The science of nursing decision making Identify a patient’s health problem symptom and assess it holistically from the biological, psychological and social aspects Assessment Briefing: Case Study Students will select a case study patient from practice. In the case study students will discuss and critique the decision making processes required in the assessment and delivery of care for their selected patient

The science of nursing decision making Identify a patient’s health problem symptom and assess it holistically from the biological, psychological and social aspects Assessment Briefing: Case Study Students will select a case study patient from practice. In the case study students will discuss and critique the decision making processes required in the assessment and delivery of care for their selected patient

The Science of Nursing Decision Making

The patient in this case study is a 45-year-old man with severe rheumatoid arthritis who was admitted with a fall due to physical mobility impairment. The patient has a history of type 2 diabetes, depression and anxiety, and was admitted to the hospital two years ago to treat a urinary tract infection. He is also overweight and a cigarette smoker. The purpose of this patient’s case study is to explore and evaluate the decision-making processes required when assessing and providing care for this patient. The impact of joint pain and stiffness on the patient from a biopsychosocial view will be explored, as will shared decision-making in assessing, planning, implementing, and evaluating therapy. The biopsychosocial model is first explained in the paper. The paper then reviews a Rheumatoid Arthritis patient’s pain and stiffness of joint symptoms holistically and evaluates the care provided to see if it satisfies the patient’s needs. The critique’s recommendations are then identified and suggested as ways to support evidence-based practice and patient-centred care. Evaluating and evaluating service delivery is critical because it encourages evidence-based practice.

Briefly Explain the Engel (1977) Biopsychosocial Model

The biopsychosocial model was developed as an alternative to the biomedical model in that it takes into consideration all factors that influence both patient hood and sickness. While several alternatives to the biomedical model exist, the biopsychosocial model is presently regarded as the most established. Engel and a growing number of others regard the biopsychosocial model as a systems model. A systems-analytic approach is taken when dealing with illnesses, as they are viewed as a defect in the system. This suggests that complex and non-linear interrelationships exist between many parameters and that while failures in individual components of the system can result in overall malfunction, the system can nevertheless malfunction without being solely attributable to faulty components. Additionally, the model emphasises that any key domain or component inside the system can be viewed as a separate system with its own set of components (Bolton & Gillet, 2019).

The biopsychosocial model focuses on the individual inhabiting the body, which is made up of numerous organs. Each individual has a unique personal context defined by their personality, views, experiences, and expectations. Additionally, there are temporal variables, such as the person’s life stage and the stage of their illness and there exists the goal-directed interaction of the individual with other people and items in his or her environment, which entails a variety of behaviours. The social environment encompasses both other individuals and the individual witnessing how others act, and it defines the roles that are now being enacted. The individual can then exercise choice over their activities, and their quality of life can be measured against different measures such as social status, interpersonal relationships or money (Frazier, 2020).

Identify a Patient’s Health Problem Symptom and assess it holistically from the Biological, Psychological and Social Aspects

Rheumatoid arthritis leads to inflammations that gradually destroy the joints, and it can also cause inflammation of the lungs and blood vessels. The biopsychosocial paradigm can be used to examine pain and stiffness holistically. Pain affects the patient physically or biologically by causing movement limits, swelling joints, and chronic pain. Psychologically, they experience depression, frustration, and anxiety, as well as sleep difficulties (American College of Rheumatology, 2021). The symptoms also have a social impact on the sufferer, who becomes lonely, unable to work, reliant on others, and whose interactions with friends and relatives deteriorate (Arthritis Foundation, 2021).

Critique the Care for that Patient’s Health Problem Symptom Based on whether it meets all the Biopsychosocial Needs

The patient’s current care plan comprises routine observation and monitoring of discomfort, the administration of anti-inflammatory drugs as prescribed, pillow posture, and the supply of joint supports such as splints and braces. Additionally, it entails meeting safety requirements such as elevating seats and chairs, utilising handrails, utilising a pressure-relieving mattress, and supporting the patient with walking by utilising movement aids such as a walking frame (American College of Rheumatology, 2021). The decision to examine and evaluate the patient’s pain frequently aims to maintain tight control of the disease and determine whether the symptoms improve. Patients should undergo monthly disease activity (DAS) a