Nursing Care Patients Health Issues Assignment

Assignment Task

Description

In order to explore the experiences of priority group populations with chronic illness, students are invited to draw on their own experiences as a patient, carer or from clinical placements to firstly write a Discussion Post from the case study patient point of view. Students will then respond to a peer's post as a student nurse, addressing the patient's concerns with evidence-based practice.

Instructions

Part A -Using the case study details and personal experience as a patient, carer or from clinical placements, create a Discussion Post from the patient point of view. This should include concerns and/or fears and similar, related to case study admission and can cover physical and/or psychosocial concerns.

Part B - Choose any one (1) of the Patient Discussion Posts and respond from the point of view of a student nurse. You should address all concerns with evidence and referencing. 

• Addressing the three (3) concerns/issues from the Patient Discussion Post, describe how you would care for this patient considering person-centred care for a patient with complex needs.

Case Study

Sam Bielenberg is a 24-year-old person who identifies as non-binary.  They were admitted 6 days ago for IV antibiotic therapy to manage and treat a significant infected wound on their right foot.  Sam has been informed by the orthopaedic team that if the wound does not respond to the antibiotics, there is a risk amputation of her foot may be necessary.

Sam has a 10-year history of IV drug use and has not always used clean needles.  They are currently on AWS assessments, although Sam is currently exhibiting less symptoms then at admission.  They are still quite restless and are often asking to go outside to smoke.  Sam currently smokes 40 plus cigarettes a day, especially when they are not actively using drugs. 

Sam has never had any contact with their father, nor are there any siblings.  Sam’s mother was also an only child who had a significant history of drug use and died of an overdose over 5 years ago.  Sam was sexually assaulted by her mother’s partner from the age of four until they ran away from home at age 14 and Sam states this led to a diagnosis of PTSD. 

After leaving home, Sam dropped out of school and lived on the streets for several years.  They survived by operating as an independent sex worker.  Again, this was not always performed in a safe and healthy manner.  Sam admits that they do not always practice safe sex.

Sam was close to their maternal grandfather who did his best to support them where he could, although he suffered from badly managed diabetes.  This led to peripheral vascular disease (PVD) and peripheral neuropathy.  Sam’s grandfather had bilateral above knee lower limb amputations over several surgeries, became vision impaired and suffered from chronic kidney disease (CKD).  Sam’s grandfather died recently from complications of disease processes. Sam attributes this to their latest relapse with drugs and admits to injecting into their foot.

Sam is hepatitis C positive, which is poorly managed, is suffering from malnutrition and has been recently treated for an STI.

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