In this assessment, you will be assessed on your ability to analyse the information you have been provided on your client and use it to plan care.
To complete this assessment, read the case study background information on Mr Jim Fletcher carefully as you will then use this information to answer questions related to his care. The answers you provide should be related to the patient information provided and all rationales of care should relate to his specific needs.
- Answer the questions from the perspective of a qualified enrolled nurse.
- Use correct anatomical and medical terminology in your answers.
- Reference using the APA 6th Edition referencing standard.
To gain a satisfactory result for this assessment, ensure you read and follow the deliverables on page 1, of this assessment, including completing all questions and submitting all pages.
Once you have submitted your assessment, your educator will assess your submission and provide feedback on the written assessment evidence checklist. You will be given either a Satisfactory or Not Yet Satisfactory result. If your result is not yet satisfactory, you will be given a due date for resubmission and feedback indicating what areas need addressing to gain a satisfactory result.
Jim Fletcher is a 75-year-old man living with COPD. He is a retired geologist who was exposed to asbestos early in his career. He lives by himself in the local township since the death of his wife Joan from Acute Myeloid Leukemia 12 months ago. Jim has 3 married sons all of whom are very supportive and either ring or visit regularly. Jim was diagnosed with cataracts 6 months and currently wears bifocals glasses. His GP, Dr North has discussed with him the benefits of cataract surgery which Jim is considering in the near future due to his deteriorating vision which contributed to a fall 1 week ago.
PMH: COPD, HT (undiagnosed for many years), Bilateral Cataracts, Osteoarthritis (Bilateral Hips and Knees and lumbar spine), Depression diagnosed 12 months ago.
PSH: Bilateral Cataract removal and IOL implant
PFH: Brother died from Bowel Ca, Father died from Heart Failure.
Current medications include:
Spiriva (Tiotropium bromide) 2.5mcg Inhalation daily
You meet Jim in the local hospital’s emergency department. Jim has reported he has had increasing episodes of shortness of breath, a productive cough, fatigue and increasing difficulties in managing at home particularly over the past week.
Your admission observations of him include:
Q1 In your own words, explain the pathophysiology of COPD and how it affects Jim.
Q2 What toxins and environmental factors may have contributed to Jim’s COPD?
Q3 How will exacerbation of Jim’s COPD affect his quality of life?
Q4 What impact would this have on his physical and emotional state?
Q5 Jim asks you today to explain more about what terms the doctor has been talking about when examining him. In your own words, define the following abbreviations and medical terms as you would explain them to Jim
Q6 Jim is on several medications, research the medications Jim is on and outline how that medication benefits him.
Q7 Explain your understanding of the terms ‘indications for use’ and ‘contra-indications’ in relationship to medication management.
Q8 Jim states to you that he finds as gets older his sight has deteriorated. Explain to Jim at least two aged related changes that people are likely to experience with their sight as they age.
