This case analysis is concerning a 64 year-old woman named Freda Smith referred to a local hospital in the community health center for ongoing care. Freda Smith was discharged home two days ago and diagnosed with rheumatoid arthritis ten years ago and chronic heart failure five years ago. Freda has a cataract in her left eye which will be removed in three months. During the hospital stay Freda was diagnosed with Type 2 Diabetes and commenced on insulin, her regular BGL have been ranging from 18.5 to 25.6 mmol/L. Freda lives with her husband John, in a two-bedroom second storey unit. This is a lift access within the building. John works full time as a builder and Freda works in his office as the office manager. John and Fred have four children, three sons and 1 daughter all of them live overseas. Freda is170 cm tall and weighs 110kigs.
¶ … Freda smith a 64-year woman referred local hospital community Health centre ongoing care. Freda discharged home 2 days ago. She diagnosed rheumatoid arthritis 10 years ago chronic heart failure 5 years ago.
Instructions:
Freda smith is a 64-year-old woman who has been referred by the local hospital to the community Health centre for ongoing care. Freda was discharged home 2 days ago. She was diagnosed with rheumatoid arthritis 10 years ago and chronic heart failure 5 years ago.
She also has a cataract in her left eye which will be removed in 3 months.
During her recent hospital stay she has been diagnosed with Type 2 Diabetes and commenced on insulin, her regular BGL have been high ranging from 18.5 to 25.6 mmol/L.
Freda lives with her husband John in a 2 bedroom second storey unit.
There is lift access within the building,.John works full time as a builder and Freda works in his business as the office manager.
John and Freda have 4 children, 3 sons and 1 daughter, all of them live overseas. Freda is 170cm tall and weighs 110 kgs
She is short of breath on exertion.
Her current observations are;
BP: 140/80
P: 100
R
Sa02: 96% on 21% oxygen
Fredas current medications include frusemide 40mg BD
digoxin 250 mcg daily lisinopril 20 mg BD
atenolol 50 mg daily aspirin 100 mg daily amiodarone 300 mg BD with food, to be reviewed in one month iboprufen 400 mgs TD
S
lantus 52 units daily
You are the RN from the community Health service who has been assigned to visit Freda and John at home to assess Fredas level of self-management of her BGLs and insulin injections.
The hospital had indicated John was reluctant to give his wife this injection or get involved in her care
You are required to A comprehensive client assessment.
Identification of the impact of the health issues on Freda and John
Impact on their level of independence and functioning in the community
The nursing care strategies that will support and educate Freda and john to promote their level of independent living. This is to include Fredas level of independence associated with her BGL monitoring and insulin administration.
One: identify the person
Understand the background of the person
Understand all the details provided about the person
Clarify all the symptoms, identified problems and diagnoses so you understand who you are dealing with and what problems they may have.
Two: understand the pathophysiology of the diagnoses and the pharmacological principles of the medications the person is on Review the normal physiology of the body systems involved in the various diagnoses.
Review the pathophysiology related to the diagnoses so you understand the variation from normal
Identify the purpose of the medications in relation to the diagnoses
Review the pharmacodynamics and pharmacokinetics of the medications
Understand the effect of the medication on the pathophysiology of the diagnoses
Three:
Identify the information needed to care for the client and structure assessment to provide you with the information required to plan care for this particular client's specific problems
Identify all the domains of health to be assessed
Identify the tools needed to perform the assessments in each domain
Identify additional information needed and method to collect the required data, e.g. urine tests
You’re 82% through this paper. Sign up to read the full paper.
Sign Up Now — Instant Access Already a member? Log inAlways verify citation format against your institution’s current style guide requirements.