George Williamson Case Study - Nursing Assignment Help

Assignment Task :

Task description: For this essay, select EITHER Case Option 1 (adolescent case) or Case 

Option 1 (adult case). Review your chosen case. Using the clinical reasoning cycle you are required to assess, plan, implement and evaluate your care for the patient. After identifying the relevant assessment data you must identify two (2) current or potential problems for your patient. For each problem identified, list two (2) nursing interventions (collaborative/independent) linking to your research of the literature. One intervention must be nursing initiated. In collaborative interventions, you must focus on the role of the nurse. Include a one to two-line rationale for each intervention. Evaluation of the effectiveness of your interventions is essential. 

Learning Outcomes

1. Apply and integrate knowledge of the key NMBA Registered Nurse Standards for Nursing Practice, National Safety and Quality Health Service Standards, and National Health Priorities to enable effective clinical decision making, planning and action in a range of situations that reflect the diversity of contemporary health care settings and challenges.

2. Apply knowledge of anatomy, physiology and pathophysiology to support evidence-based decisions for planning and action in a range of clinical situations.
3. Demonstrate clinical reasoning and clinical decision making in line with safe and quality person-centred care across the lifespan.
4. Apply knowledge and skills to communicate and collaborate effectively with consumers and families.
5. Reflect on the clinical placement experience and care provision, using feedback from a range of sources, to identify opportunities to enhance individual practice.

George Williamson is a 72 year old man who is a lifelong smoker. 10 years ago, George was diagnosed  with COPD however he has continued to smoke with this diagnosis. George has been prescribed  Salbutamol; a short acting bronchodilator (SAB) to use on a PRN basis as well as an inhaled steroid  which he is supposed to use twice a day.  Today you are seeing George and his granddaughter (who is his primary carer) in the respiratory  outpatient’s clinic.George’s granddaughter reports that she doesn’t think that George is using his SAB  inhaler correctly and often forgets to take his steroid inhaler. She says that he is too stubborn to listen to  any advice on the matter. She also comments that his exercise tolerance is decreasing, and he now  spends almost all of his time lying in a reclining chair at home. She is worried that his sedentary lifestyle  and lack of movement may cause other health issues.  On examination, George’s wheeze is audible without use of a stethoscope. His Spo2 is 93% on room  air. He is pursed lip breathing and leans forward in his chair. His spirometry results show and FEV1 of  . In clinic 6 months ago, his FEV1 was 42% and his Spo2 remains stable since his last clinic visit.  His blood pressure is 125/60 with a pulse rate of 84. He states that his bowels feel “blocked up” and he   can’t be bothered going out or doing jobs round the house anymore. He wants to know “when will this all  go away and I’ll be better?” 

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