Nursing Assignment on Primary Health Care and Interdisciplinary Care

This nursing assignment discusses primary health care, comprehensive and selective primary health care, national healthcare strategic framework, social health determinants, interdisciplinary care, and roles of an enrolled nurse. It also covers Mr. Thomas' case study and offers preventive, curative, and rehabilitative primary health services.

Nursing 1
Nursing assignment
By
Name
Course
Professor’s Name
Institution
Location of institution
Date

Nursing 2
Session 1 and 2 response
Question 1 response
According to the Alma-Ata declaration, primary health care comprises of various elements
which are designed to improve and promote better health to all people in the world. The elements
include promoting food supply and proper nutrition, adequate supply of safe water, education
concerning prevailing health problem and provision of essential drugs.
Promoting food supply by the government will help to eradicate deficiency diseases in the
country. Safe water for consumption is essential in preventing various water-borne disease like
cholera. Drugs will help to cure and prevent disease outbreak in the country and lastly, education
services will create awareness to the members of the public on how they can live a healthy life.
Question 2 response
Comprehensive primary healthcare is an approach that cares for the whole patient’s needs
that is both medical and physical needs while selective primary health care is concerned with the
cost-effectiveness of vertical health program with measurable outcomes.
Comprehensive primary health includes health promotion to patients while selective primary
health care includes short term health care programs to the selected individuals.

Nursing 3
Question 3 response
National healthcare strategic framework is an agreed approach by different states to work
together to better health care services across those states.
In Australia, one of the national vision form primary health care is keeping people healthy. This
vision will drive some of the set health objectives by the government to achieve the vision hence
contributing to better health among the citizens.
The second vision is identified as preventing illness among the citizens. This will be possible
through educating the people on the safety practices which will not predispose them to illness.
Question 4 response
Social health determinant is defined as the conditions in which people are born, live, grow
and work which are likely to be shaped by money, power and resources.
Social health determinants and the primary health care relates in such a way that the two
approaches are complementary in reducing health inequities in society. Social health determinant
is one of the strategies of primary health care in reducing inequity cases in society.
Question 5 response
Interdisciplinary care is defined as the description of the health care context and how health
care services are delivered to the patients by nurses.
Interdisciplinary care team consist of health care professionals who work together to
manage the physical, spiritual and psychological needs of the patient hence team members
should include Mr. Thomas and his wife and nurses.

Nursing 4
Question 6 response
 hospitals
 nursing care facilities
 home health care services
 physician’s office
Question 7 response
Roles of an enrolled nurse
 provides medical attendance to the patient
 counselling patients based on their health status
 record medical history and symptoms
 operate medical equipment
Peak professional body for nurse in Australia is the Australian Primary Health Care Nurses
Association (APNA).
Session 3 Responses
Question 8 response
One of the benefits Mr. Thomas enjoy while receiving care at his home is that
interdisciplinary nurses will have full knowledge of his area of residence thus able to design
better care based on his living environment.

Nursing 5
Question 9 response
Questions to be asked includes:
1. What is the security status of your area? Is the area a secure environment for working?
2. At what time do you always release your dog from their kennel?
Question 10 response
Safety maintenance
 Put on gloves while dressing the wound.
 Call Mr. Thomas before your visit informing him to confine his dogs to avoid their bite.
Infection control principles
 Advice Mr. Thomas to stop sleeping with his cat since cat’s hair will stick on the wound
thus a predisposing factor for the infections.
 Cover the wound to avoid dust and germs from accessing the wound.
Question 11 response
Activities to undertake before visit
 I will gather all the necessary information about Mr. Thomas area of residence that is
direction, distance and the mode of transport to use.
 I will arrange on buying him some incentives which will give him hope of recovering.

Nursing 6
Question 12 response
Adhering to medication prescription
One of the responsibilities Mr. Thomas is expected to observe by the interdisciplinary team is
to ensure that he takes the prescribed medication daily according to the prescription given by the
nurse for his health condition.
Question 13 response
List of people in the interdisciplinary team
1. clergy
2. kids
Session 4 Responses
Question 14 response
Initial assessment for the patient is important in health care services as it enables the nurse to
know the patients’ health history. Past health history of the patient is important in medication as
the nurse will easily offer medical services based on past medical history.
To enable the nurse to identify the medical needs of the patient. This will enhance the
quality of services offered to the patient due to prior knowledge of the patient’s medical needs.
To identify the treatment plan for the patient. Medical assessment done on the patient will
enable the nurse to identify the patient’s medical needs thus according to the assessment results.

Nursing 7
Question 15 response
As an EN nurse, while offering holistic care to Mr. Thomas I will consider the following
assessment:
 spiritual assessment
 psychological assessment
Question 16 response
To foster quality and continuity of care. Documentation during primary health care on the
patients’ health records will foster provision of health care services to patients by referring to
their past health history documented by the nurse. This will ensure the quality of health care
services offered to patients.
Secondly, documentation in primary health care will enable the nurse to communicate and
provide information for other professionals within the health care to better the medical services
offered to the patients. This is made possible as the patients’ medical history passed to other
professionals within the health care bill ensure quality medication services for the patient.

Nursing 8
Question 17 response
Mr. Thomas’ wife. Mr. Thomas’ wife is a member of the interdisciplinary team in health care
since she is a close relative to Mr. Thomas and performs most of his duties like cleaning,
cooking and counselling, therefore, she is entitled to access Mr. Thomas’ health documents.
Her role in the case of Mr. Thomas’ medical status will be to provide for his basic needs
since he cannot do all the duties chores due to his health condition.
The second part is the clergy or spiritual leader. Spiritual lade or the clergy will be permitted
to access Mr. Thomas’ medical document since their role is to provide spiritual and
psychological counselling to him based on his medical status.
Question 18 response
The actual problem associated with confusion in the evening to Mr. Thomas is identified to
be not able to perform most of his evening duties within the homestead like attending to his
cattle. The impact of this problem to Mr. Thomas is that he will not be able to carry out his
evening task effectively like before due to evening confusion.
Potential problem due to his evening confusion has been identified as sometimes forgetting
his medication or taking the wrong dose as he cannot clearly remember the doctor’s prescription
on the dosage. This condition will delay healing process since he doesn’t follow his medication
schedule accordingly.

Nursing 9
Session 5 responses
Question 19 response
Changes to Mr. Thomas which are identified within his environment is about a change of
his lifestyle thus relation with the domestic animals he keeps. Mr. Thomas has to change his
lifestyles in terms of how he relates to domestic animals thus from the case study provided, he
always sleeps with the cat. According to his health status, a cat will always introduce germs his
wounds with hair hence prolong the healing duration.
One of the environmental changes needs to be documented is security issues in his
residential place. This is necessary to ease the interdisciplinary team access to his home for
medical checkups.
Question 20 response
One of the physical observation of Mr. Thomas that indicates his COPD condition was
cyanosis. This is a condition where fluids collect in the air sacs depriving other organs of oxygen
leading to blue skin color which is easily observable from Mr. Thomas.
During the visit, oxygen supplementation Mr. Thomas as a sign of COPD chronic diseases.
Under exacerbation, there is a need for oxygen supplementation to the patient to keep enough
supply of oxygen in the body.

Nursing 10
Question 21 response
Nursing practice care to consider while delivering treatment at the home entails safe
handling of the equipment and ensuring personal hygiene.
Safe handling of the operation equipment while delivering treatment at homes is necessary to
prevent injuries which might be due to poor handling of such equipment like disposal of the used
equipment.
Ensuring personal safety is one of the nursing practices to consider while delivering services
to patients at their home to avoid infections. This practiced is achieved by wearing protective
clothing like gloves while attending to the patient.
Question 22 response
In my first visit to Mr. Thomas, I will identify him using the following qualities and traits:
 Cryophilic. Mr. Thomas love cats and dogs that are his love for pets. Mr. Thomas’ love
for pets is portrayed when he sleeps with his cat on the same bed.
 Sickling. Following Mr. Thomas health history, he has been admitted to the hospital
several times with different diagnosis. Therefore he can be described as sickling member
of the community due to his on and off admission to the hospitals.
Question 23 response
Health promotion in primary health care is necessary since it engage members of the society
to live healthy practices. Healthy practices will help to eradicate some of the common illness
within the community hence ensures healthy living.
Primary health promotion and prevention provides basic knowledge to the society on some of the
healthy practices which will reduce the incidence of illness among them.

Nursing 11
Question 24 response
Health literacy is defined as the degree in which one can process, understands basic health
information and services needed to resolve to appropriate health decision.
To understand Mr. Thomas’ health literacy that is, his understanding of the basic health
information is to interview him on his basic health information.
To improve Mr. Thomas’ health literacy, we, therefore, need to educate him on basic health
issues and how he can manage his current health status.
Session 6 responses
Question 25 response
a) I will medical educate Mr. Thomas on the possible sign of deterioration and how to deal
with such signs. The education provided will include possible signs and the immediate
course of action Mr. Thomas will take in managing such signs.
b) I will also list down possible signs to Mr. Thomas so that he can get to know potential
Signs associated with his COPD condition.
The alternative method I will use to communicate such important information to Mr. Thomas
will be through written materials or documenting the information so that he can read and
understand the content of the information documented.
The piece of advice I will offer to Mr. Thomas based on his daily activities is that he should
limit some of his daily activities especially technical activities which might require more energy
to accomplish. Based on his health condition, he should not perform the heavy task.

Nursing 12
Question 26 response
Mr. and Mrs. Thomas should increase calcium consumption in their diet. Low calcium
content in the body has been identified as one of the risk factors for osteoporosis hence the
couples should consider increasing calcium intake in their diet.
Mr. and Mrs. Thomas should reduce caffeine consumption in their diet. Excess caffeine in
the body will predispose the couples to osteoporosis since it has been identified as one of the risk
factors of osteoporosis.
Question 27 response
In managing her husband condition, she can take him for medication. Treatment of early
dementia can help to control some symptoms like confusion in the evening by being prescribed
to cholinesterase inhibitors and memantine medications. The prescribed medication for the
dementia condition will boost levels of a chemical messenger involved in memory and judgment.
Question 28 response
The reason for warfarin by Mr. Thomas is related to his earlier diagnosis of deep venous
thrombosis where blood clots are formed in the deep veins of the legs or arms.
Mr. Thomas’ visiting health service should refer him to the rehabilitation health center where
his daily activities will be regularly monitored.

Nursing 13
Question 29 response
a) Due to laceration injuries, I will help Thomas up. This is to avoid further injuries
like excessive bleeding and other complication based on his medical status.
b) I will cover the bleeding tissues with disinfected clothing to stop bleeding and
prevent bacterial germs from infecting the wound.
c) first aid procedures to Mr. Thomas
 I will stop the blood flow by firmly pressuring the lacerated tissues with a clean cloth.
 Properly clean the wound to avoid further bacterial infections.
 Apply antibacterial ointment to the wound.
 Lastly covers the wound.
Question 30 response
a) Preventive primary health services to be offered to Mr. Thomas based on his medical
history, he should be advised to reduce consumption of caffeine in excess but rather
increase calcium intake in his diet to prevent osteoporosis condition.
b) Curative primary health services which will cure Mr. Thomas’ wound ulcer will be
regular dressing up the wound and keeping it clean and free from any further bacterial
infections.
c) Rehabilitative primary health services to Mr. Thomas about the warfarin program due to
his deep venous thrombosis condition thus rehabilitative services will be necessary to
reduce the blood clots in the veins.

Nursing 14
Session 7 response
Question 31 response
 Myanmar Nurse and Midwife Association (MNMA)
 America Nurses Association
Question 32 response
a) infants- sickle cell anemia
b) children- blood cancer
c) adolescents- overweight obesity
d) adults- high blood pressure
e) older adults above sixty-five years- kidney failure disease
Question 33 response
 Infants- these group of people will be vaccinated against measles which is common
among infants below five months.
 Children- these group of people will be vaccinated against tuberculosis which has been
identified as a killer disease to most of the children below five years of age.

Nursing 15
Question 34 response
The Australian government has designed various tools for assessing primary health care
services within the state that is interactive diabetes risk assessment tool. Interactive diabetes risk
assessment tool is used by Australian government officials to assess the risk of diabetes cases
among the people of Australia. The tool will give a clear and accurate data on the diabetes
condition that’s its risk factor, control measures and the age group which is commonly affected.
The aim of the interactive diabetes risk assessment tool used by the Australian government is
to assess the risks of diabetes complication within the country.
Question 35 response
Health-illness continuum proposes that people can move further to the right that is towards
greater health and wellbeing by passing through the following stages, awareness, and education
and growth stage.
As an enrolled nurse, I may use the health-illness continuum to improve my health status by
going through the above-mentioned steps.