The purpose of this assessment is to:
1.Develop critical thinking and clinical reasoning skills in managing patients with chronic conditions.
2.To prepare students to effectively manage chronic care within various health care contexts.
3.To develop students abilities to provide relevant information to patients about their condition with consideration of the patients individual needs and context for example, health literacy, developmental stage, culture and existing knowledge.
You are provided with 4 case scenarios you only need to choose ONE (1) scenario to discuss in this assignment. In each of the scenarios the patient has both a chronic disease and a presenting condition, you may also identify other comorbidities which may be relevant to the patient. You must complete both Part A and Part B of this assessment.
Part A: Written Case Analysis Essay
In this essay you will analyse the case study you have chosen giving a brief description of the chronic condition and the presenting health issues for the person. This will give context to the patient Information resource you create in Part B.
Rationale for Part A: The case study analysis forms the background and research leading to the creation of a Patient Information Resource. Through this assessment students will demonstrate an understanding of chronic illness across the lifespan and the impact on the individual, family and community. Students will also have the opportunity to consider, through the assignment, the needs of culturally diverse, disadvantaged and vulnerable groups with chronic conditions.
What you need to include in your essay:
• Identify both the chronic disease and the presenting condition. If the patient has complex or two chronic diseases these need to be addressed.
• Succinctly describe the pathophysiology, symptoms, anatomy and physiology associated with the chronic condition/s and the presenting issue.
• Provide a brief outline of the relevant diagnostic and ongoing tests (e.g. blood tests, vital signs, x-rays, physiotherapy), associated with the patient’s chronic and presenting conditions.
• Outline two (2) potential problems (complications) associated with the chronic disease.
• Briefly outline the psychosocial developmental, cultural and health literacy considerations for the person in your case study. Developmental theorists have been identified in the modules on the StudyDesk, you are encouraged to use your recommended texts and library resources.
• Describe three (3) priorities of nursing management for the patient’s chronic and presenting condition. These may include nursing management, and/ or pharmacological /non-pharmacological management and/ or self-management.
Task Part B – Patient Information Resource
The patient Information resource, can be written in the style of a pamphlet or hand out, or alternately, a blog or website article for the patient and family/ carer in your case study, about the chronic condition being experienced. It will describe what the condition is, and the care and self-management required to ensure a healthy lifestyle is maintained. You must consider the developmental considerations, cultural needs and health literacy of the patient in your case scenario and produce a resource that would be appropriate for their needs. All of the information for your patient resource you should have already covered in the case analysis essay, this resource requires you to simplify it and explain it in plain language for your patient. This resource only requires you to focus on the chronic condition.
Rationale for Part B: A patient information resource offers you, as a nurse, a method of providing information to patients and their families on various chronic conditions. The information resource that you produce for this assessment can be used as part of a professional portfolio or used within your nursing practice in a health facility to educate clients.
What you need to include in the patient resource
• Describe the condition, symptoms, anatomy/ physiology behind the condition (i.e. causes)
• Outline the potential tests, treatments and medications that the patient may experience in the course of managing the condition
• Briefly describe three (3) management strategies e.g. options for relief of symptoms, lifestyle changes, prevention of relapse/escalation/complications.
• Include a link to an additional resource on the condition that patients and their families can read or watch (i.e.: a website, YouTube video). Note these must be from reputable sources but with a patient, not medical practitioner focus.
Case Scenarios - please choose one (1) only for your assignment
Case Scenario Topic 1:
Garry is a 55-year-old Indigenous male with terminal (life limiting) prostate cancer and intolerable pain. Garry was diagnosed with prostate cancer 5 years ago and had a prostatectomy. Treatment has been unsuccessful, and he now has metastasis in his spine and lungs. He has been admitted to the Hospice after falling at home. His sister Iris who he now lives with, is now finding it difficult to cope and care for her older brothers increasing needs as she works and cares for her young family. Garry’s pain has become intolerable, particularly in his lower back and he needs this reviewed. He is feeling isolated and wants to go home as soon as possible
Case Scenario Topic 2:
Clara is a 16-year-old who became sick after attending school biology camp. Clara has type 1 Diabetes and is attending the GP’s clinic with a 24 hour history of fever, nausea and vomiting. The school reported that several students on the camp have also been sick with ‘Gastroenteritis’. Her mum Kylie is very anxious and tells the nurse that she is not sure if Clara was taking her insulin at camp as she feels self-conscious around her peers. She said her daughter has not been eating or drinking much and has noticed she is very lethargic.
Case Scenario Topic 3:
Shaun is an 86-year-old male, with type 2 diabetes and he has foot ulcers. Shaun has had a long history with resistant to heal diabetic ulcers on his feet caused through shoe trauma. On discharge the infection had abated however the foot ulcers had not healed. When taking down his dressings today, the visiting wound care nurse noted a pungent odour, his foot ulcers were visibly deteriorating with bright green exudate and large amounts of slough in the base of his ulcers. His wound margins were inflamed and his skin surrounding the ulcers is red and hot. Shaun has also been losing weight, a total of 6kg in 3 weeks. He has not been feeling like eating much recently, and the visiting nurse is concerned about him becoming depressed.