Tuesday, May 5, 2020

Changes in the Nursing Intervention-Free-Samples for Students

Question: Mental Health Nursing Practice and delivery has changed significantly over the past two decades in Caring for young people and people from different Cultures. Critically analyse how these Changes have affected the Clinical. Answer: Introduction: Varity of new models and strategies are emerging for providing nursing interventions to young people. These models and strategies are mainly emerged out of the problems encountered while providing nursing intervention to the young people. Changes in the nursing interventions to the young people were fixed after the discussion among different stakeholders like clinicians and service users. There should be breaking of barriers between primary, community and health services for the implementation of changes in the nursing intervention for young people. Body: Changes in the nursing practice for the young people were established after identifying problems in the nursing practice for young people. In most of the places, nursing interventions were used to be provided for the acute care. At the same time, chronic care used to be neglected for young people. This may be due to more number of admissions of young people in the acute care. However, recently equal attention was being given to the chronic care of young people. Most of the general practitioners are not well versed with management of the young people. Hence, specialist doctors for young people were incorporated in the management of the young people (Gill et al., 2014). Rights of young people stated that young people should receive same type treatment as adults. New models have been developed to integrate hospitals and community or social groups to provide nursing interventions to young people. These types models proved helpful in augmenting satisfaction among the young people about he althcare services. Financial and resource pressures had significant impact on treatment of young people. Several policies were made and special budget was allocated for the treatment of young people. New models for the management young people are mainly focused on the identifying needs of the young people and their parents. Community assessment for identifying health problems of young people helped in providing early treatment and preventive management. This assessment also helped in providing specialist healthcare professional and making availability of necessary resources (Weil et al., 2015). New models for young people are also helpful in identifying how effectively these healthcare services are being utilized by young people and their parents. Different community settings are being developed for providing nursing intervention to the young people. However, it would be difficult to provide high quality healthcare services at each community setting. Multidisciplinary teams are being incorporated and health records of young people are being maintained. Different factors like developmental stage, epidemiology, culture and socio-economic status are being considered in the new models of healthcare services to young people. These factors proved useful in providing healthcare services to young people. However, there may be discrimination in providing healthcare services based on social and economic status of the young people. Young people need to be transitioned to the adult unit based on the developmental stage of the young people. However, after transition to the adult unit, y oung people should be provided with same treatment as adult. At the same tiem, their compatibility in the adult unit should be considered. In recent past, there is increasing trend of involvement of parents in the treatment of young people. It would be helpful in improving adherence of young people to the treatment. At the same time, educational and psychological status of the parents need to be considered while incorporating them in the management of young people. Uneducated and psychologically ill parents cannot provide correct information about the medication to the young people (Wolfe et l., 2013). It is evident that due to implementation of changes in healthcare strategies helped in reducing mortality rates in all health issues like injuries, non-communicable diseases and communicable diseases. Despite this, non-communicable diseases are responsible for more mortality of young people as compared to the communicable diseases. Therefore, it is evident that chronic disease management in young people is still neglected as compared to the acute diseases. It has been observed that there is decrease in the cases of mental health, nutritional deficiency and back and neck pain. There has been increase in the quality of care in the young people due to proper documentation of the nursing interventions. There has been improvement in the health promotion and prevention of health issues. However, this health promotion is not equally distributed in all the classes of young people. These improvements in the health conditions varied among different age groups of young people. Hence, these new healthcare strategies should be optimized based on the specific age of the young people (Hargreaves et al., 2015; Viner et al., 2014). It is evident that hospitals are being used for the treatment of majority of the young people. However, treatment could have been provided at different settings. These different settings could have been more acceptable for the young people because young people might be afraid of hospitalisation. New models and strategies were being developed for the young people nursing intervention, however it is not completely clear how these models work and what are the improvements in the earlier methods of treatment of young people. Integration of the clinical needs and social determinants would be helpful in providing holistic care to the young people. Collaborative work of healthcare professional, educational professional and social worker would be helpful satisfying clinical needs and considering social determinants. However, such units are not developed where all these three stakeholders can work together. It would be difficult for them to work from the different facilities and implement tre atment strategies for the young people. While working from the different facilities, it would be difficult for them to consider emotional, educational, family and social problems of the young people. New treatment strategies for young people considered epidemiological aspects, however parents habits like smoking, drug addiction and alcohol consumption are not considered in providing treatment strategies for young people. These aspects could have negative impact on health of young people due to physical and psychological effect (Hargreaves and Viner, 2012; James et al., 2014). Conclusion: Changes in the nursing intervention to the young people are implemented based on the requirements of the patients. Systematic assessment was performed to understand their requirements. Health and social workers were integrated to provide holistic care to young people. Shift in the care of young people from acute care to chronic care was achieved with changes in the nursing intervention. A definitive system was developed to implement network based approach. It resulted in decrease in mortality rate. However, still few gaps are there in the care of young people. These gaps need to be assessed and solution should be provided to fill these gaps. References: Gill, P.J., ONeill, B., Rose, P., Mant, D., and Harnden, A. (2014). Primary care quality indicators for children: measuring quality in UK general practice. British Journal of General Practice, 64(629), e7527. Hargreaves, D.S., Elliott, M.N., Viner, R.M., Richmond, T.K., and Schuster, M.A. (2015) Unmet health care need in US adolescents and adult health outcomes, Pediatrics, 136(3), 51320. Hargreaves, D.S., and Viner, R.M. (2012). Childrens and young peoples experience of the National Health Service in England: a review of national surveys 20012011. Archives of Disease in Childhood, 97(7), 6616. James, S. R., Nelson, K., and Ashwill, J. (2014). Nursing Care of Children - E-Book: Principles and Practice. Elsevier Health Sciences. Viner, R.M., Hargreaves, D.S., Coffey, C., Patton, G.C., and Wolfe, I. (2014). Deaths in young people aged 024 years in the UK compared with the EU15+ countries, 19702008: analysis of the WHO Mortality Database. Lancet, 384(9946), 88092. Weil, L.G., Lemer, C., Webb , E., and Hargreaves, D.S. (2015). The voices of children and young people in health: where are we now?. Archives of Disease in Childhood, 100(10), 9157. Wolfe, I., Thompson, M., Gill, P., Tamburlini, G., Blair, M., van den Bruel, A., and McKee, M. (2013). Health services for children in western Europe. Lancet, 381, 122434.

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