Psychological and social factors play important roles in the initiation and progression of any disease. As a care provider, the nurse must understand their nature and intensity. Since these are known to affect motivation, these will affect the outcome of care. Longstanding suffering or advanced illnesses disturb the psychosocial milieu sufficiently so the patient may be disturbed motivationally. These could cause psychological maladjustment and affect the course of the disease in a profoundly negative way. A thorough assessment of these situations and the factors is therefore necessary, and being in a position of the provider of care the nurse must assess these factors keeping the patient at the center.
As suggested by Alexander and colleagues (2000), even as a student nurse, I have obligation to perform a holistic assessment as the first step of the professional nursing process to collect, analyze, and research information to facilitate the identification of the care needs so a care plan can be devised. Assessment of biomedical parameters as relevant to disease process and pathophysiology and their effects on the patient's physique only thus seems to be constructed in its scope, since the only biomedical angle is just a part and would thus be essentially incomplete and would result in less than optimal care through a defunct care plan.
After being assigned to her care, when I walked into her room, Mrs. Jennings, apparently in her late fifties, looked very slim, pale, and frail. When I introduced myself, she looked straight at me with teary eyes, which immediately provoked sympathy. She asked me if she will ever get better. I understood her concerns and reassured her that we are doing all the best possible for us to ensure that she gets all the support and treatment that she needs so she can recover as soon as possible. Mrs.
Jennings was a married lady. She lives with her husband and one of their children. Her two other children had moved after marriage. She has two grandsons. She was attached to them very much and she said she "adored them so much. "
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