Chronic Health Problems- Nursing Case Study

Chronic Health Problems- Nursing Case Study

Chronic Health Problems- Nursing Case Study

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Chronic Health Problems- Nursing Case Study Assignment

Case Study:

John Magill, 75 years of age, has been admitted to hospital after having a fall at home. John was diagnosed with Parkinson’s disease five years ago. On arrival at the emergency department he was noted to have a generalised tremor and decreased mobility. John is a little confused and complaining of hip and back discomfort. He is very worried about his medications which are due to be taken.

On assessment:
Restless, agitated and at times teary. Xrays reveal no fractures to John’s lower limbs however he has sustained significant generalised bruising especially to his hips and buttocks and a skin tear to his right hip. Nursing staff noted that John started to cough after being given a drink of water.

Temperature- 37.2
Respiratory rate- 24
Heart Rate- 76
Oxygen saturation- 99%,
BP- 145/80
Weight- 78 Kgs

Medical Management:
Citalopram 20mgms daily
Kinson (100 mg of levodopa and 25 mg of anhydrous carbidopa) 1 tablet TDS
Madopar HBS 125mgs Nocte (controlled release)

Social history:
John lives at home with his wife, Fran, who assists with his care. Fran is currently in remission from multiple myeloma. John does not smoke and consumes alcohol very rarely.

The assignment should include these components:
1) Introduction
2) Possible causes / risks factors related to the health condition
3) Discuss clinical manifestations of Parkinson’s disease and key physical assessment
4) Discuss medical management including medications
5) Develop holistic nursing care plans using NANDA in order of priority. It should consist of
a) Three nursing diagnosis
b) A goal for each nursing diagnosis
c) Three nursing interventions
d) Three rationales for each
e) An evaluation for each diagnosis
6) Make a discharge plan for John, focusing on the health education and any referrals to allied health professionals you think John and his wife may need
7) Referencing
8) Presentation
9) Grammar, spelling and punctuation

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.


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