NRSG366: Nursing – Care Of Patients With Chronic Conditions – Case Study Assignment Task:…

NRSG366: Nursing – Care Of Patients With Chronic Conditions – Case Study

Assignment Task:

Multiple factors influence the care of patients with chronic conditions. As a Community Health Nurse, it is important that care given is prioritised based on both clinical and patient needs. Prioritisation of the patient needs for care is integral to daily nursing practice. This requires integrating different aspects of patient needs in order to maximise care activities and the effectiveness of nursing interventions.

This case study is designed to demonstrate the integration of various principles of managing care of patients with chronic conditions.

Task 1:

Peter Mitchell is a 52-year-old male with type 2 diabetes who was admitted to the medical ward with poorly controlled diabetes, obesity ventilation syndrome and sleep apnoea. Peter was referred by his GP after he presented with symptoms of shakiness, diaphoresis, increased hunger, high BGL levels and difficulty breathing whilst sleeping. Peter has been a smoker for approximately 30 years and smokes approximately 20 cigarettes per day. On his previous admission, Peter was seen by a dietician and commenced on low energy, high protein diet (LEHP) to assist with weight reduction. His GP had previously discussed weight loss with Peter, however, he had never wanted to do anything about it as it seemed ‘too hard’. Peter was also reviewed by the physiotherapist and was commenced on light exercises which he was to continue at home on discharge.

Peter has been discharged home with a referral to you as the community nurse for ongoing support and follow up, after four weeks in the medical ward to manage his weight and clinical comorbidities .

Task 2:

Jenny Peterson is a 23-year-old single parent with a two-year-old girl named Samara. Jenny was diagnosed with epilepsy 6 months ago and is attending the outpatients’ neurology clinic for stabilisation of her epilepsy.