Elimination disease like chronic kidney disease, cancer have multiple repercussions on the quality of life and productivity of people. Although most of the elimination diseases can be controlled or corrected like GERD, Hernias, appendicitis other disease like late stage cancer and CKD which leads to progressive and irreversible loss of renal function cannot be cured. As such this illness put tremendous stress to the patient and families.
The experience and reaction to the diagnosis of some of the diseases lead to intense suffering These families are affected the emotional, physically socioeconomically as they are required to adjust and incorporate new habits and the adapt to new family in roles. The patients and their families suffer psychological and behavioral impact- effective management of the conditions require individuals to take their medications according to schedule, regular lab tests, restricted diets, exercise regularly while negotiating regular dialysis or chemotherapy and radiation sessions and balancing the complex dietary requirements (Maria et al., 2018).
Due to the treatment and its side effect, the patient has to deal with multiple issues such as disfigurement of her body, sexual intimacy and the ability to care for her children This leads to psychological disturbance, 38% of the cancer patients are identified with anxiety and depression, and also to distress, adjustment disorders, delirium and posttraumatic stress disorder (Alexander et al., 2019
Caregivers are subject to enormous stressors and a face emotional, physical and financial strain due to high cost of treatment and care (families lack health insurance and have to find the resources for treatment by paying out-of-pocket). High levels of burden, increased risk for depression, interpersonal conflict, poor quality of life and poor health. Such effects have also been linked to patients institutionalization and exit from caregiving role. (Lee et al., 2016)
Nurses see patients at their worst and at their best; from diagnosis, through treatment, through to cure or palliative and end of life care. in order to recognize distress nurses need communicate both verbally and non-verbally to their patients and treat each patient individually according to their needs. Communication convey empathy, support and enhances understanding of medical information. Good psychosocial care has been shown to be beneficial for patients by reducing both psychological distress and physical symptoms through increasing quality of life, enhancing coping and consequent reduction on demands for hospital resources (The impact of breast cancer on the patient and the family in Indian perspective., 2019).
Alexander, A., Kavule, R., Prabhu, J. S., Korilmaria, A., Srinath, B., Manjunath, S., Sridhar, T. (2019). The impact of breast cancer on the patient and the family in Indian perspective. INDIAN J PALLIAT CARE, 25(1), 6672. https://doi.org/10.4103/IJPC.IJPC_158_18
Lee, V. Y. ., Seah, W. Y., Kang, A. W. ., Khoo, E. Y. ., Mooppil, N., & Griva, K. (2016). Managing multiple chronic conditions in Singapore Exploring the perspectives and experiences of family caregivers of patients with diabetes and end stage renal disease on haemodialysis. PSYCHOL HEALTH, 31(10), 12201236. https://doi.org/10.1080/08870446.2016.1203921
Maria Virgínia Filgueiras de,Assis Mello, & Angelo, M. (2018). The impact of chronic kidney disease: Experiences of patients and relatives from the extreme north of brazil. Investigación y Educación En Enfermería, 36(1) Retrieved from https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/2138070623?accountid=7374
The impact of breast cancer on the patient and the family in Indian perspective. (2019). INDIAN J PALLIAT CARE, 25(1), 6672. https://doi.org/10.4103/IJPC.IJPC_158_18
Many disease factors can affect an individual’s elimination processes, including the renal, pancrea…
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