Community Nursing Practice-Mr Kay Case Study

Assignment question:
Using Case Scenario 1, Mr Kay, and provide short answer responses to the following questions.
case scenario 1
Mr Kay is a 48 year old Aboriginal man. He has recently moved to Wathaurong country, nearby
Geelong in Victoria, after losing his job in an iron ore mine outside of
Geraldton, Western Australia. Mr Kay wants to be closer to his oldest daughter – Jess who
moved to Australia’s eastern states ten years ago. Jess, has two children of her
own and lives with her long term partner, Peter. Mr Kay is currently living in his car in his
daughter’s driveway, however his daughter has indicated that she would like to purchase a
fold–out couch so that he can move into her two bedroom house. Mr Kay presents to the
Aboriginal Health Service because he needs you to “fix up” his leg. Mr Kay tells you he tore the
skin on his left lower leg with the car door last evening. You visit Mr Kay at home to build
rapport, find out about his healthcare needs and how he wants to look after his health, and
assess and dress the wound. The skin laceration is superficial, clean, the wound bed is red with
slight serous discharge, and you note mild inflammation. You dress the wound with a gel as a
primary dressing and a foam as a secondary dressing. With Mr Kay’s permission, you plan to
visit him at home to redress the wound in 3 days as Mr Kay has difficulty getting to the clinic
and is too unsteady on his feet to safely use public transport. Mr Kay mentions that his kidneys
do not work well but this gives him no trouble. The Aboriginal Health Service in Geraldton
looked after his kidneys. With Mr Kay’s signed permission, you contact his last Aboriginal Health
Service in Geraldton. The RN at the health service notes that Mr Kay has chronic kidney disease
(stage 3), and a history of hypertension. The RN sends through Mr Kay’s medical files.
Mr Kay takes Ramipril to keep his blood pressure below 130/80 mmHg, for management of his
hypertension and kidney disease. He also takes Caltrate and Calcitriol because of his kidney
disease.

The assignment question is in two (2) parts.
Part one
Select two (2) journal articles and summarise the main findings regarding how
equity and access issues are currently affecting Australian Aboriginal and Torres
Strait Islander people’s health or chronic disease. (600-650 words)
Student instructions for assessment task
Part 1:
• You may choose articles focused on health generally or a chronic disease/s,
• Select two (2) research journal articles (one is already provide for you so you have to find one
more) and summarise the main findings regarding how equity and access issues are currently
affecting Australian Aboriginal and Torres Strait Islander people’s health or chronic disease.
(students may choose articles focused on health generally or a chronic disease/s)
• please summarise one journal article and then the second journal article, please reference
each sentence with the relevant journal article (600-650 words)
Summarise the main findings from two (2) journal articles
• The summary should focus on how equity and access issues are currently affecting Australian
Aboriginal and Torres Strait Islander people’s health and chronic illness (students may choose
articles focussed on health generally or a chronic disease/multiple chronic diseases)
• Any chronic disease is acceptable (can be different or the same for both journal articles)
• Articles may include solutions (healthcare interventions/programs) to equity and access
issues.
Students do need to focus on equity and access (there are many forms of equity and access
issues some examples are remote location and distance from healthcare, culturally
inappropriate healthcare, language barriers, healthcare practices that exclude Aboriginal and
Torres Strait Islander peoples)
• Students do not need to focus on SDH or PHC per se/more generally – equity and access are
part of social determinants of health/primary health care approaches
• Journal articles may be those published from 2000 onwards (this is because the effects of
social determinants leading to equity and access problems do not change quickly
(unfortunately) and new knowledge within the last 5 years may be more difficult for students to
locate).

Part 2:
Explain two (2) nursing interventions, and rationales, that you would use in
caring for Mr Kay (Case Scenario 1) to promote equity and access to health
and healthcare. (900-950 words)

Student instructions for assessment task
Part 2:
• The nursing interventions are to be focused as follows:
i. One (1) nursing intervention, including rationale, to promote Mr Kay’s sense that he is
included in his own healthcare
ii. One (1) nursing intervention, including rationale, to promote him feeling culturally safe
(900-950 words)
For part 2: must use recommend text book which is ‘Community Nursing in
Australia 2011” and ather relavent jurnal articles

Use at least four references to support your answer to question two (2). This should include at
least two references per nursing intervention and include a rationale relevant to the two
nursing interventions.
The answers to each question should be organized in paragraphs of approximately 150 words
with each paragraph focused on explanation of one idea
Nursing interventions could be (there are potentially more) those focussed on:
– Building partnerships with Aboriginal and Torres Strait Islander peoples
– Person centred care
– Communication
– Rapport and relationship building
– Advocacy
– Empowerment approaches
– Cross-cultural nursing and cultural safety interventions
– Interventions could include relevant interventions/approaches within
particular programs if students choose to respond in this way
• Provide two (2) rationales, one to support each nursing intervention
• How would the intervention be expected to promote (1) Mr Kay’s sense that he is included in
his own healthcare?
• How would the intervention be expected to promote (2) Mr Kay feeling culturally safe?
In answering these questions, students need to present
arguments to convince/persuade the reader. This should be done by presenting evidence to
support the arguments, and by presenting theoretically supported arguments.