NUR2102 - Promote Health and Reduce Risk - Mrs Anya Strico Case Study - Nursing Assignment Help

Assignment Task

Task detail

Step 1: Read the case study of Mrs Anya Strico as provided on page six of this task sheet.

Step 2: Read the National Strategic Framework for Chronic Conditions via the link provided in the Resources available to complete the task section below.

Focus your reading on Strategic Priority Area 1.1 (Promote health and reduce risk), Strategic Priority Area 2.1 (Active Engagement) and Objective 3 - Target priority populations of the National Strategic Framework for Chronic Conditions.

Step 3: Using the information provided in the case study and supported by the best available evidence, apply the National Strategic Framework for Chronic Conditions Strategic Priority Areas (1.1, 2.1 and Objective 3 – Target priority populations) in essay format responding to the following criteria:

Case Study; Mrs Anya Strico 
Mrs Anya Strico is a retired 75-year-old widower who is originally from Croatia. She has an eight (8)-year history of Chronic Obstructive Pulmonary Disease (COPD). Her past  medical history includes increasing breathlessness, frequent respiratory infections,  chest tightness, a chronic productive cough, persistent wheezing, pitting oedema in the  lower extremities, exercise intolerance, fatigue, and a lack of energy. At the time of  diagnosis, she was advised to lose weight (at least 5kg) as her BMI was 30 and to attend  Pulmonary Rehabilitation, but no further action was taken. Mrs Strico lives in a rural and  remote area that is 150 kms from the nearest tertiary hospital, medical centre, and  Pulmonary Rehabilitation Clinic. English is her second language. 
Mrs Strico presented to her nearest General Practitioner (GP) with another “chest  infection”. Mrs Strico presents with a productive cough with green sputum, breathlessness, fatigue, pitting oedema in the lower extremities, confusion, chest  tightness and wheezing. She has visited her GP three or four times a year with similar symptoms for the past three years. Her last COPD plan was reviewed was nine months  ago, where she was advised to cease smoking, given a prescription for Varenicline  tartrate but relapsed after a week, and did not return for a follow-up appointment. Mrs Strico has been wanting to lose weight and increase her exercise tolerance over the past 12 months, but states that she lacks motivation. 
Mrs Strico is prescribed an a short acting Beta2-agonist (reliever) inhaler and a long  acting Beta2-agonist inhaler (maintenance). She tolerates these medications but admits that she regularly forgets to take these medications and can never remember  which medication to take during a COPD flare-up. She routinely runs out of these medications as the nearest pharmacy is 150kms away.

Mrs Stricos husband died 8 years ago, and she has been receiving an aged care pension  since that time. Mrs Strico manages at home by herself, she refuses social help and is  adamant that she does not want to leave the home that she has lived in for 30 years.  She reluctantly relies on her nearest neighbour to travel with, as it is 150 kms to the  closest metropolitan centre for food, health care services and other essentials. Mrs  Strico used to be very active as a volunteer in the small community she resides in  however, she now finds that she is too exhausted to keep this up. Mrs Strico states that  she now has “nothing to do” and feels “isolated and lonely”. She has no children or living relatives in Australia. Although she is aware that her father had COPD, Mrs Strico has limited knowledge regarding the management of this condition and states that she  thought little could be done to slow the progression COPD.

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