Choose a patient/client from your clinical practice who experiences chronic and complex illness.Perform a holistic, person-centered assessment addressing the promotion of health and wellness, as well as illness management.

Assessment
2500 words +/- 10%
Weighting 50%

The purpose of this assessment is to assimilate and apply the theory presented throughout the subject to your actual nursing practice.

Choose a patient/client from your clinical practice who experiences chronic and complex illness.

Patient

(1) Age : 74
(2) Gender : Female
(3) Chronic conditions
– Hypercholesterolemia
– Hypertension (High blood pressure)
– Osteoarthritis (OA) & Rheumatoid Arthritis (RA) on hands, knees and back.
– Total Knee replacement (left)
– Obesity
– Fatty liver
– Anxiety / depression
– Atrial Fibrillation : Paroxysmal
– Benign Paroxysmal Positional Vertigo
– Type 2 Diabetes Mellitus
– Gastro-oesophageal Reflux Disease (=GORD)

(4) Medications

– Candesartan HCTZ AN Tablet 32mg/25mg Daily (for Hypertension)
(= 32mg of candesartan and 12.5mg or 25mg of HCTZ)
– Lercanidipine Hydrochloride 20mg daily (For Hypertension)
– Crestor 10mg Daily (For Hypercholesterolemia)
– Domperidone 10mg Twice a day (For nausea/dizziness)
– Ondansetron 4mg Twice a day ( For nausea)
– Escitalopram 20mg Daily (For depression)
– Esomeprazole EC capsule 40mg daily (For GORD)
– Melatonin MR 2mg (For insomnia)
– Targin MR 5mg/2.5mg (For pain assoc. with RA and OA)
– Oxycodone Hydrochloride 10mg (For pain assoc. with RA and OA)
– Paracetamol Osteo 665mg x 2tabs Twice a day
(For pain assoc. with RA and OA)
– Rivaroxaban 20mg Daily (To prevent blood clots)
– Exenatide 2mg subcutaneous injection (For diabetes) Weekly

Perform a holistic, person-centered assessment addressing the promotion of health and wellness, as well as illness management. Ensure you analyse the assessment data and develop a nursing support plan using the guide in Theme Four ‘A

Nursing Support Plan’.

Your answer should include:

A comprehensive assessment of the client using appropriate assessment tools – this must include the client’s experience of chronic illness and its life impact, as well as identification of ‘what matters’ to your client

Assessment of the client’s level of health literacy and engagement in health care, health status using ICF domains, i.e., impairments, functioning, and participation

Identification of the client’s strengths, capacities, and knowledge and their goals

Strategies and interventions to achieve their goals – these will include nursing support and self-management.

 

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