The Role and Responsibilities of a Registered Nurse When Treating Diabetic Patients Roper Logan and Tierney (RLT) model as an example. This model will integrate with the brief history of the chosen patient with a long-term illness (LTC) through nursing interventions for their patient care practice. The aim is to elaborate on the impact of type 2 diabetic patients in LTC in order to consider the effect of treatment and the psychological influence on the life and family of the patient concerned. It will examine government policies and guidelines that support diabetes care, as well as the role of district nurses. The NMC Code of Professional Conduct has been retained throughout this essay and therefore all names have been changed in the interest of confidentiality and anonymity. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get the original essay Currently, in the UK, more than 15.5 million people have a long-term illness. Long-term conditions are conditions that have no cure and are managed with medication and other treatments, for example diabetes, chronic obstructive pulmonary disease, arthritis and hypertension. Globally, LTC is responsible for more than 36 million deaths each year, with most early deaths (those before age 60) occurring in low- and middle-income countries. In the UK, people in the poorest socio-economic groups have a 60% higher incidence of LTC than those in higher groups. Globally, cardiovascular diseases, cancers, respiratory diseases and diabetes account for 80% of deaths and, between them, they share the following risk factors: smoking, physical inactivity, harmful alcohol consumption and unhealthy diet. He is a seventy year old patient who lives with his wife and resides downtown in the apartments. Mr. Med has suffered from type 2 diabetes for 15 years, which is getting worse day by day and is not managed with diet and medication. Mr. Med, the diabetes is getting worse and worse and he has started a self-managed insulin therapy plan. Mr. Med's wife also cares for her husband and he also registers with the nursing community team. Mr Med also sees his local GP and visits a diabetes clinic daily. Currently, he diagnosed with hypoglycemia attack during a shopping session, then he rushes to the hospital and receives treatment accordingly. Type 1 and type 2 are considered the two main classes of diabetes mellitus; In the region, approximately 90% of the population suffering from diabetes is type 2. However, beta cell obliteration is considered to fall under the category of type 1 diabetes. Alpha cells produce and release glucagon while beta cells produce and release insulin. Patients who suffer from type 1 diabetes often do not have this insulin production due to beta cell obliteration. This is why type 1 diabetes is treated with insulin. However, when there is a lack of insulin production in the body, an increase in blood glucose levels as well as a breakdown of fats and proteins in the body, these are all symptoms of type diabetes. 1. Type 1 diabetes is also characterized as a metabolic disorder. Nursing isfocused on individual care. In recent years, many tasks have been assigned to nurses, rather than the patients to care for. Today, the importance of patient-centered care is recognized and registered nurses are assigned patients rather than jobs. The entire nursing procedure consists of four interactive phases. Access is the first phase, which is carried out at the initial stage of treatment but is essential to keep in mind the continuity of assessment as the treatment or disease progresses. Planning is considered as the second phase, the aim of planning is to stop the occurrence of problems identified earlier from turning into real problems. The third phase involves achieving the goal of care. Nursing interference is diffused in this context; but it is considered cooperative and essential for nurses to clarify the reasons and decisions that are behind these interferences. The last phase is an assessment, which is comparable to evaluation. A life activity is derived from the Roper, Logan, and Tierney model of nursing which includes a number of activities. The life activities pattern is very varied and therefore it is claimed to be the most commonly used pattern by British nurses. The models have been critically evaluated because they do not respect all patients' circumstances and are too inflexible. Salminen et al. (2016) reported that the models are not set in stone, but again, to some extent, they are vague sketches of notions whose purpose is to enable care, not hinder. Salminen et al., (2016), also emphasize the fact that the person reading must question any absence of psychological and social dimensions of the Roper, Logan and Tierney model and argue that it is of the simplest evaluation method. a safe environmentMr. Med is a person who does not depend on others and must be aware of all aspects that influence his external environment. On the other hand, due to his aging, Mr. Med lost his independence and found himself increasingly at the mercy of others to help him maintain a safe environment. Diplopia is a factor that can affect Mr. Med's safety, however, diplopia is a symptom caused by his diabetes and can result in blurred vision. At which point Mr. Med suffered from a hypoglycemic attack and then he appears confused, at that time he is in his most sensitive phase.CommunicationMr. Med faces daily difficulties in communicating with others. However, there were a number of aspects that exaggerated his communication during a hypoglycemic attack and during the duration of his hospital stay. Effective communication could be due to bouts of hypoglycemia and neuroglycopenic symptoms such as slurred speech and tingling around the lips. Med usually has difficulty breathing, on the contrary, at the time he was suffering from a hypoglycemic attack, his breathing was interrupted. The uncertainty that he did not need to receive instant treatment from a registered nurse could render him unconscious and his breathing slow. Eating and Drinking Until recently, Mr. Med's diabetes had been managed with medication and diet, although this was not the case. no longer providing adequate control, Mr. Med began taking insulin. He added that due to skipping meals, his food intake was reduced, which was determined to be the cause of the hypoglycemic crisis. The nursing staff approved the blood glucose test and identified alow blood sugar, then prescribed a fast-acting carbohydrate. Med has no difficulty in eliminating yet his diabetes triggered polyuria because of the concentration of glucose in the glomerular filtrate. There is a risk of incontinence during a hypoglycemic attack, which is why a urinalysis must be performed upon admission to hospital.MobilizeM. Med was unable to mobilize when he suffered a hypoglycemic attack due to neuroglycopenic symptoms such as malaise and unsteadiness. Sometimes muscle contractions and seizures may occur. During such attacks, its security becomes the main concern. When Mr. Med was in the hospital, he was able to gain mobility independently. Sleeping When Mr. Med was in the hospital, he realized that he was a victim of polyuria which could lead to a nocturia problem; which could disrupt the quantity and quality of sleep he gets. He was informed of his promotion to sleep during his hospital stay, as it will affect the person's physical, emotional and psychological well-being. Ethical ResponsibilityFor the nurse, the primary legitimate and professional ethical concern here is patient sovereignty. Autonomy is considered the most authoritarian stage of an ethical scheme of almost the entire country. “Autonomy is such a notion that has its origins in moral, political and bioethical philosophy.” The theory of ethics is based on 4 moral principles which are autonomy, justice, beneficence and non-maleficence (Williams, 2015). Ethical principles should be emphasized when providing care to patients to determine how to treat them. Professionals must respect sovereignty in a sense to prioritize patients' decisions and choices. According to this situation, in conferring the right to autonomy, nurses must admire the patient's decisions. Ethical issues and changes in society are responsible for the nurse-client relationship. The nurse's duty is to maintain patient autonomy, maintain and regain health, and encourage a professional relationship of trust. In 2009, the World Health Organization (WHO) estimated that more than thousands of people residing in the United Kingdom had diabetes. As previously stated, more than 80 percent of people with type 2 diabetes are overweight. It is essential to control diabetes in the early stages through exercise and a healthy diet. Health care experts could give suggestions on this and there are so many health care creatives traveling across the state to help. The role of the nurse working with a team is very essential and cannot be emphasized enough as they can enable complete care of the person and be the main point surrounded by the health care team to facilitate communication. In concluding this essay, it is analyzed that nursing plays an important role in terms of medical care of patients. However, after the fundamental analysis of the patient journey through each phase in terms of LTC, it is evident that LTC is considered a life-changing factor when a person is diagnosed with it. This study targeted the ethics and responsibilities of the registered nurse by focusing on the factors mentioned above using the Roper Logan and Tierney model. Reflection In this essay I will use Gibbs' cycle of reflection to reflect my personal professional practice which needs improvement. in certain areas regarding my role as a registered nurse (RN). I personally felt that I had to help the medical caregiver.

Essay / The Role and Responsibilities of a Registered Nurse When Treating Diabetic Patients Roper Logan and Tierney (RLT) model as an example. This model will integrate with the brief history of the chosen patient with a long-term illness (LTC) through nursing interventions for their patient care practice. The aim is to elaborate on the impact of type 2 diabetic patients in LTC in order to consider the effect of treatment and the psychological influence on the life and family of the patient concerned. It will examine government policies and guidelines that support diabetes care, as well as the role of district nurses. The NMC Code of Professional Conduct has been retained throughout this essay and therefore all names have been changed in the interest of confidentiality and anonymity. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get the original essay Currently, in the UK, more than 15.5 million people have a long-term illness. Long-term conditions are conditions that have no cure and are managed with medication and other treatments, for example diabetes, chronic obstructive pulmonary disease, arthritis and hypertension. Globally, LTC is responsible for more than 36 million deaths each year, with most early deaths (those before age 60) occurring in low- and middle-income countries. In the UK, people in the poorest socio-economic groups have a 60% higher incidence of LTC than those in higher groups. Globally, cardiovascular diseases, cancers, respiratory diseases and diabetes account for 80% of deaths and, between them, they share the following risk factors: smoking, physical inactivity, harmful alcohol consumption and unhealthy diet. He is a seventy year old patient who lives with his wife and resides downtown in the apartments. Mr. Med has suffered from type 2 diabetes for 15 years, which is getting worse day by day and is not managed with diet and medication. Mr. Med, the diabetes is getting worse and worse and he has started a self-managed insulin therapy plan. Mr. Med's wife also cares for her husband and he also registers with the nursing community team. Mr Med also sees his local GP and visits a diabetes clinic daily. Currently, he diagnosed with hypoglycemia attack during a shopping session, then he rushes to the hospital and receives treatment accordingly. Type 1 and type 2 are considered the two main classes of diabetes mellitus; In the region, approximately 90% of the population suffering from diabetes is type 2. However, beta cell obliteration is considered to fall under the category of type 1 diabetes. Alpha cells produce and release glucagon while beta cells produce and release insulin. Patients who suffer from type 1 diabetes often do not have this insulin production due to beta cell obliteration. This is why type 1 diabetes is treated with insulin. However, when there is a lack of insulin production in the body, an increase in blood glucose levels as well as a breakdown of fats and proteins in the body, these are all symptoms of type diabetes. 1. Type 1 diabetes is also characterized as a metabolic disorder. Nursing isfocused on individual care. In recent years, many tasks have been assigned to nurses, rather than the patients to care for. Today, the importance of patient-centered care is recognized and registered nurses are assigned patients rather than jobs. The entire nursing procedure consists of four interactive phases. Access is the first phase, which is carried out at the initial stage of treatment but is essential to keep in mind the continuity of assessment as the treatment or disease progresses. Planning is considered as the second phase, the aim of planning is to stop the occurrence of problems identified earlier from turning into real problems. The third phase involves achieving the goal of care. Nursing interference is diffused in this context; but it is considered cooperative and essential for nurses to clarify the reasons and decisions that are behind these interferences. The last phase is an assessment, which is comparable to evaluation. A life activity is derived from the Roper, Logan, and Tierney model of nursing which includes a number of activities. The life activities pattern is very varied and therefore it is claimed to be the most commonly used pattern by British nurses. The models have been critically evaluated because they do not respect all patients' circumstances and are too inflexible. Salminen et al. (2016) reported that the models are not set in stone, but again, to some extent, they are vague sketches of notions whose purpose is to enable care, not hinder. Salminen et al., (2016), also emphasize the fact that the person reading must question any absence of psychological and social dimensions of the Roper, Logan and Tierney model and argue that it is of the simplest evaluation method. a safe environmentMr. Med is a person who does not depend on others and must be aware of all aspects that influence his external environment. On the other hand, due to his aging, Mr. Med lost his independence and found himself increasingly at the mercy of others to help him maintain a safe environment. Diplopia is a factor that can affect Mr. Med's safety, however, diplopia is a symptom caused by his diabetes and can result in blurred vision. At which point Mr. Med suffered from a hypoglycemic attack and then he appears confused, at that time he is in his most sensitive phase.CommunicationMr. Med faces daily difficulties in communicating with others. However, there were a number of aspects that exaggerated his communication during a hypoglycemic attack and during the duration of his hospital stay. Effective communication could be due to bouts of hypoglycemia and neuroglycopenic symptoms such as slurred speech and tingling around the lips. Med usually has difficulty breathing, on the contrary, at the time he was suffering from a hypoglycemic attack, his breathing was interrupted. The uncertainty that he did not need to receive instant treatment from a registered nurse could render him unconscious and his breathing slow. Eating and Drinking Until recently, Mr. Med's diabetes had been managed with medication and diet, although this was not the case. no longer providing adequate control, Mr. Med began taking insulin. He added that due to skipping meals, his food intake was reduced, which was determined to be the cause of the hypoglycemic crisis. The nursing staff approved the blood glucose test and identified alow blood sugar, then prescribed a fast-acting carbohydrate. Med has no difficulty in eliminating yet his diabetes triggered polyuria because of the concentration of glucose in the glomerular filtrate. There is a risk of incontinence during a hypoglycemic attack, which is why a urinalysis must be performed upon admission to hospital.MobilizeM. Med was unable to mobilize when he suffered a hypoglycemic attack due to neuroglycopenic symptoms such as malaise and unsteadiness. Sometimes muscle contractions and seizures may occur. During such attacks, its security becomes the main concern. When Mr. Med was in the hospital, he was able to gain mobility independently. Sleeping When Mr. Med was in the hospital, he realized that he was a victim of polyuria which could lead to a nocturia problem; which could disrupt the quantity and quality of sleep he gets. He was informed of his promotion to sleep during his hospital stay, as it will affect the person's physical, emotional and psychological well-being. Ethical ResponsibilityFor the nurse, the primary legitimate and professional ethical concern here is patient sovereignty. Autonomy is considered the most authoritarian stage of an ethical scheme of almost the entire country. “Autonomy is such a notion that has its origins in moral, political and bioethical philosophy.” The theory of ethics is based on 4 moral principles which are autonomy, justice, beneficence and non-maleficence (Williams, 2015). Ethical principles should be emphasized when providing care to patients to determine how to treat them. Professionals must respect sovereignty in a sense to prioritize patients' decisions and choices. According to this situation, in conferring the right to autonomy, nurses must admire the patient's decisions. Ethical issues and changes in society are responsible for the nurse-client relationship. The nurse's duty is to maintain patient autonomy, maintain and regain health, and encourage a professional relationship of trust. In 2009, the World Health Organization (WHO) estimated that more than thousands of people residing in the United Kingdom had diabetes. As previously stated, more than 80 percent of people with type 2 diabetes are overweight. It is essential to control diabetes in the early stages through exercise and a healthy diet. Health care experts could give suggestions on this and there are so many health care creatives traveling across the state to help. The role of the nurse working with a team is very essential and cannot be emphasized enough as they can enable complete care of the person and be the main point surrounded by the health care team to facilitate communication. In concluding this essay, it is analyzed that nursing plays an important role in terms of medical care of patients. However, after the fundamental analysis of the patient journey through each phase in terms of LTC, it is evident that LTC is considered a life-changing factor when a person is diagnosed with it. This study targeted the ethics and responsibilities of the registered nurse by focusing on the factors mentioned above using the Roper Logan and Tierney model. Reflection In this essay I will use Gibbs' cycle of reflection to reflect my personal professional practice which needs improvement. in certain areas regarding my role as a registered nurse (RN). I personally felt that I had to help the medical caregiver.

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