Nrsg370 - Aged Care Case Assessment Answer

NRSG370: Aged Care Case Study Clinical Integration Speciality Practice The Clinical Reasoning Cycle Nursing Assignment Help

Assignment Task:

The Clinical Reasoning Cycle
Student are expected to use the Clinical Reasoning Cycle (Levett-Jones, 2018) as a framework to plan and evaluate person-centred care. You are being asked to think through the case scenario and then discuss how data was collected and the type of data collected, identify problems and nursing issues, identify and state the objectives and discuss how care was provided in order to address the issues and evaluate the interventions carried out: (analyse and identify a nursing issues/problems/needs, set objectives, discuss the nursing interventions and evaluate the interventions of care carried out). As per lecture notes, students are expected to apply the clinical reasoning cycle to address the case scenario:

• Consider the person’s situation

• Collect, process and present related health information

• Identify and prioritise at least 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

NRSG370 Assessment Task 3: Case Study – Aged Care
Bill Williamson
Mr Bill Williamson is a 90-year-old widower who lives in the Autumn Days Residential Aged Care Facility. You are readmitting him back into the home following 6 weeks in the local acute care hospital and rehabilitation ward. He had a total hip replacement due to a fall and fracturing his R) NOF. He mobilises with a wheelie walker, but he forgets to use it on a regular basis and needs reminding. Bill has early stage Alzheimer’s disease and Vascular dementia that is progressing slowly. He is intermittently incontinent of urine, usually because he cannot reach the toilet in time. Bill has a large skin tear on his (L) lower leg from bumping against his wheelie walker. Bill has
significant hearing loss and finds it difficult to understand care staff if they speak softly. Bill has always been an independent-minded person with strong opinions. He ran a successful business as a career and he is used to being in charge of his life and decisions. He tends to argue with the staff when they want to assist him with showering, and several times he has pushed a carer away when the carer tried to take his arm and guide him to the shower.

Current medications:

• Paracetamol OSTEO TDS
•  Aspirin 100 mg daily
•  Desmopressin 0.2mg nocte
•  Frusemide 20 mg BD
•  Slow K 1 x daily

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