Mr. Paul Stevens Paul Case Study - Nursing Assignment Help

Assignment Task

Case Study – Mr Paul Stevens Paul is a 48 year old man who had an accident at work, resulting in a Traumatic Brain Injury (TBI). Paul has significant leftsided weakness, severe dysphagia and dysphasia. He has been discharged from the acute setting to impatient rehabilitation for intensive therapy to help with his mobility, feeding and speech. Paul’s husband Gary is very supportive and has assumed primary caring responsibilities for their 8 year old daughter, Rosemary. Paul and his family previously led a very active lifestyle that included regular outdoor activities such as hiking, horse riding and camping.

Paul was in hospital for over 4 weeks prior to rehabilitation admission and is expected to spend a significant amount of time in rehabilitation to try and regain as much function as possible. Paul is currently unable to transfer himself and requires significant assistance with all ADL’s. Paul has tried using a 4 wheel walker in the hospital physiotherapy sessions but has not been successfully able to mobilise without significant support and assistance. Prior to the accident Paul was active with no significant medical history but does have a family history of bowel cancer, hypertension and cardiac issues.

Paul is expected to be in rehabilitation for up to 8 weeks depending on his progress. Paul has not been able to express how he feels regarding his accident due to the dysphasia, but his partner Gary feels that he is not coping well with the possibility of significant long term changes to his lifestyle if he is not able to fully recover. Rosemary has been visiting Paul daily but is reluctant to stay for long because the hospital “smells funny”. You have just admitted Paul to the rehabilitation centre. You are his assigned primary nurse.

Using the Case Study patient you have completed the nursing care plan presentation for, explore and critically analyse the goals, interventions and support needs and requirements for your patient in the rehabilitation and community setting.?Critically analyse three key goals of rehabilitation that your case study patient wants to achieve at the completion of their inpatient journey. In doing so,consideroThe relationship between nursing care/interventions and the patients identified goals in the rehabilitationsettingoCollaboration within the multi-disciplinaryteamoWhat support other team members will offer duringrehabilitation?Provide a comprehensive discussion related to discharge planning that identifies appropriate interventions and support services your patient will require when discharged home to the community. You should research the literature to provide an evidence based discussion that offers thereader:

- A clear demonstration that you understand the need for comprehensive discharge planning and the role the nurse can play in ensuring the plan can meet the person’s needs in community/athomeoA clear demonstration that you have researched appropriate interventions and supports that would be most suitable for this patient.

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