16 Jul DESCRIBE TWO (2) SPECIFIC, APPROPRIATE CLIENT EDUCATION STRATEGIES THAT THE REGISTERED NURSE WOULD USE TO TEACH THE CHOSEN EDUCATION TOPICS
Health promotion strategies
For this assignment, you are required to choose one (1) client scenario from the two options given below and address the following criteria:
Provide an overview of the chosen client’s chronic condition/illness;
Describe two (2) actual and/or potential health concerns for the client;
Identify two (2) appropriate topics for client education (one topic for each health concern). Explain how each topic addresses the actual and/or potential health concern for the client and how each topic will assist the client to self-manage their chronic condition and optimise their health;
Describe two (2) specific, appropriate client education strategies that the Registered Nurse would use to teach the chosen education topics (one strategy for each topic). Include details of how the education will be structured and delivered (i.e. method/tool used, setting for education, participants to be involved, etc).
Justify your choice of education strategies for this particular client.
NOTE:
● Ensure you use a client /patient-centred and/or family-centred approach that optimises individual self-management and promotes active participation of the individual and family in illness management.
● You must support all sections of your essay with scholarly literature from the past 10 years.
CLIENT SCENARIOS
Case Study 1: George Polaris
Mr George Polaris, is a 62-year old Italian man who initially presented to hospital with increased
shortness of breath, fever and a productive cough. He was first treated for a chest infection and given
IV antibiotics. Over the course of his hospitalisation, George underwent a series of respiratory
examinations/tests and was ultimately diagnosed with chronic obstructive pulmonary disease (COPD).
George also has a history of gastro-oesophageal reflux disease (GORD).
George was discharged from hospital and is now being followed up at his local GP clinic. It is
10:00am and you are the Registered Nurse at the clinic initially meeting with George.
He explains to you that he had several episodes of shortness of breath and a cough on exertion over the
last year but he thought he was just getting old and was not able to work hard any more. Prior to his
hospital admission, his shortness of breath was a lot worse. He has also lost several kilograms, and
now weighs 65 kg with a height of 178cms.
George tells you that he works as a labourer in the construction industry and lives with his wife, who
works at the local supermarket. He is a smoker who has smoked 20 cigarettes/day since he was 14
years old. George says he does not drink and has no known allergies.
Current vital signs:
Temperature 36.7C, Blood Pressure 135/88 mmHg, Pulse 100 beats/min, and Respiratory Rate 22
breaths/min
Current Medications:
● Salbutamol (Ventolin)100 micrograms MDI, 2 puffs when required up to 4 times daily
● Tiotropium (Spiriva) 18 mcg inhaled by mouth OD
● Esomeprazole magnesium (Nexium) 40 mg PO OD
Case Study 2: Anna Lenska
Mrs Anna Lenska is a 68 year old retired woman who, for the past 6 months, has been a client of the
Community Health Service for treatment of an ulcer on her right lower leg. She has a history of
hypertension and Type 2 diabetes requiring oral hypoglycaemics.
Anna is widowed, lives alone and has no immediate family. Her neighbour usually takes her to do her
shopping. Her leg ulcer has been dressed twice weekly by community Registered Nurses in accordance
with the wound specialist nurse’s instructions. The leg ulcer is slowly healing.
It is 7.30am and you, the community Registered Nurse, arrive at Anna’s home for the wound
assessment and dressing change. Upon arrival, Anna complains that she is feeling a “bit faint” and asks
you to check her blood sugar level (BSL). The BSL reading is 3.5 mmol/L. You follow the
recommendations for hypoglycaemia, and Anna begins to feel better and her BSL increases to
6.2mmol/L.
On talking with Anna, you discover that she has not been eating well because her neighbour has been
away and she has not been able to get out to do the shopping. She has been wearing an old pair of
closed toe shoes as her other more comfortable shoes had become too broken down to wear. She also
says she sometimes forgets to take her medications.
Current vital signs:
Temperature 36.5C, Blood Pressure 160/90 mmHg, Pulse 84 beats/min, and Respiratory Rate 15
breaths/min
Current medications:
● Metformin 1g PO daily
● Metoprolol 25mg PO BD
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