The Role of a Primary Health Care Nurse in Managing Epilepsy: A Case Study

Running head: NURSING ASSIGNMENT 1
Nursing Assignment
Student’s Name
Professor’s Name
Institution Affiliation
Date

NURSING ASSIGNMENT 2
The role of a primary health care nurse will be outlined in this paper under Jenny Peterson’s
scenario, a 23-year old single parent female with a young girl called Samara. Jenny who has been
diagnosed of epilepsy, a disease that is associated with the central nervous system (a neurological
disorder) leading to development tonic-chronic seizure that was have become persistent even after
clinical subjection to sodium valprorate medications. Thus, epilepsy has led to other conditions such as
nausea and diarrhea (Sazgar and Young, 2019). Under the analysis of Jenny’s case study, a vivid outcome
will be revealed on the two care priorities and clinical needs such as seizures control, epilepsy control,
financial distress control, loneliness and social isolation reduction. However, caring and support for
patients with a complex combination of chronic conditions will be justified and analyzed using clinical
reasoning cycle (CRC) as illustrated by Levett-Jones (2018) in prioritizing priority cares which are the
uncontrollable seizures and loneliness together with social isolation. Therefore, all the care plans will be
family and patient-centered under a guideline of holistic and collaboration approaches (Chang, and
Johnson, 2014).
To begin, the nurse should consider Jenny’s situation using the first stage of the CRC. Jenny is a
young woman who has a young child Samara she adores under lack of financial and social support from
the husband. However, Samara is taken care of by Jenny’s parents who help in looking after the young
girl while Jenny is at work. Nonetheless, Jenny has been diagnosed of epilepsy after her vehicle was
knocked by a drunk driver making her develop tonic-Chronic seizure a condition associated with
abnormal behaviors that require attention for the patient (Bonello, M., Michael and Solomon, 2015).
Besides, that she has suffered from financial distress as she cannot go to work since the sick leaves, she
is entitled are overdue to consecutive seizures infection which has become uncontrollable even under
medication using sodium valprorate (Schloesser et al., 2015). The presence of seizures has led to Jenny
feeling nauseous occasionally, run down and tired.
Moreover, she is more concerned with this condition while alone with a two-year-old Samara at
home. The patient is not sure of how she could manage the condition alone. Since the patient is finally
distressed, the nurse should not be judgmental and should show empathy by accepting Jenny’s
condition as the nurse decides on the appropriate care plan practices to be implemented (Urden, Stacy
and Lough, 2019). It is also important for the nurse to practice therapeutic communications while
handling the patient which may involve active listening, thus, encouraging Jenny to express her feelings
freely as well as an indicator of the primary nurse’s respect and acceptance of the patient’s condition. By
proper use of therapeutic communications, the nurse will be able to build a continuous, therapeutic and
collaborative relationship with Jenny, therefore, facilitating effective goal-directed communication.

NURSING ASSIGNMENT 3
Secondly, the primary nurse should gather information from Jenny’s past medical records which
will help identify care and clinical needs alongside the patient’s health concerns and preferences using
the second and third phase of the CRC guide. Moreover, further information can be obtained from the
rehabilitation unit where the patient spent one week after being involved in a car accident. Besides,
other information can be obtained from the hospital where Jenny was being treated with sodium
valprorate medicine as well as from the neurology clinic where she often followed up appointments.
Jenny’s uncontrollable seizures illustrate that the electrical brain actions within the brain are not
performing normally making her not to drive the personal car as she is using taxi services. Additionally,
Jenny cannot now attend the normal work she does to earn an income. The inability for her not to
attend work has made her suffer from financial distress. The level of persistent level of epilepsy is a
strong indication that neurological exams have been conducted on Jenny. The neurological exam will
help the nurse conduct various tests on Jenny’s behavior, mental function and motor abilities.
On the other hand, several factors may result in Jenny have financial distress which includes the
inability of her husband to provide the support the family even though Jenny has a small child that she
adores. Besides, Jenny has fear and doubts on how her health conditions are since she stays with a very
young girl who requires her support which cannot be possible since she also has chronic seizures, thus,
requiring attention too. So, inability to attend work and meet other friends and colleagues as well as the
absence of the husband and another person who can take after the single parent family has led to
loneliness and social isolation (Daaleman, 2018). The loneliness has also made Jenny to run-down, get
tired and feel nauseous which has promoted financial distress within her. It, therefore, means that
loneliness and social isolation have an impact on the physical and social well-being of the patient.
The primary nurse is also required to identify the care needs of the patient as per the fourth
phase of the CRC guide. The identifications will be based on the priorities, and the care needs to be
required for Jenny. Since Jenny’s health is overlapped with various complex health conditions, there is a
need for motivating the patient to dispel running-down and feeling of loneliness as well as socially
isolated (DeVon et al., 2016). The nurse should recognize that the loneliness and social isolation can
increase the effect of the reaction of epilepsy within the patient’s body as well as financial distress.
Therefore, loneliness will make Jenny continuously suffer from other related stress infections such as
headaches and a general reduction in her lifespan as Jenny will feel worthless and will lose interest in
taking care of Samara as well as going to work.
Additionally, the nurse should collaboratively with Jenny establish goals which are achievable
according to the fifth phase of the CRC guide. The primary nurse should, therefore, make the