Task:
Outline what strategies and assessments you as a Registered Nurse would provide as part of your care for Mathew Thornton. Ensure you include holistic, person-centred and culturally appropriate care. Reflect on how these strategies and assessments would facilitate optimum health outcomes and relate these to the National Strategic Framework for Mathew.
Case study
Mathew – 33, 180kg
Mathew lives alone on a small farm holding outside of Farmdale. His father is James Thornton (who you met in HSNS270) and his mother is Melinda, who is 70 years old.
Melinda was born in Farmdale and is an elder in the Aboriginal community. Mathew also identifies as being of Aboriginal descent. Mathew has two sisters, one of which is Rebecca who is currently living with their parents after separating from her husband due to domestic violence. She has 3 boys, Paul (10), Steven (6) and Peter (4). Mathew feels that his life is at risk. Mathew has vowed to lose weight as he now has type two diabetes and he is frightened of losing a limb or ending up on dialysis. Instead however, he turned to food as support and put on more weight. Mathew's nieces and nephew are his greatest joy – he takes them on trips but gets frustrated with his limited mobility. At his other sisters he found he was distressed by walking in the paddocks. He has to stop every four or five steps due to being so obese and physically restricted. His back aches under the pressure of the weight around his stomach and his legs swell up.
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