NUR2223 : Essay. Cardiac Scenario A Resident of an Aboriginal Aged Care - Medical Science Assignment Help

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Assignment 3 Essay. Cardiac Scenario A resident of an Aboriginal aged-care facility sought eye care. She was a senior Elder woman who had been blind for some years and needed eye surgery. In 2017 an enrolled nurse, who had been involved in the Fred Hollows program, began the process. First, a referral was arranged with a doctor in the local Aboriginal health service and an appointment made to see a specialist in the major regional town. After six months, an appointment was available and the woman travelled six hours by road with a carer and a driver. When they arrived, they were informed that the referral was out of date and they would need to get a new referral. They returned home and saw the general practitioner (GP) for a second referral, and waited months for their appointment. Finally, they saw the specialist, who said that her eye condition was beyond his ability and referred her to an Adelaide specialist. After much encouragement and support by aged-care staff, the woman flew to Adelaide for assessment with a mulpa (friend/companion) and the aged-care manager, who interpreted for her. It was determined that one eye could be operated on. They returned home to wait for the surgery date. Two surgery dates were made, and then cancelled, by the hospital in late 2018. The woman was very excited, then very upset, both times. No further surgery date was set. In January 2019, after repeated calls to the city and no positive response, a staff nurse rang the local Member of Parliament and explained the situation. By that afternoon, an appointment was made for five weeks’ time. A surgery date was set with pre-admission checks in the same week. The patient would not be able to fly after surgery, and so it was decided to take the agedcare bus with a carer and a driver. A second resident, requiring high levels of disability care, also required surgery the same week. The two patients were related, and could provide family support to each other. The two staff and two patients travelled to Adelaide in one day – a trip that took 12 hours. They were all exhausted when they arrived in the city, only to find that the motel was not suitable for their disability needs and they had to arrange alternative accommodation.

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