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Author Case Study Question

Sao

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  • Joined: Mar 2008
  • Location: Maroochydore, Sunshine Coast
  • Posts: 5

Mon May 26, 2008 6:05 pm

Hi All,

I'm currently studying Diploma of Nursing only six months into it and have a case study that we need to complete, I was wondering if someone could help me with it.

Case Study.

A 79 year old woman, Mrs C is to be admitted to an aged care facility. She was widowed 6 months ago. Her daughter found her at home with urine and faeces throughout the house, no food in the cupboard and Mrs C was not orientated to time or place. She has an infected leg ulcer on her Right leg, and both legs were grossly oedematous. Mrs C has a medical history of Cardiac failure, leg ulcers and diabetes type II.

- How common ageing changes will complicate the patients condition

- An outline of the complications pertaining to each specific disease entity.

- A discussion on the funding issues for this patient

- A discussion of the level of nursing care required, how the level of care is assessed (validated tools) and any special requirements for the patient.

- The legal and social issues around admission to an aged care facility

- The type of Community Support needed if patient returns home.

I'm not sure where to start, you help would be greatly appreciated.

Cheers

Sao

tropicana

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tropicana
  • Joined: Mar 2007
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May 30, 2008, 04:20 pm Last edited May 30, 2008, 04:20 pm update #1

Wow, this is a big assignment. How many words are they wanting?

modified: Friday 30 May 2008 4:21:22 pm - tropicana

lokisare

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May 31, 2008, 11:37 am

Like Tropicana said that's a big assignment - use the word limit and what you've covered in class to guide the depth of your responses

Case Study.

A 79 year old woman, Mrs C is to be admitted to an aged care facility. She was widowed 6 months ago. Her daughter found her at home with urine and faeces throughout the house, no food in the cupboard and Mrs C was not orientated to time or place. She has an infected leg ulcer on her Right leg, and both legs were grossly oedematous. Mrs C has a medical history of Cardiac failure, leg ulcers and diabetes type II.

- How common ageing changes will complicate the patients condition

Ok I'm not so sure what you've been focussing on in class, this feels like one of the questions where you've covered aging and they want you to relate it. Possible ideas include impaired healing in older people, increased vulnerability to skin breakdown and infection due to decreased mobility, cognitive changes/delerium.

- An outline of the complications pertaining to each specific disease entity.

The disease processes here are all intertwined, the CCF is causing the odema which is placing her at high risk of leg ulcers. Diabetic neuropathy also places her at high risk, while uncontrolled blood sugars impair healing.

I would start with the CCF and the process by which is causes odema, then how odema increases risk of skin breakdown and then finally the complications of diabetes.

- A discssion on the funding issues for this patient

I have no idea here this is obviously something you've covered in class, it might focus on home help? or inpatient care? or rehab? or long term placement?

- A discussion of the level of nursing care required, how the level of care is assessed (validated tools) and any special requirements for the patient.

Ok you have several issues here

her delerium means you should be assessing her cognitive state - glasgow coma score or some other delerium tool

she is at risk of more pressure areas - pressure area risk assessment

she's probbaly a falls risk - falls risk assessment

she should be on a fluid balance chart because of the odema and CCF

she will definitely need freqent BSL checks because she's unlikely to have been controlled her own diabetes considering her cognitive state

wound care charts, dressing regimes

- The legal and social issues around admission to an aged care facility

I have no idea with this one - I'm assuming it revolves aroudn things you've covered in class like her legal and medical power of attorney, what her family want vs the patients own independence.

- The type of Community Support needed if patient returns home.

I'm guessing this covers things like meals on wheels, home help for cleaning and domestic things, possible RDNS followup for wound dressings, diabetes education

Anyway hope that helps a bit

Sao

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  • Joined: Mar 2008
  • Location: Maroochydore, Sunshine Coast
  • Posts: 5

May 31, 2008, 12:05 pm

Hi Tropicana, sure is a big assignment 3000 words.

& thanks for your help Lokisar, it sure helps me to get the assignment started, and should now be able to flow with it.

Thanks again.

lokisare

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Jun 01, 2008, 08:13 am

Wow 3000 words is a big one, do you have marks allocated to each question or is there just an overall mark for the assignment? In my course they allocate marks to the questions so we use that a guide for how much to write on each questions - like if one questions only is 5 marks and the next is 10 then you write twice as much on the second.

Make sure you fully explain and justify (back up your reasoning with text books etc) for all the points above. Especially things like nursing care and home help, don't just list but go into detail and explain why you'd need certain nursing assessments what you are trying to avoid/monitor/achieve.

Just take one question at a time - you'll be right.