Question CASE STUDY:-             Client Name: Mr. Geoffrey Smith… CASE STUDY:-      Client N

Question CASE STUDY:-             Client Name: Mr. Geoffrey Smith… CASE STUDY:-      Client Name:Mr. Geoffrey SmithDOB:19/08/1949Address:1 The Walkway, Novar Gardens SA 5040Pmntact Number:0411 234 567NOK:Mr. Wan Obi (spouse)NOK Address:1 The Walkway, NovarGardens SA 5040NOK Contact Number:0411 34S 678Home Care PackageCurrent Services:Nil known. My AgedCare Assessment completed — Level 3. Waiting time for services — 9 months.Past Medical History:TIA’s, orthostatic hypotension, AF, VRE, unsteadygait and back painAllergies:Penicillin, Sulohur druesAdvanced CareDirective:Not known            Instructions:Mr. Smith is a new client to your service. Undertake an admission assessment with Mr. Smith and his support network to ensure that the most appropriate services are provided to Mr. Smith for him to remain at home as per his request.  The following questions are to be completed :- Research and document the pathophysiology of each of the medical conditions that Mr. Smith has and the actual and potential nursing problems that are associated with each of the conditions. Maximum of 250 words.Medical DiagnosisPathophysiologyActual and Potential Nursing ProblemsTIA’s  Orthostatic hypotension  AF  VRE  Unsteady gait and back pain     Develop a Nursing Care Plan for Mr. Smith in conjunction with Mr. Smith and Mr. Obi in regards to the care requirements for Mr. Smith. As part of this plan, state who will be completing what tasks. Discuss this plan with your educator as part of the handover process for the service. 2. Review ACQS Standard 2 – Ongoing Assessment and planning with consumers and NSQHS Comprehensive Care Standard. Does the care plan that you have developed meet these standards? Discuss how it needs the standards and what evaluation processes need to occur to ensure that the plan continues to meet the standards? 3. Review the NSQHS Recognizing and responding to Acute Deterioration standard- state as part of the evaluation process what components of care would indicate that Mr. Smith’s conditions were deteriorating and what escalation processes need to occur? 4. Mr. Smith does not have an Advanced Care Directive currently in place and states he doesn’t know what that means. Your service has a recommendation in place that all clients that are over the age of 70 are recommended to have an Advanced Care Directive documented within their files. Explain, how you, as the Enrolled Nurse, would commence the discussion with Mr. Smith and Mr. Obi in regards to Advanced Care Directives. 5. Mr. Obi states that he wants Mr. Smith to ‘have everything done for Mr. Smith ‘while Mr. Smith wants to ‘die with dignity’. What are the legal and ethical issues for both yourself (as Enrolled Nurse) and Mr. Smith and Mr. Obi in relation to consent and Advanced Care Directives? Whom would you escalate your concerns to and how? 6. Mr. Smith catches his shin on a piece of furniture as he was answering the door to you. You find this when you are undertaking a skin assessment. Develop a wound management plan and dress then wound appropriately as part of the case study.  Health Science Science Nursing NURS 1002 Share QuestionEmailCopy link Comments (0)

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