Patients Education Of Psoriasis Patient Nursing Essay

Patients Education Of Psoriasis Patient Nursing Essay The society requires attaining, maintaining and recovering from disease, ailments accidents. This calls for specialized care from a trained professional. In most case, care givers at home may lack this expertise. This calls for people who are trained, specialized and understand the medical aspect of the patients condition, such as nurse. The best suited group of people that can deal appropriately with these problems are nurses. Nursing is a health care profession and hence, their services are oriented to this direction. In their duty, they give care to all members of the societies; both individual and families (Braverman, 1998). Nursing care is understood as being particularly crucial during patients recovery from serious illness or injury. Classically, it was thought that people requiring these services were probably people who were bed ridden. The objective of health services delivery is not only to care for bed ridden people but also anybody else that have a condition that is reducing their quality of life. It is known that some diseases significantly reduce the quality of life led by individuals and not by necessarily sending them to bed. The aim of healthcare today is to assist any person with any disease, ailment or any form of suffering to recover and have a joyous and creative life. Another factor that makes a nurse to be specifically suited to their job is because they are trained about community care. They deliver care in the context of the whole community. They are able to reach the society or community and teach or assist them on the best way to care for various people needing care in a society. Psoriasis is a non-contagious disease that affects a peoples skin. It is found in a class of diseases that are described as immune mediated. It occurs when a persons body starts sensing the skin cells that are foreign cells of disease causing microorganisms hence reacting against them. For this reason, the body responds to this faulty signal by producing more skin cells. The patients skin cells in the affected places divide up to 10 times faster and lead to accumulation of dead cells on the surface. The skin of the patient appears to have a red plaque that is covered with white rashes. This disease is particularly acutely irritating and is probably the most frustrating and unpredictable skin disorder. This disorder is also the most inexplicable and continual skin illnesses. Some parts of the body are more affected by this disease than others. These include the scalp, elbows, and knees. Some other parts are affected but on rare instances. They include the soles, the palms, and the fee t (Roenigk Maibach, 1998). Commons symptoms of psoriasis include reddening of the skin with white or silvery scales occurring at the top. These areas can be exceedingly sore and may crack and bleed occasionally. In most cases, the affected patches expand and coalesce forming large and continuous patches. In other instances, this disease may affect the nails where nails become rough, crumbled or even detached from their bed. Another symptom that health care providers look for in diagnosing psoriasis is crusts, scales or plaques on a persons scalp. There are various aspects of care that a nurse considers during care delivery. These are sometimes utilized by professional nurses as a checklist to ensure that the care is all inclusive, and the process of recovery is holistic. The main aim of this assignment is to address the nursing care of a patient with psoriasis based on two aspects of care which include patient education and discharge planning and process. Patients Education of Psoriasis Patient It is essential in the nursing care process of a patient with psoriasis to be educated and advised on how to live with the society, to avoid psychological torture and lastly to meet the prescribed medical instruction. The Patients are reported to face stigma and antagonism by such other people in the society. They become less indispensable resource to the society and hence said to experience negative attitude for the firsthand. They have seen how a single look on them initiates talks among people among other forms of stigmatization. Nurses teach patients to become ambassadors of truth. The society mistreats its members through stigmatization because of ignorance. The nurses also educate patients on how to protect friends, relatives and other members of the community (Smith et al, 2002). Moreover in Medical care, the nurse give educational care techniques including assistance on the application of the medicine, monitoring the progress of the patient and advising the patients on the fa ctors that aggravate psoriasis. Secondly, the nurses have noticed that the patients due to stress are currently suffering from psychological disorders such as post traumatic stress disorders and anxiety. They feel neglected and thus they need psychological education. Some of the nurses collaborate with psychologists to educate both the society and the psoriasis patients. In most case, nurses find themselves in a situation where the psychological health of the patient is crucial. Some patient feel like their image has been dented after they suffer from a psoriasis attack. The nurse has to respond to this by educating the patient on how to deal with these psychological problems. Sometimes, the patient is so psychologically affected that the nurse has to refer the patient for specialized counseling among other interventions. Bearing in mind the wide spread nature of psoriasis nurses come up with a way of assisting the society. The challenge that nurses face is lack of an elaborate system of reaching the society in order to educate them. The patients are advised on how to live healthy and boost their self-esteem. Nurses take this opportunity to educate parents and guardians how to handle the case and enhance the recovery of the patient. These educational programs are currently found to improve the health of the patient and to reduce stigmatization directed to the skin infections victims. Also in some cases, nurses organize members of the public into groups which have initiated some sports or even meditation. Other benefits of these sports are they help to deal with behaviors such as scratching. Furthermore other patients educational campaigns carried out by the nurse are to educate the patients and the society on the symptoms and origin of the disease thus clearing misconceptions in peoples mind. For example, some people believe that psoriasis is a sign of a curse, due to this they fail to take the medication and the advice seriously (Mitchel Panzer, 2005). It jeopardizes the process of treatment exceedingly and seriously. It may even increase stigma; people do not want to get close or in contact with a cursed person. Even when such people should be giving care, they stay away due to unreasonable fear. It becomes the responsibilities of nurses to shed more light on psoriasis. Friends, family, and people living with the affected individuals are educated to provide the necessary support for the patient. Lastly, the nurses are currently educating the patients who ignorantly fear to access the medical services due to been noticed that medical services will save them a lot from the disease. In some cases, it may disappear, in others it does not; thus, medical help is required. Additionally, it may leave an individual with extraordinarily large psychological problems that require specialized assistance. In most cases, nurses know specialists who can counsel and help the patient to fully recover. Nurses offer their advice regarding medical care and refer the patient for further counseling and peer support. In home care, the nurses are also educating the patients on how to handle stress. Medically, it is known that the careless and irresponsible behaviors that people develop during the stress cause psoriasis. Such behavior may include rubbing of hands and face. Stressed people have destructive tendencies of holding into anything and bringing things in contact with their faces. During care of a patient or other members of the community, the nurses shed more light on these issues so that people can lead a more informed life. They are also advised to protect themselves against excessive exposure to sunshine that can aggravate psoriasis especially during the summer periods. It is a method of illnesses prevention in a community, as observation of such basic rules can keep psoriasis at bay, at least for some people for some time (Walji et al, 1994). Thus in summary, the nurse has been carrying out the patients education across the medical services, stigmatizations and stress from other people, misconceptions and myths about the origin of the disease, treatment methods, society approach to psoriasis victims and lastly on how to handle psychological perception found to affect them adversely. Discharge Planning and Processing of Nursing Care Acute based care hospital discharge planning and process starts immediately upon admission in the hospitals. In most cases it is found to ensure that the nurses follow the right psoriasis disease medical guidelines and system (Fabian et al, 2011). It is defined as a multi-disciplinary nursing approach by the nurses and other medical practitioners to the patients signs, treatment process and discharging means. It involves several planning process, as described below. Immediately after admission of the patient, the first step in the nursing care designing planning and process is to examine the skin in general circumstances. The nurse should contact this within three hours. At the same time the patient is prepared for discharging through contacting the Medicare organizations such as insurance. At the same time the nurse should interview the patients about the problems linked to the disease, when did it start, what are some of the medications the patient accessed before and lastly, whether they have any hereditary problem of the disease across their family lineage. The next planning process is the nurse to describe the information given in line to the prevailing psoriasis diagnosis where the patient is taken for laboratory medical examination. At this process, the patients are instructed not to scratch themselves even if they are itching and home cares prepared for discharging process .This help to reduce more infections and complications. Moreover, in this stage, the patients are instructed to isolate themselves from other people in the society, utilize their own clothing and even take bath using bath oils. Moreover, the patient should avoid any skin injury that is going to complicate the medical process (Walji .Kingston, 1994) Third step in the discharge of nursing care planning method include keeping the skin moist. The nurses are trained to apply epidemiological prescription to ensure the patient skin is moist and thus not to itch. This involves reducing the scales by applying the necessary medical bath oils and staying in a cool place free from any dust and high temperature. The patients are also provided with some injections and clothing necessary to reduce itching, smell and pain. In the next stage, the patients are nursed in a manner as to keep the wounds clean and to apply the necessary antibiotics carefully and skillfully. This ensures that the patients do not have pain and itching is reduced. The nurses take this opportunity to educate the family members on how to prescribe the medical drugs to the psoriasis patients and thus improved services. At this moment, the nurses must monitor the risk of infections, outcomes of the disease and lastly the implication of the bath oil to the skin (Papadopoulo s Walker, 2003). Lastly, some of the patients found to be stressed, stigmatized and psychologically affected are provided with advices or even referred to psychologists for guidance and counseling. The nurses have a goal to improve the mind perceptions of the patients and to positively impact on their health. The nurses consider some numerous patients factors in the process of discharging the duties. They have to make necessary recommendations in line to the Medicare guideline so as to ensure that psoriasis patients enjoy the best Medicare services (Braverman, 1998). In the process, they must have insurance and Medicare eligibility so as to ensure that the psoriasis patient has in-patient services and hospitalized for at least three consecutive calendar years for observation purposes. Secondly, they must observe the cognitive status and especially their safety awareness while in the discharging process. This helps in reducing unnecessary infections to both the nurses and other patients. The clothing and bed sheets of the psoriasis infections must be handled with a lot of care (Camisa, 1994). Lastly, the nurses should observe the illness history and the future falls of the patient. Moreover, other factors that should be observed in the planning and discharge of psoriasis patients includes; age, living situation and lastly the daily nutrition and activities of the patients. Conclusion The nursing process of any psoriasis patient does not just require observation of the two aspects discussed above. Rather than that, it require all the nurses and medical practitioners to maintain people medical services to the patients, educate them and plan for the discharge process well. This will help to improve the health of this skin condition victim and reduce society misconception about the disease.

Essay --

Elizabeth Kubler-Ross once said, â€Å"Guilt is perhaps the most painful companion of death.† This quote truly captures Dimmesdale’s death and journey to death, it is guilt that drives him to the grave and it accompanies him throughout all five grieving stages. Dimmesdale is one of many characters in The Scarlet Letter that is faced with problems both personally and spiritually. The Scarlet Letter by Nathaniel Hawthorne is a romantic novel about a young woman, Hester Prynne, who is permanently marked with her sin by a scarlet A she must bare on her chest and also by her daughter Pearl. Hester committed adultery with the young minister of Boston, Arthur Dimmesdale. Hester, and her beloved child Pearl, learn to over come the A and change the meaning of it from adulterer to able, while they are changing the way society views them, Dimmesdale is withering away under the â€Å"care† of Rodger Chillingworth, Hester’s past husband. Chillingworth knows about the s in and seeks revenge on Dimmesdale. Dimmesdale is helpless and in a downward spiral. He let the sin become who he is, even though the towns people don’t know of his adultery until his dying breath. The Scarlet Letter is a story about overcoming the darkness that hangs above you and stepping out of the sin or gloom that controls you. For characters like Hester this is a fairly easy thing to handle, but on the flip side characters like Dimmesdale struggle and can not seem to escape their heinous acts and don’t find peace of mind until they die. The Scarlet Letter mainly focuses on the process of overcoming these troubling times and how each individual character handles the pressure, stress, and guilt that come along with it differently. Arthur Dimmesdale is a lost soul after his sin, he expe... ...d in acts to try and please God or whom ever they wish to gain forgiveness from. Most people naturally tie depression to death; people in this stage will experience sadness, regret, and fear of what is to come. The final stage is acceptance, this stage is very straightforward, it is in this stage that the individual realizes their fate and are okay with it and what they have done. (Elisabeth Kà ¼bler-Ross -Five Stages of Grief, Business Balls). Dimmesdale is a very, very troubled man to say the least. Throughout The Scarlet Letter Dimmesdale is shown going through the five stages of grief, he lets his sin rule and control his life and lets it ultimately lead to his demise. â€Å"Denial is a conscious or unconscious refusal to accept facts, information, reality, etc., relating to the situation concerned† (Elisabeth Kà ¼bler-Ross -Five Stages of Grief, Business Balls). Denial

Fast Food Essay Essay

America’s obesity is caused by numerous factors, that which are viewed differently by people. For example, many different people believe the problem of obesity is caused by over eating, increased portion sizes, lack of nutrition, and how fast food companies are going after children. These problems are all considered to be immense problems of obesity. Though, different people may believe only one of the followings is a major cause. Thus, it is of importance to discuss the reasons why. First of all, portion sizes from fast food restaurants have dramatically increased over the course of a few decades. In the article, â€Å"By Any Other Name, It’s Still a Supersize,† the author, Lisa R. Young, states that, â€Å"In the last few years, Hardee’s, Burger King and Wendy’s all have introduced 1,000-calorie-plus sandwiches stuffed with 12 ounces of beef – the amount of meat recommended for two days for most adults.† This shows that one meal can be more than half the average calories needed for individuals in a single day. Instead, people should avoid large quantities of food and should eat healthier. Consequently, big portion sizes are one of the factors of obesity. Second, fast food companies are deliberately targeting children as they are easy targets to go after. Kelly Brownell, the author of â€Å"Are Children Prey for Fast Food Companies?† says how Happy Meals from McDonalds are served with toys. These toys are advertised and are served with low nutritious food. â€Å"Only 12 of 3,039 possible kids’ meal combinations meet nutrition criteria for preschoolers.† However, if fast food companies would serve healthier foods to children, like fruits and milk, the statistics would increase. Also, these foods are high in sugar, and fat. Ultimately, companies targeting children with unhealthy food and toys can lead to a higher rate of children being obese or diabetic. Strangely enough, fast food mimicking fast casual places may actually be better and healthier due to its fresher ingredients. Julie Jargon writes the article, â€Å"Fast Food Aspires to ‘Fast Casual’†; and she states that fast food restaurants are up scaling their food. â€Å"In the hope of appealing to more-sophisticated consumers, fast-food chains are moving beyond simple cheeseburgers and tacos, adding fancier ingredients such as portabella mushrooms, citrus-herb marinated chicken, and pepper bacon.† This upgrade may be attracting more customers to the fast food industry, but they will be attracted to healthier foods. Therefore, it may not be as much as a leading cause as of obesity as other things. In conclusion, fast food companies have changed America for the worse over the course of a few years. Fast food places mostly have high fat and low nutritious portion sizes that shouldn’t be eaten daily. Families shouldn’t eat fast foods as much as they think they should, and instead should result in eating healthier, fresher products. Alternatives to fast food places may dramatically decrease obesity in America. America’s obesity epidemic may be led by the fast food industries.

Gender Inequality and Post-Secondary Education in Canada

Gender Inequality and Post-Secondary Education in Canada INTRODUCTION Historically, gender differences have been at the core of social and economic injustice and women have faced fundamental disadvantages (Tepperman Curtis, 2011, p. 351). Despite recent changes in formal equality – the introduction of protection for women in the Constitution Act, 1982 and the Charter of Rights and Freedoms, for example - informal barriers are still present which lead to the discrimination of women (Tepperman Curtis, 2011, p. 89). The Canadian education system has not been immune to the effects of discrimination towards women; in fact, some argue that schools have been a vessel for inequality (Knudson-Martin †¦show more content†¦362). An area that this theory may be placed emphatically is on the issue of gender inequality in the post-secondary educational system. Throughout Canadian history, females have been marginalized in the educational system. For example, before Confederation, young girls attended school with boys, but were often pu lled out of school in order to fulfill familial duties (Tepperman Curtis, 2011, p. 351). When these young women did attend school and show an interest in post-secondary education, they were guided into fields such as nursing and education (Tepperman Curtis, 2011, p. 351 Macneill, 2011). At one point in history, women were completely banned form attending medical school (a typically male-dominated field) (Tepperman Curtis, 2011, p. 351). Additionally, many of the most highly ‘skilled’ and well-paid jobs such as doctor and lawyer are still predominately held by males (Fausto-Sterling, 1992, p. 5 MacNeill, 2011). The discrimination of women in post-secondary education has had a direct influence on socioeconomic inequality between men and women. 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