Cinderella. The patients personal information had been obtained with her consent and knowledge (NMC Code of Conduct 2008).Cinderella is a 26 years old patient c ar the Peter Burnt midsection at Aberdeen Royal Infirmary where she has been receiving Hepatitis C (HCV) treatment since November 2012. Cinderella lives alone in high originate block of flats in one of Aberdeen metropolis Council estate. She left school at the age of sixteen with no qualifications and used medicates for several(prenominal) years. She was brought up by single raise her m a nonher(prenominal), and has no siblings. With the help from local medicate rehabilitation team she managed to stop utilise drugs for five years. ongoingly she works as a housekeeper on a transgress time bases in one of the hotels in the city centre. Recently, she has reduced the number of functional hours due to the side effects of medicament which make her feel very tired. She too complains of an upset stomach and lack of appetite. After having a chat with Cinderella she has told me that her complaisant conduct and circle of friends is quite limited as her income is now much firster. She alike mentioned that is tranquillize difficult to make new friends succession you need drug use history.When harangue to Cinderella it became evident to me that being HCV positive makes her feels worsened than others and reminds her of when she was using drugs. It is wellevidenced that plurality who receive both history of drug use and disease which can be sexually transmitted such is HCV, are likely to experience make and dissimilarity in their life (Gilman 1999).Stigma and favoritism are socioeconomic factors which cause a electronegative hea lth, cordial and financial consequences ( nursing Standard 2008). It is believed that those who are stigmatised and discriminated are more likely to have a lower income and due to this cannot ease up to purchase give authority quality food, better housing, live in safer surrounds and have worse access to health solicitude and education. Cinderellas low socioeconomic status and negative social attitudes evidently roam her physical and affable wellbeing at risk. Stigma and discrimination whitethorn relate to Social emblematical Interaction Theory and in situation to the topic of labelling and its negative impress on people behaviour and self- concept (Miller J, Gibb S 2007).This would also fit with Carl Rodgers Person- Centred Theory and his idea of self- concept. Self concept in other words is how we perceive and value our self. Rogers believes that human race need a positive environment to achieve fulfilment in their lives. In Cinderellas case both her socioeconomic statu s and unfavorable social attitudes may make her feel negatively approximately herself and stop her from social integration. I also believe that Abraham Maslows Hierarchy of of necessity can be applied to the patient situation. According to this psychological perspective all(prenominal) person is motivated by their needfully and cannot achieve his/he full potential (self-actualization) if or so of these are not met.I feel that this may relate to Cinderellas safety, love and belongings needs. Limited social contacts, stigma and fear caused by her infirmity may stop her from moving on to the next level personality development. To acquit people in similar to Cinderellas circumstances the Scotch Government launched the Hepatitis C Action Plan in 2006. The aim of this policy is to improve health care services for people living with HCV and to attempt HCV- related social stigma, by travel public awareness and changing the way HCV is portrayed in media.I have decided to use Roper L ogan and Tierney cardinal activities of daily living (A DLs) to asses Cinderellas needs. The cerebrate for this is that I find it to be the nursing model which is very utile in assessing basic day to day activities which have its own importance to the survival of lifealso it follows the objectives of my graded unit. For the purpose of this project I will focus on maintaining safe environment in coitus to Cinderellas HCV antiviral therapy. Cinderella had been referred to Peter Brunt Centre at Aberdeen Royal Infirmary by her GP due to the result of gillyflower test which revealed Hepatitis C antibodies. After a number of blood tests and coloured biopsy Cinderella had been diagnosed with continuing Hepatitis C with genotype 1 and loco colorful damage. HCV is a disease caused by blood borne virus Hepatitis C, which infects the colored and causes its turmoil (British Liver Trust 2010). The term chronic describes illnesses that last for a long full point of time (more than six months) or for the full-length life. The liver-colored is an organ which is a part of the digestive system and carries out many important jobs such as detoxification, aiding digestion or extracting nutrients.These play a vital subprogram in maintenance of equilibrium of the personate internal environment, known as a homeostasis. Due to prolonged liver fire scaring of liver tissue occurs (fibrosis) and permanent liver damage is likely to occur (cirrhosis, liver cancer). As a result liver work capacity fashion damage and the whole body may become poisoned (WHO 2011). There are several effective HCV treatment options available however none of them gives a one hundred portion guarantee. Nevertheless, adequately matched therapy can permanently sporty the virus from blood and prevent liver from further damage. Cinderella after consultation with liver specialiser doctor and liver specialist liver nurse decided to sustain HCV treatment known as a triple therapy which is recomm ended by issue give for wellness and Clinical Excellence (NICE) The authorization of treatment among other factors lay in an adequate dosage and duration of medicine intake.Both too low or too high dosage as well as side effects of medication may negatively impact Cinderellas physical health and put her life at risk. To maintain the patient safety it was agreed that Cinderella will be visiting PBC every Monday for blood tests and charge checks. To ensure Cinderellas safety I will follow appropriate NHS procedures and policies (NHS action guide tunes Weighing the patient 2008) in line with the health and Safety at operate Act (1974). To perform chosen activity I will require limited resources which I listed in Appendix 3 and project timescale (see Appendix 4). I have obtained consent from a different patient who is also visiting PBC this day if for some reason I will not be able to complete it withCinderella.ReferencesHealth Protection Scotland a division of NHS National Ser vices Scotland. (2009). Blood Borne Viruses & Sexually transmittable Disease . useable http//www.hps.scot.nhs.uk/bbvsti/hepatitisc.aspx. Last accessed 25yh show 2013. The Scottish Government (2011). The Sexual Health and Blood Borne Virus Framework 2011-15 . Edinburgh Scottish Government. p31- 42. Grundy G, Beeching N . (2004). Understanding social stigma ii women with hepatitis C. Nursing Standard. 19 (4), 35-39. Gilman S (1999) Disease and stigma. Lancet. 354, Suppl, SIV15. World Health Organization. (2012). Hepatitis C . Available http//who.int/mediacentre/factsheets/fs164/en/index.html. Last accessed fifth April 2013. Nicole Cutler. (2007). Breaking the Hepatitis C Social Stigma. Available http//www.hepatitis-central.com/mt/archives/2007/08/breaking_the_he.html. Last accessed seventh April 2013. British Liver Trust. (2011). Facts and functions of the liver. Available http//www.bbc.co.uk/health/physical_health/conditions/in_depth/liver/liver_facts_functions.shtml. Last accessed 11th April 2013. Maslow, A. H. (1970). motivating and Personality. New York Harper & Row Rogers, Carl. (1951). Client-centered Therapy Its Current Practice, Implications and Theory. London Constable. Miller,J and Gibb, S (2007). Care in practise for Higher Second Edition. Paisley Hodder gibson. 202-204. Nursing and Midwifery Council (2008). The code Standards of conduct, performance and ethical motive for nurses and midwives. London NMC. p2- 8. Roper, Logan, Tierney (1980). The elements of nursing. Edinburgh Churchhill livingstone. 141.