NUR241 - Health Alterations - Mini Case Study - Nursing Assignment Help

Assignmenmt Task

Task goal: The goal of this case study is to identify ethical aspects of the role of the registered nurse / registered midwife when providing care to individuals with suboptimal or compromised participation in healthcare, and to plan patient discharge that adheres to the Social Justice Framework.

Task description:

Present a response to a clinical scenario demonstrating appropriate assessment and plan the discharge for an individual experiencing health alterations with poor access to and participation in healthcare.

Clinical Scenario 1

Assessment Shane was first diagnosed with diabetes at the age of 20. He has infrequent contact with his GP and has not seen a diabetic educator for several years, as he has “not needed to go to hospital”. Shane has been on Metformin since he was 20 and was started on Actrapid 2 years ago. Shane states that he is confused by his “blood sugar machine” and uses it infrequently. Shane says that he gets his Grandmother, Doreen to do his injections. Shane lives with Doreen, he is her registered carer. Doreen also has T2DM, in addition to obesity, cardiovascular disease, and Transient ischaemic attacks. Shane’s parents moved back to Western Australia to take up jobs in the Mining Industry 4 years ago, he has not seen them since. Shane admits to daily alcohol intake, cigarettes and weekly marijuana use. Shane has a diet incorporating take away foods and energy drinks. Doreen cooks a Sunday roast when she is able. Shane likes to cook cheese toasties. Shane stays up late and sleeps late into the morning, as has been unemployed for three and a half years since he was released from prison. Shane sparingly attends to activities of daily living but is fully capable.
Shane lives on the outskirts of a regional town and relies on the regional bus service to get into town for shopping. Where he lives there are no dedicated walking or cycling tracks. Shane does not engage in any recreational activities or social activities, but he likes to chat to the people at the corner shop.

Clinical Scenario 2

Assessment Nur has not attended a hospital since being resettled in Australia, in her native Myanmar she had no access to hospitals, so she is confused and fearful of persons of authority. On entry to Australia Nur was vaccinated and these are still up to date. Nur does not have a GP and has not attended for any health screening appointments. Both of Nur’s parents died before she arrived at the refugee camp. She has eight siblings but does not know their health history. Nur has one child but she has not seen her since entering the refugee camp. Nur drinks tea but not coffee or drinks. Nur skips meals to save on
the cost of groceries. Nur lives in a share house on the outskirts of a large metropolitan area where there is infrequent public transport. Nur goes to bed late and wakes up early to work two jobs, cleaning at night and fruit picking at a farm during the day. Nur is fully capable in ADLs. Nur has no time for recreation or hobbies.

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