The main role of the public health nurse is to provide the best evidence based quality of care to the client and his/her family in order to encourage independence and well-being. This in turn will help improve the client’s quality of life throughout the disease progression.
Within the community the public health nurse must assess individual needs, plan care, implement care by liaising with the primary care team and evaluate the care provided. Throughout this process the client and his/her family must be involved and an adequate timeframe provided.
The public health nurse acts as an advocate by communicating with GPS, practice nurses, specialists, hospitals and other health service providers, both voluntary and involuntary. When caring for a
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The public health nurse must identify causative factors and help set out an achievable goal for the client. This may include promoting regular rest periods and prioritising daily activities.
Bladder dysfunction 75–95% of patients suffering from MS experience some type of bladder dysfunction during the course of their disease (HSE 2012).Bladder dysfunction may include failure to store and failure to empty. Urinary incontinence and retention. The public health nurse must assess the individual and provide appropriate care such as incontinence wear or catheter care.
Bowel dysfunction may occur in the form of constipation or bowel frequency. Personal hygiene needs must be promoted. The public health nurse may need to liaise with the health care workers or the individual’s main carer. A referral to dietician may be beneficial to discuss high fibre diet and fluid intake.
Pain may be present in the form or acute or chronic pain. MS related symptoms may cause chronic musculoskeletal pain, such as backaches and painful leg spasm. The public health nurse must assess the severity of the pain. Non pharmacological methods can be recommended such as meditation. Regular liaison with the GP may be recommended to alter
As of 2013, the number of people with MS was estimated to be over 2.3 million worldwide. ( atlas 2013) Most of the non-traumatic disabilities in young adults are caused by MS [1]. It is considered that an interaction of genetic factors, environmental predisposition, and abnormal immune responses can be the chief causes of MS, But the exact etiology of MS is still in question [2]. MS has been greatly studied within the recent years, but a great number of clinical challenges still remain in regard to diagnosis, prognosis, and treatment.[6]
This article can turn out to be an inspiring article for people who are suffering from multiple sclerosis or other disabilities. Mairs begins her introduction with a hilarious event which is an attention grabbing for a reader. Then she
The Registered Professional Nurse Case Manager is a graduate from an accredited school of nursing with a Bachelor’s degree specializing in community health services. The RN Case Manager directs and plans patient centered care from the point of initial problem based nursing assessment, develops a plan of care, organizes and manages specific aspects of patient care while incorporating the needs of the patient and their family or significant others. The primary focus of the Case Manager is improving overall health and wellness, improving outcomes through the utilization of evidence based practice. The Care Manager collaborates with the patient’s healthcare and insurance providers as well as social support services ensuring provisions for safety
Copaxone (Glatiramer Acetate) has been shown to reduce the number of attacks; these drugs are injectable with varying dosages. Oral medication such as Gilenya 0.5mg once daily is beneficial for relapsing-remitting MS symptoms also. However, there is no known cure for MS, and the disease is likely to progress in some patients no matter what the provider does (Goldenberg,
Introduction Multiple Sclerosis is a neurological disorder that affects the central nervous system, causing damage to the nerve cells, which could cause permanent damage, leaving those who suffering from the disease with a myriad of lifelong issues. According to Mayo Clinic (2018), “Signs and symptoms of MS vary widely and depend on the amount of nerve damage and which nerves are affected.” The damage varies from patient to patient; with many of the symptoms include numbness and tingling of the extremities, mental health issues, such as depression, vision issues, speech impairment, balance issues, and chronic fatigue, as well as incontinence and bowel issues. In more advanced stages, cognitive function can change, such as memory impairment,
The role of Nurse Practitioner came into inception in the mid 60s. This was in response to a shortage of physicians across the nation. With the demand for primary care services for all ages, one option to close the demand gap and increase the number of providers is the option for states to revisit the laws governing how Nurse Practitioners practice and provide care to patients in different settings like hospitals, outpatient clinics and others. Whether they work autonomously or under a physicians' supervision, their scope of practice involves but is not limited to assessment and planning with a goal to provide the the best care for optimal patient health and outcomes.
MS, as discussed, can be slow or fast progressing. Also, there are other neurological diseases that are symptomatically similar to MS as they also show signs of demyelination. MS is often diagnosed using both clinical and MRI results. The physician would usually first take a family history as genetics also play a role (albeit small) in MS presentation. The physician would move on to complete a physical examination, often looking signs such as lack of balance and coordination, loss of vision, and decreased emotional and language functions.
In the state of Maryland, a nurse practitioner (NP) is an advanced practice registered nurse licensed to provide health care to patients. NPs are held to the same legal and ethical standards of care as physicians and are committed to providing personalized, quality health care to all. Nurse practitioners are dedicated to filling gaps in health care to better meet the needs of our population. In Maryland, Nurse practitioners are referred to as Certified Registered Nurse Practitioner (CRNP).
“The NP is an APRN who provides health care to a group of patients, usually in an outpatient, ambulatory care, or community-based setting (Potter, Perry, Hall & Stockert, 2013, p. 8).
Most patients and physicians develop an unfounded perspective of MS as a progressively worsening, inevitably impairing disease. In actual, 15 years after the onset of multiple sclerosis, only about 20% of the patients become paralysed or institutionalized. 20% patients become wheelchair bound, or depend on crutches, but 60% patients are ambulatory without any kind of supporting medium and some have little deficit at all. As many as 1/3 of all the MS patients go through life without any relentless disability, and suffer infrequent, short-term episodes of the
Nursing is an age old profession of compassion, encouragement, and support to the injured. With the development of learned abilities nurses are able to heal by easing suffering, treatment, and encouragement of the care of people, families, communities, and populations. Professional nursing roles entail practices based on evidence that are defensive, recuperative, and promotive when focusing on a holistic manner. Developing professional roles of nurses are highly recognized and nurtured. A nurse plays an essential role in the healthcare system.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
It includes the promotion of health, the prevention of illness, and the care of ill, disabled and dying people” (WHO, 2018). This means that nurses care for both those who are sick and unable to care for themselves, healthy people, and the dead. One of the duties of the nurse is to educate the patient and public. As such nurses also go into the communities to create awareness on recent developments and how to manage our environment to prevent the inhabitants from becoming sick. Nursing to me is showing that love; care and compassion to those in need.
Health Nurses need to emphasize preventative health, cure for diseases, and health promotion. Nursing Virginia Henderson defined nursing as: “The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge.” (Vera,2014) Henderson states that “The nurse is the only twenty four hour worker. We are the only people that will say we stay with you.
Importance of nurses A nurse is a health care professional who is engaged in the practice of nursing. Nurses are men and women who are responsible (along with other health care professionals) for the treatment, safety and recovery of acutely or chronically ill or injured people, health maintenance of the healthy, and treatment of life-threatening emergencies in a wide range of health care settings. Nurses may also be involved in medical and nursing research and perform a wide range of non-clinical functions necessary to the delivery of health care. Nurses develop a plan of care, sometimes working collaboratively with physicians, therapists, the patient, the patient 's family and other team members.