Samir Transition

This essay will critically analyse the potential impact of the transition on Samir, the management of Samir’s incontinence and it will also discuss partnership working involves in transition. Osgood et al. (2010) described transition as a change in health needs of a person, while (Gleeson & Turner, 2012) argued that transition is a developmental stage of a person such as the development from adolescence to adulthood. However, Petch (2009) suggests that transition is a change in a person’s social situation such as gaining employment. Ferguson (2010) suggests that transition is the organised and planned way of transferring adolescence with severe learning disability from children services to adult services. We all experience a transition in
This is supported by (Drennan et al., 2013; Emerson & Baines, 2010). Transition may cause some sort of stress to Samir because he has a complex health needs. McGoldrick et al. (2015) identified family life cycle theory which explains the way adolescence with learning disability may enrich the family or cause family stress during transition.
Samir is experiencing both vertical and horizontal stressor. The vertical stressors for him are his expectations during and after transition while the horizontal stressor is the incontinence. In view of this, it is important to carry out a holistic nursing assessment to identify Samir’s needs and plan the right intervention to meet the identified
Labhard (2010) and National Institute for Health and Care Excellence (NICE, 2012) suggest the use of a holistic approach and person centred care during transition. Samir is incontinence, therefore, there is a biological, psychological and sociological needs. There were other needs of Samir, but this essay will only focus on the incontinence. It was reported that Samir is incontinence therefore, Samir will be referred to the incontinence adviser for reassessment. According to (DeMaagd & Davenport, 2012; NICE, 2012) incontinence is a urinary symptoms that is caused by a neurological problem. This may have a great impact on Samir’s the quality of life. This was supported by NICE (2012).
Incontinence Management.
This involves using different intervention methods such medical, psychological and sociological intervention. National Institute for Health and Care Excellence (NICE, 2012) suggest the use of medication and surgery as part of the medical intervention however, incontinence is a neurological problem that is difficult to treat.
It may also lead to other problems such as urinary, bowel and sexual dysfunction (NICE, 2012; Visser et al., 2014), therefore, the incontinence assessment should examine other systems linked to it holistically. NICE (2012) suggest that medical intervention do not always work and the medication may have side-effects. Catheterisation and the use of incontinent