NURS2006 – Chronic Illness and Nursing Care Case Study - Medical Science Assignment Help

Assignment Task:

Task:

In this assessment, you are required to answer the following questions, based on the case study of David Freeman:

You are the Student Nurse in the pulmonary rehabilitation centre at a local regional hospital that David is now attending. He was referred from his previous practice for the management of his chronic respiratory condition: chronic obstructive pulmonary disease. David has finally told his family about his new chronic condition and is here to learn more about his condition, and how to manage it.

David is a previously healthy 60-year-old indigenous man, who presented to the pulmonary rehabilitation centre at a local regional hospital. Upon assessment David informs you that he has been recently diagnosed with chronic obstructive pulmonary disease (COPD), he has recently told his family about his new chronic condition and is not sure how to manage it.

David stated that he has been experiencing a productive cough and an increased shortness of breath on exertion over the last two days.
David reports that he smokes 10-15 cigarettes per day and has done so for the last 20 years. He works in the construction industry in rural Australia and volunteers with the local country fire authority. He has been feeling ‘very tired’ and presenting productive cough over the last three months for at least two years but attributed this to ‘working too hard, and not exercising’. His regular general practitioner had recently prescribed him Ventolin via an inhaler PRN. He reports that he does get occasional chest infection when the local council undertakes hazard-reduction burns for bushfire management in his local area.
 

On physical examination, David’s vital signs are as follows:
• Heart rate 86bpm
• Respiratory rate 19 bpm
• Blood pressure: 142/70 mmHg
• SpO2 90% on room air
• FEV/FVC 57%
 

On Inspection
• Hypertrophied neck muscles
• Leaning forward in a tripod position (arms braced against the knees)
• Tense and tired expression
• Pursing the kips in a whistling position to breath
 

On chest auscultation:
• Reduced breath sounds bilaterally
• Crackles in the bases of his lungs

Question 1:
What role would you (the nurse) play in David’s care?
Question 2:

What health education would the nurse need to provide David about managing his COPD? What self- management and behavioural change strategies would you recommend to David that could increase his independence and well-being, when dealing with his chronic condition?
 

How to structure your case study:

Part 1: Role of the Registered Nurse

1. Introduction (150 words): You will provide a brief introduction explaining the content of this case study and the scope of the discussion.

2. Role of the Registered Nurse (300 words): In this section, you must discuss the role the registered nurse will play in the treatment of a newly diagnosed patient with chronic obstructive pulmonary disease in the pulmonary rehabilitation unit. This is an opportunity to demonstrate your understanding of the management of chronic illnesses, linking this to high-quality literature.

Part 2: Patient Education

1. Patient education (600 words): In this section, you will discuss the content of the education that this patient will require in relation to his current health status. Consider all the cues provided in the case study that has been provided and how the education and knowledge you provide now about risk factors, signs and symptoms, will aid your patient in the future. Demonstrate your ability to find high-quality literature that supports your discussion.

2. Self- management strategies (300 words): In this section, you will discuss the self-management and behavioural strategies that David could use to increase his independence and well-being when living with his chronic condition. Consider and discuss why it is so important to enable your patient to play the lead role in their own care.

Part 3: Conclusion and referencing
1. Conclusion (150 words): Conclude the assignment by summarising the content of each part succinctly. Please do not add new ideas or references in the conclusion.

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