Leonie Case Study - Nursing Assignment Help

Assignment Task:

Case Study 

Leonie lives alone in the community. She used to work as a teacher prior to giving up work 10 years ago to care for her husband who was diagnosed with cancer. She cared for him at home for two years, un l his death. Leonie was a keen gardener, ar st, and enjoyed going to the movies un l the past few years. Over the past six months Leonie has been spending less me outdoors and more me at home. She states that she no longer has interest in her pain ng, gardening or going to the movies with her friends, which were ac vi es that once gave her a lot of joy. She reports being red and tends to sleep more during the day. She used to walk for half an hour in the morning three days a week for exercise however, over the past 6 months she has not been going for her daily walks and has been sleeping in. She also stopped driving 6 months ago. 

Leonie has been admi ed to an acute medical ward. You obtain the following informa on from Leonie’s notes: Leonie is 73 years of age, 160cm tall and weighs 105kgs. Leonie arrived at the emergency department via ambulance after presen ng at her local shops confused and agitated. She was found to be febrile and hypertensive on ini al assessment. Leonie was diagnosed with a urinary tract infec on and has been commenced on an bio cs. On transfer to the ward her vital signs are within normal limits, but she s ll appears confused. Leonie’s medical history includes a decubitus ulcer on the shin of her left leg (0.5 cm long), arthri s in her knees, hypertension and urinary urgency. Leonie has no children but does have has two sisters, both older than her, who live nearby. Both sisters have expressed concerns that Leonie may not coping at home and are concerned that she may need more support to manage tasks such as cooking and selfcare. They report that Leonie has been buying microwave meals for the past 6 months rather than preparing fresh food. She previously cooked a lot of her vegetables from the garden; but the garden has been unkept for the last 12 months. Leonie's sisters also report that her personal care has declined and she has become quite unkempt over this me. They also report that she has gained approximately 6-10kg in the past 6 months. In hospital Leonie has been using a walking frame to assist with her mobility. She appears to be in discomfort when standing up from a seated posi on and when walking. She needs supervision for transfers, and can a end to her selfcare ac vi es when set up by nursing staff. Leonie has some difficul es planning tasks needed to get dressed. Leonie is very keen to return home and cooperate with interven ons. She is, however, reluctant to access home support services, fearing this could lead to her being placed in a nursing home and she has insisted that she wants to remain living at home.

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