NRSG366 Case study Medicine and Nursing Assignment
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Added on 2021-04-17
NRSG366 Case study Medicine and Nursing Assignment
Added on 2021-04-17
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Running head: BACHELOR NURSING ASSIGNMENTNRSG366 Semester One 2018Assessment Task One: Case Study OneName of the StudentName of the UniversityAuthor Note
1BACHELOR NURSING ASSIGNMENTPrimary health care nurses are found to work in a plethora of healthcare settings thatshare characteristics, which are focused on forming a primary contact with the healthcare system.Thus, the role of a primary healthcare nurse encompasses maintaining a patient state of completemental, social and physical wellbeing. Clinical reasoning refers to the process by which nursingprofessionals collect cues and process relevant clinical information, while treating a patient(Salminen et al., 2014). The basic nursing duty also encompasses protection and promotion ofhealth, in addition to including reduction of health disparities and social exclusion (Marcum,2012). The essay will identify two priorities of care and will use the clinical reasoning cycle toprovide a justification for the same, with regards to the case study.Setting priorities in nursing is an essential skills demonstrated by primary healthcarenurses. This priority setting facilitates better time management due to the fact that all nursingactions are found to have relative importance for nurses. Patient load management also dependslargely on priority setting (Wielenga et al., 2015). According to research evidences, nurses areexpected to demonstrate their clinical knowledge and skills while establishing their priorities forimproving the overall health outcomes and satisfaction of their clients (Dalton, Gee & Levett-Jones, 2015). They are expected to apply their knowledge related to pathophysiology of aparticular disease while establishing priorities for setting interventions. Prioritization alsoincludes delivering best care services and evaluating the plan of care for multiple patients, andrevising the plan as and when required (Morley et al., 2014). The two priorities of care in thiscase scenario include management of obesity and hypertension.The patient situation- In the above case scenario, Peter is an unemployed divorcee, aged30 years, who lives separate from his wife and two sons. He is socially isolated and finds itdifficult to performing daily activities due to his obese condition. The patient Peter is found to
2BACHELOR NURSING ASSIGNMENTsuffer from morbid obesity that is considered as a serious health condition. It can be attributed tothe fact that the patient the patient has a higher BMI than the normal range of 35. This conditionin the patient is characterized by the extreme deposition of excess body fat in the body (Sturm &Hattori, 2013). Furthermore, the patient is also found to suffer from poorly controlled type 2diabetes. This indicates presence of insulin resistance in his body. Presence of obesity ventilationin the patient can be also associated to his overweight that makes it difficult for him to breatherapidly or deeply, thereby resulting in low amount of blood oxygen and high carbon dioxidelevels (Carrillo et al., 2012). Vital signs measurements indicate that the patient suffers fromhypertension. The heart rate and respiratory rate are within the normal levels. Further reportsfrom the case study also indicate that obesity presents itself as a significant problem for thepatient.Collecting cues or information- The role of a nursing professional should encompassreviewing the patient information, gathering new data from by monitoring the patient andcollecting essential cures from the present scenario. The patient was admitted to the hospital afterpresenting symptoms of diaphoresis, shakiness, increased hunger, high blood glucose levels, andbreathing problems. His medical history indicates that Peter had also consulted a dietician andcommenced on an LEHP diet for weight reduction. Evidences have established importance ofthis diet in weight loss (Wadden et al., 2013). Moreover, it is evident from the availableinformation that presence of morbid obesity makes it difficult for Peter to perform a range oftasks. Research evidences suggest that morbid obesity, health and social isolation are closelyassociated and present considerable challenges to a person, in the form of discrimination and bias(Pantell et al., 2013). Conduction of a physical assessment helped in confirming presence ofhypertension and obesity in the patient. 50mg BD metoprolol and 10mg lisinopril administration
3BACHELOR NURSING ASSIGNMENTis also accurate as they will help in lowering the persistent high blood pressure, therebypreventing further risks of cardiovascular and renal complications (Liu et al., 2013).Information processing- Nursing process refers to the scientific method that is used byall nurses for ensuring the quality of care being delivered to all patients. This nursing approachoften encompasses five different steps of processing of information, namely, assessment,diagnosis, planning, implementation and evaluation. During the assessment phase the primaryhealthcare nurse is responsible for gathering relevant physiological, psychological, spiritual, andsociological status. This data collection depends on physical examinations, and reference to thepatient history. In this case scenario, the diagnosing step would also encompass the fact thatnurses will confirm whether the patient Peter is at an increased risk of developing healthcomplications due to his problems. Several risk factors are associated with the symptomspresented by Peter that makes him more susceptible to develop cardiovascular disorders.According to research evidences, gender differences play a major role in development ofcardiovascular diseases. These diseases are found to contribute more to death of men on a globalscale (EUGenMed et al., 2015). Presence of depressive symptoms in the patient can be not onlyattributed to his isolation from the family members, but also to obesity. Patients suffering frommorbid obesity are about 25% more likely to suffer from mood disorder such as, depression(Preiss, Brennan & Clarke, 2013). This is correlated to low self-esteem, poor self-image, andsocial isolation (Witherspoon et al., 2013). This helps in establishing links between depressionand obesity in the patient. Moreover, obesity is also strongly correlated with hypertension andcardiovascular disease. High arterial pressure maintained during obesity contributes tohypertension (Nguyen & Lau, 2012). The patient is also found to suffer from sleep apnea, the
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