Reference no: EM133915229
Scenario
Mrs Paula Jones is a 68-year-old lady who was admitted to the ward for a left below knee amputation. Paula has Type 1 Diabetes, insulin dependent, who has had chronic leg ulcers on her left shin for eleven months that are not healing. She has glaucoma and cataracts in both eyes, leaving her with poor eyesight and peripheral neuropathy. Paula is non-compliant with her diabetic diet, she eats what she likes and does not regularly check her blood sugar levels. Paula lives alone but is supported by her two sons who live nearby. Her husband died four years ago.
Her extended family live in New Zealand. Paula is recovering in the ward post the amputation. She is very upset about the amputation and not accepting of it. She is resistant to adhering to a diabetic diet, despite the efforts of the dietitian and nursing staff. Her BSL's fluctuate as a result and she in on her regular insulin with a sliding scale. Paula is managing her pain with Paracetamol and Ibuprofen, which is effective. Her left stump is bandaged and free from infection. She is not sleeping well, making her tired during the day and reluctant to commence physiotherapy. Paula will be discharged to a rehabilitation centre to improve her independence with ADL's prior to going home.
Questions
You noticed that Paula is showing signs of depression and not caring about her diabetic diet and amputated left leg. As an EN, it is your responsibility to seek information from Paula and her family and provide health education to confirm their understanding of the current condition and its impact, report their responses to nursing interventions to the appropriate professionals, and provide nursing interventions to meet Paula's needs in context of a coordinated service approach.
According to this statement, provide the response for the following.
1. List two (2) questions you will ask Paula and her family to evaluate and confirm their understanding of the current condition and its impact.
2. Describe briefly how you would provide health teaching and promotion to Paula and her family about diabetes management strategies for her condition, including consultation with the interdisciplinary health team.
3. Identify the role and responsibilities of EN in communicating and reporting the person's response to nursing interventions. Provide at least three (3) examples of EN's responsibility.
4. Identify three (3) professionals in the interdisciplinary health team whom you would report and consult with.
5. State at least four (4) nursing interventions including making referrals to other interdisciplinary teams and community resources that you will use to respond Paula's psychological needs and maintain her positive life roles.
6. Identify three (3) resources and support services including community based care services available to Paula, and briefly describe what care Paula can receive from each of the resources and services.
7. Identify five (5) strategies, techniques and equipment that you can recommend to Paula for her rehabilitation treatment.