Alma Community Nurse Case Study & Hypertension - Community Assignment Help

Assignment Task

Task
While visiting Alma the community nurse noticed upon a primary assessment that Alma was displaying deteriorating signs and symptoms. Alma has a history of idiopathic hypertension, asthma, congestive cardiac failure and has recently suffered from a spontaneous pneumothorax. Upon arrival at Almas residence, it is noted that the lawn has not been mown and the yard is unkempt compared to previous visit. When entering the home is it very dark and musky smelling 
Following the ABCDE primary assessment, Alma can clearly speak allowing the community nurse to see that her airways are clear. Alma is out of breath and displaying signs of breathlessness, she has deteriorated since the last in-home visit three months ago. The community nurse during the deficits stage of the assessment has noticed that Alma is clenching at her left flank. When asked about the left flank pain Alma has stated that her pain has been ranging on a scale between 4-6 and out of 10 (Herr, 2011). An indication that Alma’s spontaneous pneumothorax has not healed properly can be flank pain and the increased breathlessness (Tulay & Özsoy, 2013).
The community nurse has asked Alma to take a seat and has given her Ventolin to help with her breathlessness, it was noted that Alma has used double the amount of Ventolin than she usually would have. The increased paracetamol use for Alma would also indicate and escalation in pain. After speaking with Alma and walking through her home there are areas for concern that display deterioration including the disarray of her usually well-kept home (Cabrera et al., 2007). Furniture throughout the home that Alma has admitted to using to stabilise herself to get around, the marks on the walls that are consistent with waist height. All the old food that has spoiled in the fridge, and Alma’s attitude and overall mood has changed (Liu et al., 2014). Additionally, she has lost the support of Clarry her son as he is dealing with his own personal health problems, when talking about this she seems quite distressed. The` community nurse has also not that Alma is on several medications and after reviewing these it was detected that there may be some negative interactions and contraindications with the medications and Almas current state of health.
Once the ABCDE primary assessment has been completed an action plan has been put into place for Alma to receive the proper care and support that is required. In order of priority the community nurse would advise to take her Ventolin to help with the difficulty she is having when breathing. While in her home the community nurse will administer Ventolin for relief to help Alma with her breathlessness (Dhuper et al., 2011). The community nurse advised Alma to use a spacer, and showed her how to correctly use the device, as she may not have been taking her Ventolin correctly (Vincken et al., 2018). With Almas pain score being a 4-6, the nurse offered paracetamol to help with her comfort for the moment. The general practitioner was then phoned with the concerns for Alma’s flank pain and her increasing levels of pain and breathlessness. An appointment for Alma has made with the doctor to come out and do a home assessment for her pain and to re-assess the current medications that she is taking as there are contraindications with the heart medication and the spontaneous pneumothorax that Alma recently experience (MIMS Australia, 2021). A falls risk assessment indicates a high chance that Alma could have a fall due to her use of furniture within her house and the marks on the walls, also her unwillingness to use her walker. The falls risk assessment established Alma is at a high risk of falls, the community nurse has made a referral for a physio to visit Alma to re-assess her need for support at home (Mortazavi et al., 2018)). A mental health assessment has also been conducted as Alma was displaying signs of depression and an unstable mental state. This course of action was thought to be best to fully understand what Alma is going through and to be able to obtain the support that Alma currently requires (Abrams et al., 2015). The community nurse has also utilised the motivational interviewing technique to have a conversation with Alma get a thorough understanding of how she is feeling and to motivate Alma to change specific negative behaviour that she has been displaying including not eating and keeping the house dark with no airflow (Serdarevic & Lemke, 2013). Together the nurse and Alma have also decided to restart meals on wheels as the nurse explained the importance of eating a well-balanced diet. The nurse is going to refer Alma to a dietician to establish that that she is getting the proper nutrition she needs. A physio referral was also made by the nurse, the physio will assess Alma’s current situation and chat with her about the best options to move throughout her home and to lower her risk of falls (Sherrington & Tiedemann, 2015).
The recommendations that the community nurse has made for Alma support her in order of the primary assessment that was conducted. The most important issue when the community nurse arrived was to make sure that Alma could breathe, and she didn’t have severe pain. An appointment with Alma’s doctor has been to follow up on the issues including flank pain, breathlessness, mental health assessment review and to assess her overall wellbeing. Other referrals that have been made to assist Alma include a dietician and physio. In creating this action plan Alma and the community nurse have worked together to create a clear plan that Alma is also onboard with to enable Alma to achieve a healthier version of herself.

This Community Assignment has been solved by our Community Experts at onlineassignmentbank. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+Students in Australia, UK & US by helping them to score HD in their academics. Our Experts are well trained to follow all marking rubrics & referencing style.
    
Be it a used or new solution, the quality of the work submitted by our assignment Experts remains unhampered. You may continue to expect the same or even better quality with the used and new assignment solution files respectively. There’s one thing to be noticed that you could choose one between the two and acquire an HD either way. You could choose a new assignment solution file to get yourself an exclusive, plagiarism (with free Turnitin file), expert quality assignment or order an old solution file that was considered worthy of the highest distinction.