REFLECT AND RESPECT: Prevention and barriers experienced by the patient - Nursing Assignments/ Essay

Hi all,

I am a registered nurse. I guide/ tutor nursing students for their Nursing Assignments/ Essays/ Case studies/ Thesis etc. in Melbourne, Perth, Sydney, Adelaide

I am putting here one of my work.

Acute Rheumatic Fever with progression to Rheumatic Heart Disease is preventable. The management of ARF is important to prevent development of RHD which is done byadministration of

antibiotics. However, if ARF remains undiagnosed and untreated, it can definitely lead to

development of RHD (Chamberlain-Salaun et al., 2016). The primary

barrier that reduced the availability of treatment for Mae was the physical barrier as she lived in a small remote town with lack health care facilities. Besides this, the linguistic barrier prevented her from receiving the appropriate treatment. Mae is less proficient in English as her native language is Yolŋu Matha (Chamberlain-Salaun et al., 2016).

Another barrier that prevented her from receiving complete treatment for ARF was lack of family support. This is because Mae’s mother was a child from stolen generation and as forcibly removed from her family like many others in that era (Haynes et al., 2021, pp. 113829). Therefore, as a consequence her mental health deteriorated causing distress, consumption of alcohol and social isolation. Another important barrier is the pain associated with administration of antibiotics in management of ARF. Mae claims experiencing excruciating pain on receiving the injections in buttocks region (Haynes et al., 2021, pp. 113829).

Also, Mae verbalised the lack of respect and dignity in the provision of care by the health care

providers, where they would often blame Mae and her mother for not being able to take injections which was due to the physical barrier of distance (Haynes et al., 2020, pp. 1347). There exited a lack of culture sensitive approach and receiving disrespecting remarks like ‘living all together in that dirty house’ responsible for development of ARF and RHD (Haynes et al., 2020, pp. 1347). The understanding of the disease condition and necessity of treatment remained unclear due to the linguistic barrier. The lack of therapeutic approach from the nurse escalated the existing accessibility barrier to health care services implying the condition being undertreated developing into RHD (Haynes et al., 2020, pp. 1347).