NUR341 Assessment 2: Patient Assessment and Care Plan for Mr. Jungala

This assignment is a comprehensive report on the case of Mr. Willie Jungala, a 71-year-old patient admitted to the hospital following a fall. The report, prepared for NUR341, details the patient's history, including comorbidities such as hypertension, type 2 diabetes, and unstable angina, along with his medications and social habits. The first part of the assignment focuses on the rationale and purpose of several assessments, including alcohol withdrawal risk assessment, cognitive assessment, falls assessment, functional assessment, and nutritional assessment, and their relevance to Mr. Jungala's specific condition. The second part of the assignment analyzes factors contributing to the fall, with a focus on normal age-related changes, co-morbidities, acute illness, and medications. The report then outlines nursing actions and referrals, including rationales, for the chosen factor. The assessment data includes vital signs, physical assessment findings across various body systems, and the patient's presentation. The report emphasizes the importance of a holistic approach to patient care, considering the interplay of multiple factors in the patient's health status.