A diabetes specialist nurse is reviewing Jasmine. a 21-year-old student. in clink. This is a regular appointment -Jasmine usually sees a colleague who has left the job, so the nurse is meeting Jasmine for the first time today.
Jasmine is in her 1st year of university studying psychology and living away from home. She was diagnosed with Type 1 diabetes mellitus when she was 9 years old. It says in the notes that Jasmine's diabetes was well-managed well when she lived at home with her parents, but the nurse isn't convinced that this is still the case now that she's living independently.
Jasmine was unwilling to be weighed on admission. and is noticeably underweight. When taking her obs the nurse notices that Jasmine has several cuts and scars to her wrists and arms. several of which appear to be new. There is no documentation of this so far In any of the nursing notes.
- Anxiety • Type I Diabetes Mellitus
Medications: Jasmine is unwilling to discuss her current medications. Pharmacy records indicate that she is prescribed:
- Detemir - Current dose unknown • Insuman Rapid - Current dose unknown
Allergies: NI(DA Smoking and Alcohol: • Admits to drinking heavily since aged 17 - currently drinks wine and spirits several times per week. Approximately 28 units/week, sometimes 10+ in one night.
Family and Social thstonf: Mother and father are both fit and well and work lull time: they are an Asian British family. No siblings. Jasmine currently lives in University Halls of Residence. Jasmine's girlfriend Tara broke up with her last week: Jasmine has asked members of stall not to discuss this with her family. as they are unaware of her sexual orientation.
currant Vital Signs-Airway: patent Breathing: respiration rate is 24 resps/minute. Sp02 is 95% on room air Circulation: blood pressure is 96/51mmlig. heart rate is 110 bpm Disability: 6CVPU - alert and orientated, capillary glucose is 18mmoVL HBA1C is 9%. Exposure: temperature is 36.2°C
Task: "For this assignment. you will use Jasmine's scenario as a vehicle to discuss the factors that influence holistic person-centred assessment. exploring the key principles and values that underpin adult nursing practice."
Introduction: 250 words Set out the intended content and structure of your essay to come. You should allude to all Los. demonstrating how these will be addressed.
Please remember you are writing as a third party and not as the nurse.
Factors Influencing Holistic Person-Centered Assessment in Adult Nursing Practice
Introduction:
In this essay, we will explore the factors that influence holistic person-centered assessment in adult nursing practice, using Jasmine's scenario as a vehicle for discussion. We will address various aspects of Jasmine's health, including her type 1 diabetes mellitus, anxiety, self-harm, medication, alcohol consumption, family dynamics, and recent breakup. The essay will highlight the key principles and values that underpin adult nursing practice, focusing on the importance of person-centered care, cultural sensitivity, confidentiality, and collaboration.
Content and Structure:
Introduction:
Briefly introduce the concept of holistic person-centered assessment in adult nursing practice.
Outline the factors that will be discussed in relation to Jasmine's scenario.
Mention the key principles and values that guide adult nursing practice.
Type 1 Diabetes Mellitus:
Discuss the impact of living independently on Jasmine's diabetes management.
Highlight the importance of assessing her current glycemic control and understanding her insulin regimen.
Emphasize the need for collaboration between Jasmine and the healthcare team to optimize her diabetes management.
Anxiety and Self-Harm:
Explore the significance of assessing Jasmine's anxiety levels and its potential impact on her overall well-being.
Address the importance of identifying and documenting self-harm behaviors to ensure appropriate interventions.
Discuss the role of therapeutic communication and establishing trust to support Jasmine in managing her anxiety and self-harm tendencies.
Medication and Alcohol Consumption:
Highlight the need for a comprehensive medication assessment, including adherence to prescribed treatments.
Discuss the potential risks associated with heavy alcohol consumption in individuals with diabetes.
Emphasize the importance of open communication and non-judgmental approach when discussing substance use.
Family Dynamics and Support Systems:
Address the cultural sensitivity required when dealing with Jasmine's Asian British background.
Discuss the significance of understanding her family dynamics and their potential influence on her health choices.
Highlight the need for respecting Jasmine's confidentiality while also considering the potential benefits of involving her family in her care.
Conclusion:
Summarize the key factors discussed in relation to Jasmine's scenario.
Reiterate the importance of holistic person-centered assessment in providing quality adult nursing care.
Emphasize the significance of upholding principles such as collaboration, cultural sensitivity, confidentiality, and person-centeredness in nursing practice.
By examining these factors within Jasmine's scenario, this essay aims to demonstrate how they shape and inform the holistic person-centered assessment process in adult nursing practice.