NURS13134 – Community Nursing Perspectives – Assessment 2 Paper, 2500 wordsNURS13134 – Neighborhood Nursing Views - Evaluation 2
Due Date: Thursday, 17th of Might, 2018. 11.45pm
Phrase Rely: 2500 phrases +/- 10%
Evaluation Two for NURS13134 – Utilising the analysis out of your first evaluation, you may be required to think about and focus on the subacute and group administration of an individual with a analysis of cystic fibrosis. On this evaluation, you may be launched to Emily at varied factors throughout her lifespan within the type of case research notes.
Phase 1 - Introducing Emily
That is Emily. She is a vigorous and outgoing, nearly three yr outdated. She is assured and talkative. Her mom, Lenka, has introduced her to your clinic right this moment. Lenka is a political asylum seeker from Slovakia and has been in Australia for three years. She was pregnant with Emily when she left her personal nation. When Lenka is requested any questions on Emily’s father, she turns into very guarded and offers little or no data.
Whereas Lenka speaks English very properly, her medical historical past is sort of sparse. She has advised you that she thinks different members of her prolonged household might need had cystic fibrosis. Whenever you query her additional on this level, she states a couple of cousin died fairly younger and had points with their respiration.
Lenka states Emily had some “bowel points” when she was born however can not offer you any additional data aside from Emily’s bowel motions are often frequent, unfastened and really smelly. Lenka additionally states Emily had many checks after she was born, after which she was advised Emily was identified with cystic fibrosis. She has a big urge for food however after weighing and measuring Emily, you observe that she is on the decrease finish of the load/peak for age scale.
When she was about 6 months of age, she grew to become sick and Lenka tells you she was producing plenty of phlegm and was in hospital for a while.
Emily takes a number of drugs however Lenka didn't deliver them along with her, nor does she keep in mind the names.
Emily has come to the clinic right this moment for evaluation put up her final hospitalisation and for father or mother help and schooling.
Phase 2 - Adolescent Emily
Emily is 15 years outdated and in yr 10 at highschool. Emily has been identified with pancreatic insufficiency however doesn't undergo from cystic fibrosis associated diabetes mellitus. She has been hospitalised 5 instances within the final 10 years for pulmonary infections. She lives along with her mom, Lenka. She is a excessive attaining scholar and is motivated to check and preserve her excessive grades. She attends full days in school, after faculty music and maintains her medical regime. She has missed 6 days of college within the final yr because of cystic fibrosis.
Her every day routine consists of waking at 5.30am to permit time for her bodily remedy and drugs. After commencing with bronchodilators and a mucolytic agent, she spends at the very least 45 minutes in a ‘vest’. That is an electronically pushed percussion machine. (For additional data on the vest, see the YouTube hyperlink on the Moodle website). That is often interrupted by coughing episodes, which will be extended and tiring. Emily then continues along with her breakfast and the multitude of medicines she should take. These embody prophylactic antibiotics, NSAID, anti-ulcer and antacid brokers, antihistamine agent, pancreatic enzymes and nutritional vitamins. Earlier than leaving for varsity, she takes one other bronchodilator through nebuliser and an intranasal corticosteroid. She takes extra drugs along with her lunch in school together with an NSAID and pancreatic enzymes.
When she returns residence from faculty, her mom performs handbook bodily remedy with postural drainage. This comes with the coughing episodes and might take over 45 minutes to an hour.
Together with her night meal, Emily takes extra drugs together with NSAID, antibiotics and pancreatic enzymes. She then takes one other bronchodilator nebulizer and dons her vest for one more 45 minutes earlier than retiring to mattress after 10.30pm.
Emily and her mom Lenka have to come back to your clinic for ongoing help.
Emily states probably the most bothersome symptom to her is the relentless coughing and shortness of breath, particularly very first thing within the morning. She states she doesn't thoughts the chest physiotherapy though it does take a major period of time via the day.
Emily tells you that her medical routine is bothersome with the variety of oral and inhalation drugs. She states she tries to be per taking her remedy however generally ‘forgets”. Particularly in school.
Emily tells you that her staff have began to debate transition to grownup well being look after her cystic fibrosis administration. This makes Emily and Lenka fairly distressed as they've had a long run and trusting relationship with their staff.
Phase three - Grownup Emily
Emily is 27 years outdated. She is engaged to Matt and so they have been a pair since highschool. They don't have any youngsters, however Emily has an help canine within the type of Ollie, a well-trained commonplace poodle. Emily’s mom handed away a number of years in the past as a consequence of a motorized vehicle accident. Emily has no different household in Australia. She has not too long ago needed to resign her place as a instructor because the calls for of her well being, interventions and administration have change into an excessive amount of. Emily’s well being has deteriorated to the purpose her well being staff have advised her she must be positioned on the transplant record for a lung transplant. Emily states she is uncertain of how she feels about this. Nonetheless…
Whereas ready for her new lungs, Emily’s well being has deteriorated to such an extent that she is not match for surgical procedure. Emily has said that she is drained and not needs to combat. She tells you she simply desires relaxation. After dialogue with Emily and her staff, it's agreed that she ought to be for finish of life care and is transferred to the Palliative Care Staff.
For this evaluation, you're required to pick ONE section from Emily’s lifespan to look at. This ought to be clearly recognized in your introduction.
Your evaluation ought to be written in essay kind, together with an introduction, the physique of your work and a conclusion.
Do you have to discuss with the analysis gadgets from Evaluation One, these ought to be applicable to the section you may have chosen. Chances are you'll select to undertake additional analysis to supply an proof primarily based rationale on your responses to the section from Emily’s lifespan you may have chosen.
You've got a phrase rely of 2500 phrases, +/- 10%.
On your chosen life stage section, you will have to incorporate the next:
• A dialogue and rationale of self-management methods.
• A dialogue and rationale for the group and/or help providers Emily might have accessed.
• Demonstration of your consciousness of cultural and social points related to Emily.
• A dialogue and rationale for the protected use of know-how to facilitate individual centred nursing care. Right here you may think about communication between totally different providers or group and acute.
On your chosen life stage section, utilizing crucial considering expertise, think about the tutorial/informational wants of Emily and/or her mom or companion. Additionally, think about administration plans.
Consideration of authorized and moral points and frameworks in relation to Emily’s care ought to be evident in your discussions.
Your evaluation ought to be addressed from a Neighborhood Nursing perspective.
• Choose ONE section from Emily’s lifespan to handle.
• Write in essay model - introduction, physique and conclusion.
• Phrase Rely - 2500 phrases +/- 10%
• Headings aren't required.
• Referencing, each in textual content and reference record ought to be in APA Fashion as per the APA Referencing Information.