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Identify and provide rationale for your decision about the patients? stage on the illness trajectory.

CASE STUDY

Using ONE of the case studies provided :
Case study 1
You are a nurse working in a general practice setting, your next patient is a 16 year old boy who is
classified as morbidly obese with a BMI of 38 and a waist circumference of 96cm.
He has attended the clinic for blood pressure and weight monitoring and to review his blood tests,
the GP has asked that you weigh the patient and document his blood pressure and BGL. His fasting
lipids have returned and show a raised LDL, raised triglycerides and a normal HDL.
You notice form the notes that the patient was referred a year ago to a dietician and for exercise on
prescription but has not lost any weight. You note his mother is also registered as overweight has
type 2 diabetes and hypertension. His father is not overweight, but suffers with hyperlipidaemia
controlled by medication.
Please discuss ONE of the following strategies in relation to the care of this patient.
 empowerment,
 Collaborative decision making,
 diversity.
Case Study 2
You are a nurse working on a rehabilitation ward. Your patient Luigi Papadoplis is an elderly
gentleman who is ready for discharge. He is 88 years of age and suffers with motor neurone disease.
He is a proud Italian man, who is proud of working as a plumber for the last 40 years since he
emigrated to Australia. His wife Joan is Australian, she is 80 and is reasonable fit and well apart from
her macular degeneration and therefore does not see very well. Luigi will be going home with a
walking frame. Discuss how you would introduce injury prevention with this couple.
Please discuss ONE of the following strategies in relation to the care of this patient.
 empowerment,
 Collaborative decision making,
 diversity.
Case study 3
Jake is a 7 year old little boy who had an anaphylactic reaction to peanuts. He is in the emergency
department with his mother and her boyfriend. His parents have been separated for a year and the
split was unpleasant. Both parents are devoted to the Jake. Jake lives with his mum and spends
every second weekend with his father. Jake had been at a birthday party and had eaten a chocolate
bar containing nuts. He collapsed at the party, his face swelled and his breathing deteriorated. He
was taken to the ED by ambulance. Adrenaline had been administered in the Ambulance and Jake
was recovering well by the time they reached hospital. Jake was to be discharged home with an
antihistamine and a referral to the immunologist. The immunologist prescribes an epi pen and as the
nurse in the specialist centre you need to discuss the prescription and the allergy with the family.
Please discuss ONE of the following strategies in relation to the care of this patient and his family.
 empowerment,
 Collaborative decision making,
 diversity.
Case study 4
Paul is a 40 year old indigenous man with severe asthma. He works as an electrician and has taken
up extra work on a weekend working in a new housing development in new houses. He is working
extra hours as he recently got married and his partner is expecting their first child. However working
in the new houses seems to have affected his health and he has had 2 acute admissions for his
asthma in the last 6 months. Although these two episodes have been frightening at the time, Paul
does not recognise the seriousness of his asthma.
Please discuss ONE of the following strategies in relation to the care of this patient and his family.
 empowerment,


 

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