NURS 3003: Mrs Mary Tonkin - Case Study - Report - Nursing Assignment Help

Assignment Task:

Family/Significant others

Three grown sons, two live in Queensland and her youngest son Sam lives with his wife and their 4 young children in a suburb 20 minutes drive from Mary. 

Her son Sam receives a carer's allowance to care for his mother and is very worried about her. He is supportive and visits her three times a week. Rachael, his wife is unhappy with Sam spending so much time at Mary's house as she is busy working full time and caring for the children. Rachael would like Mary to be placed in a residential aged care facility, however, Sam knows that this is not what Mary wants.

Background

Mrs. Mary TONKIN is a 79-year-old widow who lives alone in a house in the suburb of Marion in metropolitan South Australia.

Mary's husband died 10 years ago following a fall from a ladder and a fractured femur. Complications contributing to his death were osteomyelitis and pneumonia. Consequently, Mary is fearful of hospitals and is adamant that she wants to stay in her own home.

Mary lives (with her two cats) independently in the large family home. Over the past three years she has noticed her health declining which has made it difficult for her to carry out activities around the home such as cleaning and gardening as she is becoming very tired and occasionally, diaphoretic and short of breath. Mary also feels as though she is becoming more forgetful lately as she found herself placing frozen food items in the cupboard rather than the fridge.  Mary has some left-sided leg hemiparesis following her recent stroke but manages to walk with the aid of a walking stick.

Hospital stay

Mary has spent the last five days in the hospital recovering after an episode of dizziness, shortness of breath and fatigue. The doctors at the hospital felt that Mary may have had a brief period of rapid atrial fibrillation (AF) at the time. Following a diagnostic transoesophageal echocardiogram and cardioversion, her AF has now resolved, and she is cleared to return home.

Assessment: Case study essay 
While each case study is not fully comprehensive, you are to use the information provided in the case study ONLY, do not include additional information. You may, however, make some assumptions based on the information provided in the case studies. 

The assignment:

• an introduction in which you introduce your case study patient and provide context for what is to follow in the essay.

• Illustrate what you understand by the terms chronic and complex needs?.
• Do you believe that your case study patient has complex care needs?  If so, why?
• identify in order of priority, three (3) specific needs for your patient.
• Provide a rationale as to why you have prioritized these needs
• For each of these needs, provide a detailed account of how they will best be met (in the patient's home). This will include information about how these needs will be met and the multidisciplinary team members required, their role and a justification as to why they will be beneficial in assisting the persons care and avoiding hospitalization.
• demonstrate the role of the registered nurse in assisting the patient to access services. 
• Identify two potential barriers to this care, this may include issues such as social capital, ageism, cultural and social processes if applicable.
• Consider any issues related to the patient’s medication needs. (actual or potential)
• Provide a conclusion that sums up the main points in your essay.

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