How To Provide Health Care To Patients With Underlying Depression- A Practice Development Approach

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Assessment Type

Case Study

Word Count

2000 words




6 Days

Assignment Criteria

Provide with a solution in health care for patients with underlying depression.

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Assignment Solution


Individual patients have focused need or issues that must be addressed to ensure compliance to health care delivery. Hence this focused caring has been attributed as person centric care and is an integral part of Practice Development Process. Practice Development ensures improvement of efficacy in person centric care and is achieved with developing the skills and knowledge of the health care providers (Manley & McCormack, 2008). The process focuses to understand the patient's needs, desires, goals and above all the frame of mind. Practice Development helps to identify the way by which a certain duty is performed or practiced by the health care providers and the desired change that can be implemented to improve the health care outcome of patients (Rycrofft-Malone et al, 2004) …

Case Study

While visiting the medicine ward I came across a patient named Mr. Smith (name changed). He was admitted with a respiratory tract infection and developed septicaemia during his stay in our hospital. The individual was 45 years of age and looked very pale and melancholy. Whenever the attending nurse communicated with him, he showed an aversive response. The attending nurse imposed food and medications and also framed consequence statements that made the situation worse. He did not take his food properly and had to be forced feed with Ryle's tube. Often he detached the infusion pump channels from his own, which made it difficult to provide a comprehensive care giving…

Clarifying the Purpose

The puzzle in this nursing care situation was to provide a care delivery approach to patients like Mr. Smith who are admitted with medical or surgical conditions having an underlying depression. If we can address or solve this puzzle our patients will show greater compliance to therapeutic treatments and their hospital stay may be minimized. Our staff will be skilled with innovative approaches to incorporate the same in their care giving process that will enhance their performance and productivity (Walsh et al, 2004). The Practice development process will also ensure the goodwill of our services with regard to person centric care along with the state of the art instrumental sophistications (Walsh et al, 2004)…

Evidence for Practice Development: Cognitive Behavioural Therapy

The evidence that suggests, that a change in providing care delivery to patients, arises from the observation from our case study itself. As Mr Smith was refusing food or medication the attending health care provider was more inclined to dispose his or her job function like infusions, medication administration, keeping e-health records, but nobody was probing the issue of such behaviour. Evidence further suggests that one in six persons will have a mental health problem at a given time whether that individual is a patient or a healthy person. Even early philosophers' like Epictesus suggested that men are not disturbed by the things around, but the views they hold on such things. Hence from our case study it might be the puzzle as to how Mr Smith viewed the situation of loss of his job and its consequences…

Cognitive Behavioural Therapy has been has been based on the interaction of emotions and thoughts that link the behaviour of patients.  The therapy is based on two types of approach –cognitive processing and behavioural approach. Cognitive processing will take into account the patient's thought and will help the patients to abstain from the negative thoughts while the behaviour approach is the way of interacting with the patient that helps the patient to avoid negative thought and show compliance towards health care delivery. The behaviour of both the patients and care givers are analysed and statistical tests are done to estimate which nursing care behaviour brings out the desired behavioural or functional change in the patients (Westbrook, 2011)…

Discussion & Conclusion: Solution Analysis of Puzzle

Identifying innovative Practice Development approaches and implementing and evaluating the same in real life scenarios will not only improve our professional skills and development, but will ensure health care outcome in individuals and families to whom we are committed, in our role model as nurses.

Hence we propose to engage our peers around the puzzle of delivering care in patients with underlying depression. The purpose of engaging in this puzzle will not only provide improved health care delivery to the patients admitted in the medical ward of our hospital but will also ensure competency amongst us which will aid in our professional development…

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