Mr Jackson's Case Study - Nursing Assignment Help

Assignement Task :

Case Report

This assessment will consist of a clinical case report. The completed case report will need to be submitted via the Health of Older Adults (NURS 2024) course site

Assessment 1:

case report link by the assessment due date.

Relevance:

In order to plan and provide optimal person-centred nursing care, Registered nurses need to be able to interpret clinical information and draw upon their knowledge of pathophysiology and evidence-based clinical practice. Therefore, the purpose of this assessment is to support the development of the skills needed to evaluate evidence and to develop reflection and clinical reasoning skills.

What you need to do:

Based upon the clinical scenario provided below, construct a case report which is a detailed report of the client's clinical presentation, nursing diagnosis and inter-professional plan of care. The case report will draw upon your knowledge of pathophysiology, pharmacology and relevant academic literature to support an evidence-based plan of care. The case report must be presented using the headings provided below. A description of the content for each section of the report has been provided. It is important that all sections of the report are conceptually connected. For example, your knowledge of pathophysiology and pharmacology, and your understanding of this particular client, should underpin the nursing problems that you identify which should, in turn, drive the inter-professional plan of care that is relevant for this clinical scenario.

Case Report:

The case report must include the following:

Introduction

Using the ISBAR clinical handover framework, introduce the client and provide a brief overview of their case. Provide an outline of the purpose and structure of the report. 

Clinical Scenario

 Mr Jackson's doctor has prescribed Metformin 500mg twice daily and Metoprolol 50mg twice daily. Mr Jackson lives alone, in his own home. He is a self-described bachelor, but he has a daughter who lives interstate, from a relationship he had in his 20s. The referral from the General Practitioner (GP) indicates that he has suboptimal blood pressure and diabetes control, despite medication management and recommended dietary control. The last blood pressure recorded was 159mmHg/96mmHg and his glycated haemoglobin (HbA1C) has never been less than 8%. Mr Jackson lives in a single-storey home, with a sunken living room and an outdoor veranda leading to a large, overgrown garden. Each room of the home appears cluttered, with 'keepsakes' from overseas travels and old newspapers stacked in piles in each room of the home. On general appearance, Mr Jackson appears overweight and has a flushed facial appearance. He wears glasses for reading and says that he loves to read but has been having trouble recently and describes his vision as 'patchy and blurred'. On questioning, he does admit to feeling 'fuzzy in the head' if he forgets to take his tablets, but otherwise feels that he is in good general health. He states that he has "never been sick a day in my life" and only retired because he lost his drivers' license due to his impaired vision. Mr Jackson does not routinely test his blood glucose levels at home and expresses doubt that this would help him, saying: "what would knowing the numbers do for me? The doctor already knows the sugars are high". Mr Jackson has been trying to lose weight for the past 6 months, without success; but feels that he has more time for exercise now that he is retired. Mr Jackson wants to remain in his own home, that he has lived in all his adult life, and takes pride in his cooking and making his own home-brew. 

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