Case Study about Nursing 2022

Running head: NURSING CASE STUDY 1
Nursing Case Study
Student’s Name
Institutional Affiliation

NURSING CASE STUDY 2
Introduction
Medical mistakes and errors can lead to poor quality of healthcare services. Therefore, all
healthcare providers should always understand the needs and expatiations of patients during the
provision of healthcare services. Identification of patient’s priorities is vital during decision-
making and designing of different models that can enhance the provision of desired healthcare
services. After the patient’s priorities is determined, it also essential for the priorities to be
ranked according to the most applicable and appropriate healthcare need to be given the best
priorities, for different scenarios in the healthcare facility. Determining, prioritizing, and ranking
of various patient needs and issues can help in the improvement of the quality of healthcare
services by reducing and eradicating medical errors and mistakes. Furthermore, it is important to
improve the quality of healthcare services provided to patients with special needs. These patients
include the elderly and those coming from the vulnerable parts of our society, like in the
presented case study. Therefore, this paper is set to apply Levitt-Jones' Clinical Reasoning Cycle
in selecting two major patient management priorities from a series of discussed options with
respect to the case study provided.
Main Body
To begin with, in the provided case study, George, who is an elderly patient with 51
years, is diagnosed with Chronic Kidney Disease (CKD). CKD is a kidney condition which can
lead to lasting damage to the kidney (Webster et al., 2017). If proper medical care is not
provided, the condition may worsen over time and can lead to total kidney failure. People who
are at a high risk of developing CKD are patients from the marginalized and vulnerable parts of

NURSING CASE STUDY 3
Australia. Age, diabetes, and heart disease are other factors that may expose a person to high
risks of developing CKD.
The patient information about George indicates that Georgia is 51 years old and is an
Aboriginal and Torres Strait Islander, who comes from less privileged parts of Australia.
Furthermore, Georgia is also suffering from albuminuria secondary to diabetic nephropathy.
Nurses and healthcare practitioners should always ensure that they first identify the care
priorities required by special-need patients like George. The care priorities for CKD patients can
be identified by healthcare providers basing on the symptoms of the diseases, the concerns of the
patient and the frustrations that the patient is going through (Elliott et al., 2018). Below is the list
of the care priorities for old and disadvantaged patients with CKD such as George:
 One of the care priorities is to determine and manage depression and
anxiety for patients with CKD. It is evident that anxiety, mental illnesses and depression
are more prevalent in patients with CKD (Aggarwal et al., 2017). For instance, George is
suffering from depression, anxiety, and mental disturbance since he has a lot of family
responsibilities, yet he is not in a position to work or take good care of his family. For
this reason, he only has to depend on Centrelink payments that he receives with his wife.
Smoking and drug abuse are one of the signs of depression and anxiety (Fluharty et al.,
2016). George was a smoker, too.
Furthermore, George comes from the rural parts of Australia, where the standards
of living are low. Age is also another leading contributor to anxiety and depression. Age,
environment quality, living conditions, and other socioeconomic factors contribute to