How elimination complexities can affect the lives of patients and their families

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Discuss how elimination complexities can affect the lives of patients and their families

NRS 410 Topic 3 DQ 1 Discussion

Discuss how elimination complexities can affect the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs. Provide an example.

Re: Topic 3 DQ 1
Elimination Complexities: Affects on Patents and Families

The body has many complex structures of elimination, including renal, pancreatic, hepatic, biliary, and gastrointestinal systems (Whitney, 2018). These structures are essential in maintaining health (Whitney, 2018). Therefore, when these structures are not working properly, the physical and emotional impact on both patients and their families can be quite significant. The extent of impact depends on the severity of disfunction as well as what structure is affected. For example, the families of children with end-stage renal disease and chronic kidney disease experience great psychosocial, emotional, and economic stress (Bignoll & Goldstein, 2015). Such a condition impacts caregivers in nearly every aspect of their lives, “resulting in emotional, marital, social, and financial dysfunction, which leaves families feeling disempowered to deliver the complex care…required” (Bignoll & Goldstein, 2015, para 2). Having a child with a chronic condition such as this increases a parent’s risk of depression, joblessness, and marital dysfunction (Bignoll & Goldstein, 2015). Research suggest that many families experience the heavy toll of chronic elimination complexities alone and invisible to their healthcare providers (Bignoll & Goldstein, 2015). The modifications a family must make to support the physical needs of a loved one with a condition effecting elimination are also significant and would impact each person individually.

Additionally, some cultures which guide family values and practices can influence the way elimination complexities are viewed, impacting the patient and family (Whitney, 2018). For example, incontinence is considered a social hygiene issue in accordance with some cultures and therefore is underreported (Whitney, 2018). One can conclude that the stigma placed on individuals with incontinence compounds the emotional and psychological stress felt due to the condition. Not seeking treatment may also cause physical complications to the patient.

Nurse’s Role: Support of Psychological and Emotional Needs

Nurses play an important role in supporting patients’ psychological and emotional needs which result from elimination complexities. Supporting the psychosocial, cultural, and spiritual needs of patients helps their transition to independence (Whitney, 2018). Nurses must be compassionate and educated on the complex emotions felt by patients who have lost independence due to dysfunction, such as feelings of demoralization (Whitney, 2018). Respecting privacy and dignity are paramount, and nurses must also respect patients’ right to refuse nursing care (Hughes, 2004).

An example of a nursing intervention which supports patients’ phycological and emotional needs and improves quality of life is to encourage resiliency (Whiney, 2018). Resiliency refers to the ability to uphold mental health despite significant risks or hardship (Stewart & Yuen, 2011, p. 199). Nurses can promote resiliency in many ways, such as by providing support in the acute phase of disease, setting high but achievable goals for independence, establishing boundaries to prevent patients from feeling overwhelmed, and by encouraging therapeutic relationships with others (Whitney, 2018). Resiliency promotes self-esteem, self-care, and adherence to treatment (Stewart & Yuen, 2011). Resiliency also encourages effective coping, social support, and self-efficacy (Stewart & Yuen, 2011). Discuss how elimination complexities can affect the lives of patients and their families

References

Bignoll, R. & Goldstein, S. (2015). Childhood CKD Affects the Entire Family. American Journal of Kidney       Disease. Retrieved from https://www.ajkd.org/article/S0272-6386(14)01468-1/fulltext

Hughes, E. (2004). Understanding the care of patients with acute pancreatitis. Nursing Standard, 18(18), 45-52.

Stewart, D. E., & Yuen, T. (2011). A systematic review: Review of resilience in the physically ill. Psychosomatics, 52(3), 199-209.

Whiney, S. (2018). Elimination Complexities. Pathophysiology Clinical Applications for Client Health. Retrieved   from https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/3Re: Topic 3 DQ 1
The urinary system goes through normal changes related to aging. These changes include a decrease in the size of the kidney, decreased elasticity or muscle tone in the ureter, bladder and urethra. This can result in a weakening in the urinary sphincter, decreased balder capacity and retention of urine. All of these symptoms can cause stress incontinence, urinary frequency, dribbling of urine, urgency and nocturia.The effects of urinary incontinence are not usually life threatening. However, it can cause physical, mental and financial burdens and effects quality of life. People that experience urinary incontinence often report that they tend to reduce their physical activity. This is dangerous and can lead to other diseases such as osteoporosis, hypertension and heart disease. Emotionally a person with elimination problems carry a burden of shame and embarrassment. There is a financial burden when you factor in the cost of incontinence care such as absorbent products, medication, doctor visits and laundry. One of the leading cause of nursing home admissions are reported to be from urinary incontinence.

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How elimination complexities can affect the lives of patients and their families
How elimination complexities can affect the lives of patients and their families

Most women suffer with incontinence for an average of 6 years before they talk to their doctor mainly because of embarrassment and misconceptions. We need to talk to our daughters, sisters and mothers about this condition early and often. It is common, but it should not be thought of as normal.

https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/3

https://www.nafc.org/bhealth-blog/the-true-impact-of-incontinence

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

  • Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
  • Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
  • One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
  • I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

  • Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
  • In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
  • Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
  • Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

  • Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
  • Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  • I highly recommend using the APA Publication Manual, 6th edition.

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How elimination complexities can affect the lives of patients and their families
How elimination complexities can affect the lives of patients and their families

Use of Direct Quotes

  • I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
  • As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
  • It is best to paraphrase content and cite your source.

LopesWrite Policy

  • For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
  • Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
  • Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
  • Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

  • The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
  • Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
  • If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
  • I do not accept assignments that are two or more weeks late unless we have worked out an extension.
  • As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

  • Communication is so very important. There are multiple ways to communicate with me: 
    • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
    • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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