Risk Factors and Interventions for Leonard's Case Study

Assessment 2

Contents
Part A...............................................................................................................................................3
Introduction..................................................................................................................................3
Discussion....................................................................................................................................3
Three risk factors for Leonard..................................................................................................3
Three best practice assessment tools for Leonard....................................................................3
Conclusion...................................................................................................................................5
Part B...............................................................................................................................................5
Critical analysis of the person-centered interventions to support Leonard and obligations as a
Registered Nurse..........................................................................................................................5
References........................................................................................................................................7

Part A
Introduction
This report will focus on identifying and describing the risk factors associated with Leonard’s
case study. It will identify and critically analyze a range of interventions to support Leonard
through person-centered approach. The report will also present how the chosen interventions
relate to the obligations as a Registered Nurse.
Discussion
Three risk factors for Leonard
Hypertension- Leonard has a history of hypertension and he was hypertensive at the time of
hospital admission when he was diagnosed with Urinary Tract Infection (UTI). He also has a
history of urinary urgency. All these factors are associated with old age and Leonard is 73 years
old. Study has established a pathophysiological association between hypertension and lower
urinary tract symptoms and recommends management of comorbid clinical manifestations
simultaneously (Hwang, et al., 2015).
Declined self-care including unhealthy eating- Worsening of Leonard’s condition is also
associated with decline in his self-care. He became inactive by quitting walking and isolated
socially. He was eating microwaved prepared meal since last six months as opposed to eating
fresh vegetables from garden. Unhealthy eating and inactivity may also be the reason of his
recent weight gain. Self-neglect is observed in Leonard which is either inability or unwillingness
to attend to his personal requirements can also lead to poor hygiene. Poor hygiene is frequently
associated with various mental disorders and increased frequency of UTIs (Balentine & Stöppler,
2018).
Urinary urgency- Leonard also demonstrates a history of urinary urgency. Frequency, urgency,
dysuria, incontinence, or suprapubic tenderness are some of the established symptoms of
symptomatic UTI (Beveridge, et al., 2011).
Three best practice assessment tools for Leonard
Hypertension- Hill-Bone Adherence Scale is a comprehensive tool which can be used to examine
behavior of Leonard for three significant behavioral domains of high blood pressure management