NRSG374:Mr Nathan Rollin Case Study - Nursing Assignment Help

Assignment Task :

INTRODUCTION
This case study will focus on patient centred care of Mr Nathan Rollins, a 64-year-old man with an extensive cardiac health history and a recent diagnosis of rapidly
progressive Parkinson’s Disease (PD). Mr Rollins has been caring for his wife at home who has been recovering from a hip replacement surgery related to degenerative changes from Rheumatoid Arthritis (RA). Together the two of them had led an active life working hard to support each other after many years of work and enjoy their much-loved garden and home. Nathan’s wife Heather has noticed that he has been experiencing increased pain and shortness of breath assisting her with her ADL’s, however, does not know how to get any help or if they are even eligible.

KEY CONCEPTS
1. Importance of patient centred care
2. Movement and Non-Movement Issues faced by the patient with PD
3. Early Palliative Care Referral and MDT involvement in the PD setting
4. Highlight the importance of Advanced Care Directives

IDENTIFYING PROBLEMS/ISSUES
Actual and Potential Nursing Diagnoses to Consider
• Potential for increased falls risk related to movement disorders manifested by tremor and bradykinesia
• Increased potential for depression related to poor prognosis and altered mobility impacting Quality of Life (QoL)
• Potential risk for depression related to apathy and poor prognosis
• Increased risk of medication interactions related to polypharmacy
• Actual increased pain related to muscle rigidity and nerve compression in lower back and neck
• Actual loss of independence causing concerns for future care for Nathan and Heather
• Brainstorm some other nursing diagnoses either actual or potential that are important for the Multi-disciplinary Team (MDT) to address

• How can Community Palliative Care services and early palliative care referral assist with these issues?
• How can the National Palliative Care Standards, (2018) assist in the QoL for Nathan and Heather?

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