Ideal Nursing Care Case Study

Document Type:Thesis

Subject Area:Computer Science

Document 1

EBP is also applicable in patient and family-centered care (Doyle et al, 2015). Patient and family-centered care (PFCC) entails involving the family in the planning, delivering and evaluation of the recommended care for the patients. PCFF helps create a mutually beneficial relationship within the family and enhances the well-being of individual family members. This study attempts to analyze and evaluate ideal nursing care while involving patient and family-centered approach basing on the given patient’s profile. Patient’s Profile The patient in the study is called Mr. Brown. He is a man of 66 years old. Mr. Brown weighs 143kg and has a height of 165 cm, meaning he is obese. Mr. Brown has a history of type 2 Diabetes with hyperlipidemia, meaning he is unable to control both his sugars and cholesterol. He lives with his wife and children at Boonah and records taking beer and cigarette on a daily basis. Currently, he is admitted with central chest pain and records not ever monitoring his Blood Glucose Level (BGL). On examination, Mr. Brown is pale and Clammy and clutches his chest. Mr. Brown complains of difficulty in breathing and records a pain of 8 out of ten. On monitoring his vitals, he has a Temperatures (T): 36. Pulse (P): 100, Respiratory Rate (RR): 28, Blood Pressure (BP): 150/90, Oxygen (O2) Saturations: 98% on room air and Blood Glucose Level (BGL): 17. MMO/L. Overview of Health and Social Problems Mr. Brown has a number of problems. To begin with, he drinks beer and smokes a cigarette every night which compromises his organ system putting him at risk of lung cancer and liver cirrhosis.

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Clearly, he practices unhealthy dieting as evidenced by his overly much weigh, taking beer daily also adds up calorie in his system further increasing his weight. He is type 2 Diabetic and unable to control his glucose level, which is further worsened by consuming beer (‘ADA’, 2014). Brown has a BP of 150/90 which is excessively high, his high blood pressure could be a possible result of hyperlipidaemia, Hyperlipidaemia cause cholesterol, triglyceride and other fats to build up in one’s arteries, which makes the blood vessels narrower translating to difficulty in blood flow causing blood pressure to go up (Nelso, 2013). Mr. Brown has a normal body temperature and a normal pulse. His oxygen concentrations and respiratory rate are also normal. His BGL is however very high indicating diabetes, as much as there are no indications if it is fasting blood sugar or BGL took hours after a meal.

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The basic aim of management is to reduce the amount of cholesterol in the body. Another care plan is taking prescribed medication. As an adult, Mr. Brown is recommended to check her cholesterol every 4-6 years after a fasting period of 12-14 hours. He should stop smoking as well as to reduce his chances of having cardiovascular diseases. In order to control Mr. Brown’s BGL and manage his diabetes, himself and his family need be informed on appropriate actions to take. The basic aim of managing diabetes is practicing glycemic control as per the stated guidelines (‘ADA, 2014’) Type 2 diabetes is also called insulin resistance diabetes and some of the predisposing factors to its occurrence are obesity, 45 years and above, high cholesterol level and unhealthy lifestyle practices such smoking. Mr. Brown is living unhealthy life as can be seen by his lifestyle practice.

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Brown is old and needs close checkup and supervision (Baig et al, 2015). He should be informed on the negative impact of daily tobacco and beer consumption and if he has to take a beer, it should be minimal amounts and must be incorporated in his feeding regime, to monitor his caloric intake and help control his glucose. Emphasis should also be put on weight reduction and physical activity, with his age, jogging, and brisk walking is highly recommended and supervision should be maintained to ascertain if it the appropriate activity. Diabetes is a risk factor for several other multiple complications including, amputation, cardiovascular diseases, neuropathy and several others. Effective management is thus necessary to prevent worsening of the condition (Ozougwu et al, 2013). Such would prevent him from developing a diabetic wound and later resort to amputation.

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Family members need to be taught on better ways to influence the patient’s behaviors. The family involvement in diabetic management could also influence adherence to insulin or medication and emotional stability (Megalla et al, 2012). The family of Mr. Brown needs to be supportive enough. Also, there is an emphasis on the positive outcomes that result from including a family member in adult interventions (Baig et al, 2015). For Mr. Brown and his family to meet the successful diabetic goals, it is recommended that they incorporate family values and perspectives appropriately into the care plan. The family should be attentive enough to listen to Mr. Brown, there could be cases of condition worsening or drug reaction. Increased consumption of high fatty foods results in clotting of the blood vessels, which could result to stroke, especially when the brain is affected.

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Mr. Brown is clammy and is experiencing pain in the chest. He clutches his chest a sign of being in pain. He further classifies his pain as 8 out of 10, he is also experiencing difficulty in breathing. Brown is encouraged to increase consumption of a diet high in soluble fibred. Fiber has the significance of absorbing cholesterol in the body. The overall family should thus engage in consuming foods rich in dietary fiber, as this would create the spirit of togetherness and enhance his adherence (Millenson M et al, 2013). Hyperlipidemia is a lifestyle disease that can be managed effectively using nonpharmacologic interventions (Noordestgaard et al, 2014). Therapeutic lifestyle changes are known to improve the conditions of a most patient with hyperlipidemia. Mr. Brown should be placed under constant monitoring and review, to ensure control of his blood pressure (James et al, 2014).

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Apart from self-monitoring of his blood pressure, he should also engage in educational sessions, which should involve his family as well (Jarouse, 2013). Stress and depression are also known to elevate the blood pressure levels, and since most cases of depression arise from one's social environment, Mr. Brown’s family members need to ensure a conducive and stress-free environment for his recovery (Turner, 2013). Brown needs to indulge in the healthy heart-friendly diet with less salt, regular exercise, weight management and controlled intake of alcohol and smoking. Mr. Brown is also diagnosed with obesity. In managing obesity, behavioral change is necessary; this calls for family support (Doyle et al, 2015). The family provides consistent support in encouraging weight loss. Reference American Diabetes A. ADA)(2014). Standards of medical care in diabetes. Diabetes care-2014:37 (suppl 1):s14-80.

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PubMed) Ameling M. Sci. doi:10. nyas. Gloy et al (2013),’Bariatric Surgery Versus non-surgical treatment for Obesity: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Bmj, 347, f5934. James J. ”Health Policy briefs: Patient Engagement. Health Affairs. Feb 14, 2013 http://www. healthaffairs. Doi. journalofethics. stas1-1601. Millenson Ml et al (2013), “Turning Patient- Centeredness from ideal to real: Lesson from 2 success stories. JAmbul Care Manage. Sept. Doi 10. JPAP2013. Pencina,M et al(2014),”Application of Neew Cholesterol Guidelines to a Population-based Sampple. New England Journal of Medicine 370(15), 1422-1431 Turner, J.

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