Identify and discuss two PRIORITIES OF CARE and apply the clinical reasoning cycle to these as a means of justification.

Identify and discuss two PRIORITIES OF CARE and apply the clinical reasoning cycle to these as a means of justification.

identify and discuss two PRIORITIES OF CARE and apply the clinical reasoning cycle to these as a means of justification.
Assessment Task One:

Case Study Two Multiple factors influence the care of patients with chronic conditions. As a Primary Heath Care nurse, it is important that care given is prioritised based on both clinical and patient needs. Prioritisation of the patient needs for care is integral to daily nursing practice. This requires integrating and collaborating different aspects of patient needs in order to maximise care activities and the effectiveness of nursing interventions. This case study is designed to demonstrate the integration of various principles of managing care of patients with chronic conditions. Students will be expected to identify and discuss two PRIORITIES OF CARE and apply the clinical reasoning cycle to these as a means of justification. Please refer to the unit outline and marking rubric when writing your assignment.

Case scenario

Phillip is an active semi-retired person, working part-time in the local specialty tea store. He is married to Klara with three adult children, all of whom live out of home:

Vanessa 35 years old-3 children under 10

Adam 33 years old-new born baby; and

Anton 30 years old with a 1 year-old child.

Each of the adult children is located interstate and has young family. Klara had previously participated in many outdoor activities with her husband and her hobbies include bushwalking, cryptic crosswords and gardening. Phillip and Klara have recently separated and are living separately.

Recently, Phillip has had a number of minor mishaps at work and has been increasingly dropping things. He has been experiencing a slight right-hand tremor and his gait has become unsteady. The tremor appears to worsen at night particularly when sitting down and when resting in bed. Phillip has been increasingly fatigued and forgetful. This was becoming more noticeable and problematic as the tremor did not subside and Phillip felt he was becoming clumsier.

Phillip has been increasingly concerned that he would fall asleep at work so has tried not to sit down unless he is at lunch. It is at work that the hand tremor is particularly troublesome. Two Phillip has also had two episodes of losing his balance and once fell over. Phillip also feels as if everything is spinning around and has numbness in his hands. He was also having difficulty speaking and slurring his words. Phillip managed to call an ambulance as he didn’t know what to do. Phillip was reviewed, admitted and seen by a medical officer, and referred to a neurologist for review.

Phillip spent two weeks in hospital and a provisional diagnosis of Parkinson’s disease was made. To rule out any other neurological conditions a series of investigations was conducted including an MRI and PET scan as part of the diagnostic screening process; no abnormalities were detected. Following these investigations and a thorough neurological exam, a firm diagnosis of Idiopathic Parkinson’s disease was made.

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