NURS2006 Case Study: Assessing and Managing Chronic Illness in Nursing

This case study focuses on the management of a 60-year-old indigenous man, David, recently diagnosed with chronic obstructive pulmonary disease (COPD) and attending a pulmonary rehabilitation center. The assignment requires an analysis of the role of the registered nurse in David's care, emphasizing patient education, self-management strategies, and the importance of ongoing treatment. The nurse's responsibilities include providing care, preventing illness, and treating health conditions, along with monitoring and recording patient information. The case study also highlights the importance of patient education, particularly for chronic conditions, and the need for tailored interventions, such as diet and exercise plans, smoking cessation, and self-management techniques to improve patient outcomes. The report underscores the collaborative nature of care and the significance of nurses in guiding patients through chronic illness management.

Chronic illness

Table of Contents
INTRODUCTION...........................................................................................................................1
Role of registered nurse..............................................................................................................1
Patient education.........................................................................................................................2
Self management strategies.........................................................................................................3
CONCLUSION ...............................................................................................................................4
REFERENCES................................................................................................................................5
Books and Journals..........................................................................................................................5

INTRODUCTION
Chronic condition is a disease that its related to the human being or its condition that is
persistent or long lasting in its effects or a disease that comes with time. In this it broadly as
condition that last 1 year or more and require ongoing medical attention or limit activities of
daily living or both. This disease related to heart, cancer, diabetes and blood pressure that are the
causes of death and disability in the united states (Kollmann and et. al., 2020). The most
common type chronic illness such as : migraine headaches, lower back pain, high cholesterol,
stroke etc. this type of disease patient can control with the help of treatment, often they don,t
have a cure, but they can live with them and mange their symptoms. Sometime these causes
require patience and control over mind because its all connected to the mind. If person have
overthinking issue so medicine will not work, they have to be control on mind with the help of
mental exercises like yoga, meditation and cross fitness. This report determine role of nurse
which is responsible for patient illness that is given in case study. This research has to
demonstrate understanding of management of chronic illness.
Role of registered nurse.
It require appropriate treatment overtime and patients need check ups to keep the disease
through becoming the life threatening. For patients to successfully manage those illness, they
have to learn about their disease and practice the treatments enough top be effective. The nurse is
responsible for give precaution to the patient and also assist to manage physical needs, prevent
illness and treat health conditions. They need to observe and monitor the patient, recording any
appropriate information to aid in treatment decision making. Although there are different types
ACO's. There similar purpose is to create care delivery system that improve health and care
quality, especially for those patients who are suffering from chronic illness while lowering costs.
Even though chronic diseases are the most similar and expensive health problems and they are
able to be prevented. The key role of nurse is do care these patients and curial act is performing
consultation role. Successful engagement of chronic disease it requires doyen participation in
their care and self management skills. Nurse practitioners also plays a vital role in managing
stager with chronic illness. They are not able to give approachable, adhesive and interconnected
care for veterans with chronic illness. They serve as a primary givers to assist meet access
necessitate. While evidence shows nurse practitioner give the high quality safety and effective
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care with a holistic focus, more research is required to determine system cost effectiveness and
analysis of avoidable hospitals admissions and veteran satisfaction. Managing experience person
person in particular field with chronic illness is highly complex and requires the utilization of
evidence that is depend upon approaches. This efforts will require development of specific nurse
current cognition about chronic condition management and enhancing he use of evidence based
clinical practice guidelines and protocols (Uslu and et. al., 2020).
Patient education
Patient education is specifically essential in the case of chronic disease management, for
these conditions, there is no quick fix. They need sustain treatment overtime and patients need
check ups to keep the disease from becoming life threatening. For patient to successfully manage
those causes and they have to be learn about their illness and practice the treatments enough to
be effective. Such as David has been recently diagnosed with chronic obstructive pulmonary
disease, a productive cough ad increased shortness of breathe on exertion. As per the research
national counselling on ageing, 70 % of adults 60 over have a chronic condition and 68 percent
have a two or more. The various disease among American 65 or older who have them (Lakshmi
and Padmaja, 2020).
 High cholesterol (47%)
 Chronic kidney disease (15%)
 Depression (12%)
 Diabetes (27%)
 Alzheimer's disease and dementia (11%)
This report include the David's vital signs such as:
 Heart rate 86 bpm
 respiratory rate 19 bpm
 blood pressure 142/ 70 mmHg FEV/FVC57%
On inspection
 Hypertrophied neck muscles
 leaning forward in tripod position( arms braced against the knees)
 tense and tired expression pursuing the kips in a whistling position to breath
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On chest Auscultation:
 Reduced breath sounds bilaterally
 crackles in the bases of his lungs.
For some of these type chronic illness diet and exercise plays very essential role to
improve the disease. For COPD ( Chronic obstructive pulmonary disease) and heart disease, stop
smoking is an mandatory though is not a simple to quitting,. However, it is also recommend for
treating high cholesterol (Karakuş, 2020).
Some of chronic disorder a nurse knowledge will assist patients get beyond basic, common
sense there understanding of their situations. For improving the patient health, nurse gives
specific guidelines make a diet chart. They include 16 to 35 gram carbohydrate for every 30
minutes of exercise, with a post exercise cool down and approachable insulin dosing and
additional carbohydrate intake. This type of knowledge is not so common for all patients, so it is
important for doctors and nurses to stay current on recommended treatments and boost their
patient to exercise, eat and medicate suitably. There are so many patients have more than one
chronic disease, perhaps with a specialist visual perception the treatment of each disease and it is
useful to have a team conceptualization to educating patients to assist them manage their chronic
disease. As per the given case study , the challenge of addressing the needs of patients with multi
incidence has showed to intercession that focus that focus on the patient rather than disease. The
highest excellence has been found among programs that use a collaborative team based upon
formulation to care direction or management, because nurses oversee how multiple doctors
orders are enforced, they are particularly important members of that team. An registered nurse
with a bachelor of science in nursing is best equipped to handle that responsibility. Having the
research previous aspect and the holistic approach that comes with bachelor of science in nursing
formulation. The huge number of American seniors with two or more chronic conditions develop
BSN prepared nurses especially essential in assisting them manage their conditions to build high
quality of life.
Self management strategies
This strategy are conscious to develop a person's independence and quality to keep busy I
self monitoring, self evaluation and self reinforcement. The power of self management is its
insignificance on developing a feeling of control over one,s own behaviour. In the context of
David, they have to be follow diet in discipline manner and take care of precautions as well. On
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the prospective of health they have to do exercise because it is essential to change their mindset .
David has smoke use disorder that characterised by uncontrolled smoking cigarettes and there
are some symptoms included such as Asthma, breathing problem, anxiety and weakness. To self
manage it is all about mindset, patience and control (Bourke, 2020).
There are different types of self management strategies that would be essential for David for
overcoming the issue of smoking. All these strategies are explained as below:
Monitor: David have to be observe where he has lagging because smoking issue is not
easy to leave it.
Evaluate: He has to be check where he is committing mistake because when person feels
loneliness so, they looking forward to grab some bad habits to overcome from tense. David has
to do walk read magazines and many other activities to keep engage on work and though t will
not come in mind.
Time management: David has to be keep busy because engagement of work divert the
mind and gives opportunity to go forward, starting is tough but once they rhythm he will do
definitely to overcome its causes (Haque and et. al., 2020).
Attitude, confidence strategy: Commitment plays essential role in human life, it enhance
the value. David has to commit with themselves he will not do smoke, quitting smoke is not easy
task but there is a solution. Use E-cigarettes but in low quantity after some time it has to be
stopped either use nicotine tablet which reduces craving or lust of cigarettes.
Mind or body: David has to do exercise that is yoga, cross-fitness and meditation which
keeps mind or body calm and also gives positive vibes to boost to do new things that change
overall prospective of human life.
Self talk: It is a good exercise to talk ourself it increase the level of communication and
in the relation of David they has talk in front of mirror to make commitment that he will quit
smoking (Nigro and et. al., 2020).
CONCLUSION
It is deduced from the above report, about findings such as as per the given case study the
role of nurse is very important to improve patient health and both are do collaborative job. If
David want to overcome with is health conditions nurse will tell them about precaution but they
have to follow in discipline manner, that is mandatory to cop up with chronicle issues.
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REFERENCES
Books and Journals
Bourke, A., 2020. Sports scholarships in Ireland: a review of the issues. Sport in Society. 23(8),
pp.1354-1369.
Haque, and et. al., 2020, October. Topographic Analysis of High Volume Impacts of Music on
Brain Lobe using EEG. In 2020 International Conference on Information and
Communication Technology Convergence (ICTC) (pp. 774-776). IEEE.
Karakuş, E., 2020. A New Field on the Making in Turkish Academia: a few Issues Regarding the
Turkic World Literatures Teaching and Research. Балканистичен Форум. (2). pp.273-
282.
Kollmann, B., and et. al., 2020. The importance of assessing mental health issues and preventing
suicidality in studies on healthy participants. The American Journal of
Bioethics. 20(10). pp.75-77.
Lakshmi, K.R. and Padmaja, M., 2020, November. Efficient and Enhanced High Throughput
Image Denoising Using Chronical Fuzzy Set. In 2020 4th International Conference on
Electronics, Communication and Aerospace Technology (ICECA) (pp. 924-930). IEEE.
Nigro, and et. al., 2020. 88. The Impact of Chronic Disease in Adolescence Quality of Life: A
Qualitative Analysis. Journal of Adolescent Health, 66(2), p.S46.
Uslu, A., and et. al., 2020. P1507 Experience in chronical lead extraction with ablation catheter
and snare via femoral route. EP Europace, 22(Supplement_1). pp.euaa162-311.
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