2807NRS Case Study 1: George Polaris

AIM:

The aim of this assignment is for students to demonstrate an understanding of health promotion strategies, including education strategies that address the needs of clients with chronic diseases that empowers them to self-manage their condition. The provision of education to enable people to make decisions and to take actions in relation to their health is part of the role of the Registered Nurse (Nursing and Midwifery Board of Australia, 2016).

This assignment addresses the following course learning outcomes:

1. Apply health promotion and illness prevention practices to support people diagnosed with chronic illness;

2. Evaluate person-centred care for optimal self-management and promotion of active participation of both individuals and families in symptomatic management of chronic disease;

3. Analyse primary health care and health promotion strategies that address the needs of those with chronic diseases.

TASK:

Instructions: For this assignment, you are required to choose one (1) client scenario from the two options given below and address the following criteria:

1. Provide an overview of the chosen client’s chronic condition/illness; 2. Describe two (2) actual and/or potential health concerns for the client;

3. Identify two (2) appropriate topics for client education (one topic for each health concern). Explain how each topic addresses the actual and/or potential health concern for the client and how each topic will assist the client to self-manage their chronic condition and optimise their health;

4. Describe two (2) specific, appropriate client education strategies that the Registered Nurse would use to teach the chosen education topics (one strategy for each topic). Include details of how the education will be structured and delivered (i.e. method/tool used, setting for education, participants to be involved, etc).

5. Justify your choice of education strategies for this particular client.

NOTE:

● Ensure you use a client /patient-centred and/or family-centred approach that optimises individual self-management and promotes active participation of the individual and family in illness management.

● You must support all sections of your essay with scholarly literature from the past 10 years.

PRESENTATION GUIDELINES: Please ensure that your submitted assignment includes:

1. An Assignment Title Page as per the Griffith Health Writing & Referencing Guide. 2. Present your essay, correctly formatted as per the Griffith Health Writing and Referencing

formatting guidelines (e.g. spacing, page number, etc.), AND a correctly formatted reference list according to APA 6th edition. You do not need to include the marking criteria with your submission.

3. Assemble all pages into one document. Format file is to be MS Word only (.doc) or (.docx). 4. Check that the file you have uploaded has been successfully submitted into the Submission Inbox 2807NRS Case Study 1: George Polaris

and retain a copy of the digital receipt for the final assignment submission. 5. Submit online via the relevant campus specific Turnitin submission point on the course site under

the Assessment tab. 6. For more help with Turnitin Assignment submissions go to: Turnitin

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Mr George Polaris, is a 62-year old Italian man who initially presented to hospital with increased shortness of breath, fever and a productive cough. He was first treated for a chest infection and given IV antibiotics. Over the course of his hospitalisation, George underwent a series of respiratory examinations/tests and was ultimately diagnosed with chronic obstructive pulmonary disease (COPD). George also has a history of gastro-oesophageal reflux disease (GORD).

George was discharged from hospital and is now being followed up at his local GP clinic. It is 10:00am and you are the Registered Nurse at the clinic initially meeting with George.

He explains to you that he had several episodes of shortness of breath and a cough on exertion over the last year but he thought he was just getting old and was not able to work hard any more. Prior to his hospital admission, his shortness of breath was a lot worse. He has also lost several kilograms, and now weighs 65 kg with a height of 178cms.

George tells you that he works as a labourer in the construction industry and lives with his wife, who works at the local supermarket. He is a smoker who has smoked 20 cigarettes/day since he was 14 years old. George says he does not drink and has no known allergies.

Current vital signs: Temperature 36.7C, Blood Pressure 135/88 mmHg, Pulse 100 beats/min, and Respiratory Rate 22 breaths/min

Current Medications: ● Salbutamol (Ventolin)100 micrograms MDI, 2 puffs when required up to 4 times daily ● Tiotropium (Spiriva) 18 mcg inhaled by mouth OD ● Esomeprazole magnesium (Nexium) 40 mg PO OD

https://sites.google.com/a/griffith.edu.au/griffith-health-writing-and-referencing-guide/
https://sites.google.com/a/griffith.edu.au/griffith-health-writing-and-referencing-guide/Assignment-Presentation-Formatting-Guidelines
https://intranet.secure.griffith.edu.au/computing/using-learning-at-griffith/students/assessment/turnitin
Case Study 2: Anna Lenska

Mrs Anna Lenska is a 68 year old retired woman who, for the past 6 months, has been a client of the Community Health Service for treatment of an ulcer on her right lower leg. She has a history of hypertension and Type 2 diabetes requiring oral hypoglycaemics.

Anna is widowed, lives alone and has no immediate family. Her neighbour usually takes her to do her shopping. Her leg ulcer has been dressed twice weekly by community Registered Nurses in accordance with the wound specialist nurse’s instructions. The leg ulcer is slowly healing.

It is 7.30am and you, the community Registered Nurse, arrive at Anna’s home for the wound assessment and dressing change. Upon arrival, Anna complains that she is feeling a “bit faint” and asks you to check her blood sugar level (BSL). The BSL reading is 3.5 mmol/L. You follow the recommendations for hypoglycaemia, and Anna begins to feel better and her BSL increases to 6.2mmol/L. 2807NRS Case Study 1: George Polaris

On talking with Anna, you discover that she has not been eating well because her neighbour has been away and she has not been able to get out to do the shopping. She has been wearing an old pair of closed toe shoes as her other more comfortable shoes had become too broken down to wear. She also says she sometimes forgets to take her medications.

Current vital signs: Temperature 36.5C, Blood Pressure 160/90 mmHg, Pulse 84 beats/min, and Respiratory Rate 15 breaths/min

Current medications: ● Metformin 1g PO daily ● Metoprolol 25mg PO BD

MARKING CRITERIA POSSIBLE

MARK INTRODUCTION and CONCLUSION

● Assignment has as an introduction that contextualises the assignment and identifies the aim of the assignment

● Has a concluding paragraph that summarises the overall assignment ● Does not introduce any new information or references in the conclusion

CRITERIA ONE: Context ● Using scholarly literature, provides a clear overview of the client’s

condition/illness (10) ● Using scholarly literature, clearly describes two (2) actual and/or potential

health concerns for the client (10)

CRITERIA TWO: Education  Clearly identifies two (2) appropriate topics for client education (one topic

for each health concern) AND

 Using scholarly literature, clearly explains how each topic addresses the actual and/or potential health concern for the client and how each topic will assist the client to self-manage their chronic condition and optimise their health (20)