NURBN 2009: Health Assessment & Nursing Care Plan- Kevin Jones Case Study- Paralysis- Nursing Assignment Help

Task:

You are required to complete a comprehensive health assessment and nursing care plan on information given to you in the case study- Mr. Kevin Jones.

To demonstrate your developing skills required to produce a comprehensive nursing health assessment by the clinical decision making process, identification /assessment of nursing problems (nursing diagnosis), planning and implementation of nursing care, documentation of nursing data and evaluation of nursing care.Students are required to discuss in 2000 words the physical and mental health components for the assessment case study.

1. This needs to be written according to academic standards and conventions.
2. Students will be required toidentify4 major issuesof the case study and write a summary of your overall assessment of this person.
3. Ensure that ‘objective’ language is used. This would be similar to what is written in nursing notes as an admission history.
4. Using the Nursing diagnosis section of the Adult health assessment booklet, identify and list as many nursing diagnosis as may relate to the Case study and provide the evidence from assessment that supports this.
5. Now prioritise the3 most important nursing problems (diagnoses)to formulate a nursing care plan. As the overall goal is discharge planning, consider this in formulating the nursing care plan and related interventions.
6. Develop a nursing care plan with rationale and related interventions that could be implemented for Kevin (Case Study) .
7. Be sure to identify ways that you could measure success in relation to each of these Interventions – complete the evaluation sections of the care plan.
8. This assessment requires you to develop a critical assessment of the relevant information surrounding the case study.

Case Study – Mr Kevin Jones

Mr Kevin Jones is a 75 year old gentleman who is under your care. He has been widowed for 13 yearsand has recently suffered a stroke. He lives alone in a rural location and was a farmer during hisworking life.

Kevin has 3 grown up children, two of whom live outside of Victoria and his middle son livesnearby but leads a busy working and family life. He does not get along too well with his daughter in law. Kevinis fiercely independent and during hishospitalisation has verbalised his wish to return to his home and manage on his own, against the wishes ofhis family.

Finances are limited. He lives in anold farm house which hasn’t seen renovations for 30 years. He has a wood fire and stove and noshower (just a bath).

Past history: Prostate Enlargement, Hypertension, Alcoholism, Depression and Anxiety

Currently Kevin has right side paralysis due to his CVA (stroke). Kevin does not appear to notice that he leans to one sideand forgets where his right hand may be. His speech is slurred and he has trouble saying some words. This causeshim some frustration and he has emotional outbursts at times.He has just started to mobilisewith a three pronged stick and he is anxious about his balance.

Kevin is anxious about returning home and seems to be fretting about his home, land and animals (currently being taken care of by one of his sons). Some days, Kevin barely talks to the staff and will often get agitated and irritable with the nurses, physiotherapists, cleaners etc. He appears to be ruminiating about his past and his wife.

Kevin has been complaining of a chronic cough with a small amount of discoloured greenish yellow sputum, fever,flushed skin, chills, loss of appetite, taking little fluids, malaise and body aches over the past few days. Temp 38.3, BP – 90/60, Resp rate – 24/ min, P 90 , O2 sats – 93%. Crackles & wheezes on auscultation, diminished breath sounds.

Chest X-Ray revealed (R) lower lobe pnuemonia.

Kevin also has someswallowing difficulties and some vision problems with neglect. When he does eat, he prefers puree and soft style deserts e.g. custard. He is not drinking much. Kevin appears to have lost weight. His skin turgor is dry, mucous membranes dry, urine specific gravity is 1.025, decreased urinary output, increased urine concentration and he has an elevated blood urea nitrogen.

He is finding that he is more likely todribble following passing urine and sometimes he is incontinent of urine. His bowels are a little erraticand his stool has been hard and dry lately. Lately, this is causing him considerable distress.

Journal response. In Weeks 3-7 you were directed to keep a professional work journal (Please refer to Week 2 for a review of instructions). Now you will review your work journal entries and arrange some of them into an essay. The essay will reflect upon those five (5) weeks of experiences recorded in your journal and what you have learned.  Include how they may have furthered your career or caused you to rethink your career goals.  Your essay should include your experiences, observations, and the key concepts based on the internship and business course experience. The CLA 1 assignment will be a Turnitin paper of 4 to 6 pages.
Your paper should be formatted in APA style. Include at least two (2) peer-reviewed sources related to course material taken in your academic program and scholarly journals.
Reminder About Journaling: Whether you want to be able to look back at where you started, set a future state for yourself and seek a new path, or just deal with present issues, journaling helps you do that in a reflective way. You need not write every day. Journaling gives you a place to better understand yourself, to plan your goals, and to follow-up on goals. One pitfall of journaling is that it can become part of a log of your feelings for any one day and you want to avoid these types of emotional responses.

As a team, consider the following scenario:

On Dec. 7, 2000, the Cincinnati Occupational Safety and Health Administration (OSHA) office heard through media and police reports that there were two deaths at a nursing home in Ohio. OSHA determined that the Food and Drug Administration (FDA) should take a lead role in performing an investigation.

Because the nursing home had many residents who had unhealthy respiratory systems, the nursing home routinely ordered and received tanks that contained pure oxygen. During one delivery, the supplier mistakenly delivered one tank of pure nitrogen in addition to the three tanks of pure oxygen that had been ordered. The nitrogen tank had both an oxygen and nitrogen label. An employee at the nursing home connected the nitrogen tank to the nursing home’s oxygen delivery system. This event caused two nursing home residents to die, and three additional nursing home residents were admitted to hospitals in critical condition. Within the following month, two of these three additional residents also died, bringing the total death toll to four. (Based on accident #837914 www.osha.gov)

Write a 200-word paper in which your team compares the Normal Accident Theory to the Culture of Safety model. Include the following in your paper:

• Explain what factors can play a role in organizational accidents similar to the one highlighted in the scenario.
• How do organizational processes give rise to potential failures?
• How can certain conditions influence errors and violations within the workplace (e.g., operating room, pharmacy, intensive care unit)?
• What are the errors and violations committed by “sharp end” individuals?
• How does the breaching of defenses or safeguards affect these accidents?

1-peers