NRSG138: Transition to Nursing - Tula Case Study - Nursing Assignment Help

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Case Study: Tula Folau 

Tula is a 38-year-old Samoan woman who works at a textile factory in Dandenong, Melbourne. She is in a relationship with Paul who is 41 and works as a building labourer. She has one child, Lydia who is 10. Lydia’s father Tom has a good relationship with Tula and shares the care of Lydia. 

Tula’s assessment information is as follows 

• Weight: 114kg 

• Height: 160cm 

• BMI: 44.5 

• Past Medical History: # L) ulna aged 6, Polycystic Ovary Syndrome (PCOS) diagnosed aged 17, hypertension 

• Current Meds: Irbesartan 150mg PO daily 

• Admission history: Admitted with a persistent dry cough, paroxysmal expiratory wheeze, Tula states that she developed acute dyspnoea towards the end of her 12 hour factory shift. Transported to local emergency department by ambulance, and following assessment was admitted to the respiratory unit for assessment and review of treatment. 

• During Tula’s eight day inpatient stay her care was coordinated by the unit nurses. She was reviewed by a respiratory consultant, a physiotherapist, a social worker and a respiratory CNC. Following clinical examination and respiratory function testing, she was diagnosed with adult onset asthma, and  commenced on salbutamol (Ventolin) and salmetreol/fluticasone (Seretide) inhalers.

 

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