This project will helps to learn the following outcomes:
Learning Outcomes
LO1 - Analyse health history of individuals having continuous illness
LO2 - Assess assumptions and techniques to analyse an comprehensive assessment of customers in the group or at home.
LO3 - Finding out methods to encourage good health of people having constant disease by applying principles of proof-based nursing.
Introduction
At the time of second Sudan civil war, Aamira Agar a 66 years old Sudanese lady, forcefully shifted in Australia in 2002. She depends on her community to translate as she didn't know English well. She don't have children and her husband died in 1999.
She admitted to your medical ward via GP, for examine of new diagnose diabetes. They said to check whether she be suffering from heart failure. Ramadan complicates the management. She didn't faces this in early times, but currently facing breathing issue, continuous cough, swelling on feet and lower legs, and particularly lying flat. She didn't have any allergies.
You are a Nurse taking care of Aamira
|
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 |
|
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 |
|
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 |
|
Ex-smoker. 1 pack
per week x 20
years – quit 1995 |
Less exercise, as shortness of breath on exertion. |
Noted bilateral oedema of calves |
|
|
Suspected PTSD |
Unable to maintain, a small garden where herbs grow, exponent of traditional
medicines |
Short of breath - worse lying flat |
|
|
|
Often thirsty, gained weight, moderate appetite |
Increasing need to urinate – especially at night |
|
|
|
|
Fasting Blood Glucose 1 month prior – 10.7 (mmol/L) |
|
|
|
|
Has not yet been seen by an admitting physician |
Figure out the following in your 2000 words essay:
- By the information, describe the problem and the reason of this condition of aamira (300 words)
- Tell about the health history taken previously, and discuss the nursing care she will get after admitted to your ward. What details you require to supervise a new patient that admitted to your hospital and what's your duty is? (500 words)
- How you tell her the about the disease she is suffering from and what will be your suggestions in this context. Discuss about the effect over her care because of Ramadan. (550 words)
For getting discharge, what are the services she required, also explain the precautions to be taken for safely return home and independent.(300 words)
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