The Use of ISBAR Components in Community Nursing

Running head: ISBAR COMPONENTS IN COMMUNITY NURSING PRACTICE 1
The Use of ISBAR Components in the Analysis of Patient Condition in Community Nursing
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ISBAR COMPONENTS IN COMMUNITY NURSING PRACTICE 2
The Use of ISBAR Components in the Analysis of Patient Condition in Community Nursing
Case Scenario 1
Assessment
The assessment process is important in the promotion of patient safety and recovery
from the condition. The assessment of the conditions affecting Mrs. Zoya Solarian needs to
be assessed using the clinical reasoning cycle to improve the understanding of the medical
conditions observed in the case scenario. For effective assessment of the conditions affecting
Mrs. Zoya Solarian, it is important to apply critical thinking to improve patient safety during
diagnosis and therapeutic procedures. Clinical reasoning cycle pertains various activities
intended to improve patient assessment and provision of quality nursing services (Machan,
Hrynchak & Irving, 2012). Critical thinking is also important in the determination of the
effective diagnostic and therapeutic modalities for the management of Mrs. Zoya Solarian
conditions.
The ulcer on the left leg is due to severity of the type II diabetes mellitus. People with
this type of people normally have a chronic ulcer on their legs or feet. The weekly dressing of
the ulcer is meant to promote the healing of the wound. The type II diabetes reduces the
ability of the cells to proliferate and recuperate, therefore, affecting the wound healing
mechanism (Machan, Hrynchak & Irving, 2012). The assessment of the risks related to the
ulcer on her foot is an important aspect in this case scenario. One of the risk factor is living
on the third floor. If she has to work through the stairs, the wound may not heal faster
because of the pressure exerted during the extensive exercise. Another risk factor is
associated with the cataracts on her eye. Cataracts affect her vision, therefore, it may cause
serious accidents like falling down from the building. It is important to advise her to move to
ground floor to avoid such risks. It was important for me to visit this patient to assess the

ISBAR COMPONENTS IN COMMUNITY NURSING PRACTICE 3
conditions that affect old people in the community. Before I visited her, I practiced on
effective communication skills to improve my interaction with the patient. Cultural diversity
is another consideration to be assessed before visiting the patient in her house.
Recommendations
ISBAR components are important in the analysis of the efficacy of healthcare services
offered to patients (De Meester, Verspuy, Monsieurs & Van Bogaert, 2013). Effective
assessment of the conditions affecting Mrs. Zoya Solarian is important for making
appropriate recommendations that can help in the treatment and management of the medical
condition. The appropriate recommendation for the treatment of hypertension is the use of
Angiotensin-converting enzyme inhibitors and calcium channel blockers (Freitag & Carroll,
2011). These two medication are important in regulating the levels of calcium in the blood
because calcium increases heart contraction. In this case, the ACE inhibitors and may be used
with a potent diuretic agent like furosemide to increase the rate of blood flow and reduce
resistance on the walls of the vessels. Another recommendation for the high blood pressure is
the use of non-pharmacological approaches. In this case, the patient is advised to make
lifestyle changes. Physical exercise ensures that the body weight of the patient is normal
because overweight leads to obesity, therefore, causing hypertension. Physical exercise is
also recommended for the management of Type II diabetes before the condition worsens
because obesity leads to both hypertension and Diabetes mellitus.
Nutritional planning is also an important recommendation for this case because
cataracts on the right eye resulted from accumulation of galactose in the retina, therefore,
taking food with limited amounts of galactose/lactose reduces the severity of type II diabetes.
The management of this type of diabetes leads to the treatment of cataracts (ACCORD Study
Group 2010). The only recommendation for managing the ulcer on the left leg to adhere with