Specialised nursing Essay Example | Topics and Well Written Essays - 3000 words

Specialised nursing - examine ExampleThe presentation of depression of people with autism, which is a pervasive developmental disorder, is coloured by the cardinal disorder, considerably altering the manner in which it presents (Munden and Perry, 2002, 13). Nursing assessment, diagnostic process, care plan, and care delivery would thus be very complicated. The clinical presentation further complicates the already existing difficulties in communication. There is a necessity of increased nursing knowledge base to ensure people with autism receive a root on diagnosis and appropriate treatment (Stewart et al., 2006, 103-116). Mr. John has been admitted to the infirmary with a diagnosis of gastric cancer. Therefore, it is expected that he has presented in an advanced stage, where palliative surgery is the only means of treatment, and the outlook is poor. His understanding or so his human body would be poor. The nurse who is left with his care has several challenges. Most important is his inability to communicate. The patient stiff conscious about that, and as a result becomes anxious. The basis of nursing in his care would attend on social exchange between him and his nurse. However, the social impairment is extreme, leading to situations where his well-defined ingests whitethorn fail to be adequately considered. The classical triad of impairments in him would be social relationship, social understanding, and mood and social communication. These patients are often extremely anxious in an unfamiliar environment, and from that angle, admission to a hospital is a very difficult issue to deal with. The nurse must be aware of this fact, and the paradox may be further aggravated by failure to communicate (Valente, 2004, 236-243). His advanced stage of gastric cancer needing palliative surgery places him in the need of palliative nursing care. Many autistic individuals need palliative care, and their care needs are different (Dell et al., 2008, 177-182). His pa lliative care need would need bare input from the nursing services. Palliative care is implemented for people with impending death, and being an autistic individual, his morbidity and mortality patterns, healthcare needs, presentation of symptoms, conceptualization of illness and death, and issues around education and training will be different. Palliative care has been defined as active total care for patients whose disease is unresponsive to healthful management. The nursing goal is to achieve the best possible quality of life for both the patient and his family. beingness autistic exerts limitations in adaptive skill areas, such as, communications, home living, skills in social relations, self-care, academic skills, concepts in health and safety, and leisure and work. All these factors may influence his care (Tuffrey-Wijne, 2003, 55-57). The associated depression in this patient is some other problem. Depression frequently coexists but is very difficult to identify, since ma ny of these patients are noncommunicative. Behaviours may escalate or patients may shut down, where the nurses must rely on their interpretations of their behaviours and the environment. The nurse must be aware about this possibility. The presentation depends on the patients age, level of intelligence, and level of verbal skills. There may be history of insistent spells, sad affect, increasing aloofness or social withdrawal, and disturbance of sleep and