identify a patient issue or advanced nursing practice problem using a case study to communicate in writing the application of valid evidence (research and theory) to clinical practice to improve patient outcomes.
October 12, 2018
Advanced acute care: Case study
October 12, 2018

Review several of your classmates’ posts, and by 11:59 p.m. on Day 7 of the week, respond to at least two of your classmates who chose a different type of pain to address than you chose. You are encouraged to post your required replies earlier in the week to promote more meaningful interactive discourse in this discussion. Ask questions that might help to further your understanding of the discussion or take the discussion to a deeper level. State whether or not you agree with your peer’s suggestions for treatment. Explain why, or why not. Support your comments to your classmates with evidence from at least one scholarly source including in-text citations and a reference list that are in accordance with APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site..
Continue to monitor the discussion forum until 5:00 p.m. Mountain Standard Time (MST) on Day 7 of the week, and respond to anyone who replies to your initial post. In addition to responding to at least two of your classmates, you are required to respond to any questions your instructor asks you prior to 5:00 p.m. Mountain Standard Time (MST) on Day 7.
#1 Charity Parker
YesterdayJan 10 at 9:05am
Manage Discussion Entry

• Identify the type of pain your client is experiencing for which applications of applied behavioral science are appropriate (e.g., arthritis, bone or joint pain, muscle pain, fibromyalgia, migraine headaches, cancer pain, post-surgery, etc.).
Jessica a 35 year old lady, a formally very active lady, was involved in a tragic car accident leaving her with damage to her vertebrate, causing her constant back pain. She is becoming very depressed at her now dependency, being stuck in a wheelchair. She is starting to gain weight from the depression, and is no longer motivated to attend physical therapy.

• Describe any psychological factors and emotional states of your client which appear to impact her or his mental and physical health (e.g., depression, anxiety, general level of satisfaction with life).
Jessica has become so depressed, at times she does not want to even get out of bed. She is not use to relying on other to care for her, and feels like a burden to her one and only daughter. She feels held back from all the normal activities that she use to participate in, going jogging, dancing, and even having to quit her full-time job. She is in such pain, it makes it hard for her to even move, although she is supposed to be attending physical therapy, she feels like she sees no improvement and it’s causing her pain, so she has cut back from going. With this depression and over eating, this can lead to further problems if she does not change her eating habits. This can lead to obesity, and further more even more complications. “Obesity predisposes individuals to a variety of health risks, including high blood pressure, high cholesterol, cardiovascular disease, type 2 diabetes, asthma, and sleep apnea( McCarthy; DeLisa; Getzfeld; McCarthy; Moss-King; Mosser;Privera; Spence;Walker; Weinberg; Yousself- Morgan, 2016. Section 3.4, par 3).

• Indicate the client’s locus of control and health motivation. Utilize terminology outlined in your reading.
Jessica at times has no motivation. Her depression has gotten the best of her. With the help and support of her daughter, she realizes she needs to push through these physical therapy sessions or she will be stuck in that wheelchair for good. Since she loves the outdoors, her daughter is now taking her to the park to the walking chair, encouraging her to push herself, while still being able to enjoy the outdoors that she so dearly misses. She is now changing her eating style, and attending physical therapy sessions again. She has faced the facts, and realized she needs a change in her lifestyle if she wants to get better. Her motivation is growing and her depression is subsiding.

• Identify any additional stressors your client is experiencing that may exacerbate her or his pain experience.
With her negative thinking she was becoming more depressed. She would get frustrated and give up when she couldn’t achieve something on her own.

• Based on the reading, identify at least one pain management technique you believe would best reduce the pain experience in this situation.
Because of Jessica’s love for the outdoors I believe, Mindfulness – based stress Reduction can help with her depression. This has been shown to “ reduce stress and anxiety symptoms, negative mood related feelings, depression, and even increase self-esteem and improve overall functioning”( 4.3, par 21). Being able to just be outdoors, watching sunsets, enjoying the outdoors can help lift her spirits and give her a new outlook on life. “ Meditation can be a great healing process.
“techniques, such as diaphragmatic breathing, progressive muscle relaxation, distraction, medi-tation, and guided imagery have been shown to significantly reduce pain”( Haozous, Doorenbos; Ardith; Stoner,2016 par 2).

 

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