Graded Unit Essay

As a HNC Health C be student I am required to provide evidence of the following principal aims and objectives to integrate noesis, theory and practice, to develop and apply a broad knowledge and skills and to have an virtuallyone persevering/client focus in my practice. To achieve all of the above I am required to complete project in a frame of reference of Graded Unit which consists of three stages planning, development and evaluation.After consultation with my work experience mentor and lead lecture (appendix 1 and 2) it was agreed, the project go forth be a breast feeding activity, weighing a patient , which will be carried bulge out within an ambulatory care settings which is my current placement . This will debate place on Monday the 22nd of April. The chosen activity is a part of the patients treatment care plan and its aims maintaining patients safety related to typeset medicine administration as well as to detect potential side effectuate associated with pharmacolog ical treatment. In accordance with applicable law (Data egis 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 mortalal information had been obtained with her consent and knowledge (NMC Code of Conduct 2008).Cinderella is a 26 years old patient attending the Peter Burnt Centre at Aberdeen purple Infirmary where she has been receiving Hepatitis C (HCV) treatment since November 2012. Cinderella lives alone in high rise block of flats in one of Aberdeen City Council estate. She left school at the age of sixteen with no qualifications and riding habitd medicines for several years. She was brought up by single parent her mother, and has no siblings. With the help from local drug rehabilitation team she managed to stop using drugs for flipper years. Currently she works as a housekeeper on a part time bases in one of the hotels in the city centre. Recently, she has re duced the number of running(a) hours out-of-pocket to the side effects of medication which make her feel very tired. She also complains of an upset stomach and lack of appetite. After having a chat with Cinderella she has told me that her affectionate life and circle of friends is quite limited as her income is now much lower. She also mentioned that is quiet difficult to make new friends while you have drug use history.When speaking to Cinderella it became evident to me that being HCV positive makes her feels worse than others and reminds her of when she was using drugs. It is wellevidenced that people who have both history of drug use and disease which can be sexually transmitted such is HCV, are likely to experience stigma and discrimination in their life (Gilman 1999).Stigma and discrimination are socioeconomic factors which have a damaging health, 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 afford to purchase better quality food, better housing, live in safer environments and have worse access to healthcare and education. Cinderellas low socioeconomic consideration and negative social attitudes evidently put her physical and mental wellbeing at risk. Stigma and discrimination may relate to Social Symbolic fundamental interaction Theory and in particular to the supposition of labelling and its negative impact 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 humans need a positive environment to achieve fulfilment in their lives. In Cinderellas case both her socioeconomic status and unfavorable social attitudes may make her feel negatively about herself and stop her from social integration. I also believe that Abraham Masl ows Hierarchy of Needs can be applied to the patient situation. According to this psychological perspective every person is motivated by their needs and cannot achieve his/he full potential (self-actualization) if some 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 illness may stop her from moving on to the next level disposition development. To support people in similar to Cinderellas circumstances the Scottish Government launched the Hepatitis C Action Plan in 2006. The aim of this policy is to modify health care services for people living with HCV and to tackle HCV- related social stigma, by rising public awareness and changing the way HCV is represent in media.I have decided to use Roper Logan and Tierney twelve activities of daily living (A DLs) to asses Cinderellas needs. The reason for this is that I find it to be the nursing model which is very efficient in assessin g 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 conclusion of this project I will focus on maintaining safe environment in relation 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 blood test which revealed Hepatitis C antibodies. After a number of blood tests and liver biopsy Cinderella had been diagnosed with Chronic Hepatitis C with genotype 1 and mild liver damage. HCV is a disease caused by blood borne virus Hepatitis C, which infects the liver and causes its inflammation (British Liver Trust 2010). The term degenerative describes illnesses that last for a long period of time (more than six months) or for the whole life. The liver is an organ which is a part of the digestive system and carries out numerous important jobs such as detoxification, aiding digestion or extracting nutrients.T hese play a vital role in maintenance of equilibrium of the body internal environment, cognize as a homeostasis. Due to prolonged liver inflammation scaring of liver tissue occurs (fibrosis) and permanent liver damage is likely to occur (cirrhosis, liver cancer). As a result liver work capacity become impaired 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 percent guarantee. Nevertheless, comelyly matched therapy can permanently clear the virus from blood and bar liver from further damage. Cinderella after consultation with liver specialist doctor and liver specialist liver nurse decided to undergo HCV treatment cognize as a triple therapy which is recommended by National Institute for Health and Clinical Excellence (NICE) The effectiveness 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 sid e 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 weight checks. To ensure Cinderellas safety I will follow appropriate NHS procedures and policies (NHS Procedure guidelines Weighing the patient 2008) in line with the Health and Safety at Work Act (1974). To perform chosen activity I will require specific 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 Services Scotland. (2009). Blood Borne Viruses & sexually Transmitted Disease . Available http//www.hps.scot.nhs.uk/bbvsti/hepatitisc.aspx. Last accessed 25yh March 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). reason 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 5th April 2013. Nicole Cutler. (2007). suspension the Hepatitis C Social Stigma. Available http//www.hepatitis-central.com/mt/archives/2007/08/breaking_the_he.html. Last accessed 7th 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). indigence 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, transaction and ethics for nurses and midwives. London NMC. p2- 8. 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