Mark Bowen - Eloise Bakes - Case Study - Nursing Assignment Help

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Case 1: Mark Bowen

Mark is 59 years of age and lives in Kingaroy with his wife (Sarah) and two children (Hayley and Emily). Mark has lived in South Burnett region his whole life and works in agriculture. Due to Mark’s recent health issues, he has been frequenting the general community health outreach services offered by the Kingaroy Hospital. Today, you are the nurse reviewing Mark. The primary reason for Mark’s presentation was to have his mild diabetic foot infection reviewed. Your records suggest that based on culture and susceptibility testing, Mark was commenced on clindamycin one week ago. Your inspection reveals that the infection is beginning to resolve nicely. Happy with this, you decide to check-in with Mark more broadly. Before discussing his comorbidities, you remember that Mark does not like swallowing tablets and capsules. Past investigation by a speech pathologist shows that there is no abnormal pathology contributing to this. Mark has no issues swallowing food, he simply just does not like swallowing tablets and capsules. Because of this, Mark’s doctor uses non-oral formulations wherever possible. Where impractical, oral formulations can be crushed and mixed with yoghurt. Although he says they can taste pretty bad, this does not concern Mark.

 

 

Case 2: Eloise Bakes


Eloise is 19 years of age and has recently moved from Rockhampton to Brisbane to start university where she is studying ultrasonography. Eloise has been transported to the emergency department of the Princess Alexandra Hospital by the Queensland Ambulance Service due to a severe hypoglycaemic event that resulted in an altered level of consciousness. Upon receiving appropriate therapy, Eloise regains consciousness. You have now been tasked with obtaining a full medical history. Eloise was diagnosed with type 1 diabetes mellitus at thirteen. Since this time, she has been managed on basal-bolus insulin injections. Since being on insulin, Eloise says that her blood sugar levels have always been tightly controlled. Moreover, Eloise notes that she has never experienced any adverse events related to insulin. Eloise says that over the last month she has become increasingly dissatisfied with her weight. To rectify this, she has been gradually increasing her level of aerobic exercise (e.g. running) and yesterday, started intermittent fasting. Eloise admits that she didn’t really know how to adapt her insulin to intermittent fasting so thought to just reduce her bolus insulin dose by half when skipping meals. In addition to her weight, Eloise notes that she has become increasingly self-conscious about her skin. She mentioned that was reading online and saw that antibiotics can sometimes help treat acne. She had an old script at home that was given to her six months ago for an acute respiratory infection. Eloise had this script filled two weeks ago. Although the label on the box says to take one capsule four times daily, she read online that antibiotics for acne are taken once daily so she thought it best to follow this advice.

 

TASK:

 

  •  Identify all actual and potential therapeutic problems in this case, focussing on Quality Use of Medicines approaches (drug & non-drug strategies or concerns);
  • Outline & discuss available options to resolve the issues identified (in order of priority);
  • Explain your team’s therapeutic plan as solutions to the therapeutic problems identified
  •  Outline other healthcare professionals that the patients could be referred to.

 

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