Identify the clients? stage on the illness trajectory and provide rationale for your decision.

Develop 3-5 objectives of your training for each of your goals
November 17, 2020
Write the problem, etiology, signs and symptoms for the following scenarios
November 17, 2020

Identify the clients? stage on the illness trajectory and provide rationale for your decision.

Using ONE of the case studies provided
1.Discuss the care of the client using ONE of the principles of empowerment, collaborative decision making OR diversity
2. Identify the clients? stage on the illness trajectory and provide rationale for your decision.
3. Your discussion should include a critique of the relevance and application of the chosen principle to your case study, providing concrete examples of the nursing care you would provide and evidence to support this.
4. Consider the expected outcomes of your interventions and highlight potential barriers for the nurse/client/family in relation to the principle discussed and the care approach suggested.
Case study 1
You are a nurse working in a general practice setting, your next patient is a 16 year old boy who is classified as morbidly obese with a BMI of 38 and a waist circumference of 96cm.
He has attended the clinic for blood pressure and weight monitoring and to review his blood tests, the GP has asked that you weigh the patient and document his blood pressure and BGL. His fasting lipids have returned and show HDL LDL triglycerides.
You notice form the notes that the patient was referred a year ago to a dietician and for exercise on prescription but has not lost any weight. You note his mother is also registered as overweight has type 2 diabetes and hypertension. His father is not overweight, but suffers with hyperlipidaemia controlled by medication.
Please discuss ONE of the following strategies in relation to the care of this patient.
• empowerment,
• Collaborative decision making,
• diversity.
Case Study 2
You are a nurse working on a rehabilitation ward. Your patient Luigi Papadoplis is an elderly gentleman who is ready for discharge. He is 88 years of age and suffers with motor neurone disease. He is a proud Italian man, who is proud of working as a plumber for the last 40 years since he emigrated to Australia. His wife Joan is Australian, she is 80 and is reasonable fit and well apartfrom hermacular degeneration and therefore does not see very well. Luigi will be going home with a walking frame. Discuss how you would introduce injury prevention with this couple.
Please discuss ONE of the following strategies in relation to the care of this patient.
• empowerment,
• Collaborativedecision making,
• diversity.

Case study 3
Jake is a 7 year old little boy who had an anaphylactic reaction to peanuts. He is in the emergency department with his mother and her boyfriend. His parents have been separated for a year and have a strained relationship. Both parents are devoted to Jake. Jake lives with his mum and spends every second weekend with his father. Jake had been at a birthday party and had eaten a chocolate bar containing nuts. He collapsed at the party, his face swelled and his breathing deteriorated. He was taken to the ED by ambulance. Adrenaline had been administered in the Ambulance and Jake was recovering well by the time they reached hospital. Jake was to be discharged home with an antihistamine and a referral to the immunologist. The immunologist prescribes an epi pen and as the nurse in the specialist centre you need to discuss the prescription and the allergy with the family.
Please discuss ONE of the following strategies in relation to the care of this patient and his family.
• empowerment,
• Collaborative decision making,
• diversity.

Case study 4
Paul is a 40 year old indigenous man with severe asthma. He works as an electrician and has taken up extra work on a weekend working in a new housing development in new houses. He is working extra hours as he recently got married and his partner is expecting their first child. However working in the new houses seems to have affected his health and he has had 2 acute admissions for his asthma in the last 6 months. Although these two episodes were frightening at the time, Paul’s wife Lorraine is concerned that Paul often doesn’t take his inhaler with him to work and has not told his mates about his asthma.
Please discuss ONE of the following strategies in relation to the care of this patient and his family.
• empowerment,
• Collaborative decision making,
• diversity.

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