NUR1398 Assessment

Case Study:

Harold Janssen is an 85-year-old male with Parkinson’s disease. Harold has just been admitted into the residential facility because he and his wife, Gloria, were no longer coping.

Harold and Gloria have 3 children, two sons and a daughter, none of whom live locally. One son, George, is regularly in contact and visits monthly.

Harold and Gloria were independent, until recently when Harold has had several ‘near-miss’ falls. He does not currently use a walking aid and has said he is having episodes of having trouble to start walking after sitting for a time, or in a confined space.

At home, Harold has often forgotten to take his Parkinsonian medication and has had periods of immobility when this has happened. He has been unwilling to leave the house and has stopped going to his exercise group. Gloria complains that he has been sitting in his armchair all day and is miserable. He says he is often sad and sometimes cries.

Harold has urgency of urine and has started having accidents, which have made his clothes smelly. This upsets Harold and Gloria. Harold does suffer from constipation at times. Harold says he often doesn’t feel like eating and Gloria has said he often coughs at mealtimes. Since his diagnosis, Harold has lost 15 kgs.

Care Plan entry Mobility: (300 words)

1. Which nursing assessments/cues will you complete to identify Harold’s mobility needs?
2. Identify two (2) problems associated with Harold’s mobility needs. They can be actual (3-part) or potential (2-part) problems.
3. Plan 2 nursing interventions, with relevant rationales, you will implement to assist Harold with your 2 identified problems above.

Remember! Nursing interventions must be supported using current best practices and references no more than 7 years old.

4. How will you evaluate the effectiveness of your care?
5. Upload your mobility progress note here:

Care Plan entry Hygiene: (340 words)

1. Looking back over last week’s theme, mobility, what aspects of Harold’s mobility will impact this week’s theme, hygiene?
2. Which nursing assessments/cues will you complete to identify Harold’s hygiene needs?
3. Identify two (2) problems associated with Harold’s hygiene needs. They can be actual (3-part) or potential (2-part) problems.
4. Plan 2 nursing interventions, with relevant rationales, you will implement to assist Harold with your 2 identified problems above.

Remember! Nursing interventions must be supported using current best practices and references no more than 7 years old.

5. How will you evaluate the effectiveness of your care?
6. Upload your hygiene progress note here:

Care Plan entry Nutrition: (340 words)

1. Looking back over the last two weeks, will Harold’s mobility and hygieneneeds impact his nutrition? If so, how?
2. Which nursing assessments/cues will you complete to identify Harold’s nutritional requirements?
3. Identify two (2) problems associated with Harold’s nutritional needs. They can be actual (3-part) or potential (2-part) problems.
4. Plan 2 nursing interventions, with relevant rationales, you will implement to assist Harold with your 2 identified problems above.

Remember! Nursing interventions must be supported using current best practices and references no more than 7 years old.

5. How will you evaluate the effectiveness of your care?
6. Upload your nutrition progress note here:

Care Plan entry Pressure injury prevention and wounds: (340 words)

1. Looking back over the past few weeks. How will Harold’s mobility, hygiene and nutrition impact his skinintegrity?
2. Which nursing assessments/cues will you complete to identify Harold’s risk if developing pressure injuries?
3. Identify two (2) problems associated with preventing pressure injuries in Harold. They can be actual (3-part) or potential (2-part) problems.
4. Plan 2 nursing interventions, with relevant rationales, you will implement to assist Harold with your 2 identified problems above.

Remember! Nursing interventions must be supported using current best practices and references no more than 7 years old.

5. How will you evaluate the effectiveness of your care?
6. Upload your pressure injury prevention and wounds progress note here:

Care Plan entry Elimination: (340 words)

1. Looking back over the course so far. How will Harold’s mobility, hygiene, nutrition, and skin affect his elimination needs?
2. Which nursing assessments/cues will you complete to identify Harold’s elimination needs?
3. Identify two (2) problems associated with Harold’s elimination needs. They can be actual (3-part) or potential (2-part) problems.
4. Plan 2 nursing interventions, with relevant rationales, you will implement to assist Harold with your 2 identified problems above.

Remember! Nursing interventions must be supported using current best practices and references no more than 7 years old.

5. How will you evaluate the effectiveness of your care?
6. Upload your elimination progress note here:

Care Plan entry Oxygen therapy, Psychosocial needs, and Sleep: (340 words)

1. Looking back over the content so far. How will the previous information affect Harold’s psychosocial and sleep needs?
2. Which nursing assessments/cues will you complete to identify Harold’s psychosocial and sleep needs?
3. Identify two (2) problems associated with Harold’s psychosocial and sleep needs. They can be actual (3-part) or potential (2-part) problems.
4. Plan 2 nursing interventions, with relevant rationales, you will implement to assist Harold with your 2 identified problems above.

Remember! Nursing interventions must be supported using current best practices and references no more than 7 years old.

5. How will you evaluate the effectiveness of your care?
6. Upload your oxygen therapy, psychosocial needs and sleep progress note here: