Nursing Assessment Report: NUR2102 - Brett Howard Case Study Analysis

This report is a reflective analysis of a nursing assessment focusing on a case study of Mr. Brett Howard, a 33-year-old patient with Type 1 diabetes, anxiety, depression, and peripheral neuropathy. The assessment, conducted using the Gibbs reflective cycle, explores the patient's hospitalization due to diabetic ketoacidosis, his recent injury, and the challenges in his care, including non-compliance with nicotine replacement therapy. The analysis highlights the importance of comprehensive patient assessment, immediate action in critical situations, and the need for effective nurse-patient communication to understand and address the patient's physical and psychological needs. The report discusses the use of insulin pumps for diabetes management and emphasizes the significance of building a strong therapeutic relationship. The findings suggest that the nurse should check for the issues, the importance of reacting to the most noteworthy bit of leeway of the patient, despite when power can be drawn. The report is a comprehensive evaluation of the patient's condition and the nursing interventions implemented, drawing on the insights gained to improve future patient care.

Running head: BRETT HOWARD NURSING ASSESSMENT
Brett Howard Nursing Assessment
Name of the student
Name of the university
Author’s name

1BRETT HOWARD NURSING ASSESSMENT
Assessment is a method in which a nurse needs to collect data from issues and continuing
comments that are requested during the evaluation phase. This data collected offers a detailed
nurse overview. This essay will be reflecting on the case study of Mr Brett who is a 33-year-old
man and lives with his partner named Jason who is 31-year-old.. The patient has different
medical conditions. Diabetes Type 1 was detected at the age of 15. He faces anxiety and
depression. He has already been hospitalized three times in a row after he was detected with
Diabetic Ketoacidosis. Currently he has developed peripheral neuropathy in his left foot which
has become more worse after he mistakenly stepped on a nail while wearing thongs. His left foot
is swollen, reddish, infected and is very painful. His blood glucose level increased after the
injury. He has lost his memory of when he took his last tetanus and insulin. He has been
hospitalized by Jason after he was found slumped over the bath and semi-responsive.
There was a heed that Mr Brett is in very torment in light of damage in his left leg, and
subsequently, he ought to have been given tetanus. There was likewise an inclination that the
patient can be experiencing mental torment just like a diabetic patient and tumbling down in the
bathroom, he neglects to recall that when he took his last tetanus and insulin drugs. There was a
sentiment of the need of the medical attendant patient association to comprehend the patient's
physical and intellectual condition. Since the patient had extreme damage in his leg, he ought to
have been furnished with increasingly careful registration since severe damage in the leg can
wind up deadly whenever left disregarded.
The significant piece of the treatment was that he was beginning to return to his typical
self as he felt hungry and thirsty. Be that as it may, neglecting to perceive why the patient isn't
agreeable with nicotine substitution treatment. These may have happened because he was upset
and restless, and possibly he was disturbed with the constant connection of the IV cannula with

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his body. He is generally dependent on the cigarette that was because of nervousness, he could
not think of some other method to stay calm. It ought to have been made the principle need for
the medical attendant to check for the issues (nursingmidwiferyboard.gov.au, 2019).
Even though Mr. Brett had a injury in his left leg, he was still in a perfect spirit. The
failure in the patient’s compliance with the nicotine replacement therapy could have been
because of the anxiousness, irritation, and stress. Smoking in advanced and developed countries
is a major cause of diseases and early mortality, but quitting smoking can stop most of the
damage. Nicotine replacement therapy (NST), with the exception of the other damaging
substances in tobacco, is given to the person through nicotine in the shape of candy, spray and
inhaler (Shahab et al., 2017).
From this experience, there is an understanding of the centrality of being insistent and
apply cleaned system for all intents and purposes if, whenever, similar conditions were to arise
later on. The knowledge gained from this experience suggests that there will be progressively
aware of the consequences of not taking any action immediately and the importance of reacting
to the most noteworthy bit of leeway of the patient, despite when power can be drawn.
Therapeutic officials and patients should frame a community working relationship that will put
the patient's needs at the vanguard. Basic leadership process through the clinical thinking model
is a natural advance towards patient wellbeing and quality consideration (Vahdat et al., 2014).
The action plan for the similar scenario will have a new action plan whose primary
purpose will be to enhance the relationship between nurse and patient (Rutherford, 2014). The
auxiliary centre ought to be ever more proactive in dealing with a situation and to confront it on
paying little attention to the job within a group or level, including management of the

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administrative client and ensuring that the data are passed over to the relevant staff and that
mediation takes place when there is a risk to the well-being or mental prosperity of the
administrative client. To treat Diabetes at home an insulin pump can be used so that it will work
automatically. This device is having a similar kind of size that of a cell phone which can be worn
as a wristband or anywhere. A particular quantity of working quick insulin is automatically
dispensed by pumps. This constant insulin prescription is considered to replace lengthy working
insulin and as the base rate (Reznik et al., 2014). When the person eats the food, a bolus amount
of insulin will be provided to immunize the meals and blood sugar levels will be adjusted if it
rises. In combination with an ongoing control machine the insulin pump can even tighten blood
sugar control (mayoclinic.org, 2019).

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REFERENCES
Nursing and Midwifery Board of Australia - Registered nurse standards for practice. (2019).
Retrieved from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-
statements/professional-standards/registered-nurse-standards-for-practice.aspx
Reznik, Y., Cohen, O., Aronson, R., Conget, I., Runzis, S., Castaneda, J., ... & OpT2mise Study
Group. (2014). Insulin pump treatment compared with multiple daily injections for
treatment of type 2 diabetes (OpT2mise): a randomised open-label controlled trial. The
Lancet, 384(9950), 1265-1272.
Rutherford, M. M. (2014). The value of trust to nursing. Nursing Economics, 32(6), 283.
Shahab, L., Goniewicz, M. L., Blount, B. C., Brown, J., McNeill, A., Alwis, K. U., ... & West, R.
(2017). Nicotine, carcinogen, and toxin exposure in long-term e-cigarette and nicotine
replacement therapy users: a cross-sectional study. Annals of internal medicine, 166(6),
390-400.
Type 1 diabetes - Diagnosis and treatment - Mayo Clinic. (2019). Retrieved 21 July 2019, from
https://www.mayoclinic.org/diseases-conditions/type-1-diabetes/diagnosis-treatment/drc-
20353017
Vahdat, S., Hamzehgardeshi, L., Hessam, S., & Hamzehgardeshi, Z. (2014). Patient involvement
in health care decision making: a review. Iranian Red Crescent Medical Journal, 16(1).