Community Health Nursing Report: Jenna's Case Study and Interventions

This report presents a nursing analysis of Jenna's health condition, focusing on symptoms such as an elevated pulse rate, respiratory issues related to whooping cough, and blood pressure irregularities. The report discusses these symptoms and proposes interventions within a community health center setting. It highlights the importance of health promotion strategies, including developing the mother's personal skills and strengthening community action. The report also outlines priorities for primary health care implementation, potential risks, and strategies to improve Jenna's overall health. Nursing interventions, including vaccinations and timely care, are emphasized, along with the importance of continuous evaluation and monitoring of the implemented interventions. The report concludes by emphasizing the importance of early intervention and awareness of potential health issues.

Nursing

TABLE OF CONTENTS
1. Conclusions from the collected data.......................................................................................3
2. Discussion of the health conditions ........................................................................................3
3. Relevant health promotion strategies......................................................................................3
4. Priorities and potential risks for implementing primary health care.......................................4
5. Improving overall health of Jenna...........................................................................................4
6. Priority of care and nursing interventions...............................................................................4
7. Evaluation and monitoring of Dana to applied nursing interventions....................................5
REFERENCES................................................................................................................................6

1. Conclusions from the collected data
Although, Jenna was a happy and fun loving child but since a few days, she has become
very short tempered. It may be because of her changing health conditions. Her pulse rate was
evaluated as 120 per minute but a normal range for it comes between 60 -100. She was also
undergoing whooping cough, because of which her respiratory rate was also increased to an
extent, her respiratory rate was 36 per min but a normal RR comes within the range of 12 to 20
(Munhall, 2012). The rate below 18 or after 20 is considered as abnormal. She was suffering
from whooping cough, so it is obvious enough that her respiratory rate will be affected. So, it
increased till 36. Her blood pressure rate was analysed as 115/80 mm HG but a normal range of
blood pressure is analysed between 120/80 mm HG (Holloway and Galvin, 2016). Irregular
range of blood pressure is also responsible for anxiety which further causes headaches and the
person feels irritated, as Jenna was becoming short tempered because all of these factors were
affecting her viral respiratory infection which was causing whooping cough.
2. Discussion of the health conditions
It can be a better option to discuss all these symptoms to a health care professional in the
community health centre because the professional can provide a better treatment for these
conditions of Jenna. After that, the nurses in the community health centre can take care of Jenna
by providing her efficient medication that has been suggested by the professional of the
community centre. The reason for discussing these symptoms is very important as the health
condition of Jenna is not well and is affecting her health as well. She is not able to sleep properly
because of cough. Also, her body temperature is high. So, these symptoms are responsible for
making her grumpy. So, it is important to discuss these symptoms and follow the treatment so
that her condition can get better.
3. Relevant health promotion strategies
Health promotion strategies can actually help Dana in making the condition of Jenna
better. The two strategies are discussed as under :
 Develop personal skills : It is a very important method as Dana was just 16 years old
mother and it is obvious that she must not be aware of the roles and responsibilities of
being a mother. Somewhere, it has also affected Jenna's health. So, development of

personal skills can help Dana in understanding all the basic roles and responsibilities for
providing proper care and support to Jenna.
 Strengthen community action : Although Dana had a very good relationship with her
family members but after the birth of Jenna, she thinks that more care and support is
being given to Jenna rather than her being a mother. This is quite disappointing for her.
At this time, she should understand the fact that they all can stay happy and focus on the
health of Jenna as her condition is not well. By focusing on this, they can achieve a better
health outcome for Jenna.
4. Priorities and potential risks for implementing primary health care
While implementing primary health care for Jenna, there must be various factors which
should be given the priority and some risks must be there as well. As Jenna is just 18 months, so
priority can be given to the doses such as there are medicines that comes in different doses, so
specific dose must be given to Jenna according to her age. This will ensure the safety of health of
Jenna. So, this can be considered as a priority factor in this case. Potential risks can be that a
medicine can react with some another one and can cause allergies (Burns and Grove, 2010). So it
can turn very harmful. So, it is better to ensure the ingredients of the medicine before giving it to
Jenna.
5. Improving overall health of Jenna
Dana can focus on the medications that have been prescribed by the professional. Also,
rather than focusing on the fact that her daughter is being given more importance, she should
understand the fact that whatever is going good. Even there are her parents to support and
provide care to Jenna because Jenna is not well and is suffering from whooping cough. Because
of other various symptoms, she is having a higher pulse rate and a higher body temperature as
well. So, Jenna should focus on the fact that it is good if her parents are supporting her and
asking for proper reports of Jenna is also important as it is very important to check that whether
the treatment provided is accurate or not.
6. Priority of care and nursing interventions
Priority of care is considered as a process of providing the proper support and care to
some specific parts out of all the parts of the process (Speziale, Streubert and Carpenter, 2011).
Here, time can be considered as the priority of care because if instead of wasting the time in
thinking that Jenna is being given more importance than Dana in home, she would have taken

advice quite before when she realised that the behaviour of Jenna is changing. May be if the
treatment will start on time, the situation can get better enough. There can be various nursing
interventions that can help Jenna if they were done at time. Such as if proper vaccination will be
given to Jenna, it will surely help her in going better and soon as well.
7. Evaluation and monitoring of Dana to applied nursing interventions
Although implementing nursing intervention for Jenna was a bit late but still it impacted
positive on Jenna's health. Dana should stay aware of all the necessary interventions because
Jenna is small now and can get affected by any virus etc. So, Dana should be aware of the
necessary interventions such as vaccinations so that in case of any issue, she can be able to
provide the best possible treatment to Jenna.

REFERENCES
Books and Journals
Burns, N., & Grove, S. K. (2010). Understanding Nursing Research-eBook: Building an
Evidence-Based Practice. Elsevier Health Sciences.
Holloway, I., & Galvin, K. (2016). Qualitative research in nursing and healthcare. John Wiley
& Sons.
Munhall, P. L. (2012). Nursing research. Jones & Bartlett Learning.
Polit, D. F., & Beck, C. T. (2010). Essentials of nursing research: Appraising evidence for
nursing practice. Lippincott Williams & Wilkins.
Speziale, H. S., Streubert, H. J., & Carpenter, D. R. (2011). Qualitative research in nursing:
Advancing the humanistic imperative. Lippincott Williams & Wilkins.
Watson, J. (2011). Nursing. University Press of Colorado.