NURS FPX 6026 Assessment 1 Attempt 1 Analysis of Position Papers for Vulnerable Populations

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Analysis of Position Papers for Vulnerable Population 

The position paper explores the health care issue of Common Variable Immunodeficiency of elderly in the United States. This disease which also known as CVID impacts a large number of elderly people compromising their immune system and making them prone to a number of other health care issues. In this assignment this healthcare issue will be explored in addition to explaining the significant role an inter-professional collaboration plays for the improvement in the quality of health for CVID patients. NURS FPX 6026 Assessment 1 Attempt 1 Analysis of Position Papers for Vulnerable Populations

Position Paper about Specific Healthcare Issue of CVID in the Elderly 

According to FDA, Common Variable Immunodeficiency is a very complex health care issue that occurs as a result of antibody deficiency in a person’s body. This disease is prevalent in people between the ages of 60 and 65 years (Shavit et al., 2021). Though it has been reported that the emergence of CVID in the elderly has not been very well studied in medical science. This creates a lot of difficulties for nurses and health care practitioners when it comes to delivery optimal care to the elderly patients of CVID. NURS FPX 6026 Assessment 1 Attempt 1 Analysis of Position Papers for Vulnerable Populations.

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At Villa Health Hospital we received an elderly patient who was 62 years of age and suffered from CVID. CVID is caused by genetic factors but since the disease has not been well researched in the elderly, it is likely that CVID is caused by environmental factors as well. The patient reported of respiratory difficulty in addition to pain in the stomach region. The medical history of the patient revealed that previously the patient was being administered rituximab as well as prednisone for this condition (Shavit et al., 2021). 

NURS FPX 6026 Assessment 1 Attempt 1 Analysis of Position Papers for Vulnerable Populations

The Role of Inter-professional Team in Supporting Improvements and Challenges Faced 

CVID in the elderly is a rare health care condition which requires a lot of effort at the hands of nurses and the attendants of the patients. An inter-professional collaboration is very important in diseases like CVID which cause breathing problems and recurring pneumonia in the patients. The patients of CVID who are in old age and unable to take care of themselves need constant medical support. According to AAOMS or the American Association of Oral and Maxillofacial Surgeons, CVID is associated with a combination of various genetic mutations which halt the ability of the patient’s to function normally and makes them prone to a number of health care issues (Ní Leidhin et al., 2020). 

NURS FPX 6026 Assessment 1 Attempt 1 Analysis of Position Papers for Vulnerable Populations

An inter-professional collaboration will allow for enhancing the safety of the CVID patients whilst optimal care is delivered to them. In addition to this, the patients of CVID are in need of continuous support due to their compromised immune system and high susceptibility to catch various diseases. It is very important that the care givers of the patients stay in close coordination with the health care providers. This can be done through the use of telehealth tools (Lee et al., 2022). 

The Evidence and the Position of Others to Support a Team’s Approach 

CVID is a disease which progresses slowly but has a major impact on the health of the patients because Common Variable Immunodeficiency of elderly compromises the breathing ability of the patients. In worse cases, multiple infections are faced by the patient especially in their lungs that might aggravate the breathing problems for the patients of CVID (Lee et al., 2022). A research study by Bethune et al. (2019) has revealed that the use of intravenous immunoglobulin infusions is most beneficial for the patients of CVID. 

NURS FPX 6026 Assessment 1 Attempt 1 Analysis of Position Papers for Vulnerable Populations

In addition to this, the lowered levels of immunoglobulins can also be improved by injecting them artificially in the patient’s body (Baloh et al., 2019). But it has to be taken care of since a lot of intravenous injection might be harmful for the people who are suffering from CVID and are in later years of their life. It is also recommended by the physicians to make use of antibiotics in the treatment of CVID. But a number of health care practitioners and researchers suggest that the antibiotics should be administered in a moderate quantity in the patients who are suffering from a disease that compromises their immunity (Fortier et al., 2022). This also implies to the patients of CVID since one of the major symptom of CVID is compromised immunity. 

Potential Challenges the Team may Encounter during this Inter-professional Collaboration 

It has been observed that in many cases the elderly patients who are suffering from CVID are neglected in homes because an intensive care is needed for them which is not always provided in the homes. Due to their compromised immunity special care has to be given to the diet the patients of CVID. Thus it is required that the health care providers are able to educate the patients’ family in case of outpatients about the needs, requirements as well as the risks that are associated with their condition (Baloh et al., 2019). Nurses play the most important part in the inter-professional collaboration by educating the patients as well as their care givers about this rare health condition. This is very helpful in promoting the safety and security of CVID patients. 

The Evidence and Position of Others contrary to Team’s Approach of  Quality Outcomes

CVID which is also known as Common Variable Immunodeficiency is a health care issue which impacts a large proportion of the elderly population (Azzu et al., 2018). This disease compromises the immune system of the patients which makes them susceptible to a large number of disease and health care issues. The patients keep on getting various infections especially in the lungs which makes the breathing even more difficult for the patients. The patients need to keep under medical supervision in order to ensure the safety of the patients. 

NURS FPX 6026 Assessment 1 Attempt 1 Analysis of Position Papers for Vulnerable Populations

The literature on CVID suggests that the frequent use of antibiotics may lead to the development of gastrointestinal issues in the patients (Azzu et al., 2018). The patients of CVID have compromised immunity and it might become even more complicated to deal with the associated health care use arising through the use of frequent of antibiotics. Moreover, the evidence also suggest against the use of artificial immunoglobulins since they are associated with the development of hypotension as well as fever and chills in the patients. Recovering from common chills and lowered blood pressure is more difficult in patients with a compromised immune system like the patients of CVID (Ameratunga et al., 2019). 

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Conclusion

The number individuals who get affected by CVID in old age is increasing. In this position paper we have accessed the role inter-professional collaboration van play for the betterment and improving the quality of care for the patients of CVID. The evidence supporting the health care approaches has been presented here alongside the potential challenges that many be faced by the support team in providing care to the patients of CVID. Moreover, this position paper has also explored the required health care approaches which will be beneficial for improving the quality outcomes for patients of CVID. 

NURS FPX 6026 Assessment 1 Attempt 1 Analysis of Position Papers for Vulnerable Populations

References 

Ameratunga, R., Ahn, Y., Steele, R., & Woon, S.-T. (2019). The natural history of untreated primary hypogammaglobulinemia in adults: Implications for the diagnosis and treatment of Common Variable Immunodeficiency Disorders (CVID). Frontiers in Immunology10, 1541. https://doi.org/10.3389/fimmu.2019.01541

Azzu, V., Elias, J. E., Duckworth, A., Davies, S., Brais, R., Kumararatne, D. S., Gimson, A. E. S., & Griffiths, W. J. H. (2018). Liver transplantation in adults with liver disease due to common variable immunodeficiency leads to early recurrent disease and poor outcome. Liver Transplantation: Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society24(2), 171–181. https://doi.org/10.1002/lt.24979

Baloh, C., Reddy, A., Henson, M., Prince, K., Buckley, R., & Lugar, P. (2019). 30-year review of pediatric- and adult-onset CVID: Clinical correlates and prognostic indicators. Journal of Clinical Immunology39(7), 678–687. https://doi.org/10.1007/s10875-019-00674-9

Fortier, J. C., Haltigan, E., Cavero-Chavez, V., Gomez-Manjarres, D., Squire, J. D., Reeves, W. H., & Cuervo-Pardo, L. (2022). Clinical and phenotypic characterization of common variable immunodeficiency diagnosed in younger and older adults. Journal of Clinical Immunology. https://doi.org/10.1007/s10875-022-01290-w

Lee, E. Y., Betschel, S., & Grunebaum, E. (2022). Monitoring patients with uncomplicated common variable immunodeficiency: a systematic review. Allergy, Asthma, and Clinical Immunology: Official Journal of the Canadian Society of Allergy and Clinical Immunology18(1), 21. https://doi.org/10.1186/s13223-022-00661-7

Ní Leidhin, C., Bambrick, M. L., Heaney, R. M., Conlon, N., & Beddy, P. (2020). Thoracic Imaging Findings of Common Variable Immunodeficiency in Adults: A Pictorial Review. https://epos.myesr.org/poster/esr/ecr2020/C-08564

Shavit, R., Maoz-Segal, R., Frizinsky, S., Haj-Yahia, S., Offengenden, I., Machnas-Mayan, D., Tunisky, Y., Iancovici-Kidon, M., & Agmon-Levin, N. (2021). Combined immunodeficiency (CVID and CD4 lymphopenia) is associated with a high risk of malignancy among adults with primary immune deficiency. Clinical and Experimental Immunology204(2), 251–257. https://doi.org/10.1111/cei.13579