IndexMaintaining a safe environmentCommunicationBreathingEating and drinkingEliminatingMobilizingSleepingEthical responsibilityReflectionThis essay intends to consider the role and responsibilities of a professional nurse (RN) considering the model of Roper Logan and Tierney (RLT) as sample. This model will incorporate nursing interventions for patient care practice into the short history of the chosen patient with long-term pathology (LTC). The aim is to delve deeper into the impact of LTC type 2 diabetes patients to consider the treatment effect and psychological influence on the life and family of the affected patient. Government policies and guidelines relating to diabetes management and the role of district nurses will be considered. Guidance on the NMC Code of Professional Conduct has been retained in this essay and therefore all names have been changed for reasons of confidentiality and anonymity. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay There are currently over 15.5 million people in the UK suffering from a long-term condition. Long-term conditions are conditions for which there is no cure and which are managed with medications and other treatments, such as diabetes, chronic obstructive pulmonary disease, arthritis, and hypertension. Universally, LTC accounts for more than 36 million deaths each year, with the majority of early deaths (those before age 60) occurring in low- and middle-income countries. In the UK, people from the poorest socioeconomic groups have a 60% higher incidence of LTC than those from the highest socioeconomic groups. Universally, cardiovascular diseases, tumors, respiratory diseases and diabetes represent 80% of deaths and among them they share the following risk factors; tobacco use, sedentary lifestyle, harmful alcohol consumption and unhealthy diet. A seventy-year-old patient who lives with his wife and resides in an apartment in the city center is described. Mr. Med has had type 2 diabetes for 15 years, which is becoming more severe by the day and is not managed by diet and medications. Mr Med, the diabetes has now become increasingly worse and a self-managed insulin treatment plan has been started. Mr. Med's wife also takes care of her husband and he also registers in the community nursing team. Mr Med also consults with his local GP and visits a diabetes clinic daily. He was currently diagnosed with a hypoglycemic attack while shopping, so 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 of about 90% of the population suffering from diabetes belongs to type 2. However, the destruction of beta cells is considered in the category of type 1 diabetes. Alpha cells produce and discharge glucagon while beta cells produce and discharge insulin. Patients suffering from type 1 diabetes frequently lack this insulin production due to the destruction of beta cells. So, right, type 1 diabetes is treated with insulin. However, when there is poor insulin production in the body, increased blood glucose level, and degradation of fats and proteins in the body, all these are the symptoms of type 1 diabetes. Type 1 diabetes it is also characterized as a metabolic disorder. Nursing care focuses on individual nursing care. In recent years,many tasks were assigned to nurses, rather than to the patients to be treated. Now, the importance of patient-centered care is recognized and professional nurses are assigned patients instead of jobs. The entire nursing procedure consists of four interactive phases. To gain access is the first phase, which is carried out early in the treatment but isIt is crucial to remember continuity in the assessment as the treatment or disease may progress. Planning is considered the second phase, the purpose of planning is to stop the previously identified problems that are becoming real problems. The third phase is the realization of the care objective. Nursing interference is passed out as part of this; however, it is considered collaborative and essential for nurses to clarify the whys, wherefores, and decisions underlying these interferences. The last phase is an evaluation, which is comparable to assessment. A life activity derives from Roper, Logan and Tierney's nursing model which includes a series of activities. The life activities model is very varied and is therefore argued to be the most common used by UK nurses. The models were critically assessed for not meeting all patient circumstances and for being too inflexible. Salminen et al., (2016), reported that the models are not fixed on stone tablets, but to some extent are vague sketches of notions whose purpose is to enable healing, not get in the way. Salminen et al., (2016), also emphasize the fact that the person reading must question the possible absence of psychological and social dimensions of the Roper, Logan and Tierney model and maintains that it is the method of simpler evaluation. a safe environmentMr. Med is a person who does not depend on others and should be aware of all aspects that influence his external environment. On the other hand, due to his aging, Mr. Med has lost his independence and has found himself increasingly at the mercy of others who support him in maintaining a safe environment. Diplopia is a factor that may affect the safety of Mr. Med, however, diplopia is a symptom caused by diabetes and may cause your blurred vision. At what point does Mr. .Med have a hypoglycemic attack and then becomes confused, that is when he is in his most susceptible phase.CommunicationMr. Med faces difficulties in communicating with other people day after day. However, there are a number of aspects that exaggerated his communication during the hypoglycemic attack and throughout his hospital stay. Effective communication may be the result of hypoglycemic attacks and due to neuroglycopenic symptoms such as slurred speech and tingling around the lips. BreathingMr. The Med usually has difficulty breathing, in fact when he was hit by a hypoglycemic attack his breathing stopped. In the uncertainty of not having to receive immediate treatment from the professional nurse, you may become unconscious and therefore your breathing will become slow. Eating and Drinking Until recently Mr. Med's diabetes had been managed with medications and diet, although this was no longer the case providing adequate control Mr. Med began insulin therapy. He also stated that due to skipping meals, his food consumption was reduced, thus determining the origin of the hypoglycemic attack. The nursing staff approved the blood sugar test and identified low blood sugar and subsequently administered a fast-acting carbohydrate.EliminatingMr. Med has no difficulty eliminating it and yet his diabetes has ittriggered polyuria due to the concentration of glucose in the glomerular filtrate. There is a risk of incontinence during a hypoglycemic attack, which is why urinalysis must be done upon admission to hospital.MobilizingMr. Med was unable to mobilize when he had a hypoglycemic attack due to neuroglycopenic symptoms such as fainting and unsteadiness. Sometimes muscle contractions and seizures may occur. During such attacks, your safety becomes the prime concern. When Mr. Med was in the hospital he was able to regain mobility independently. SleepingWhen Mr. Med was in the hospital, he discovered that he was a victim of polyuria which can lead to a nocturia problem; which could disturb the quantity and quality of sleep he acquires. He has been informed of his improved sleep during his stay in hospital as this will affect the person's physical, emotional and psychological well-being. Ethical Responsibility For the nurse, the primary ethical and professional concern here is the sovereignty of the patient. Autonomy is considered as the most authoritative phase of an almost generalized ethical plan at a national level. “Autonomy is a notion that originates from 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 highlighted while providing assistance to patients in determining how to treat them. Professionals must respect sovereignty, in the sense of giving priority to the patient's decisions and choices. According to this situation, giving the right of 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 preserve the patient's autonomy, maintain and recover health and encourage a professional relationship of trust. In the year 2009, the World Health Organization (WHO) reported thousands of people residing in the United Kingdom suffering from diabetes. As discussed above, more than 80% of people with type 2 diabetes are victims of being overweight. It is crucial to control diabetes in the early stage by exercising and consuming a healthy diet. Health experts could give suggestions on this and there are so many health creatives crossing all over the state to help. The role of the nurse working with a team is very essential and could not be emphasized enough as it can enable all-encompassing care of the person and be the main point surrounded by the healthcare team to facilitate communication. Concluding this essay, it is analyzed that nursing plays an important role in terms of medical care of the patient. However, after the fundamental analysis of the patient journey with respect to each and every stage in terms of LTC, it is evident that LTC is considered a life-changing factor when a person is diagnosed. This study targeted the ethics and responsibilities of the professional nurse by focusing on the above-mentioned factors with the help of Roper Logan and Tierney's model. Reflection In this essay I will use the Gibbs reflective cycle to reflect my personal professional practice that needs improvement in some areas regarding my role as a registered nurse (RN). I personally felt that I should assist the medical assistant to make the patient, Mr. Med, comfortable, as I analyzed that this must be considered with the highest priority by means to evaluate the medications. However, I recover the concept that I should also do the same at my home if the person.