Community Care Assignment in PDF

Running Head: COMMUNITY CARE
COMMUNITY CARE
Name of the Student
Name of the University
Authors Note

COMMUNITY CARE1
Introduction
Obesity, hypertension, cardiovascular and cardiorespiratory disorders,
hyperlipidaemia, chronic renal diseases and the mental health conditions like stress and
anxiety also led to incidences and prevalence in the increased rate depression and advancing
cases of Alzheimer’s and dementia in the public populations of Australia (Segal et al., 2018).
It is very important and also very vital and cardinal to understand that in the community
settings where the indigenous Australian people such as Aboriginal and the Torres Strait
islander people lives and in the community where the South Sea islander people lives, the
public health in these community areas are worse as compared to the overall health and
wellbeing in the urbanised areas of Australia. In childhood, the presentation and development
of the respiratory conditions like cystic fibrosis can be very critical especially when the
parents are unaware of how to manage the cystic fibrosis conditions in their child and
increased dependency of the children on their carers and especially their parents complicate
the matter further (Hall et al., 2017). In this study, the role and functioning of a nurse in the
management of cystic fibrosis in the child from aboriginal community and the importance of
developing the self-care skills in the management of cystic fibrosis in relation to The Cystic
Fibrosis organisation of Australia’s “Moving on up” self-management program for children
living with the disease has been explored (Forrest, Butt & Namachivayam, 2017).
Role of the community nurse regarding self-management of child
expectation, family expectation
As a community registered nurse partnering in care with Milly who is a 7 year old
aboriginal girl living with cystic fibrosis and her parents, it is firstly very important to address
the dignity, esteem and privacy and cultural care needs of Milly and her family. Milly has just
moved with her family to Mingenew which is a rural area and again, as she and her parents

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might have an acculturation problem which might complication thee clinical of the child with
cystic fibrosis to a great extent. As a nurse, first it is very important to understand that the
bioethical principles of thee nursing such as beneficence, maleficence, totality and integrity,
autonomy has to be applied and incorporated in the caring for the child, Milly and the other
roles of the nurse includes providing an informed care to subjeects and her parents in this
case scenario. As a community registered nurse, while it is very vital to address the case
clinically – it is also important to teach the self-management skills to the subject and when
the subject is too dependent, the family centred nursing practice must be intervened with.
Dense mucous formation blocking the lungs and the various regions of the gastrointestinal
system results in signs and symptoms such as persistent cough (with dense mucous),
recurrent affections with sinusitis, recurrent lung infections, inflammation of the nasal
passages and stuffy nose, exercise intolerance, wheezing are the clinical signs and symptoms
in the child with cystic fibrosis that were revealed from the nursing assessment. The role of
the nurse is to deliver a culturally competent nursing care to the child with cystic fibrosis and
her family. Increasing the knowledge and awareness of the parents of the child about cystic
fibrosis condition (Hiscock et al., 2018) and thee effective way of self-management and home
management as per the ‘Moving on up’ program, is a very critical way of delivery a
community competent care to the child with cystic fibrosis. As the care surrounds around the
child, it is important for the nurse to incorporate adequate rest periods and play activities for
the child in addition to education in the nursing care of cystic fibrosis (Aoun et al., 2018).
Educating and teaching Milly and her parents about the self-management skills such as
breathing exercises, nutritional control (to manage the digestive and excretory symptoms),
proper sleep and relaxation for management of fatigue is vital (Mitchell et al., 2018).
SMART goals

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There are certain specific, measurable, achievable, relevant and time bound goals that
are important in the community nursing management of this cystic fibrosis case and it is
highly important that the various aspects of these health and social care goals of the child and
her family are addressed in an imperative manner. It is highly critical that the nursing goals
must be able to address the child care needs with cystic fibrosis by the development of young
person- and family centred care, development of shared responsibility, development of
coordinated care creating a readiness for transfer and through the application and
incorporation of the skilled workforce into the care delivery program. The community
registered nurse has to play a very critical role in the development of the goals with respect to
management of Milly’s cystic fibrosis. As knowledge and education is a problem in the
indigenous community, the first goal of the nurse is to develop the self-management skills
(such as self-care, proper sleeping, relaxation and recreation techniques, emotional
management, breathing exercises, adequate play and rest periods, hygiene and the same
pertaining to the nutritional support) pertaining to the management of the disease cystic
fibrosis which is a chronic condition in the child and it is very important to teach the family
of the subject that is the parents of the child about the self-management skills in order to
address the health and social needs of the child (McLean et al., 2019). The goal has to be
achieved in a month. The second goal of community practitioner nurse is to develop a team
with the parents of the child that demonstrates the importance of shared responsibility
towards the overall health and wellbeing of the child with cystic fibrosis. The same can be
achieved in about a week of beginning the nursing care of the child with cystic fibrosis
(Hendrickx et al., 2018). The parents of the child are responsible for caring for the child at
home on a day to day basis and it is very important they are taught the parental and child care
skills so that the community registered nurse who is the clinician in this case can collaborate
with the parents of the child in order to deliver a child centred collaborative care. The third