the practical application of the faye glenn
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INTRODUCTION The mammogram can be suspicious intended for breast cancer The biopsy was positive to get breast cancer. These are among the most horrifying words a woman can listen to her doctor. Breast cancer elicits so many fears, including individuals relating to surgical procedure, death, decrease of body image and loss of libido. Managing these kinds of fears may be facilitated simply by information and knowledge so that each woman can make the best decisions relating to her proper care. Optimally, problems are best reviewed with the individuals doctor with an individual basis.
What follows takes a look at of information upon breast cancer designed to aid people and their people in their nav through the great ocean of breast cancer concerns. Breast cancer is among the most common reason for cancer in women and the other most common reason behind cancer loss of life in females in the U. S and other countries. Even though the majority of new breast malignancies are diagnosed as a result of a great abnormality noticed on a mammogram, a lump or enhancements made on consistency from the breast tissue can be a danger sign of the disease.
Heightened knowing of breast cancer risk in the past years has led to a rise in the number of girls undergoing mammography for screening process, leading to recognition of cancer in earlier stages and a resulting improvement in survival costs. Still, breast cancer is the most common cause of fatality in women between the age ranges of 45 to 55. (Stoppler, 2009) RATIONALE Cancer of the breast is a avoidable disease yet can be very serious if it appears in a woman’s body, especially if it metastasizes to other regions.
When a female has cancer of the breast, it is at times very hard to allow them to accept the very fact that they have malignancy. According for an article by Gina Shaw, 2005 titled, Metastatic Cancer of the breast as a Serious Condition, the hardest part, for many women, is definitely the uncertainty. The uncertainty as to when they will stop suffering from this disease and when they will ever before get rid of they have always been the problem that cancer of the breast patients are facing. Faye Glenn Abdellah conducted analysis to identify ways to promote patient-centered comprehensive breastfeeding care.
Resulting from the initial three of these studies, 21 basic nursing problems had been identified. Abdellahs 21 trouble is actually an auto dvd unit describing the arenas or concerns of nursing, rather than theory describing relationships between phenomena. In this manner, the theory known the practice of medical, with a concentrate on the 21 nursing problems, from the practice of medicine, having a focus on disease and remedy. The problems might be overt or perhaps covert, and problem solving should be to used by the nurse. The nursing procedure as a problem-solving process is compatible with this method. Copyright 1995-2008, Pearson Education, Incorporation., publishing while Pearson Prentice Hall) SYNOPISIS OF THEORY Abdellah talked of the patient-centered approach, the girl wrote of nurses identifying and resolving specific challenges. This recognition and classification of complications was named the typology of twenty one nursing challenges. Abdellah’s typology was divided into three areas: (1) the physical, sociological, and emotional needs in the patient, (2) the types of sociable relationships between nurse plus the patient, and (3) the common elements of individual care.
Abdellah and her colleagues thought the typology would provide a means to evaluate a student’s experiences and also a strategy to evaluate a nurse’s competency based on end result measures. (Tomey Alligood, Nursing jobs theorists and their work 4th ed., p. 115, 2002) Abdellahs 21 years old problems are in fact a model explaining the arenas or concerns of nursing jobs, rather than a theory describing interactions among phenomena. In this way, the idea distinguished the practice of nursing, using a focus on the 21 nursing problems, from the practice of medicine, with a focus on disease and cure.
Furthermore, Abdellah’s theory has interrelated the principles of overall health, nursing concerns, and problem solver as the lady attempts to create a different way of viewing medical phenomenon. The effect was the assertion that nursing jobs is the usage of problem solving way with crucial nursing challenges related to wellness needs of folks. Abdellah’s solving problems approach are always used by experts to guide several activities within their practice. This is true when considering nursing jobs practice that deals with customers who have particular needs and specific medical problems. Atlanta, 1990) CONCEPTUAL FRAMEWORK OVERVIEW OF RELATED LITERATURE AND STUDIES To begin with, Faye Glenn Abdellah, leader nursing investigator, helped change nursing theory, nursing proper care and breastfeeding education. This wounderful woman has been a leader in nursing jobs research and has above one hundred journals related to breastfeeding care, education for advanced practice in nursing and nursing analysis. In 1960, influenced by desire to enhance client-centred extensive nursing proper care, Abdellah illustrate nursing as a service to persons, to people, and, therefore to, to society.
In respect to her, medical is based on an art and scientific research that mould the perceptions, intellectual expertise, and specialized skills individuals nurse in to the desire and ability to assist individuals, sick or well, manage their overall health needs. Abdellah’s patient-centred approach to nursing originated inductively from her practice and is regarded a human requirements theory. The theory was created to ease nursing education and is the majority of applicable for the education of nurses.
Abdellah’s theory might state that breastfeeding is the make use of the problem fixing approach with key breastfeeding problems associated with health needs of people. This sort of a statement preserves problem solving since the vehicle to get the nursing jobs problems while the client is definitely moved toward health ” the outcome. (Georgia, 1990) Regarding the theory as well as application, think about a case of Ryan whom experienced serious crushing chest pain shortness of breath, tachycardia and profuse diaphoresis. Assume that the levels of health issues state is the central basis to care.
Chosen Abdellah breastfeeding problem was brought after, for instance: to keep up good cleanliness and personal convenience. Classification of basic breastfeeding problems as well as the initiation in the appropriate procedure is a must. With all the assessment, planning, and diagnosis will give climb to the ideal Nursing Affluence to provide, for instance: dispense oxygen, raise headrest, reposition client, dispense prescribed junk, remain with client. As a result, yield an optimistic outcome inside the behavior in the patient. (Georgia, 1990) AFFECTED PERSON PROFILE Biographical Information
Term: Edith W. Dakoykoy Sexual: Female Talk about: Unit IV, OPRRA Community, Kalunasan, Cebu City Age group: 40 Host to birth: Cebu City Municipal status: Sole III. Health History Key complaint “Dugay naman ni nay mugawas na na-na sa akong totoy. Patient gripes of: discomfort on the left upper body History of present illness In line with the patient, the lady noticed purulent discharge onto her lower breast on the left ten years back. She tolerated and would not seek virtually any medical involvement. Social Background According to the individual, she put in most of her time earning money.
She perform carpool operates by sending students to school. In addition, she works within a construction and doing vehicle repairs. During her leisure time, special occasion and weekends, she actually is into consuming session with her friends. Health Administration The patient explained that the girl maintains her personal health by taking a bath everyday, brushing her the teeth twice each day. The patient likewise said that your woman was taking some food supplements like vitamins. Apart from taking medications prescribed on her condition, in addition, she takes several medication on her behalf to minimize unwanted side effects brought by radiation treatment.
Diagnostics Individual no longer offers any record of the diagnostic exam outcomes that were consumed her training course in the keep. APPLICATION IN NURSING ADPIE Assessment Subjective: ¢ “Una pa national insurance nakong chemo. Wala kayo ko nakapaminaw sa doctor unsa buhaton tungud sa kahadlok. , as verbalized by individual ¢ Aim: ¢ Wanted for information in disease method and residence care ¢ Inaccurate follow-through of discharge instructions ¢ Sedentary way of life noted ¢ Shortness of breath on exertion seen ¢ The latest weight loss noted ¢ Disadvantaged coordination known Generalized weak point noted Analysis Knowledge deficit related to insufficient knowledge about disease process and home proper care evidenced by simply request for info and inaccurate follow-through of instructions. Planning Short-term aim: ¢ Following 8 hours of medical interventions, the patient and her SOs will verbalize knowledge of the disease procedure and treatment regimen. Long lasting goal: ¢ After 14 days of ongoing evaluation, patient will be able to maintain a healthy life-style and will turn up regularly in her radiation treatment sessions. Concours
Independent ¢ Reinforced the value of adhering to treatment regimen and keeping follow-up appointments. Lack of co-operation is common basis for failure of anti-hypertensive remedy. ¢ Suggested frequent location changes and leg physical exercises when prone. Decreases peripheral venous gathering that may be potentiated by vasodilatation and long term sitting. ¢ Stressed significance of accomplishing daily rest intervals. Increases patience to activity progression. Collaborative ¢ Offered information with regards to community methods in making changes in lifestyle.
Health centers, programs and check-ups are useful in cancer of the breast awareness. Analysis ¢ Assessed the result of medical care supplied, and to made necessary alterations as needed. ¢ The person and significant others verbalized understanding of the condition process and treatment regimen. ¢ Sufferer was able to preserve a healthy way of living RESULTS AND DISCUSSION To evaluate, Abdellahs Theory, the 21 years old Nursing Concerns, and Individual ” Based Approach should provide a basis in development nursing care. It mainly focus on the usage of the breastfeeding problems in rendering the effective breastfeeding care for the customer.
Furthermore, the framework in the theory seems to focus quite heavily about nursing practice and persons / clientele. This relatively limit to be able to generalize even though the problem solving approach is readily generalizable to clients with specific overall health needs and specific nursing jobs problems. We never can deny the limitations that our theory may in counter, such as, Very strong breastfeeding centered orientation, little focus on what the consumer is to achieve, her construction is sporadic with the idea of holism, and potential complications might be forgotten.
But specifically in our circumstance, a desk representation of Faye Abdellahs 21 medical problem is provided to further visualize and assess which issue was intervened or was carried out by doctor to attend nursing jobs care to the client. The table presents on how the idea has written for the nursing care of the actual client that individuals had. Thence, the theory may possibly have issues but in each of our case it includes given more benefits towards the nurse and most of all towards the patient alone. Faye Glenn Abdellahs 21 years old Nursing Trouble |A.
Basic to All Sufferer |Nurse ” Patient Analysis | |To maintain very good hygiene and physical comfort |This place is simple to all the person whether critically ill or supportive | | |educative type of hospitalization. They may declare basic but it is barely and most | | |important problems that any kind of registered nurse need to attend.
Within our case, a palliative| | |and supportive educative treatment, as a doctor it is a must to educate and assist the| | |client in doing the typical ADLs just like bathing, basic hygiene methods, exercise, | | |proper sleep | | |(assisting the client doing guided imagery, and sleep inducing exercises), safety | | |from injury which include proper body system mechanics, and finally and the most crucial | | |is marketing physical comfort and ease such as non-pharmacological pain supervision. Thus, | | |this is a must to attend by the health professional daily. |To promote optimal activity: exercise, rest, and sleep | | |To promote basic safety through the elimination of accidents, injury, | | |or other shock and through the prevention from the spread of | | |infection | | |To maintain good body technicians and prevent and correct | | |deformities | | |B. Sustaining Proper care Needs | | |To facilitate the maintenance of a availability of oxygen to any or all body|As the top priority inside the nursing care, in this category it implies that care can be | |cells |need to sustain lifespan of the patient.
For instance, the advantages of oxygenation, | | |fluid and electrolyte balance plus the need to have an effective nutrition. Within our case, | | |it is one of the crucial and essential area that needs the registered nurse to be vigilant and | | |practical application of critical thinking abilities and good sense. We all know | | |that our affected person is ill with a terminal stage breast cancer, well by no means know how | | |the body responds to the medicine and health issues.
To web page an example, if the | | |metastatic cancers spreads in the lungs and complains difficulty breathing, thus, | | |the patient should be given instant oxygenation. With such, other categories | | |such as nutrition, elimination, sensory and regulatory functions must be | | |critically evaluated, monitored and evaluated every single day or just about every hour. In completion| | |of process, patient will be able to appreciate the made care, and verbalize the | | |satisfaction ideal nursing care rendered to sustain her life. |To facilitate the upkeep of nourishment of all body cells | | |To facilitate the maintenance of elimination | | |To facilitate the upkeep of fluid and electrolyte balance | | |To recognize the physiological replies of the physique to disease| | |conditions | | |To aid the maintenance of regulatory components and | |functions | | |To facilitate the upkeep of sensory function | | |C. Remedial Proper care Needs | | |To identify and accept positive and negative expressions, |When we dissect the word helpful, from the root word cure which means, it truly is | |feelings, and reactions |something, including medicine or perhaps therapy, that relieves pain, cures disease, or | | |corrects a disorder.
This serves as the daily surgery for the client, and for| | |clients who may have a palliative care illness. In customers with port stage tumor, | | |it is best to include in treatment his/her internal, emotional, and spiritual | | |dimensions as a all natural individual. As an example, the use of proper therapeutic | | |communication such as offering positive support is good for your customer. It | | |gives rise to his/her self-pride and willpower in struggling with such disease. | |In our circumstance as a health professional, we need to promote effective and trustworthy doctor ” | | |patient relationship, make use of proper communication techniques, maintaining | | |therapeutic environment such as a spending well ventilated room, led imagery | | |and self-awareness activities, expression of psychological and emotional thoughts | | |regarding the illness, and lastly, assistance in the clients achievement of | | |personal spiritual goal. | |To recognize and recognize the nterrelatedness of emotions and | | |organic illness | | |To facilitate the upkeep of powerful verbal and non | | |verbal communication | | |To promote the development of productive interpersonal | | |relationships | | |To facilitate progress toward accomplishment of personal spiritual| | |goals | | |To create and / or preserve a healing environment | | |To facilitate knowing of self because an individual with varying | | |physical, emotional, and developmental requires | | |D. Regenerative Care Requires | | |To acknowledge the optimum feasible goals inside the light of |We all know that the end product of such terminal disease is fatality.
In this | |limitations, emotional and physical |category it is a must for the nurse to support client in the perception and acceptance| | |of loss of life and perishing. In our circumstance the nurse would support client in identifying assists | | |in the process of perceiving and accepting of death and about to die. The health professional is also | | |responsible in the ongoing physiological and psychological proper care of client. By | | |the extreme conditions, the registered nurse and emotional aids (such as psychologist, family, love| | |ones, relatives, and etc. will give your customer the relaxing rest in the long run. | |To use community resources since an aid in resolving complications | | |arising via illness | | |To understand the part of sociable problems while influencing | | |factors in the case of disease | | CONCLUSION
To summarize, Abdellah’s theory provides a basis for identifying and managing nursing care. The problems offer a basis for organizing appropriate nursing jobs strategies. It is anticipated that by resolving the nursing problems, your customer would be transferred toward overall health. The nurse’s philosophical shape of guide would determine whether this kind of theory and the 21 medical problems could possibly be implemented used. BIBLIOGRAPHY 1 ) George Julia B. Breastfeeding theories: The camp of specialist nursing practice 3rd edition. Norwalk, CN: Appleton and Lange, 1990. 2 . Abdellah, F. G. The federal government role in nursing education. Nursing outlook. 1987, 35(5), 224-225. a few. Abdellah, F. G.
Public policy affecting on nursing jobs care of older adults. In E. M. Baines (Ed. ), points of views on gerontological nursing. Newbury, CA: Sage publications. 1991. 4. Abdellah, F. G., Levine, Elizabeth. Preparing nursing research pertaining to the 21st century. New York: Springer. 1994. your five. Abdellah, N. G., Beland, I. L., Martin, A., Matheney, R. V. Patient-centered approaches to breastfeeding (2nd male impotence. ). Nyc: Mac Millan. 1968. 6th. Abdellah, N. G. Development of nursing as a profession: perspective in manpower advancement. International Breastfeeding Review, 1972), 19, a few.. 7. Abdellah, F. G. ). The size of nursing scientific research. In T. H. Nicholl (Ed. ), perspectives upon nursing theory. Boston: Small, Brown, 1986.