Essay NUR241 – Health Alterations – Case Study – Ethical Aspects – Nursing Assignment Help

Assignment Task :

Task:

Task goal:
The goal of this case study is to identify ethical aspects of the role of the registered nurse / registered midwife when providing care to individuals with suboptimal or compromised participation in healthcare, and to plan patient discharge that adheres to the Social Justice Framework. Task description:
Present a response to a clinical scenario demonstrating appropriate assessment and plan the discharge for an individual experiencing health alterations with poor access to and participation in healthcare. What you need to do:
In this task you will conduct a case study. There are three clinical scenarios, you will study only one. Please follow the steps below:

Step 1: Identify your allocated clinical scenario
• Students in Group A (starting in February, 2021) will select Clinical scenario 1.
• Students in Group B (starting March, 2021) will select Clinical Scenario 2.
• Midwifery students will select Clinical scenario 3.

Step 2: Holistic assessment of the patient
Detail the holistic assessment to determine the patient’s access to, and participation in healthcare using the template provided (300 words).

Step 3: Implementation and evaluation

Select and describe nursing / midwifery actions to prepare the patient for discharge utilising the social justice framework and professional codes and standards to address the social determinants of health (SDH) that impede the access to, and participation in healthcare

Identification
Shane Chigwell, 28, unemployed

Situation
Presented to ED 2 days ago. Shane was admitted to the medical ward for uncontrolled hyperglycaemia. He is now ready for discharge.

Background
Allergies: peanuts
Medication: metformin BD, Actrapid QID
Past illnesses: T2DM, liver schlerosis, foot ulcers
Last meal: lunch (tuna casserole)
Events leading up to presentation: lethargy prior to episode of confusion, found confused by his Grandmother

Assessment
Shane was first diagnosed with diabetes at the age of 20. He has infrequent contact with his GP and has not seen a diabetic educator for several years, as he has “not needed to go to hospital”. Shane has been on Metformin since he was 20 and was started on Actrapid 2 years ago. Shane states that he is confused by his “blood sugar machine” and uses it infrequently. Shane says that he gets his Grandmother, Doreen to do his injections.
Shane lives with Doreen, he is her registered carer. Doreen also has T2DM, in addition to obesity, cardiovascular disease, and Transient ischaemic attacks. Shane’s parents moved back to Western Australia to take up jobs in the Mining Industry 4 years ago, he has not seen them since.