NRSG370: Nursing – Rehabilitation – Hypoglycemia – Case Study Assignment Help
Case Study :
Kath Jones, 62 years old, right below knee amputation
Kath is a 62 year old Indigenous Australian woman who has a history of peripheral vascular disease (PVD) secondary to Type II Diabetes which is controlled by diet and oral hypoglycaemic medication. Kath lives independently in her own home in a rural setting, works part time at the local news agent, is divorced and has two sons who are mine workers. Kath developed a large vascular ulcer on the medial aspect of her right calf following a fall, where she sustained a large graze and bruising, subsequently becoming infected and turning gangrenous over 6 months and which was unresponsive to treatment, resulting in a right below knee amputation which was performed electively in a regional hospital under spinal anaesthesia. Kath has had an uneventful post-operative period; has recovered well from the surgery and the amputated stump appears to be healing well. Kath is now 5 days post op and needs to be discharged to an inpatient rehabilitation facility to learn how to mobilise safely with a prosthesis as well as education to effectively manage her Type II diabetes, as she wishes to return to her independent lifestyle.
Metformin 1g TDS.
The case study should be including the following:
Clinical Reasoning Cycle (Levett-Jones, 2018) as a framework to plan and evaluate person-centred care
Consider the person’s situation – Collect, process and present related health information
Identify and prioritise three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care.
Establish goals for priority of nursing care related to the nursing problem/issues identified
Discuss the nursing care of the person; link it to assessment data and history.
Evaluate your nursing care strategies to justify the nursing care provided
Reflect on the person’s outcomes
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