The educational outcome and skills that developed from this activity are as follows:
Learning Outcomes
LO1 - Perform a study on individual's health history related to their constant illness or disability
LO2 - Figure out plan and ethics to perform an unified assessment of the client in the community and at home.
LO3 - Put in the principles of proof-based nursing to find out technique to encourage individual's health and freedom with continuous sickness
Introduction
During the second Sudan civil war, a 66-year old lady Ms Aamira Agar, forced to resettled in Australia. She didn't known English language and need her Sundanese community to do so. She don't have children and even her husband died in 1999, at the time of conflict.
Via GP she just admitted to your medical ward, for examination of poorly measured newly identified diabetes. It's Ramadan that mess-up the management. GP also assumed that Aamira may have hidden heart failure and requested for check-up. She was not admitted previously, but this time facing problem in breathing, having steady cough, nocturia, and swelling in feet and lower leg and particularly lying flat. She don't have any known allergies.
Suppose you are nurse taking care of Aamira.
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PMHx: |
Social History |
Medical Findings |
Medications |
|
Hypertension |
Widowed |
CXR - not attended. Direct admission |
Coversyl 2.5mg Daily |
|
Osteoporosis |
Have a niece, lives in Melbourne, due to VIC Covid not able to meet Aamira |
Blood tests - not attended. Direct admission |
Colecalciferol 800IU daily |
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Gall stones 2005 |
Using community nursing services, 2 times a week, with washing and dressings to leg ulcer |
RR - 30 - laboured breathing. Some wheezing heard. Persistent cough - has been getting worse for the last month |
Fosamax 70mg weekly |
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Long term ulcer on L lower leg |
Sudanese community check on Aamira daily, helps with meals as needed |
SpO2 - 96% on RA(at Gps) HR - 99 - no ECG (at GPs) BP - 145/85 (at GPs) |
Panadol Osteo 1330mg TDS |
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Ex-smoker. 1 pack per week x 20 years - quit 1995 |
Less exercise, as shortness of breath on exertion. |
Noted bilateral oedema of calves |
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Suspected PTSD |
Unable to maintain, a small garden where herbs grow, exponent of traditional medicines |
Short of breath - worse lying flat |
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Often thirsty, gained weight, moderate appetite |
Increasing need to urinate - especially at night |
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Fasting Blood Glucose 1 month prior - 10.7 (mmol/L) |
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Has not yet been seen by an admitting physician |
Outline the following in word essay in 2000 words (need to submit this assessment via Turnitin)
- Evaluate given information and describe the reason of the state we think in Aamira, and discuss what is the reason behind this condition in aamira case. (300 words)
- Explain the health history you take earliest, and what will be her nursing care after admitted to your ward by viewing what was already attended - imagine the duty a nurse have when a new patient admitted, what details you need to supervise her well? (500 words)
- As she faces such problem for the first time then, how you educate your client about this disease, and what suggestions you will recommend her - how you transfer this details to her so that she can understand that? What are the effects on her care and management because of Ramadan (550 words)
- Describe the services Aamira need and engage for her releasing. Explain the services she need to be independent and safely return home. (300 words)
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