Reference no: EM133916000
Mr Shane Gillespie is an 80-year-old male, admitted to the ward via A&E with exacerbation of COPD and abrasions to his left shin and elbow and a cut to the forehead following a fall. Shane lives alone and up until now has managed with the assistance of home help (cleaning services) and meals on wheels for lunch. His wife has dementia and lives in a nursing home within walking distance from his home. He has two very supportive neighbours who visit daily, bring him the newspaper and stay for a chat. He has one daughter who lives interstate and another who lives 1.5 hours away.
Shane is emaciated and admits he does not like preparing meals and only eats the lunch delivered by meals on wheels. He has a dosette box for his medication, but he is increasingly forgetting to take them or mixing up the days and times. Shane has recently found it difficult with activities like showering and dressing and walking to the letter box due to experiencing shortness of breath. He has been unable to visit his wife for a few weeks due to his increasing shortness of breath. Shane is an ex-smoker of 25 cigarettes/day for 46 years, he stopped smoking 20 years ago. He has a history of chronic asthma (since childhood) and epilepsy.
On arrival his vital signs are:
RR 30 bpm
HR 100 bpm
BP 190/100 mmHg
SpO2 87%
Temp 38.3oC
Questions:
1. Briefly describe chronic obstructive pulmonary disease and chronic asthma that Shane has.
2. List four clinical manifestations of COPD that Shane may have, and briefly describe their long-term effects on Shane's body systems and performing physical activity.
3. List healthcare workers who will be involved in Shane's care and briefly describe their roles.
4. Considering the continuum of chronic diseases,
i. Identify the impacts of chronic diseases on Shane's physical, emotional. social and psychological health.
5. Person-centred care and involving persons in their own treatment are the principles of nursing practice for chronic diseases. Provide three (3) strategies that you would use to actively involve Shane in the development of strategies to self-manage his condition.
6. Family, carers and other informal supporters play a central role in caring for people with chronic conditions. Identify what level and type of support and contributions that Shane's family or carers or supporters can provide Shane. List at least three (3) examples.