2807NRS: Mr David Bonner - Mr Kento Oguri Case Study - Nursing Assignment Help

Assignment Task:

AIM: 

The aim of this assignment is for students to demonstrate an understanding of culturally safe health promotion education strategies that address the needs of clients with chronic diseases and empowers them to self-manage their condition. The provision of health education, which enables people to make decisions and to take actions in relation to their health, is part of the role of the Registered Nurse (Nursing & Midwifery Board of Australia, 2016). Additionally, culturally safe and respectful practice requires knowledge of how a nurse’s own culture, values, attitudes assumptions and beliefs influence their interaction with people and families, the community and colleagues (Nursing & Midwifery Board of Australia, Code of Conduct 2018). 

This assignment addresses the following course learning outcomes: 

• Apply health promotion and illness prevention practices in a culturally safe manner to support people diagnosed with chronic illness; 
• Evaluate person-centred care for optimal self-management and promotion of active participation of both individuals and families in symptomatic management of chronic disease; 
• Analyse primary health care and health promotion strategies that address the needs of those with chronic diseases. 

CASE SCENARIO 1: Mr David Bonner 

CONTEXT: You are a Registered Nursing working in an Aboriginal Community Controlled Health Organisation (ACCHO) in the South East corner. 

Mr Bonner, a 47-year-old Aboriginal man presented to the ACCHO with central radiating chest pain. Mr Bonner was transferred to Griffith University Hospital for cardiac monitoring and follow up. Upon reviewing Mr Bonner’s medical history and progress notes you identify the following: hypertension and type 2 diabetes. Mr Bonner has a family history of coronary heart disease, is a smoker and consumes a diet high in sugar and saturated fats. Mr Bonner sees his general practitioner every six months for renewal of medication prescriptions. Mr Bonner lives at home with his extended family. Current vital signs: Temperature 37.3°C, Blood Pressure 150/90 mmHg, Pulse 84 beats/minute, and Respiratory Rate 15 breaths/minute; BGL 15.5 mmol/L, Pain 6/10. 

Current medications: 

• Metformin 1g PO BD 
• Actrapid 4 units S/C TDS 
• Metoprolol 25mg PO BD 

CASE SCENARIO 2: Mr Kento Oguri

Mr Kento Oguri is a 66-year old Japanese man who has presented to hospital with increased shortness of breath, fever and a productive cough. He has been admitted to your ward for treatment of a chest infection. Kento has undergone a series of respiratory examinations/tests and has been diagnosed with chronic obstructive pulmonary disease (COPD). Kento has a history of gastro-oesophageal reflux disease (GORD). Kento has been prescribed intravenous (IV) antibiotics, IV therapy and bronchodilators. 

It is 10:00 am and you are the Registered Nurse undertaking Kento’s primary and secondary assessment. He explains to you that he had several episodes of shortness of breath and a cough on exertion over the last year, but he thought he was “just getting old”. He states that he is not able to work hard anymore. Prior to Kento’s hospital admission, his shortness of breath was a lot worse. He has also lost several kilograms, and now weighs 65 kg with a height of 162cms. 

Kento tells you that he works as a labourer in the construction industry and lives with his wife, who works at the local supermarket. He is a smoker who has smoked 20 cigarettes/day since he was 14 years old. Kento says he does not drink and has no known allergies. 

Current vital signs: Temperature 36.7°C, Blood Pressure 135/88 mmHg, Pulse 100 beats/min, and Respiratory Rate 22 breaths/min 

Prescribed Medications: 

• Salbutamol (Ventolin)100 micrograms MDI, 2 puffs when required up to 4 times daily 
• Tiotropium (Spiriva) 18 mcg inhaled by mouth OD 

Current Medications 

• Esomeprazole magnesium (Nexium) 40 mg PO OD

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