Amalie’s Case: Nursing Priorities, Goals, and Actions

Running head: AMALIE’S CASE 1
Amalie’s Case
Name
Institution

AMALIE’S CASE 2
AMALIE’S CASE
Introduction:
This paper used the case study of Amalie to showcase how nursing care can identify her
problems, prioritize, and address them adequately. From the case, it has been discovered that the
main issue facing Amalie is the social isolation/helplessness/loneliness. This has caused her a lot
of derived problems, and hence there is a need to solve this problem so that she is restored or re-
integrated back into the community.
Part A: Identify there Nursing priorities in Amalie’s case
Consider Facts:
This an 89-year-old woman-Mrs. Amalie who has migrated to Australia from Germany
forty years ago. She lives alone following the death of her husband. She has retired from primary
school teaching and has stopped doing the things she loved like traveling and volunteering. She
is no longer able to participate in German Association actively. Her health is gradually
deteriorated and has since forced her to withdraw from the activities she loved and engaged in so
many years.
She is lonely and feels isolated and helpless. She has developed dry macular degeneration
due to age and can no longer drive. She faces difficulty with her mobility because of substantial
problems with rheumatoid alongside osteoarthritis. She rarely leaves the house and has lost
physical contacts with many friends and German Association members. Her house remains
unkempt with bare cupboards. She still feels attached to the community and wishes to stay there,
but she needs helps. She feels more of a burden to her daughter Tracy. She is not eating well,
fast-losing weight and becoming increasingly isolated.
Collect Information:

AMALIE’S CASE 3
Amalie had a medical history of arthritis, hypothyroidism and macular degeneration. She
isolated and helpless following the death of her husband. She can no longer drive and even leave
the house. There is a need for ADLs performance because Amelie seems to be suffering from the
risk of being isolated socially and depression (Miller, 2015).
Process Information:
Health deterioration is related to her socially isolation. Amalie feels isolated from doing
what she loves most including actively participating in German Association or even volunteering
in the community. Her lack of mobility is related to the age-associated illness including
rheumatoid and osteoarthritis. Her development of macular degeneration is linked to her inability
to walk or even drive around. Her lack of eating, loss of weight and isolation contributes to her
continued health deterioration (Dawes et al., 2015).
Identify the Problem
Amalie is suffering from isolation. This is greatly contributing to her deteriorating health.
For example, being lone in the home and despite being sick, Amalie is unable to do most of the
things she used to do before. This has even made her lose weight because she cannot even eat
well. Therefore, the first nursing care priority Amalie needs is to work towards eliminating her
isolation (Levett-Jones, 2013). This is because Amalie loves her community and she would wish
to stay there. However, she needs help. Therefore, there is a need for someone who can help her
including driving her around and even taking her to the German Association since this is one of
the things she loves most.
She also needs treatment for her deteriorating health. As has been seen in the case she has
a medical history of arthritis and even hyperthyroidism. This must have been persisted due to the
information is given in the referral letter from the GP and even the medications. By doing this,