Below is a Case study of a client that you are required to care for. There are 2 sections to this assessment, Part A short answer questions and Par
Quiz Instructions
Below is a Case study of a client that you are required to care for. There are 2 sections to this assessment, Part A short answer questions and Part B A Health Promotion Plan.
You will need to research her conditions and required cares to answer the questions below. You are an Enrolled Nurse working at the NTA Hospital in Sydney. You are working a morning shift when the patient is admitted to the ward, into your care.
To do your research, use the resources provided in Learner's resources and other valid resources only.
This assessment is conducted on the due date as mentioned in the unit outline.
You must answer all the questions correctly to be deemed satisfactory in this assessment task. It is marked S Satisfactory or NYS Not Yet Satisfactory
Your assessor will explain assessment conditions to you again as per the unit outline.
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PART A - Ms Eleanor Murrungi
Eleanor is an Aboriginal woman who is 57 years old. She is a Type 2 Diabetic who is 153cm tall and weighs 86kg. She usually has her granddaughter Suzie (16yo) with her, however Suzie was unable to come to the hospital this time. Eleanor has been admitted for surgery tomorrow. She is to have 2 toes amputated.
Below is a summary of Eleanors history.
NAME: Eleanor Murrungi
DOB: 25/11/1960
ADDRESS: 14 Railway Pde, Burwood
MEDICATIONS
Metformin 500mg BD
Glyceral Trinitrate Spray
Atorvastatin 20mg Daily
Paracetamol 1g QID
OBJECTIVE DATA
Previous diagnosis of Peripheral Neuropathy and Angina
Necrotic 4th and 5th toes on her left foot
Strong odour coming from stained dressing on left foot
Smoker for 45years
SUBJECTIVE DATA
Eleanor is currently complaining of having trouble reading the admission documents that she is trying to fill out
She cant remember when she last took her hypoglycaemic medications
She has no pain in her foot
INITIAL ASSESSMENT
BGL 12.3mmol
BP 157/86
Temp 36.5, Pulse 112, Resps 24
Below are the questions relating to Eleanor and her condition
Flag question: Question 1
Question 1 5 pts
What could be causing Eleanors poor vision with reading the admission paper work? Describe briefly.
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Question 2 5 pts
What is Eleanors BMI and is this a healthy level for a person with Type 2 Diabetes? Explain briefy.
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Question 3 5 pts
What could be causing the strong odour coming from her left foot? How?
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Question 4 4 pts
How could you gain insight into Eleanors understanding of her condition?
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Question 5 4 pts
How could you involve the Granddaughter in Eleanors cares at this point in time?
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Question 6 20 pts
PART B - Health Promotion Plan
You are required to fill out the following Health Promotion Plan for Eleanor, to be commenced while she is in hospital. This plan will also be and transferred to a community nursing organisation once Eleanor is discharged.
You will need to research ALL aspects of her care and what parts will require what services and considerations. Each section of this document should have at least 2 dot points to consider.
NTA Hospital Health Promotion Plan
NAME - Eleanor Murringi
Address - 17 Waterloo Way, Burwood
WARD 5 West MRN - 564891
Client Considerations
Pre Op
Post Op
At Home
Psychosocial Factors
Foot Care
Eye Care
Diabetic Diet
Weight Loss
Diabetic Services (including interdisciplinary referrals)
Other Considerations
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The doctor has now reviewed Eleanor and has requested a swab of her toes prior to surgery and prescribed an insulin infusion to be commenced 4 hours prior her surgery with 1/24 BGLs to start tomorrow at 9am.
Flag question: Question 7
Question 7 5 pts
Its 1030hrs and you are reviewing Eleanors insulin infusion. She is slurring her speech and tells you she feels dizzy, you take her BGL and it is 2.5mmol. Explain the next 3 initiatives you will take;
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Question 8 10 pts
Write below your handover to the Doctor, of Eleanors current condition, using the ISBAR tool.
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Question 9 4 pts
Review all of Eleanors Medications. What would be the underlying condition for each of them?
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Question 10 4 pts
What are some of the common disease processes associated with Diabetes and people of Aboriginal descent?
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Question 11 4 pts
Eleanor has no pain in her foot. Briefly Describe why?
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Flag question: Question 12
Question 12 10 pts
Go to https://www.health.gov.au/health-topics/chronic-conditions/what-were-doing-about-chronic-conditions/what-were-doing-about-diabetes (Links to an external site.) . Write at least 10 Initiatives regarding Diabetes from Australian government to help Australians living with Diabetes condition.
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