Running Head OUTLINEANNOTATED BIB 12OUTLINE.docx
- 1. Running Head: OUTLINE/ANNOTATED BIB 1 2 OUTLINE/ANNOTATED BIB I. Introductory Paragraph Ella’s case study raises a lot of concern on the rising cases on the use of alternative medicine rather than convention based on scientific backing. The scenario is related to the current increase of the patients seeking traditional medicine rather than hospital prescribed drugs. Ella had gone for remission for quite a while until when the disease became chronic when she returned to the hospital. Many people have continually sought alternative and complementary medicine because of they believe in their treatment. Ella sought alternative treatment to heal her emotionally and physically. The social, cultural background and religious beliefs of her family are also another factor that led to seeking this alternative form of treatment. It is also quite evident that cultural beliefs and other micro, mezzo, and macro factors that became a major influence in the way she made her decisions. A. Thesis: The aim of this paper is to examine and understand how the various influences clearly depicted in Ella’s scenario would help in formulation of intervention strategies and their families deal illness situations in a proper manner. II. Cultural or traditional issues and the integration of alternative and complementary medicine and beliefs (Holosko & Dulmus,2013). Supporting Evidence: a. Insistence by the American Indian grandfather on the use of the alternative medicine based on traditional healing practices b. Cultural/traditional rituals and practices are not backed by scientific background c. Cultural beliefs undermines the healing process of the patient
- 2. Explanation: The book is related to this scenario because it defines what alternative medicine and how the culture of a person influence the king d of healthcare they receive. So what: Alternative and complementary medicine and beliefs, mainstream medical practices due to their safety and effective III. Biological basis for care and impact on other family members (Gallant, Spitze & Grove,2010, p.381). Supporting Evidence: a. Empower patients and supporting them through proper nursing techniques b. Knowing the patho-physiological aspect of the disease helps understand on how it is caused and how well it is important to nurse the patient well. Explanation: There is an outline on the basis of biological care on families. So what: Good care lead to a reduction on depression and taking of drugs IV. Micro, mezzo and macro influences (WHO,2002). Supporting Evidence: 1. Micro influences a. Preference by Ella on her role in managing her condition b. Attitudes that were showed by the family members could have some influence on the health care delivery in the hospital c. Extend family believed in alternative medicine, which therefore undermined the provision of better nursing and treatment of the patient 2. Mezzo influences a. Availability of vibrant information systems for a coordinated, evidence-based and integrated care b. Availability of community resources such as consumer groups, non-governmental agencies and patient advocates 3. Macro Influences a. The existence of a stringent legislative framework for enhancing quality of health care services (WHO, 2002, p.267) b. Emphasis on continued education for health care providers across the nation
- 3. Explanation: The information in these sources depicts the various influences that affect the healthcare services in the national to community level. So what: The government should prioritize the allocation of resources for management of chronic conditions V. Advantages and Disadvantages of Hospital versus Home Care (Davidson, K. (2014, p.89). Supporting Evidence: 1. Advantages of hospital care a. Specialized equipment and medical care for cancer treatment are available immediately (Davidson, 2014) b. Constant monitoring by medical staff round the clock 2. Disadvantages a. There may be little patient privacy b. Family members may not be able to participate actively in care giving at the hospital setting (Smyer & Stenvig, 2007) 1. Advantages of home care a. Ella might feel most secure, comfortable, relaxed and loved at home b. The home environment offers flexibility for the patient and the family in their daily routines (Holosko & Dulmus, 2013) 2. Disadvantages a. It may be problematic to handle emergencies at home b. Many home environments do not have adequate facilities required for effective health care delivery Explanation: The book source shows a number of advantages and disadvantages of both homecare and hospital care So what: The patient should be allowed to choose the best place she would like to be taken care of without any coercing IV. Psychological and social issues evident in the scenario (Gallant et al., 2010) Supporting Evidence: 1. The prospects of Ella’s death is emotionally burdening to the family members 2. Drug problems by Sam, Lucy and Josh might be interfering with their mental and psychological health
- 4. 3. The ongoing illness of Ella has rendered the family members hopeless and contributed to increased fears among all members Explanation: The information in this source describes how the socioeconomic status of the family might be affecting the family member’s access to quality care So what: The government should therefore come up with strategies that are affordable to provide for the health services to all people. V. Current situation as Pertains to Diversity as well as to cultural, psychological and social perspectives (Smyer & Stenvig, 2007, pp.90) Supporting Evidence: 1. As American Indian family, there is more strain to maintain cultural practices. People view community or family needs as more important than individual needs Explanation: The book describes the scenario about Ella and how well the issue can be considered to be based on cultural, psychological and social perspectives So what: Emotional and physical health also has more priority than physical health among American Indians. VI. Conclusion 1. Grandmother Ella’s condition presenting various dilemmas and affecting the diverse family 2. Cultural and traditional influences significantly affect the decisions of where to provide care, in the hospital setting or in the home environment 3. Other micro, mezzo and macro influences as well as perceptions of family members might influence the dispensation of care to the patient with chronic illness 4. Care should be provided where it is in the best interest for the patient and the family members
- 5. IV. References Davidson, K. (2014). Social Work in Health Care: A Handbook for Practice. New York, NY: Routledge. Gallant, M., Spitze, G., & Grove, J.(2010). Chronic Illness Self- care and the Family Lives of Older Adults: A Synthetic Review Across Four Ethnic Groups. J Cross Cult Gerontol, 25 (1), 21- 43. Holosko, M., & Dulmus, C.(2013). Social work practice with individuals and families : evidence-informed assessments and interventions. Hoboken, N.J.: John Wiley & Sons. Smyer, T., & Stenvig, T. (2007). Health care for American Indian elders: An overview ofcultural influences and policy issues. Home Health Care Management & Practice, 20, 27–33. WHO. (2002). Innovative Care for Chronic Conditions: Building Blocks for Action. Retrieved June 27, 2014, from http://www.who.int/chp/knowledge/publications/iccc_ch2.pdf