Nursing Cse Study Assignment
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Added on 2021-04-17
Nursing Cse Study Assignment
Added on 2021-04-17
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NURSING CASE STUDY
Table of ContentsCriteria – 1...........................................................................................................................3Identification of Leonards three health risk factors using Clinical ReasoningCycle.......................................................................................................................................3Patient situation and collecting information...................................................................3Collecting and processing information..............................................................................3Identification of issues............................................................................................................4Establishing goals.....................................................................................................................4Taking action.............................................................................................................................4Evaluating outcomes...............................................................................................................4Criteria -2.............................................................................................................................5Evaluating three best-practice assessment tools for Leonard case..................5Criteria – 3...........................................................................................................................6Identification and discussion of interventions that will support Leonard and analyse the relation of these interventions with duties of health professional........................................................................................................................6For Alzheimer’s disease..........................................................................................................6Fall Management......................................................................................................................7Weight management................................................................................................................7References...........................................................................................................................9
Criteria – 1Identification of Leonards three health risk factors using Clinical Reasoning CyclePatient situation and collecting information In the provided case study, Leonard is a 73 years old male living alone withoutany family in the community. His wife died a few years back and he has no children. He had left his job few years’ back and is not working right now. He has a medical history of mild cognitive impairment, anaemia, industrial deafness, decubitus ulcer onleft leg shin, and arthritis in lower back, mild hypotension and urinary incontinence. He was diagnosed with mild cognitive impairment around 3 years ago but his Mini-Mental State Examination (MMSE) score was 25/30 12 months ago, which is a normal cognitive score. However, from last 6 months, Leonard is getting socially isolated spending most of the time at home. He is showing lack of interest in his usual activities, feeling tired and sleeping most of the day. Further, in these last 6 months, his daily functioning is also deteriorated and he had two falls incidence with this duration. In the present situation, Leonard is admitted to the emergency department after third fall incidence. He is having bruising on face and hip, mild confusion, low body weight and anxiety. He is unable to walk and stand properly in hospital observations. Leonard also needs help with transfers and self-care activities. He is also facing difficulty in planning personal tasks. Collecting and processing information As per provided information, Leonard was a victim of mild cognitive impairment that risk to Alzheimer’s disease. His MMSE was normal around 1 year ago as per his MMSE score of 25/30 but his recent symptoms from past 6 months are not proper that involves mild confusion, social isolation, problem planning task, improper self-management (Dong et al. 2012). Further, he had two major fall incidence in past that involves fall from stairs and fall from bed in the night. His recent fall incidence was also a serious one where he falls at a local shop and admittedto the emergency department. This fall incidence increases his risk of serious injury
(Robinson et al. 2014). Leonard was anaemic as per his past medical history. In recentsymptom at the hospital he is considered underweight. Further, Leonard requires help in work like shopping and cleaning because he took help from his Home and Community Care (HACC) services. This indicates a risk of severe anaemia that can cause complication with growing age. Identification of issuesAs per provided information analysis, the three risk factors or issues in Leonard case involves risk to Alzheimer’s disease, serious fall injuries and severe anaemia as per his growing age. Establishing goalsFor the identified risk factors the nursing goals involve: -Minimizing the complication of Alzheimer’s diseaseProviding support services to control fall incidenceProvide proper fluid and food intake to enhance better health and overcome low body weight condition. Taking actionThe fulfilment of these goals would require proper nursing interventions that should be performed by the healthcare professional to overcome risk conditions in Mr. Leonard’s case. These nursing interventions are discussed in the below-provided section of this essay. Evaluating outcomesThe fulfilment of mentioned nursing goals could be evaluated using specific evaluation tools and monitoring strategies. For detecting betterment in weight and health, a proper monitoring chart (weight management chart) should be developed where the weight of every week should be noted till 6 months to achieve targeted goal. Further, control over fall incidence can be determined using an observation chartfor 6 months time duration where the number of fall incidence should be noted and this observation should continue till the fall incidence stop completely. Lastly, the MMSE scale is perfect to evaluate control over cognitive condition minimising the risk of Alzheimer’s disease.
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