Mrs Mabel Winter Case Study - Orthostatic Hypotension - Colles Fracture - Nursing Essay Writing Assessment Answer

Assignment Task:

Mrs Mabel Winter Case Study Nursing Essay Writing Assessment Answer

Task Description

If you have been allocated Case study A (Mary TONKIN) for assessment 1 then you will write this assignment based on case study B (Martin CHEN)

If you have been allocated Case study B (Martin CHEN) for assessment 1 then you will write this assignment based on case study C (Mabel WINTER)

If you have been allocated case study C (Mabel WINTER) for assessment 1 then you will write this assignment based on case study A (Mary TONKIN)

You are to use the information provided in the case study ONLY, do not include additional information, although each case is not comprehensive, and you can make assumptions based on the information provided within them.

This is a lengthy assessment and will require a lot of planning to ensure that you cover the asked for elements. In planning your essay, please refer to the marking rubric, this will assist you in identifying your word length for each asked for section. You are encouraged to use sub-headings throughout to assist the reader and focus your discussion

You are to assume that the patient is returning to home following their recent hospitalisation. 

Case C

Patient: Mabel Winter
Preferred name: 
DOB: 07/01/1930
Weight: 45 kgs
Height: 155cms
Family/Significant others
Daughters Anne and Jenny.

Background

Mrs Mabel Winter is an 89-year-old widowed woman admitted to hospital following a fall at home resulting in a fractured right hip (# R) NOF or neck of femur). She lives alone (with her two cats) in her own home, without any community supports. 

Mrs Winter has two supportive daughters who live nearby.  Each week, they take turns visiting their mother although they have been concerned about her increasing disinterest in caring for herself. Mabel used to play cards with her friends but has lost interest in any social activity. Mable says that she is happy to remain at home with her cats, watching television and pottering in her small garden. Mrs Winter is reluctant to eat because she has been experiencing dizziness when she stands, especially after eating.

Mrs Winter has been on the rehabilitation ward for two days and staff are concerned about her weight loss, poor concentration and general well-being. She is malnourished and has had several falls in the past, however, this is the first requiring hospitalisation. She is eager to return home as soon as possible.

Past medical history
 L) colles fracture,  2014,
R) humerus fracture 2016,
Orthostatic hypotension
LSCS X 2

Past family history
Father - cerebral vascular accident (CVA) - deceased
Mother - myocardial infarction (MI) - deceased
Sister - breast cancer - deceased

Allergies:
Nil known

Medications
PO Atorvastatin 10 mg
PO Captopril 25mg BD
PO Paracetamol 665 mg 8 hourly prn
PO Ostelin 1000 10mcg daily
 

 Please address the following:

• Provide an introduction that introduces your case study patient and provides context for what is to follow in the essay.
• What do you understand by the terms chronic and complex needs?.
• Do you believe that your patients have complex care needs?  If so, why?
• Clearly identify in order of priority, three (3) specific needs for your patient.
• For each of these needs, provide a detailed account of how they will best be met (in the patients home). This will include the multidisciplinary team members required, their role and a justification as to why they will be beneficial in assisting the persons to care and avoiding hospitalisation.
• In addition, outline any other resources that the patient may need to support their care and how these will be funded, i.e. will the patient need to pay in full, subsidise costs or not pay at all? 
• You will need to demonstrate the role of the registered nurse in assisting the patient to access services. Include in your response to any forms of information technology that the nurse may use to facilitate the use of these services
• Identify any potential barriers to this care, this may include issues such as social capital, ageism, cultural and social processes if applicable.
• Consider any issues related to the patient’s medication needs. (actual or potential)
• Provide a conclusion that sums up the main points in your essay.

It is expected that you include a variety of reference sources including government reports, credible government sites where appropriate and at least four (4) peer-reviewed journal articles as well as any others you choose to include.

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