Nursing - Mr Tomasi Joni Case Study Assessment Answer

Nursing - Mr Tomasi Joni Case Study Assessment Answer

Task:

Case Study - Mr Tomasi Joni
Mr Tomasi Joni is a 56 year old male of Fijian background, who currently lives with his wife (Theresa) and three children (ages 14, 17 and 18 ) in the Inner West City of Melbourne. He recently presented to his GP clinic for his annual health check.  Following the review of his laboratory tests and assessment results, the GP was concerned that Mr Joni was at risk of developing multiple health complications.
He has since been referred to you, the practice nurse, for a care plan to reduce his risk of these complications and improve his overall health.

Mr Joni works full time as a mechanical engineer and is currently averaging 50 hours/week which means he needs to work on most weekends.  He has always been socially active within his Church community, but due to his increased working hours this has restricted his ability to attend mass and contribute to his community. He states that he needs to “prioritise any free time I have so I can spend it with the kids, especially my oldest who is doing VCE this year”.  Mr Joni states that he tries to exercise when he has time and walks to the train station every day to get to work, which is 8 minutes each way. He also goes bowling with his friends every
Thursday night and then enjoys a pub dinner afterwards with a “couple of beers”.  He smokes 1 pack of cigarettes a week but this can increase if work becomes “too stressful”. 
As Theresa also works full time, they do not have a lot of time to cook. Therefore, the family eat takeaway 3 times/week and then go to his parent’s house for dinner the rest of the week.
Mr Joni has a history of hypertension, gout and had an AMI in 2016. He has moderate Obstructive Sleep Apnoea (OSA) and requires CPAP for overnight sleep.

Steps 1, 2, 3 and 4 – Consider the patient situation, collect cues, process information and identify the issue:

•  Discuss the incidence of the chosen complication, and address the questions:

. What is the likelihood of Mr Joni experiencing this complication?
. What evidence suggests this?

•  Discuss the pathophysiology of the chosen complication, and address the question:

. What are the consequences of this complication for Mr Joni?
Steps 5 and 6 - Establish goals and take action

•  In consultation with Mr Joni, set two goals for him to reduce his risk of developing the complication?
•  Identify interventions to achieve the above goals. The interventions should:

. be both nursing and patient based
. consider both pharmacological and non-pharmacological management
. recognise strategies to empower and education Mr Joni to take initiative to alter his lifestyle factors.

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