Nursing Care: Redesigning Primary Health Care Model for Patient Recovery

NURSING CARE
University
Course
ASSIGNMENT
Nursing Case Study

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Nursing case study
The need for redesigning primary health care model to incorporate wide health care
access is paramount. Public health nurses are in a position to take care of direct relationship
roles which focuses them to understand the history of the patient, family and priorities of
health care. The primary goals of primary health care nursing is to incorporate principles of
Alma- Ata declaration of ensuring complete physical, mental and social well being of
persons, (Dunphy et al, 2015). Nurses have professional, legal and ethical guidelines which
entailed satisfactory knowledge which functions well in health care protection of patients.
Community health care nurses currently in Australia are working within community settings,
occupational settings, general practice and various patient settings platforms. Their roles are
promoting health, preventing illness, caring and treatment of the sick and public health,
(Townsend & Morgan, 2017). Clinical assessment in the case study has been done using
Levett-Jones clinical reasoning model which allows for comprehensive assessment of the
patient, (LeMone et al., 2015).
The patient is a 52 year old male patient having mild obesity and type II diabetes
admitted to the medical ward with poor diabetes management, obesity ventilation and sleep
apnea, he has elevated levels of shakiness, hunger, high blood glucose levels and breathing
difficulties coupled with sleep disorder. As part of discharge plan, the following two nursing
interventions have been formulated to assists the recovery process of the patient are; smoke
cessation recovery for the patient and regulation of blood glucose levels through regular
checks. This essay thus will focus on this key two nursing strategies as a community nurse to
promote recovery of the patient.
Patient Peter currently has a multiple of risks factors which predispose to many risks
associated with type 2 diabetes management. The patient is overweight and often feels
fatigued. He has lost his social status due to the obesity issues surrounding his heath. He
currently taking insulin Novomix 30B.D , Metformin, Lisinoril, Metaprololl and Nexium
medication and has obesity despite the decline from the previous assessments, (Cheng et al,
2017).
Risks factors associated with type II diabetes for the patient relates to weight factors
as assessed. Presence of excises fat to the patient exacerbates the responsiveness of if cells to
the effects of insulin. Thus this is the reason as to why approximate to 80% of the people
develop type 2 diabetes.
The main nursing goal for the patient is to teach the patient to lower the weight levels
he is currently. Reducing weight reduces the effects of the disease on the body state.

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Action plan is to managing type II diabetes for the patients calls complete patient
assistance towards recovery phase. the patient as part of managing type II diabetes at home
there is need teach the patient exercise sand offer home care support to facilitate this. Further
encouraging and drawing a meal plan for the patient with assistance from nutritional
department will be key to ensure that the patient is always maintaining health weight gain,
(Rintala et al, 2013).
Thus appropriate actions will be to support the patient at home and further engaging
small exercise activities since he is living in isolation’s a community health worker nurse,
involving other persons of interest is key for the patient, linking the patient with community
health worker to facilitate in the nursing strategies are key to address the needs of the patient,
(Ross et al, 2015).
In supporting the patient monitoring and evaluation plan, providing the patient with
blood glucose testing kit is essential for close monitoring of blood glucose is key. Taking
regular reading s is key assessing HbA1C tests is essential for close monitoring the blood
glucose levels regularly. Assesment of high measurement readings for the patient informs the
community health care nurse on adjustment of diabetes treatment plan, (Setford et al, 2017).
Teaching the patient how to the take blood glucose measurements is key.
Empowering him to do so is crucial in ensuring that the patient is equipped to handle and
manage the disease. Supporting insulin therapy plan for the patient is key so as to adjust
lifestyle management practices such as exercises and reducing stress levels of the patient,
(Seaquest et al, 2013).
Thus supporting the patient on weight management and control of type I diabetes is
key for the recovery process. As a health care nurse adherence and offering support to the
patient is paramount so as to ensure that health recovery promotion is achieved.
As a community health, nurses reducing the risks factors associated with type II
diabetes is key so as not to lead to development of other medical conditions such as
cardiovascular disease to the patient. Patient Peter has presented to the GP with symptoms
related to high or elevated blood glucose levels, increased hunger and difficulty in breathing.
Further on his social aspect, the patient states that he has been smoking for the last 30 years
with an average of 20 cigarettes per day. The social assessment of the patient reveals
willingness to quit smoking and engage in healthy full life. As nurse supporting the patient in
this recovery phase is critical insuring that the patient quit smoking, (ADA, 2015).
The role of a nurse is essential in smoke cessation interventions. Community health
nurse makes up the largest of health care workers who interact with the patients outside