Case study report
Assignment Task-
You are the Practice Nurse at a local medical centre. The GP requests that you conduct a thorough assessment of an older person and provide the GP with a report that will cover specific questions around the outcomes of health and other assessments you undertake.
In order to inform the GP of the patient's health needs and to ensure person-centered and competent care for the patient and her family, provide answers to the following questions
Assessment Task - Case Study
Mary received a phone call from Loretta, her 82 year old mother, early one winter morning. It was obvious to Mary that her mother was ill as Loretta was unable to complete sentences without taking several breaths. These signs of illness were of particular concern to both women as Loretta had previously been diagnosed with congestive heart failure (CHF) and hypertension.
Loretta currently takes the following medications:
. Carvedilol 6.25mg PO Mane
. Furosemide 40mg PO BD
. Amlodipine 5mg Daily
. Aspirin 100mg Daily
. Perindopril 2.5mg BD
. lbuprofen 400mg TDS
. Tramadol 100mg BD
. Citalopram 20mg Daily
Mary had to go to work but told Loretta that she would make an appointment with the GP for later that day and then collect Loretta and take her to the appointment.
When Loretta arrived at the surgery, her symptoms had settled and she was breathing more easily. You notice that she struggles to stand up without assistance from her daughter and that mobilising causes her some discomfort.
You are the Practice Nurse at the surgery where Mary takes Loretta for her appointment. The GP requests that you conduct a thorough assessment of Loretta and provide the GP with the outcomes of the health and other assessments you undertake.
In order to inform the GP of Loretta's health needs and to ensure person-centered and competent care for this woman and her family, provide answers to the following questions.
Use the question as a heading but provide responses in narrative form, not dot points. An introduction and conclusion is not required but assertions must be referenced according to CSU policy.
Question 1- Person-Centered care - The GP asks you, "How will you show person-centered care to Loretta?" Discuss person-centered care and outline how you would work with Loretta and her family to ensure the health outcomes important to them
Question 2- Age related physiological changes - The GP asks you, "What age related changes are making Loretta vulnerable to CHF and hypertension?" Explain the age related physiological changes that have contributed to Loretta's symptoms.
Question 3- Relevant assessments - The GP asks you, "What nursing assessments are relevant to Loretta and her family? Provide me with a rationale for each of the suggested assessments." Describe the relevant assessments a Registered Nurse would you conduct on this older person and explain why each assessment is significant.
Question 4 - Recommended Strategies - The GP asks you, "How do we ensure optimal health for Loretta and ensure she stays at home for as long as possible?" What strategies can a Registered Nurse initiate to maintain optimal health for Loretta, and what support services would keep her at home and support Loretta's family?