Review another student’s posting and provide a response that reflects critical thinking.

I need to write a response to this classmates posting

Here is the assignment instructions..

1. Review another student’s posting and provide a response that reflects critical thinking.

Provide a primary scholarly reference to support your response.

1. You are essentially providing a comparison of the usefulness of the theory you selected to the one that another student in your group used.
2. Correct APA 7th edition listing for your reference.

The student I need to respond to is below:

• I selected the theory of chronic sorrow for this particular case study. I selected this theory for Mr. Smith’s situation since he recently had lost his wife and also had been diagnosed with type 2 diabetes 3 years ago. These are major stressors and he is experiencing sadness and sorrow in his life. The major concepts of this theory include: chronic sorrow, disparity, loss, antecedents, and internal and external management methods. The middle range theory was developed to help analyze responses of people who have experienced a chronic illness, loss of someone close to them, and caregiving responsibilities (Buckley & Stricklin, 2016). Nurses work with many patients experiencing chronic sorrow for a variety of reasons and they need to be aware that there are many triggers that can cause a resurface of this sorrow (Burke, Eakes & Hainsworth, 1998). In Mr. Smith’s case, he could have been experiencing chronic sorrow when he was diagnosed with diabetes and had trouble managing his diagnosis. When his wife died, this trigger could have caused him to struggle even more with caring for himself and his diabetes.

• I chose this middle range theory because the scope is useful for analyzing individual responses to loss and major changes in one’s life. The article I chose deals with patients experiencing chronic sorrow, like Mr. Smith, who also have a chronic disease.

• The purpose of the article I selected is to describe the ways which patients with Multiple Sclerosis deal with chronic sorrow. MS is a chronic disease that can progress to severe disability, which is similar to the possible manifestations of type two diabetes. Patients with MS have described feelings of sorrow related to their losses in physical ability caused by the disease (Isaksson & Ahlstrom, 2008). Sadness and denial related to a chronic diagnosis can lead patients to ineffective management of their disease, much like Mr. Smith in this case study. Mr. Smith not only is dealing with his diagnosis of type two diabetes, but also the recent loss of his wife. Chronic sorrow is a normal and ongoing disparity due to loss .The theory provides a framework to help guide patients experiencing chronic sorrow ( (Burke, Eakes & Hainsworth, 1998).

• Since Mr. Smith is not attending his appointments or checking his blood glucose levels, home health care visits may be helpful for him. He is experiencing extreme sadness and chronic sorrow after the loss of his wife and is not caring for his diabetes. Interventions such as home health care visits that include blood glucose checks, meal planning, and diabetes education can help Mr. Smith get his diabetes more under control. It is a possibility that Mr. Smith is not attending his visits because he is depressed and is unable to leave his home due to his overwhelming sadness from the loss of his wife. Another intervention could be to initiate counseling with Mr. Smith via telehealth so he can participate from the comfort of his own home. Counseling will help him find a coping plan to deal with his recent loss of his wife. We will could measure the outcomes of the interventions by comparing A1C levels from the beginning of the interventions and 6 months after. We can also measure the interventions by have Mr. Smith take a survey about his sorrow and sadness before initiations of counseling and 6 months after and comparing the scores.

• A strength that the theory of chronic sorrow possesses is it provides a better understanding of the sadness that patients may experience when faced with a loss or chronic diagnosis. This understanding leads to nurses providing interventions to help these patients overcome their sorrow and care for themselves better. A limitation to this theory is that people all handle stress and grief differently and chronic sorrow is very individualized. There is not only one way that nurses can help those suffering from chronic sorrow.

• I learned quite a few things during this assignment about research and applying it to nursing practice. There are many nursing and borrowed theories that can be applied to situations such as Mr. Smith’s case. It is important to make sure the articles I use are from a reliable source and pertain to the topic at hand.

• PICOT: For patients diagnosed with type two diabetes who are experiencing chronic sorrow, does counseling along with home health care visits help decrease their A1C within 6 months?

References

Buckley, C. J., & Stricklin, S. M. (2016). when sorrow never stops. Journal of Christian Nursing, 33(1), 22–29. https://doi.org/10.1097/cnj.0000000000000231

Eakes, G. G., Burke, M. L., & Hainsworth, M. A. (1998). middle-range theory of chronic sorrow. Image: the Journal of Nursing Scholarship, 30(2), 179–184.

Isaksson, A., &Ahlstrom, G. (2008). managing chronic sorrow: experiences of patient with multiple sclerosis. Journal of neuroscience nursing, 40(3), 180-192.

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