NUR241 Health Alterations : Nurse in Encouraging Access

NUR241 Health Alterations : Nurse in Encouraging Access

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NUR241 Health Alterations

Task

Assesment Goal:

The goal of this case study is for you to identify the role of the registered nurse / registered midwife in evidence-based assessment and care of individuals experiencing health alterations when access to healthcare is suboptimal or compromised. You also articulate the role of the nurse in encouraging access to, and

participation in healthcare.

Assesment Description:

Present a response to a clinical scenario demonstrating appropriate assessment, management and discharge of an individual experiencing health alterations. 

When Mrs Mangle was found she was in her pyjamas without her dressing gown. This is unusual as normally she is up and dressed, walking with Alby at 6am. Alby was inside the house calling out to Sadie. It is suspected that Mrs Mangle collapsed during the night while letting her dog, Bouncer, go to the toilet.

Mrs Mangle is now bed bound due to weakness in the right side (failed on bed mobility test). Mrs Mangle is unable to change positions in bed. The physiotherapy review is pending.

Mrs Mangle requires a modified diet due to delayed swallow (assessed by a speech pathologist this morning). The patient is exhibiting “word salad” where the patient is selecting incorrect words.

The patient has not been incontinent, but has a pad in place for now.

Mrs Mangle has a normal western diet low in fibre, high in fats and carbohydrates, moderate alcohol intake, but she does not smoke.

Normally she sleeps little and is usually independent with ADLs.

Mrs Mangle and her husband Alby chief recreation is walking and gossiping with neighbours.

Mr Mangle lost his license for medical reasons (partial blindness), they both live on the pension and have minimal savings. They owntheir own home, this is a high set building with 12 steps to the front door. You have been told that Mike, from next door is dropping in to keep an eye on Alby every day. Mrs Mangle seems frustrated in her attempts to communicate, she is often found crying. 

NUR241 Health Alterations

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