This study discusses the prioritization of complex patient health issues by analyzing the case of Evelyn Hansen. It identifies the top five health issues faced by the patient and prioritizes the top three. The study also outlines the nurse's role in addressing these issues.
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Prioritization of complex patient health issues
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Table of Contents Introduction.................................................................................................................................................2 Identification of the five Patient health issues from the case study..............................................................2 Rank the three patient health issues in the order of priority.........................................................................3 Outlining the nurse's role in addressing the top three priority of the patient health issues...........................4 Conclusion...................................................................................................................................................5 References...................................................................................................................................................6 1
Introduction The nurses are seen to be playing an important role for the purpose of carrying out the public health and the frequent serving of the health processes by carrying out the responsibilities. The public health nurses are found to be helping in carrying out the health care activities by assisting the processes for the welfare of the activities. The implementation of the best practices is indicating the excellent caring skills which can be developed by following the healthcare guidelines and the clinical processes for treating the patients. According to the case situation of Evelyn Hansen, the patient was brought into the ambulance that is found to be suffering from hyperglycemia and dehydration (Al-Rubeaan, 2010). On the continuation of the medication of the patient, it was found that the patient is consisting of diabetes mellitus type-2 with more than over 10 years. The analysis is depicted to be carried out in this study on the basis of the undertaken case situation. Identification of the five Patient health issues from the case study According to the case study of the patient Evelyn Hansen, the issues identified in the patient are depicted to be provided in the following points:- ï‚·Diabetes Mellitus ï‚·Depression ï‚·Obesity ï‚·Hyperglycemia and Dehydration ï‚·Leg Ulcer on right lower leg The above mentioned five issues are found to be indicating the development of instability in the patient which is creating a lagging environment. The insulin fusion is being initially carried out for the purpose of mitigating the issues to some extent. The identified issues are leading to the development of the complexities in the treatment process for the nurses present in the emergency department (Galstyan, Shestakova and Sklyanik, 2017). It is indicating the breakdown of the activities which is impacting the processes and also it is leading to the development of the protocol failure by which the changes in the processes can be easily made. The overcoming of the stress is found to be significantly associated with the odd protocols which are leading to the 2
establishment of the risk environment for the purpose of carrying out the treatment process (Haugen and Musser, 2012). From the above mentioned five health issues of Evelyn Hansen, the three issues are prioritized which are diabetes mellitus, hyperglycemia and dehydration and leg ulcer on right lower leg. These three issues are prioritized which are depicted to be provided in the following points as well as it is depicted to be provided for the welfare of the healthcare of the Evelyn Hansen. The three selected issues are prioritized which is providing the focus on the analysis (Hazari et al., 2015). The issues identified can be mitigated by the appropriate treatment processes which will enable them to focus on carrying out the activities in an appropriate way. It is enabling them to provide focus on making the improvement in the objectives, as well as the appropriate changes in the processes, can be easily carried out by defining the regulatory frameworks as identified in this study. The nurses are depicted to be playing an important role in mitigating these issues and also the removal of the issues can be easily made by overcoming the processes as identified in this study. The mitigation of the risks is made by appropriate formation of the regulatory frameworks (Semenkovich et al., 2015).The reason for not prioritizing the other two issues is that the patient is not suffering so much during that period of time. For this reason, it was not prioritized. Rank the three patient health issues in the order of priority The ranking of the three health issues of the patient Evelyn Hansen which are selected in the above section is seen to be provided in the following points according to the rational orders of ranking. ï‚·Rank 1: Diabetes ï‚·Rank 2: Hyperglycemia and Dehydration ï‚·Rank 3: Leg Ulcer on Right Lower Leg The rank 1 Diabetes was found in the medical records of the patient Evelyn Hansen and was undergoing treatment before she was admitted to the emergency. The rank 2 hyperglycemia and the dehydration were faced by the Evelyn Hansen for which she was admitted to the hospital (Hunnicutt, 2010). The stabilization process was carried out for the patient in the emergency room of the hospital as well as it is found to be aiming at providing the development of the issues 3
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in the patient. As the patient is consisting of diabetes, due to this reason, the leg ulcer on the right lower leg is becoming critical and also it is impacting the patient health. The impact on the patient safety is created due to diabetes. For the purpose of controlling the impact, the intravenous N/Saline of about 1000m/s is provided with the two units of the Novorapid supplemental insulin (Lorber, 2014). The insulin injections were carried out in the form of the intravenous ways and also the Novomix 30 BD is implemented in the form of the insulin injection processes. The patient Evelyn is undergoing through the CNC consult for the wound which is she is having in her right leg. It is cared for by the cleaning the wound with the help of N/Saline and the normal water and then it cared with the help of the creep bandages for the purpose of covering the wound. Outlining the nurse's role in addressing the top three priority of the patient health issues The outlining of the nurse's role in addressing the top three priority of the health issue of the patient Evelyn Hansen are found to be provided in the following points:- ï‚·Rank 1: Diabetes: The outlining of the nurse's role in addressing the diabetes is found to be carried out by the help of type-1 diabetes as well as the insulin is implemented which is essential for carrying out the subcutaneous injection process. The several means are implemented which are including the syringe and the prefilled cartridges.The usual are of injecting the insulin is found to be in the thighs or in the abdomen (Huri, 2013). The technique of injecting process is seen to be indicating the usage of the needle at the 90 degrees. Since the patient is found to be suffering from the type-2 diabetes are identified to be dependenton theinitialtreatmentprocessas well asthe dietaryintake is encouraged as well as the inducing of the weight loss is being made which is leading to the improvement of the nutrition. The drugs used by the nurses are depicted to be creating a positive effect on the patient. ï‚·Rank 2: Hyperglycemia and Dehydration: The outcomes of the diabetic patient for having the hyperglycemia are identified to be illustrating the development of the illness. The managementprocesswhichmustbecarriedoutbythenursesisindicatingthe administration of the 0.15 units/kg rapid-acting of the insulin which will also lead to the removal of dehydration (Miller, 2011). The process is showing the hourly fingerstick 4
blood sugars as well as the laboratory assessments and also it is found to be followed up by the blood sugar laboratory tests. The potassium chloride identification and the blood urea nitrogen are carried out by defining the appropriate measurement of the activities (Senet, 2016). ï‚·Rank 3: Leg Ulcer on Right Lower Leg:The nurses must involve themselves in following the clinical guidelines for the purpose of carrying out the dressing of the wounds (Parks, 2009). The implication of the N/Saline for the purpose of washing the wounds are essential rather than carrying out the wound clearing process with normal water. Though it is preferable in this case of Evelyn, the dressing must be carried out with N/saline for the purpose of preventing the spreading or worsening of the wound. Conclusion The overall discussion is reflecting the nursing practices with undertaking the case situation of Evelyn Hansen. The identification of the five patient health issues was made and also was described as providing the priority to the nurses. The appropriate identification of the process of ranking the health issues faced by the patient was also explained in this study. It is found to be reflecting the three priorities for outlining the nursing role for the mitigation of the disease as the patient Evelyn Hansen is facing. The challenges are depicted to be overcome by illustrating the appropriate management of the diseases. 5
References Al-Rubeaan, K. (2010). Type 2 diabetes mellitus red zone.International Journal of Diabetes Mellitus, 2(1), pp.1-2. Galstyan, G., Shestakova, E. and Sklyanik, I. (2017). Obesity and type 2 diabetes: can we find a compromised treatment solution?.Diabetes mellitus, 20(4), pp.270-278. Haugen, D. and Musser, S. (2012).Health care. Farmington Hills, MI: Greenhaven Press. Hazari, M., Ram Reddy, B., Uzma, N. and Santhosh Kumar, B. (2015). Cognitive impairment in type 2 diabetes mellitus.International Journal of Diabetes Mellitus, 3(1), pp.19-24. Hunnicutt, S. (2010).Universal health care. Detroit: Greenhaven Press. Huri (2013). Management of Severe/Acute Hyperglycemia in Hospitalised Type 2 Diabetes Mellitus Patients.Journal of Endocrinology and Diabetes Mellitus. Lorber, D. (2014). Importance of cardiovascular disease risk management in patients with type 2 diabetes mellitus.Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, p.169. Miller, D. (2011).Health care. Detroit, Mich.: Lucent Books. Parks, P. (2009).Health care. San Diego, CA: ReferencePoint Press. Semenkovich, K., Brown, M., Svrakic, D. and Lustman, P. (2015). Depression in Type 2 Diabetes Mellitus: Prevalence, Impact, and Treatment.Drugs, 75(6), pp.577-587. Senet,P.(2016).Compressioninhypertensivelegulcer(Martorell’sulcer).Veinsand Lymphatics, 5(1). 6