NRSG259: Promoting Health in Extended Care- Nursing Case Study Assignment Help
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Write My Essay For Me!Mrs. Amalie Jones is an 89-year-old woman who migrated to Australia from Germany 40 years ago after meeting and marrying Mr Henry Jones, an Australian sailor. Amalie’s son Dominik from a previous marriage in Germany lives with his family in Germany but has been visiting regularly since Amalie migrated to Australia.
Henry‘s daughter Tracy and Henry’s extended family live in other states in Australia but have kept in regular contact. Tracy and her family in particular, have visited very regularly. Two years ago Henry passed away after a long battle with lung cancer leaving Amalie by herself in their single story home.
Amalie retired from primary school teaching twenty four years ago, the same year Henry retired from the Australian Navy. The couple spent their time together traveling around the world and volunteering at the local St Vincent de Paul shop. They participated actively in their local Catholic Church, organising fundraising activities. They were also very active members of the German Association. Amalie is fluent in both written and spoken English and German. She speaks with a strong German accent and sometimes people ask her to repeat herself.
Amalie’s health has been slowly deteriorating over the last two years, forcing her to withdraw from the activities she has been involved in for so many years. Last year, when Dominik and his family visited Amalie, they wanted her to return to Germany so that he and his family could be close to her but Amalie refused to go although she was very grateful to her son and family. Henry’s daughter Tracy has kept in touch with Amalie since Henry died and visits every three months with daily phone calls but has not suggested any living arrangements to Amalie. Recently, Amalie has developed dry macular degeneration and has had to give up driving. She has difficulty with mobility due to significant problems with rheumatoid and osteoarthritis, rarely leaves the house and has lost physical contact with most of her friends and members of the German association. Amalie’s house is unusually unkempt and her cupboards are pretty bare except for some tins of soup and baked beans. Amalie feels very connected to her community and wants to stay there, but she has realised that in order to do this, she may need help. Amalie does not want to bother Tracy as she feels she is already too much of a burden on Tracy and her family. Amalie’s doctor is getting concerned that she is not eating properly, losing weight and becoming too isolated.
Amalie has a medical history of arthritis, hypothyroidism and macular degeneration.
The referral letter from her GP states the following symptoms:
- Joint stiffness.
- Swollen feet and enlarged joints.
- Painful joints particularly, her knee, hip, fingers and back.
- Limited joint movement.
- Constipation
- Occasional dizziness
- Vision deficit
- Non-significant recent weight loss
9.Patient states adherence to medications but suspected she may forget or skip doses when she is in pain
Medications:
Slow release Paracetamol 665 mg tab ii 3 times a day
Ibuprofen 400 mg three times a day
Thyroxine 150 mcg daily
Hydroxychloroquine 200mg daily
This assessment is designed to measure your ability to identify and prioritise the most important nursing care issues for a client. Two theoretical frameworks underpin your assignment: Miller’s Functional Consequences Theory to identify the influences impacting on the older person and their level of function and Levett-Jones’ Clinical Reasoning Cycle as the tool to drive the process of identifying and assessing, implementing and evaluating care. Students need to demonstrate how the dignity of the older person is maintained and how the cultural background of the older person is considered, throughout the process of assessment and care provision.
Students are required to review a provided scenario. From this scenario, use the first four steps of the Levett-Jones Clinical Reasoning Cycle (i.e., considering the patient; collecting cues and information, processing information and identifying problems/issues) to identify three nursing care priorities. A rationale needs to be provided for each nursing care priority identified.
From these three priorities, and using the Miller’s Functional Consequences Theory, identify the most important care priority to discuss. The discussion needs to focus on the steps of establishing nursing care goals, taking action, evaluating outcomes and reflecting on the care process identified.
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