NUR 598-Medical / Nursing Tutors Essay

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Matthew is a 14 year old adolescent with Cystic Fibrosis.

He was visited at home by the Hospital in the Home team

for IV antibiotic therapy received via his portacath. Matthew

has a frequent productive cough. He tells you that his

sputum has changed from yellow to greenish in colour

recently. His respiratory rate is 22 breaths/min and he has

crackles upon auscultation. His temperature is 37.6 C.

Matthew’s mother confides that she is worried about her

son as he hasn’t been engaging in as much aerobic sport

and physio lately and she has seen Matthew discarding

tablets (pancrease capsules) in the rubbish bin. When you

weigh Matthew you note that he has lost 2 kgs of weight

since your last visit 2 months ago. His weight is 47kgs and

his height is 168cms. You speak with Mathew’s doctor who

organises his admission to hospital.

Beryl is a 50 year old woman with Hypertension who is

attending a Healthy Heart Workshop at her local

Community Health Centre. Beryl’s blood pressure is

160/95, she is 150cms in height and her weight is 105kg.

Beryl reports that she drinks two to three glasses of wine

per night, eats a lot of take away foods as she’s too busy

with her executive management job to think about cooking.

She is a single mother caring for three school aged children

to always cook. She states that she rarely exercises due to

lack of time. Beryl visited her GP last week after feeling

unwell. Pathology was taken and Beryl’s GP report shows

that her total cholesterol is 6 mmol/L, Low Density

Lipoprotein 3.1 mmol/L and High Density Lipoprotein

0.8mmol/L. The GP commenced Beryl on medications but

she states “I keep forgetting to take them, my life is just so

stressful at the moment. I really don’t have time to be here,

I need to be at work”.

Your essay states you can choose two interventions to discuss in detail for your priority problems. These can be independent or collaborative, but you must have at least one independent intervention. For the collaborative interventions identify the other members of the healthcare team.

PROBLEMS ARE NOT ASSESSMENT DATA and INTERVENTIONS ARE NOT EVALUATION OR ASSESSMENT

Priority Problem

Intervention

Independent/Collaborative?

Allied health care team involved

You may choose to use medication as two (2 only) of your interventions for your selected priority problems. Your other two interventions must NOT be medication. Using online resources, complete the table below and consider the following information which is to be included in your essay if you are discussing medication.

Priority problem 1

Medication name:

Medication type:

Indications for medication:

Actions of medication:

Usual dose and route:

Any special precautions needed:

Contraindications:

Education required specific to drug including common side effects:

Nursing responsibilities with administering medication

Priority problem 2