NUR341 Nursing Case Study Assignment

Subject Code & Title :- NUR341 Nursing Case Study
Assessment Type :- Assignment
Clinical Scenario
Ms Florence Flo Ljukuta 70year old female admitted to hospital post fall with soft tissue injury to right hip still unable to ambulate. Flo can not recall the event and up to 2-3mins post fall.
NUR341 Nursing Case Study Assignment

NUR341 Nursing Case Study Assignment

Parameter Assessment data

Patient profile :- Florence Flo Ljukuta 70-year-old female from Alice Springs

Presenting complaint :- Pain to right hip unable to ambulate. No facture on x-ray

History of complaint :-
Tripped on the back steps leading into the house after hanging cloths on the line Landed on the concrete pathway on her right side. Following the fall Flo experienced pain on movement and unable to ambulate independently. Assisted to community health clinic and referred to hospital.

Phx :-
Hypertension Type 2 diabetes Angina Hypercholesteremia Asthma Osteoarthritis Complete hysterectomy 30 years ago for treatment of endometrial cancer.

Allergies :- Nil Known Allergies

Medications :-
• Aspirin 100mg mane
• Perindopril 2mg mane
• Metformin XR 2g mane
• GTN 600mcg tablets S/L prn
• Osteo paracetamol 1330mg TDS
• Salbutamol inhaler 2-4 puffs PRN

NUR341 Nursing Case Study Assignment

Ethnicity/language :- Aboriginal. Speaks Waramungu, Walpiri, Eastern and Western Arrentre, English

Alcohol use :- Few wines or beers with family and friend 3-4 times per week

Tobacco use :- Smoker 1⁄2 packet per day/ whole family smokes. Regular exposure to campfire and passive smoke

Drug use :- Nil

Home environment :-
Currently lives in town camp in 3brd house with extended family. Approximately13 family members staying at the house.
Flo’s husband who requires assistance due to physical deficits from a stroke.
Adult daughter and her 4 teenage boys
Adult daughter and her 2 toddlers
Adult son and his partner and their new baby
Adult son

Work environment :- Retired 10 years. Previously manager of community health clinic

Stress :- Currently eldest daughter has been diagnosed with breast cancer

Education :- VET level certificate

Economic status :- Family land and house in remote community but staying in town to be with children and support needs for husband

Religion/spirituality :- Baptised Catholic by missionaries when young

ADLs :- Independent prior to fall

IADLs :- Does not drive anymore due to decreased vision (diabetic retinopathy). Starting to develop cataracts. Had glasses a few years ago but they don’t help much now.

NUR341 Nursing Case Study Assignment
NUR341 Nursing Case Study Assignment
NUR341 Nursing Case Study Assignment

Assessment Questions
Question 1: Assessments
Hospital policy requires Flo to receive the following assessments completed on admission to the ward.
• Falls assessment
• Functional assessment
• Pressure injury risk assessment

Students must:
• Detail the goal or purpose of each assessment
• Provide an example of a tool used in Australian hospitals including the frequency it should be completed
• Explain how each assessment relates to Flo’s presentation
• Explain how abnormal findings are managed by the nurse

Question 2: Plan and implementation
The following four (4) factors have contributed to Flo’s current fall and health status:
1.Normal age-related changes
3.Acute illness

Students must choose one (1) of the factors (above) and identify the health promotion or education you as the nurse would provide in preparation for discharge. This must include two (2) referrals to support services and your rationale for each referral.

Please note: if a student details more than one factor, the marker will address and mark only the first factor outlined.

NUR341 Nursing Case Study Assignment

Presentation guidelines
• Complete the footer with last name_student number_NUR341_ Assessment 2
• Format your assessment with size 12 Arial/Calibri or similar font, 1.5 spacing
• Complete spelling and grammar check using English (Australia) default
• A minimum of 5 peer reviewed journals or texts no more than 5 years old
• Use CDU APA 7th referencing style
• 2000word limit: recommend Part 1 (1500 words) and Part 2 (500 words). The end-of-text reference list is NOT included in the word count.
• Save the final version of your paper using the filename of last name_student number_NUR341_ Assessment 2 and submit as a word document

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