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13055617
Steven Hawks 55 year old male with mid stage ALS Diagnosed 2 years ago
Beschreibung
Nursing Mindmap am Steven Hawks 55 year old male with mid stage ALS Diagnosed 2 years ago, erstellt von Rezanie Lanceta am 30/03/2018.
Keine Merkmale angegeben
nursing
Mindmap von
Rezanie Lanceta
, aktualisiert more than 1 year ago
Mehr
Weniger
Erstellt von
Rezanie Lanceta
vor fast 7 Jahre
14
1
0
Zusammenfassung der Ressource
Steven Hawks 55 year old male with mid stage ALS Diagnosed 2 years ago
Nursing Care
Relational Practice
Respect
Compassion
Empowers client
Empathy
Active listening
Self-Awareness of own beliefs, values, and practices
Therapeutic Nurse-Client Relationship
Genuiness
Health Teaching
Call for assistance during ambulation
Catheter care
Signs and symptoms of infection
Medications
Diet & Nutrition
Hygeine
ALS overview education
Collaborative Practice / Interprofessional Team
Neurologist
Dietician/Nutritionist
Nurse/Nurse practitioner
Occupational therapist
Assistive technologist
Physical therapist
Speech pathologist
Social worker
PSW
Safety
Safe eating
Risk of aspiration
Breathing exercises
Ambulation
Proximity of personal items
Home hazards
Tanner's Model
Noticing
Progression of symptoms
Health deterioration
Increased susceptibility to co-morbidities
Interpreting
Patient and family are struggling to cope
Need for ALS education
Provide resources
assess need for medication
Responding
Provide ALS education
Provide external resources
Support group for patient
Support group for family
counselling
Financial assistance
mobility devices
arrange for home care (PSW)
pharmacological intervention
Reflection
effectiveness of medication
family coping well
patient mental health is stable
is more informed about about ALS
interprofessional consultations
Mobility devices are beneficial
Social Determinants of Health
Culture
Caucasian
Catholic
ALS Support Group
Housing/Physical environment
2 story house
Ramps
Renovate first floor
Wheelchair accessible bathroom
Bedroom
No carpets
Wider hallways
Rural Area
Extended Family located neighbouring town
Access to Groceries 10 km away
less pollution
Population 800 people
Income/Employment
Treatment and equipment expenses
Single source of income (as Steven can not work)
Wife works and earns less than $30,000 annually
Ontario Disability Support Program [ODSP]
Social Exclusion/Inclusion
ALS Support group
Most social interaction is only with family
Interacts with healthcare providers
Spends time alone with PSW while wife works and kids are at school
Health Services
Doctor located 30 km away
Nearest hospital located 30 km away
Limited access to home care due to rural location
Amyotrophic Lateral Sclerosis [ALS]
Progression
Symptoms
Difficulty breathing
Dysphagia
Weight loss
Loss of mobility
Loss of cognitive function
Insomnia
Progressive loss of the ability to speak
Fatigue
Treatment
Feeding tube (Late Stage)
Catheterization
Oxygen/Ventilation
Later stages, when breathing muscles are affected
Medication
Does not treat disease, treats symptoms only
Lengthens the appearance of symptoms
Prognosis
Death after 2-3 years
Diagnosis
Diagnosed between 40-70 Years old (Average age of 55)
Less common in younger people
Personal Meaning
Vision of the future
Care and treatment preferences
Do not resuscitate
Euthanasia
End of life wishes
Palliative care plan
Experience with Disease
Loss of independence
Coping with grief
Depression
Loneliness
Self perceived burden
Experience with Diagnosis
Anxiety
Fear
Stress
Sadness
Quality of Life
Facilitators
Church
Catholic
Supportive Community
Bible study
Prayer
Support from family and friends
Hobbies
Watching sports
Reading
Listening to music
Equipmments
Ramps
Wheelchair
Bathlifts
Hospital bed
ODSP
Access to hospital
Barriers
No cure for ALS
Dysrathia
Low income
Social Isolation
Limited Mobility
Home environment
Limited insurance coverage
Health worsens as Disease progresses
Medienanhänge
Legend (binary/octet-stream)
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