Highlights
Case Report:
The case report must include the following: Introduction (2.5 marks) - 200 words
Using the ISBAR clinical handover framework, introduce the client and provide a brief overview of their case. Provide an outline of the purpose and structure of the report.
Primary medical diagnosis (3.75 marks) - 300 words
Identify the primary medical diagnosis for the client (i.e. Diabetic Retinopathy). Provide a brief description of the pathophysiology of Diabetic Retinopathy, with clear links to the case scenario. Support this discussion using current literature (last 10 years).
Medication management (3.75 marks) - 300 words
Identify the current medications prescribed for the client. Provide a brief description of the medications (i.e. mechanism of action, indication, side-effects and precautions). Support this discussion using current literature (last 10 years).
Nursing diagnoses (3.75 marks) - 300 words
(a) Nursing problem related to medical diagnosis
Using your knowledge of pathophysiology, document one (1) nursing problem that may arise as a result of the client’s primary medical diagnosis. This problem may be an actual or potential nursing problem. Provide a brief description for why this problem may arise for this client. Support this discussion using current literature (last 10 years).
(b) Nursing problem related medication management:
Using your knowledge of pharmacology, document one (1) nursing problem that may arise as a result of the client’s current medications. This problem may be an actual or potential nursing problem. Provide a brief description for why this problem may arise for this client. Support this discussion using current literature (last 10 years).
Nursing Role and Inter-professional Plan of Care (6.25 marks) - 700 words
As the community nurse working as part of the aged care assessment team, discuss how you would facilitate an interprofessional plan of care for this client, with consideration to the two identified nursing diagnoses.
Discuss the aim for and importance of using an interprofessional approach. Discuss the role of the Registered nurse to facilitate the interdisciplinary plan of care for this client. Identify the key members of the interprofessional health care team, and the role that they would play, specific to the two identified nursing diagnoses. Support this discussion using current literature (last 10 years).
Summary (2.5 marks) - 200 words
Summarise the major findings of this case report. Referencing (1.25 marks)
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