Patient-Centred Assessment for Mrs. Kwong

Running head: NURSING
Nursing
Name of the student:
Name of the University:
Author’s note

1NURSING
Patient situation:
The case scenario is about Mrs. Violet Kwong, a 48 year old widow, who has been
referred to the community nursing team by her surgeon for assessment and management of a
small wound on her right lower leg. Six weeks ago, she had a melanoma removed from her right
lower leg. The vital sign assessment result overnight revealed respiratory rate of 16, blood
pressure of 100/60, heart rate of 115, temperature of 38.3 and presence of mild ketones during
ward analysis. Her social history revealed she has two children. Her son lives in Perth and
daughter gives her a weekly visit. However, currently she feels very isolated as she lives alone
and there is no body by her side to take care of her emotional and social health issues. The
presenting health issue for Mrs. Kwong is non-healing wound and mental distress due to
melanoma and social isolation.
Collect cues/information:
Open ended question Links with person centred
care
Support with research
literature
1. How far have you been
able to manage your
health issues yourself
and balance it with
daily living needs?
This question is linked to
person centred care because
this question can give idea
regarding physical comfort
and physical needs of patient
in relation to health issue. This
can help to engage in person
centred assessment because
The research study by
Tzelepis et al. (2015) supports
that one of the dimensions of
patient-centred care involves
ensuring physical comfort for
patient. This can be done by
reviewing whether patient has
the capability to relive her

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person centred care involves
fulfilment of spiritual,
physical, emotional and social
needs of patient during care
delivery (Ross, Tod & Clarke,
2015). The question will help
to assess physical comfort of
patient which is a top priority
while delivering care. The
response from patient would
help to identify whether the
disease is serious enough to
disrupt her daily life activities
or not. This information would
help to identify the level of
physical support that Mrs.
Kwong would require for
health and well-being.
pain and attend to pain
symptoms or not. It is a
common occurrence for
cancer people to experience
fatigue and pain due to
advanced disease. Hence, as
Mrs. Kwong is also a cancer
patient with melanoma, patient
reported measures on
capability to provide physical
comfort is important to
develop patient-centred care
plan for her.
2. What strategies do you
adapt when you are
anxious about your
illness?
This question is important to
collect cues related to
emotional support for patient.
As part of patient-centred care
assessment, identification of
There are many research
evidence that shows increase
in depression and anxiety for
cancer patients. Naughton and
Weaver (2014) gives the

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emotional support and anxiety
is important patient with
chronic illness experience fear
and anxiety and this has a
debilitating effect on their
physical health outcomes
(Kang et al. 2017). Hence,
reviewing patient’s access to
emotional support or other
form of support to deal with
illness is vital to develop
patient centred care plan.
evidence that cancer patients
have unique short term and
long-term health challenges
not only because of physical
illness but also because of
poor mental health. Cancer
diagnosis and treatment is
associated with increase in
anxiety and depression
because of profound physical,
emotional and social stressors.
Hence, the question regarding
ways to address fear and
anxiety would help to interpret
psychological well-being for
Mrs. Kwong and implement
appropriate measures to
reduce psychological distress
(Ross, Tod & Clarke, 2015).
This would address both long
and short term care needs of
Mrs.Kwong
3. What kind of support This question is necessary to The need to review level of