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paper: The Role of a Nurse Practitioner
In today’s life, caring for the people
suffering from chronic health conditions has become a more significant part of
the daily nursing. Ever since the world health organization has acknowledged
the preventable risk factors that are mainly the cause of this disease, nurses
are now required to expand their range of expertise and skills which will
enable them to work efficiently and effectively as well with individuals who
have frequent complex health issues and chronic which are challenging and
difficult. Being a nurse practitioner dealing with a patient who is suffering
from chronic health condition the experience is not different from the rest.
These diseases are evolving requiring new skills every day so that one can be
taken care of and treated which happen in rare cases.
Personally being a nurse practitioner I
have been taking care of an aged woman who is suffering from diabetes. The
doctor who attended to the patients had prescribed medication, which she has
been using. However, sometimes when the blood sugar rises they cause her so
much pain and sometimes it even affects her eyesight. Ever since she has been
taking the same medicine for a long period, she has started to think they are
not working as her health is deteriorating every day. The last time I attended
her, she asked me to recommend a specific therapy that she can use the
medication to improve and speed up the healing. I am not familiar with
therapies that can be accompanied by treatment thus, I had to do research.
Nevertheless, most individuals who are under
nursing practitioner’s care also have numerous chronic diseases, which are not
related directly to the reason they are diagnosed. Therefore, it is dangerous
for the suffering individuals trying to intensify therapy for the acute disease
because it can cause more harm than benefit. So when my patient asked me to
prescribe an alternative therapy, I had to take more caution on it and do the
research. If changes are made in the treatment of this illness, the result can
be in similar scenarios with the capability to cause adverse medicine reactions,
which can contribute to confusion about the treatment regimen and maybe
non-adherence (LoBiondo-Wood et al.2017). For instance, if I could use
intensifying lowering glucose medications to my patient and discharge the
patient on the sliding-scale regular insulin, it can result to the severe
hypoglycemia when she is left alone without my aid. However, if I add a
bisphosphonate in many cases, it causes an adverse drug reaction, which on the
other hand contributes to medicine regimen complication that usually increases
the risk of medication non-adherence.
After doing thorough research regarding
the alternative treatments, I found that in order to manage diabetes, one
should maintain blood sugar levels. I also discovered that often-traditional
therapies such as insulin injections could be used to keep blood sugar level
normal. There are also complementary and alternative therapies which aim is to
treat the mind and body. These alternatives include, supplements, herbs, and
exercise, diet and relaxation techniques. There is also small evidence if these
therapies work and although they are considered natural, it does not mean they
do not interfere with medications (LoBiondo-Wood et al. 2017). Natural has no
legal definitions.
I also asked the doctor to check if the
patient was suffering from any other acute disease to avoid more confusion on
her treatment. After analyzing all the therapies, I had to find out I came up
with few therapies, which could be used along with her treatment. One was
changing her diet; her food was to be completely unprocessed as she was
supposed to have them as they are from the farm. I also recommended workouts
daily for at least thirty minutes. They were not necessarily running but taking
a walk. Supplements were another option since they do not interfere with the
treatment. The patients started the therapies immediately, and after a period,
we could see the result.
In conclusion, many people are suffering
from chronic diseases in the world today, and they require nurse practitioners
to take care of them. However, the tasks are becoming challenging every day. As
per my case, I was so reluctant doing my daily routine job of nursing the
patient suffering from diabetes until the day she asked me to prescribe for her
therapies to be accompanied by the treatment. Ever since I did not know about
any, I had to do thorough research on that subject. However, it was difficult for
me to know which therapies are best since some can cause more harm than profit.
At last, I was able to come up with the solution. Therefore, as many chronic
diseases are evolving we the nurse practitioner should also stay updated so
that we can give the best service and help where needed.
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