Chronic Disease Peer Assessment

Assignment Task

Unit Learning outcome

1: Examine the role of the nurse as a leader and partner in care to ensure a partnership model that meets the persons information needs and enables shared decision-making.

2. Integrate primary health care principles into the care of people living with complex health needs in the community.

Social History:

Mr W is a 52-year-old Caucasian male, unemployed and separated from his wife. He has two children who live interstate. He currently lives in a two-bedroom housing commission flat on the second floor. He has been trying to lose weight and increase his exercise for the past 6 months without success. He drinks two bottles of beer every night and a glass of wine with dinner. He also smokes 8 cigarettes a day.

Relevant Medical History:

• Diabetes mellitus type 1, kidney failure on haemodialysis X 3 times a week
• Chronic back pain which he sustained 10 years ago on a building site
• Depression
• Substance dependence
• Coronary artery disease (CAD), was diagnosed 3 months ago
• Obesity

Presenting Problem:

Mr W has revealed that he has ‘given up hope’ and has stopped taking his antidepressant medications. Mr W had indicated he is ‘not in a good relationship’ with his two sons and that he has not seen either of them for the past 3 years. Mr W has also indicated that he is lonely since he does not go out due to his mobility issues. His GP has recently referred him to a vascular surgeon for a review of a black discoloration on his right big toe.

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