Chronic illness Management- written assignment
Word Limit: 2000 words
Weighting: 40%
Due Date: Friday 7th September 5pm
Aim
The aim of this assignment is for students to demonstrate an understanding of culturally safe health promotion strategies, including education strategies that address the needs of clients with chronic diseases that empowers them to self-manage their condition. The provision of education to enable people to make decisions and to take action in relation to their health is part of the role of the Registered Nurse (Nursing & Midwifery Board of Australia, XXXXXXXXXXAdditionally, culturally safe and respectful practice requires having knowledge of how a nurses own culture, values, attitudes assumptions and beliefs influence their interaction with people and families, the community and colleagues (Nursing & Midwifery Board of Australia, Code of Conduct 2018)
This assignment addresses the following course learning outcomes:
● Apply health promotion and illness prevention practices in a culturally safe manner to support people diagnosed with chronic illness;
● Analyse primary health care and health promotion strategies that address the needs of those with chronic diseases.
TASK: Instructions:
For this assignment, you are required to choose one (1) client scenario from the two options given below and write a 2000-word structured essay in which you:
1. Provide an overview of one (1) of the chosen client’s chronic conditions/illnesses;
2. Describe one (1) actual and/or potential health concern for the client;
3. Identify two (2) appropriate topics for client education (for the identified health concern).
4. Explain how each topic addresses the actual and/or potential health concern for the client and how each topic will assist the client to self-manage their chronic condition and optimise their health;
5. Describe two (2) specific, appropriate client education strategies that the Registered Nurse would use to teach the chosen education topics (one strategy for each topic). Include details of how the education will be structured and delivered (i.e., method/tool used, setting for education, participants to be involved, etc.).
6. Using scholarly literature, justify your choice of education strategies for this particular client.
7. Reflect on how your own culture, values, attitudes assumptions and beliefs may influence your interactions with the respective client (i.e., Mr Boulia or Mr Polaris) and their families, the community and colleagues.
NOTE:
· ● Ensure you use a client /patient-centred and/or family-centred approach that optimises individual self- management and promotes active participation of the individual and family in illness management.
· ● You must support all sections of your essay with scholarly literature from the past 5 years.
CLIENT SCENARIOS
CASE SCENARIO 1: MR GEORGE POLARIS
Mr George Polaris, is a 62-year old Italian man who has presented to hospital with increased shortness of
eath, fever and a productive cough. He has been admitted to your ward for treatment of a chest infection. George has undergone a series of respiratory examinations/tests and has been diagnosed with chronic obstructive pulmonary disease (COPD). George has a history of gastro-oesophageal reflux disease (GORD). George has been prescribed intravenous (IV) antibiotics, IV therapy and
onchodilators.
It is 10:00 am and you are the Registered Nurse undertaking George’s primary and secondary assessment. He explains to you that he had several episodes of shortness of
eath and a cough on exertion over the last year but he thought he was just getting old and was not able to work hard any more. Prior to George’s hospital admission, his shortness of
eath was a lot worse. He has also lost several kilograms, and now weighs 75 kg with a height of 178cms.
George tells you that he works as a labourer in the construction industry and lives with his wife, who works at the local supermarket. He is a smoker who has smoked 20 cigarettes/day since he was 14 years old. George says he does not drink and has no known allergies.
Cu
ent vital signs:
Temperature 36.7°C, Blood Pressure 135/88 mmHg, Pulse 100 beats/min, and Respiratory Rate 22
eaths/min
Prescribed Medications:
· ● Salbutamol (Ventolin)100 micrograms MDI, 2 puffs when required up to 4 times daily
· ● Tiotropium (Spiriva) 18 mcg inhaled by mouth OD
Cu
ent Medications
● Esomeprazole magnesium (Nexium) 40 mg PO OD
CLIENT SCENARIOS
CASE SCENARIO 1: MR GEORGE POLARIS
Mr George Polaris, is a 62-year old Italian man who has presented to hospital with increased shortness of
eath, fever and a productive cough. He has been admitted to your ward for treatment of a chest infection. George has undergone a series of respiratory examinations/tests and has been diagnosed with chronic obstructive pulmonary disease (COPD). George has a history of gastro-oesophageal reflux disease (GORD). George has been prescribed intravenous (IV) antibiotics, IV therapy and
onchodilators.
It is 10:00 am and you are the Registered Nurse undertaking George’s primary and secondary assessment. He explains to you that he had several episodes of shortness of
eath and a cough on exertion over the last year but he thought he was just getting old and was not able to work hard any more. Prior to George’s hospital admission, his shortness of
eath was a lot worse. He has also lost several kilograms, and now weighs 75 kg with a height of 178cms.
George tells you that he works as a labourer in the construction industry and lives with his wife, who works at the local supermarket. He is a smoker who has smoked 20 cigarettes/day since he was 14 years old. George says he does not drink and has no known allergies.
Cu
ent vital signs:
Temperature 36.7°C, Blood Pressure 135/88 mmHg, Pulse 100 beats/min, and Respiratory Rate 22
eaths/min
Prescribed Medications:
· ● Salbutamol (Ventolin)100 micrograms MDI, 2 puffs when required up to 4 times daily
· ● Tiotropium (Spiriva) 18 mcg inhaled by mouth OD
Cu
ent Medications
● Esomeprazole magnesium (Nexium) 40 mg PO OD