To complete this assessment, you must watch the three (3) case studies related to CIC109 Assessment 1, then answer each question on the worksheets provided below. There are four (4) worksheets in total. These scenarios can be viewed in the CIC109 Assessment page.
The scenarios and worksheets you must cover are:
Case Study / Worksheet 1: Mr Tsakoumagos
Case Study / Worksheet 2:Mr Smith
Case Study / Worksheet 3:Mrs Jeffery
Worksheet 4: This is not related to a case study
When responding to the questions, please ensure you consider all the information in each case study and take note of the suggested word limits. Being able to assess a situation and report your suggestions clearly and succinctly is a key skill for any nurse.
Worksheet 1: Mr. Tsakoumagos
This is an emergency situation, as the patient has high-level chest pain.
Given the critical nature of the scenario, outline a minimum of five (5) steps you would take to ensure Mr Tsakoumagos is appropriately cared for. In your response, consider who you would involve and any assessments or nursing interventions you may need to include.
5. I will immediately inform the present sign and symptoms of the patient (chest tightness, sweaty, paleness, patient rubbing his chest, squeezing pain in the center of the chest, pain score9/10) to the emergency team (Butcher et al., 2018).
Explain how you would undertake effective decision-making to initiate action for Mr Tsakoumagos in collaboration with members of a multidisciplinary team, which is based on the clinical assessment of the client (200 words). In your response, include:
Immediate treatment actions
Note: You should show sufficient detail to indicate how you undertook the decision-making process and what evidence or results the decision was based on. Your response should provide brief details of what information would be discussed, which team members would be involved in the discussion and the outcomes and recommendations of the discussion. Identify the roles and professional expertise of nominated members of the multidisciplinary health care team.
Considering your knowledge of Mr Tsakoumago’s lifestyle, identify a minimum of six (6) potential environmental and other health issues that may impact Mr Tsakoumago’s health.
Smoking 20 cigarettes/ day
No physical activity
Type 2diabetes mellitus
Mr Tsakoumagos lives outside the small rural town of Moranbah in Central Queensland. Using the following website, plus your own research identify two (2) community resources and one (1) other resource around the area that will help to support and assist Mr Tsakoumagos’s needs for each of the following.
My Community Directory. (2019). Moranbah 4744. Retrieved October 2019 from https://www.mycommunitydirectory.com.au/Queensland/Isaac?id=8963&location=Moranbah%204744
Macintyre Health - Mackay
LifeInMotion Exercise Physiology Clinic Ltd.
Moranbah Hospital - Alcohol, Tobacco and Other Drug Services
:142 Mills Avenue, MORANBAH, QLD, 4744
Worksheet 2: Mr. Smith
Based on your knowledge of Mr. Smith’s situation, identify three (3) health goals you could work to set in collaboration with Mr Smith to help prevent illness, relative to his needs.
Self-care includes taking bath on a regular basis and balanced diet.
Following proper medical care is linked to his diagnosis of dementia and COPD.
Quit smoking to reduce the COPD-associated symptoms.
List three (3) health or lifestyle interventions you could recommend for Mr Smith, ensuring they are appropriate to Mr Smith’s needs and situation. And, using 30 words for each, explain the community (or other) resource that could assist and how the intervention would provide a benefit.
Quitting cigarette smoking: smoking is one of the modifiable hazard factors, as it up-surged risk of dementia development. Therefore, it is essential to quit the smoking as it will aid in managing the symptoms associated with dementia. The nicotine replacement therapy including gums, nasal inhalers, nicotine patches and lozenges can be including in the intervention plan.
Nutrition and diet: Dietician will support the patient by understanding the dietary need of Mr Smith and then formulate the diet plan accordingly.
Social activity including yoga can be included under the lifestyle intervention as it will help the patient to attend the yoga and make the relation with the people during yoga session. Moreover, yoga is helpful in reducing stress and anxiety (Better Health, 2018).
In 100 words explain how you would identify any health literacy issues Mr Smith might have, which could impact his understanding of the information provided to him and his ability to access services. In your response, include a minimum of three (3) questions you could ask Mr Smith
The first step will be clear communication with Mr Smith, the writing and talking are the original methodology to communicate with the patient, but now in the recent era, the patient can made to understand related to the illness through stores and metaphors. Dementia might be the big word for the client, so I will explan Mr Smith about the symptoms that can occur to the person of he/ she is suffering from dementia. For instance, dementia affects the brain and the person forgets and need to think hard. I will ask the question from the client after ending the session on his health understanding like, what body part get affected by dementia? What happen in dementia? Why you need to quit smoking? What happen during COPD?
In 100 words, explain how you would assist Mr Smith to participate in health education programs relevant to his needs. In your response, include how your suggestions might meet workplace guidelines (for example WHS considerations, any ethical considerations for example client rights)
One of the essential roles of nurse is health promotion and illness prevention, therefore Mr Smith can be supported to participate in the health education through counselling and motivating him to participate. Communication skill can be an effective technique to motivate the patient to attend the health education session as per his physical and mental need. Nurse can demonstrate the leadership role through educating Mr Smith about his health condition and so that the patient can engage in the treatment process. Though, throughout the process the patient’s autonomy and confidentiality will be maintained (de Flamingh & Fairhall, 2020).
Worksheet 3: Mrs Jeffery
Outline three (3:1) risks Mrs Jeffery faces with her current situation and provide one (1) possible intervention for each risk to try to minimise each risk (65 words per risk and intervention).
The patient has fall risk associated with low blood sugar level as she already admitted for the fall incidence followed by low blood sugar level. Though now the risk has been increased sue to leg and arm weakness after the stroke incidence. The intervention for the fall prevention is to educate the patient related to her present medical condition and medicines so that she will not skip her meal which can be the prime reason fir hypoglycaemia.
The patient will not be able to perform her daily activity which can hamper the diet intake and sleep pattern of the patient. Therefore, the dietician can aid the patient by ensuring that Mrs Jeffery is taking adequate and nutritious diet. As per the medical history of the patient, she is suffering from type 2 diabetes mellitus hence it is essential to check for the serum glucose level of the patient on regular basis to decide her meal plans.
The declining cognitive followed by stroke affecting memory of the patient therefore the patient might not follow the daily routine of taking bath and changing clothes. Hence, Mrs Jeffery can be supported by the nursing staff to perform the daily activity including changing clothes, taking bath, and brushing teeth (Gilhooly et al., 2016).
3.2 In 100 words, explain three (3) strategies you could discuss with Mrs Jeffery’s family that would help them assist with her care, self-care and understanding.
The patient refused to go residual care settings as she believed that she will be strong and fine after going back to her home, therefore the following strategies will be discuss with Mrs Jeffery’s family which will hem them assist with her care, understanding and self-care:
The patient after stroke and weakness in the arm and leg can make her more vulnerable to fall because of balance issue or visual negligence followed by stroke. Hence, home modification is prime like non- slip mats, non- slip shoes, installing grab bars in washroom, proper lightening, and removing unnecessary furniture and object from the house. Therefore, first strategy will be home modification to reduce the fall risk.
Discussion on inclusion of the rehabilitation exercise will be the next strategy as regular body movement is good for the stroke patient.
Regular checking and assessing for the new stroke side effects including difficulty in swallowing, speaking and dropping of saliva will be an strategy that will help the family to assist Mrs Jeffery.
Australian Institute of Health and Welfare. (2016). Primary health care in Australia. Retrieved from: https://www.aihw.gov.au/reports/primary-health-care/primary-health-care-in-australia/contents/about-primary-health-care
Australian Institute of Health and Welfare. (2018). Australia’s health 2018: in brief. Retrieved from: https://www.aihw.gov.au/reports/australias-health/australias-health-2018-in-brief/contents/about
Better Health. (2018). Primary Health Care Explained. Retrieved from: https://www.betterhealth.vic.gov.au/health/ServicesAndSupport/primary-healthcare-explained
Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M., & Wagner, C. M. (2018). Nursing interventions classification (NIC)-E-Book. Elsevier Health Sciences.
de Flamingh, J., & Fairhall, H. (2020). Employment law and WHS: Containing coronavirus: Workplace considerations. LSJ: Law Society of NSW Journal, (65), 71-73.
Gilhooly, K. J., Gilhooly, M. L., Sullivan, M. P., McIntyre, A., Wilson, L., Harding, E., & Crutch, S. (2016). A meta-review of stress, coping and interventions in dementia and dementia caregiving. BMC geriatrics, 16(1), 1-8.
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