University : University of Southern Queensland UniLearnO is not sponsored or endorsed by this college or university.
Subject Code : NUR2102
Country : Australia
Assignment Task:

Brief task description

Apply Strategic Priority Area 1.1 (Promote health and reduce risk) and 2.1 (Active Engagement) of the National Strategic Framework for Chronic Conditions strategies and identify and describe how you would assess, intervene and evaluate care for the case study “Mr James Storey”.

Case Study: Mr James Storey. 

1. Identify the risk factors for Mr James Storey and clearly explain why these are risk factors for him. 

2. Using the best available evidence, identify the nursing assessments that are required to be conducted for Mr James Storey and the rationale for these. 

3. Using the best available evidence, discuss the self-management priorities that would be developed in collaboration with Mr James Storey. These should consider health promotion and reducing the risk of complications (Strategic Priority Area 1.1). 

4. Utilising the SMART acronym (Specific, Measurable, Achievable, Relevant and Timely) identify and describe one goal that will be set in collaboration with the patient from the self-management priorities identified in Q3. Explain why this goal was selected. 

5. Using the best available evidence, explain how goal setting may impact on actively engaging patients in their care (Strategic Priority Area 2.1). 

Mr James Storey case study 

Mr James Storey is a retired 66-year-old man with a 5-year history of type 2 diabetes. His past medical history includes hypertension and a family history of type 2 diabetes and cardiovascular disease. Although only recently diagnosed, he identifies as having hyperglycaemic symptoms for 2 years prior to diagnosis. At the time of initial diagnosis he was advised to lose weight (at least 5kg) but no further action was taken. James presents to his local General Practitioner (GP) with recent weight gain, suboptimal diabetes control, and bilateral foot pain. He has been wanting to lose weight and increase his exercise for the past 6 months, but states that he lacks motivation. 

James takes Metformin 1000mg once per day. He tolerates this medication but admits that he regularly forgets to adhere to his medication schedule. He does not test his blood glucose levels (BGLs) at home. He expresses doubt that this would help him improve his diabetes control as the doctor already knows that his blood sugar level is high. In the past, his wife has encouraged him to treat his diabetes with herbal remedies and weight-loss supplements. 

James recently closed his business due to the increased stress this was causing and states that he now has “nothing to do”. He used to be very active in a variety of community organisations, however, he now finds that he is constantly too tired to keep this up. James lives with his wife of 40 years and has two married children who live overseas. Although both his mother and father had type 2 diabetes, James has limited knowledge regarding diabetes management and states that he does not understand why he has diabetes since he rarely eats sugar. 

During the past year James has gained 12kg and, since retiring, he has become less physically active. He has never seen a dietitian and has not been instructed in self-monitoring of blood glucose (SMBG). James’s diet history reveals excessive carbohydrate intake in the form of bread and pasta. He also consumes five to seven pieces of fresh fruit per day at meals and as snacks. He drinks beer daily (approximately 3 standards drinks) and smokes occasionally. 

As part of his primary care assessment, James has never had a foot examination or ever received preventive foot care instruction. However, his medical records indicate that he has had no surgeries or hospitalizations, his immunizations are up to date, and, in general, he has been healthy for many years. 

 

This NUR2102: Nursing Assignment has been solved by our Nursing Experts at UniLearnO. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our Experts are well trained to follow all marking rubrics & referencing style.

Be it a used or new solution, the quality of the work submitted by our assignment experts remains unhampered. You may continue to expect the same or even better quality with the used and new assignment solution files respectively. There’s one thing to be noticed that you could choose one between the two and acquire an HD either way. You could choose a new assignment solution file to get yourself an exclusive, plagiarism (with free Turnitin file), expert quality assignment or order an old solution file that was considered worthy of the highest distinction.

  • Uploaded By : Alex Cerry
  • Posted on : May 28th, 2019
  • Downloads : 213

Whatsapp Tap to ChatGet instant assistance