Taking care of the person with special needs demands many efforts and patience. Chronically ill patients differ from other ones. Their frustration is perfectly seen in loose hope for recovery. This paper examines the ethical issue of both sides and implications caused by nursing.
While presenting the moral issue of nursing care, the great attention is paid on obligations of health care professionals, nurses who deal with serious issues of death, well-being, and human life (Kurtz, n.d.). Nowadays, it is difficult to find the responsible person to entrust one’s life to. Improper treatments, misunderstanding of the patient can cause harm and health threat.
In most cases, quality care and proper medical treatment identify ethical issues. The chronically ill patients demand special attention and good control. The state of their health influences their behavior. Their frustration can be seen in relation to the others, demanding requests, and the inability to do something. Quality care should be provided to them at a professional level. Nurses should meet all the requirements of the chronically ill patient, be proficient in a social relationship. They should be involved in all aspects of the patient’s life as it relates to the health. Giving proper care to the patient, the nurses should coordinate the other areas of the patient’s care: interpret his/her needs to the agency, advocate with health care providers. Chronic conditions, defining as “ongoing management over a period of years or decades”, cover many health problems that transform from fatal progressive states to controllable health concerns allowing those affected to live with them for many years (Nolte & McKee, 2008). They influence mental ability, which is revealed in schizophrenia, depression, and musculoskeletal disorders. Proper care control is the base of elimination of adverse impacts on human health.
Ethical nursing care requires special attention to chronically ill patients. They should be ready for respiratory complications, nosocomial infections, a cycle of anxiety and pain, inadequate nutrition and dehydration providing spiritual needs of patients, psychological, social, and physicl. The nurses should remain sensitiveness to the patient’s cultural, personal, and religious beliefs and values (Greifzu, 2002).They should severely follow their duties, dealt in surrogate decision-making and advanced care planning, autonomy and informed consent to treatment, protecting patients’ rights, and staffing patterns. The nurses should be ready for stress situation, improper behavior of the patient, displeasure. Giving support, providing empathy and encouragement will cause patients not to think about their health problems. Distraction will contribute patient to well-being. The nurses are good psychologists. Proper technology in treatment improves patient’s care. Give medicine according to the schedule, supporting in communication, listening dissatisfaction can negatively affect the nurse’s behavior. Nevertheless, they should concentrate their attention on the patient’s health and do everything to make the patient feel him- or herself better. The main role of the nurse for the chronically ill patient is to be a facilitator of self-care by the patient and a provider of proper treatment. Before taking care of the patient, the nurses should be aware of major issues of the patient’s health. Having all the information about the health condition of the patient, they will concentrate their attention on the key points of their duties. Their primary aim is to be resistant to stress situations that can be complex and deals with serious issues of well-being. Resistance will reduce the negative impact on the nurse’s health. Therefore, the focus will be made on a proper treatment of the patient, coping with intense emotions, managing the disruptions with their illness, and adaptation to changes in patient’s behavior.
The health services should fully control the chronically ill patient condition as such a person requires assistance at home from paid caregivers, benevolent volunteers, family or nurse. These people feel the negative impact of the environment. Their behavior depends on their mood that is subject to changes. They can be turbulent, irritable, annoyed, frustrated, and show negative emotions to others. These unfavorable conditions in their behavior cause harm to their health. It can lead to disease prolonging and negative conseqquences. To overcome these feelings, they are in need of health services that deal with the patient’s time schedule, proper optimization of biomedical care, managing behavioral, social, and psychological aspects of their illness (Levitt, 2009). Different chronical diseases can intensify other serious health problems such as mental, psychiatric, psychological disorder, blindness, hypertension, blood pressure abnormalities. The sufficient proper support from others is an integral part of their recovery. Good relation, proper treatment, providing various activities, encouraging to self-management goals will help the patient to take charge of their conditions. Very often, such patients become not just active patients but activists. To improve his/her health, the patient should take part in some activity. It will divert attention from health and strengthen an individual’s immunity. When the patient is emotionally distressed, a nurse should provide him/her proper support. Otherwise, it can develop prolong hospitalization or bed rest. Maintaining the patient’s health, comfort and function will provide life-sustaining support. A nurse very often is a patient’s caregiver, especially when the person lives alone. Evidence-based programming in home-based care has a positive influence on the patients’ health. Finding various ways to reduce the impact of the harmful effect on the health will lead to faster recovery. The patients’ main aim is to find the ways to distract attention from their health as well as receive proper support and care from health services remaining at their homes.
Nursing involves a serious decision regarding the person’s chronic illness. The great attention should be paid to the proper caring of the patient, time schedule, and activities. Various situations can lead to stress disorder, emotional or physical strain. The nurses should be ready for any negative behaviors by patients. Nursing implications include proper care for the patient, hope maintaining, providing various activities, positive thinking that improve pain, helplessness, and stress. The main duty of the nurse is to meet the needs of the patient, even if they are emotionally exhausted. Providing intensive care will help the patient to cover health difficulties.
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