2807NRS - Nursing - Health Promotion and Illness Prevention - Essay Writing Assessment Answer

2807NRS - Nursing - Health Promotion and Illness Prevention - Essay Writing Assessment Answer

Task:

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: MRS ANNA LENSKA - 2807NRS
CONTEXT: Mrs Anna Lenska is a 68 year old retired woman who, for the past 6 months, has been a client of the Community Health Service for treatment of an ulcer on her right lower leg. She has a history of hypertension and Type 2 diabetes requiring oral hypoglycaemics. Anna is widowed, lives alone and has no immediate family. Her neighbour usually takes her to do her shopping. Her leg ulcer has been dressed twice weekly by community Registered Nurses in accordance with the wound specialist nurse’s instructions. The leg ulcer is slowly healing.
It is 7.30am and you, the community Registered Nurse, arrive at Anna’s home for the wound assessment and dressing change. Upon arrival, Anna complains that she is feeling a “bit faint” and asks you to check her blood sugar level (BSL). The BSL reading is 3.5 mmol/L. You follow the recommendations for hypoglycaemia, and Anna begins to feel better and her BSL increases to 6.2mmol/L.
On talking with Anna, you discover that she has not been eating well because her neighbour has been away, and she has not been able to get out to do the shopping. She has been wearing an old pair of closed toe shoes as her other more comfortable shoes had become too broken down to wear. She also says she sometimes forgets to take her medications.

CASE SCENARIO 2: MR ERNIE BOULIA - 2807NRS
CONTEXT: You are a Registered Nursing working in an Aboriginal Community Controlled Health Organisation (ACCHO) in the South East corner
Mr Boulia, a 47 year old Aboriginal man presented to the ACCHO with central radiating chest pain. Mr Boulia was transferred to Griffith University Hospital for cardiac monitoring and follow up. Upon reviewing Mr Boulia’s medical history and progress notes you identify the following: hypertension and type 2 diabetes. Mr Boulia has a family history of coronary heart disease, is a smoker and consumes a diet high in sugar and saturated fats. Mr Boulia sees his general practitioner every six months for renewal of medication prescriptions. Mr Boulia lives at home with his extended family.

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