HNN319 Chronic Illness and Supportive Care - Stigma and Its Possible Impact on a Person With a Chronic Illness Assignment Help

The purpose of this analytical deconstruction of chronic illness regarding stigma whether perceived or experienced becomes important for relieving the condition of the chronically sick - for those whose illness lasts more than three months, where they have to frequent hospitals on a regular basis. A chronic illness usually denotes the possibility of a deteriorating condition, and the patients loss of confidence in their ability to perform regular tasks with the constant thought of eventual death on their heads. In this case scenario, the entire crux placing the utmost responsibility in the hands of the carer/the nurses in that their ability to systematically and wholistically utilize their role could have a tremendous impact on the patients’ mental health and recovery. The role of the carer will be assessed in these circumstances, especially how important is it for them to give the appropriate treatment, as often times as they are capable of being the first-medical responder. In other instances, their constant facilitation being the pertinent reason behind the recovery of the patient. The dimensions which will be analyzed, and play a focal role in ensuring effective supportive care for the chronically ill constitute defeating the stigma that only their physical wellbeing is to be catered to are: “palliative care” (Murray, Boyd and Sheikh, 2005), “advance care planning” (Cullen and Rew, 2012), “the cultivation of trust” (Robinson, 2016), “utilizing the role of mobile care technologies” (Nasi, Cucciniello and Guerrazzi, 2015) and “spiritual care” (Irajpour, Moghimian and Arzani, 2019). In lieu of these deconstructions will the paper aim to proceed in highlighting the importance of nursing in each of these respects to ensure the appropriate supportive care treatment for the chronically ill, while also relieving the stigma that physical care is all that they need.

The foremost important factor is that of “palliative care”, one that chronically ill patients are unreasonably deprived of, simply because their potential “prognostic paralysis” was not catered to and a skewed focus was drawn regarding a categorical division of patients who will die in the next 6 months or patients who might reasonably die in the next few months (Murray, Boyd and Sheikh, 2005). Furthermore Murray, Boyd and Sheikh emphasize the UK and the United States’ role as the key leaders in this approach, whereby the United States has started targeting the “those who might reasonably die” philosophy whereas in the UK the opportunities to channel this approach are finally in existence; for the nursing domain in general, this then becomes highly beneficial as the two leading technological and medical proponent countries of this cause set a precedent to be followed globally. Regular assessments and investigations coupled with the community nurses’ approach to stay proactively engaged with their patients both individually and collectively tackle the problem of not only those with chronic obstructive pulmonary disease, ischaemic heart disease, and cardiac failure at their initial stages, but also those who start facing prognostic paralysis by utilizing a “proactive” and holistic” approach stress Murray, Boyd and Sheikh; an approach undertaken by nurses to ensure that their patients all patients needs are catered to, at both the earlier and the later stages - at first systematically, and then by incorporating carer characteristics to ensure the patients a sense of belonging, and relief from the fear of death and unwillingness to discuss their problems.