Assignment -

You will write a report AS IF you were a Practice Nurse at a General Practice surgery.  The report is to be written for the GP about a patient you have assessed.  As the imaginary Practice Nurse, you will choose relevant assessments for the patient in the case study.

Assignment Task-

The case study you will need to address is found on the NRS22I Interact 2 site. You are the Practice Nurse at a local medical centre. The GP requests that you conduct a thorough assessment of an older person and provide the GP with a report that will cover specific questions around the outcomes of health and other assessments you undertake.

In order  to  inform the GP of the patient's  health  needs and to ensure  person-centered  and competent care  for the patient and her family, provide  answers  to  the  following  questions

Assessment Task - Case Study

Mary received a phone call from Loretta, her 82 year old mother, early one winter morning. It was obvious to Mary that her mother was ill as Loretta was unable to complete sentences without taking several breaths. These signs of illness were of particular concern to both women as Loretta had previously been diagnosed with congestive heart failure (CHF) and hypertension.

Loretta currently takes the following medications:

. Carvedilol 6.25mg  PO Mane

. Furosemide 40mg PO BD

. Amlodipine 5mg Daily

. Aspirin 100mg Daily

. Perindopril 2.5mg  BD

.  lbuprofen  400mg TDS

. Tramadol 100mg BD

. Citalopram  20mg Daily

Mary had to go to work but  told Loretta  that she would make an appointment  with  the GP for  later that day and  then  collect  Loretta and  take her  to the appointment.

When Loretta arrived at the surgery, her symptoms had settled and she was breathing more easily. You notice that she struggles to stand up without assistance from her daughter and that mobilising causes her some discomfort.

You are the Practice Nurse at the surgery where Mary takes Loretta for her appointment. The GP requests that you conduct a thorough assessment of Loretta and provide the GP with the outcomes of the health and other assessments you undertake.

In order  to inform  the GP of Loretta's  health  needs and  to ensure  person-centered  and competent  care  for  this woman  and her  family,  provide answers  to the  following  questions.

Use the question as a heading but provide responses in narrative form, not dot points. An introduction and conclusion is not required but assertions must be referenced according to CSU policy.

Question 1- Person-Centered care - The GP asks you, "How will you show person-centered care to Loretta?" Discuss  person-centered  care and outline  how you would work with Loretta and her family  to ensure  the health outcomes  important  to  them

Question 2- Age related physiological changes - The GP asks you, "What age related changes are making Loretta vulnerable to CHF and hypertension?"  Explain the age related physiological changes that have contributed to Loretta's symptoms.

Question 3- Relevant assessments - The GP asks you, "What nursing assessments are relevant to Loretta and her family? Provide me with a rationale for each of the suggested assessments."  Describe the relevant assessments a Registered Nurse would you conduct on this older person and explain why each assessment is significant.

Question 4 - Recommended Strategies - The GP asks you, "How do we ensure optimal health for Loretta and ensure she stays at home for as long as possible?" What  strategies can a Registered  Nurse  initiate  to maintain  optimal health  for Loretta,  and what support services would keep her at home and support  Loretta's  family?