Nursing diagnoses

Nursing diagnoses

Introduction
Requesting approval for aged care services, Mrs. Nancy Winters had a home visit conducted to enlighten the Aged Care Assessment Team on who she was, how she lives, how she spends time, and what support services may be needed to improve her quality of life living at home. Nancy is a 68-year-old retired office worker who currently lives at home alone with her dog in a cluttered two-story terrace house. She has recently been diagnosed with a cataract in her left eye and has a previous medical history of hypertension, type 2 diabetes and otosclerosis which has caused severe hearing loss. The purpose for this assessment is to provide an in-home person-centered care plan suited to Mrs. Winters and her lifestyle choices while still allowing her as much independence as possible without risks or hazards. To do this, there is a need to understand her recent primary medical diagnosis and medication management, evaluate nursing diagnoses related to her medical diagnosis and medication management, and consider what professions and services would be suitable in organizing an inter-professional plan of care.

Primary Medical Diagnosis
Mrs Winters has recently been diagnosed with having a cataract in her left eye and is one of more than 25 million adults living with this disease (Lynn et al). She describes her vision as patchy and blurred, which is a common manifestation of advanced cataracts, along with glare sensitivity, impaired colour discrimination, decreased visual acuity and distortion or double vision (Vision Australia). Cataract formation is a result of loss of transparency through the lens of the eye (Nizami & Gulani). This is caused when proteins in the lens denature and coagulate disturbing the passage of light through the lens preventing the eyes from focusing correctly (National Eye Institution 2019). The purpose of the lens is to bend light rays so the retina can be provided with a clear image (Royal Society for the Blind (RSB) 2022). The formation of cataracts is usually progressive and painless and are typically bilateral although not always developing at the same time or rate and this may be the case for Mrs Winters (Macular Disease Foundation Australia (MDFA) ). Once the lens has become opacified it will not improve without treatment such as surgery, but symptoms of this impairment can be improved with new glasses, antiglare sunglasses, better lighting, or magnifying lenses (MDFA ).
There are different forms of cataracts, with the most predominant one being senile cataracts formed in the process of ageing and can develop as early as 40 or 50 years of age (Watson 2020). They can also be categorized by clinical staging as mature, where the lens is totally opaque and almost completely white in colour, or immature where the cataract begins at the periphery of the lens (Ocampo 2021). Risk factors for developing cataracts include age, environmental factors such as smoking and exposure to sunlight, diabetes mellitus and medications such as corticosteroids (National Eye Institution ). In the case of Mrs Winters, such impaired vision created difficulty working on the computer causing her to feel tired and inevitably became the reason she retired.

Medication management
Metformin is antidiabetic agent prescribed to Mrs winters by her General Practitioner (GP) to decrease risks of diabetes-related complications (Tiziani 2018). It reduces hepatic glucose production and increases the peripheral uptake and utilization of glucose in muscle by increasing glucose sensitivity (Australian Medicines Handbook (AMH) 2020). It is considered the first line treatment for overweight individuals with type 2 diabetes such as Mrs Winters (Corcoran & Jacobs 2019). Side effects are mild and rare but include gastrointestinal upset, taste disturbance, diarrhoea, nausea, vomiting and abdominal pain (Tiziani 2018). Caution is taken in use within elderly as renal impairment increases the risk of lactic acidosis, especially if given with alcohol or diuretics (Tiziani 2018). It is advised that metformin be taken with or after food which Mrs Winters has admitted to not regularly doing, along with taking her medication with alcohol during the evenings she forgets (MIMS Online 2022). Alcohol may also delay or mask symptoms of hypoglycemia and is advised to be avoided during therapy (Tiziani 2018).
Mrs Winters is also prescribed metoprolol which is an antihypertensive agent in the class of beta-adrenergic blocking agents for her suboptimal blood pressure (Tiziani 2018). It may be used for other conditions such as angina pectoris, migraine prophylaxis, myocardial infraction, and cardiac arrhythmias (MIMS Online 2022). Beta blockers are designed to block beta receptors in the heart, peripheral vasculature, brain, bronchi, and pancreas among other organs to reduce heart rate, blood pressure and cardiac contractility (AMH 2022). It is also known to suppress sinus node rate, prolong atrial refractory periods and slow conduction through the atrioventricular node (AMH 2022). Unlike other beta-blockers which can mask symptoms of hypoglycemia, metoprolol is considered safe and effective to use among those who have type 2 diabetes such as Mrs Winters (AMH 2022). It is advised that this medication not be taken with alcohol like Mrs Winters has been known to do and recommends that tablets be taken whole with or without food (Tiziani 2018). Beta-blockers are not usually recommended in the elderly with hypertension as they are associated with reduced protection against stroke (AMH 2022).

Nursing Diagnoses
(a) Nursing problem related to medical diagnoses
The clinical manifestation of blurry vision caused by Mrs Winters’ recent cataract has long been a risk factors for falls among the elderly (Keay & Palagyi 2018). Although falls become an increasing risk for those who are ageing, the risk becomes even more critical in those with cataracts (Lifeline & Phillips 2014). Maintaining clear walkways, removing fall hazards such as electrical cords and rugs, along with providing adequate lighting are simple yet effective precautions to prevent falls (Lifeline & Phillips 2014). Mrs Winters’ current residence facilitates lots of stairs and uneven patio paving which can be a contributing factor to falls vision is distorted by cataracts (Bell 2021). Failure to take such provisions may result in injuries such as a broken hip or clavicle and head injuries, resulting in increased hospitalizations, nursing home admissions, general decline in health and increased mortality rates (Keay & Palagyi 2018). Fear of such consequences can have indirect consequences such as activity avoidance, loss of confidence and independence (Keay & Palagyi 2018).
(b) Nursing problem related to medication management
Due to the decreased vision caused by her cataracts, everyday enjoyments Mrs winters has such as reading and completing jigsaws may become increasingly difficult (Royal National Institute of Blind People 2022). Similarly, correctly comprehend what medications they are taking, the time they are supposed to take them as well as the dosage can become burdensome (World Health Organisation (WHO) 2016). Medication errors can not only cause side effects specific to the medication, but can also cause hallucinations in those who are visually impaired (Allen, Jeremy & Fawwaz 2019). Mrs Winters could easily confuse the medications and their doses she is taking as they have similar names; metformin which is prescribed for her type 2 diabetes and metoprolol for her hypertension (ProficientRx 2022). Contributing to this confusion could be the labelling as they are often small, have similar packaging and contain a lot of information which may be an issue for those with cataracts (ProficientRx 2022). Dose Administration Aids (DAA’s) such as a Webster-pak can prevent such errors as medication come pre-packed allowing self-administration of medications to take place correctly and on time (Webstercare 2020).

Nursing Role and Inter-professional Plan of Care

Summary

Mrs Winters has never had her glycated haemoglobin (HbA1C) at less than 8% when baseline parameters are usually between 4% and 5.6% stipulating poor diabetes control

Order Now
Universal Assignment (May 25, 2024) Nursing diagnoses. Retrieved from https://universalassignment.com/nursing-diagnoses/.
"Nursing diagnoses." Universal Assignment - May 25, 2024, https://universalassignment.com/nursing-diagnoses/
Universal Assignment December 29, 2022 Nursing diagnoses., viewed May 25, 2024,<https://universalassignment.com/nursing-diagnoses/>
Universal Assignment - Nursing diagnoses. [Internet]. [Accessed May 25, 2024]. Available from: https://universalassignment.com/nursing-diagnoses/
"Nursing diagnoses." Universal Assignment - Accessed May 25, 2024. https://universalassignment.com/nursing-diagnoses/
"Nursing diagnoses." Universal Assignment [Online]. Available: https://universalassignment.com/nursing-diagnoses/. [Accessed: May 25, 2024]

Please note along with our service, we will provide you with the following deliverables:

Please do not hesitate to put forward any queries regarding the service provision.

We look forward to having you on board with us.

Categories

Get 90%* Discount on Assignment Help

Most Frequent Questions & Answers

Universal Assignment Services is the best place to get help in your all kind of assignment help. We have 172+ experts available, who can help you to get HD+ grades. We also provide Free Plag report, Free Revisions,Best Price in the industry guaranteed.

We provide all kinds of assignmednt help, Report writing, Essay Writing, Dissertations, Thesis writing, Research Proposal, Research Report, Home work help, Question Answers help, Case studies, mathematical and Statistical tasks, Website development, Android application, Resume/CV writing, SOP(Statement of Purpose) Writing, Blog/Article, Poster making and so on.

We are available round the clock, 24X7, 365 days. You can appach us to our Whatsapp number +1 (613)778 8542 or email to info@universalassignment.com . We provide Free revision policy, if you need and revisions to be done on the task, we will do the same for you as soon as possible.

We provide services mainly to all major institutes and Universities in Australia, Canada, China, Malaysia, India, South Africa, New Zealand, Singapore, the United Arab Emirates, the United Kingdom, and the United States.

We provide lucrative discounts from 28% to 70% as per the wordcount, Technicality, Deadline and the number of your previous assignments done with us.

After your assignment request our team will check and update you the best suitable service for you alongwith the charges for the task. After confirmation and payment team will start the work and provide the task as per the deadline.

Yes, we will provide Plagirism free task and a free turnitin report along with the task without any extra cost.

No, if the main requirement is same, you don’t have to pay any additional amount. But it there is a additional requirement, then you have to pay the balance amount in order to get the revised solution.

The Fees are as minimum as $10 per page(1 page=250 words) and in case of a big task, we provide huge discounts.

We accept all the major Credit and Debit Cards for the payment. We do accept Paypal also.

Popular Assignments

EDM9780M CEEL Summative Assignment 2023-2024

Below you will find instructions on completing each of the four parts of your final summative assignment. Part 1 – Personal/professional area of interest in education (1000 – 1,500 words max) For this part of the assignment, you will need to: How to complete this part (Part 1): 1. Choose

Read More »

AT1 PREPARATION REFLECTION TEMPLATE

Weighting: 5 marks (10%) of the assignment. COMPLETE & SUBMIT INDIVIDUALLY. This is the second of THREE documents required for submission for the assignment. Complete the following, describing and reflecting upon your involvement with the preparation for the Group Presentation, including your interaction with other members of your team in

Read More »

SUMMATIVE ASSIGNMENT – Mathematics for Science

IMPORTANT INFORMATION 1 Electric power is widely used in industrial, commercial and consumer applications. The latter include laboratory equipment for example water baths, spectrophotometers, and chromatographs. If you have 17.3 kA and 5.5 MV, what is the power? Give the appropriate unit.                                                                                                               (3 marks) 2 Oil immersion objective lenses

Read More »

Assignment CW 2. Foundations of Biology

The instructions in RED are the ones which are mark-bearing and need to be answered as part of the assignment. The instructions in BLACK tell you how to carry out the simulation Diffusion simulation: Results table Use Excel to calculate the mean and standard deviation. The functions are AVERGAGE and

Read More »

MA Education Dissertation Proposal

Student Name Click here to enter text. Student ID                       Proposed title of research project Click here to enter text.       State the background references on which your research is based (ideally 4 or 5) Click here to

Read More »

Assignment: Implement five dangerous software errors

Due: Monday, 6 May 2024, 3:00 PM The requirements for assessment 1: Too many developers are prioritising functionality and performance over security. Either that, or they just don’t come from a security background, so they don’t have security in mind when they are developing the application, therefore leaving the business

Read More »

LNDN08003 DATA ANALYTICS FINAL PROJECT

Business School                                                                 London campus Session 2023-24                                                                   Trimester 2 Module Code: LNDN08003 DATA ANALYTICS FINAL PROJECT Due Date: 12th APRIL 2024 Answer ALL questions. LNDN08003–Data Analytics Group Empirical Research Project Question 2-The project (2500 maximum word limit) The datasets for this assignment should be downloaded from the World Development Indicators (WDI)

Read More »

Imagine you are an IT professional and your manager asked you to give a presentation about various financial tools used to help with decisions for investing in IT and/or security

Part 1, scenario: Imagine you are an IT professional and your manager asked you to give a presentation about various financial tools used to help with decisions for investing in IT and/or security. The presentation will be given to entry-level IT and security employees to understand financial investing. To simulate

Read More »

DX5600 Digital Artefact and Research Report

COLLEGE OF ENGINEERING, DESIGN AND PHYSICAL SCIENCES BRUNEL DESIGN SCHOOL DIGITAL MEDIA MSC DIGITAL DESIGN AND BRANDING MSC DIGITAL DESIGN (3D ANIMTION) MSC DIGITAL DESIGN (MOTION GRAPHICS) MSC DIGITAL DESIGN (IMMERSIVE MIXED REALITY) DIGITAL ARTEFACT AND RESEARCH REPORT                                                                 Module Code: DX5600 Module Title: MSc Dissertation Module Leader: XXXXXXXXXXXXXXXXX Assessment Title:

Read More »

Bsc Public Health and Health Promotion (Top up) LSC LONDON

Health and Work Assignment Brief.                 Assessment brief: A case study of 4,000 words (weighted at 100%) Students will present a series of complementary pieces of written work that:   a) analyse the key workplace issues; b) evaluate current or proposed strategies for managing them from a public health/health promotion perspective

Read More »

6HW109 Environmental Management and Sustainable Health

ASSESSMENT BRIEF MODULE CODE: 6HW109 MODULE TITLE: Environmental Management and Sustainable Health MODULE LEADER: XXXXXXXXX ACADEMIC YEAR: 2022-23 1        Demonstrate a critical awareness of the concept of Environmental Management linked to Health 2        Critically analyse climate change and health public policies. 3        Demonstrate a critical awareness of the concept of

Read More »

PROFESSIONAL SECURE NETWORKS COCS71196

PROFESSIONAL SECURE NETWORKS– Case Study Assessment Information Module Title: PROFESSIONAL SECURE NETWORKS   Module Code: COCS71196 Submission Deadline: 10th May 2024 by 3:30pm Instructions to candidates This assignment is one of two parts of the formal assessment for COCS71196 and is therefore compulsory. The assignment is weighted at 50% of

Read More »

CYBERCRIME FORENSIC ANALYSIS – COCS71193

CYBERCRIME FORENSIC ANALYSIS – COCS71193 Assignment Specification Weighted at 100% of the module mark. Learning Outcomes being assessed by this portfolio. Submission Deadline: Monday 6th May 2024, 1600Hrs. Requirements & Marking Scheme General Guidelines: This is an individual assessment comprised of four parts and is weighted at 100% of the

Read More »

Social Media Campaigns (SMC) Spring 2024 – Winter 2024

Unit: Dynamic Websites Assignment title: Social Media Campaigns (SMC) Spring 2024 – Winter 2024 Students must not use templates that they have not designed or created in this module assessment. This includes website building applications, free HTML5 website templates, or any software that is available to them to help with

Read More »

ABCJ3103 NEWS WRITING AND REPORTING Assignment

ASSIGNMENT/ TUGASAN _________________________________________________________________________ ABCJ3103 NEWS WRITING AND REPORTING PENULISAN DAN PELAPORAN BERITA JANUARY 2024 SEMESTER SPECIFIC INSTRUCTION / ARAHAN KHUSUS Jawab dalam bahasa Melayu atau bahasa Inggeris. Jumlah patah perkataan: 2500 – 3000 patah perkataan tidak termasuk rujukan. Hantar tugasan SEKALI sahaja dalam PELBAGAIfail. Tugasan ini dihantar secara ONLINE. Tarikh

Read More »

ABCM2103 INFORMATION TECHNOLOGY, MEDIA AND SOCIETY Assignment

ASSIGNMENT/ TUGASAN _________________________________________________________________________ ABCM2103 INFORMATION TECHNOLOGY, MEDIA AND SOCIETY TEKNOLOGI MAKLUMAT, MEDIA DAN MASYARAKAT JANUARY 2021 SPECIFIC INSTRUCTION / ARAHAN KHUSUS Jawab dalam Bahasa Melayu atau Bahasa Inggeris. Jumlah patah perkataan : 2500 – 3000 patah perkataan tidak termasuk rujukan. Hantar tugasan SEKALI sahaja dalam SATU fail. Tugasan ini dihantar

Read More »

ABCR3203 COMMUNICATION LAW Assignment

ASSIGNMENT/ TUGASAN _________________________________________________________________________ ABCR3203 COMMUNICATION LAW UNDANG-UNDANG KOMUNIKASI JANUARY 2024 SEMESTER SPECIFIC INSTRUCTION / ARAHAN KHUSUS Jawab dalam Bahasa Melayu atau Bahasa Inggeris. Jumlah patah perkataan : 2500 – 3000 patah perkataan tidak termasuk rujukan. Hantar tugasan SEKALI sahaja dalam SATU fail. Tugasan ini dihantar secara ONLINE. Tarikh penghantaran        :

Read More »

ORGANISATIONAL STRATEGY PLANNING AND MANAGEMENT ASSIGNMENT

POSTGRADUATE DIPLOMA IN BUSINESS MANAGEMENT ORGANISATIONAL STRATEGY PLANNING AND MANAGEMENT ASSIGNMENT NOTE: At postgraduate level, you are expected to substantiate your answers with evidence from independent research. INTRODUCTION TO THE ASSIGNMENT • This assignment consists of FOUR compulsory questions. Please answer all of them. • When you answer, preferably use

Read More »

Solution: Scenario 1, Mirror therapy in patients post stroke

Title: Scenario 1, Mirror therapy in patients post stroke Part 1 : Summary Ramachandran and colleagues developed mirror therapy to treat amputees’ agony from phantom limbs. Patients were able to feel their amputated limb without experiencing any pain by presenting them a mirror image of their healthy arm. Since then,

Read More »

Solution: Exploring the Dominance of Silence

Slide 1: Title – Exploring the Dominance of Silence The title, “Exploring the Dominance of Silence,” sets the stage for a deep dive into the portrayal of silence in Philip K. Dick’s “Do Androids Dream of Electric Sheep?” Our presentation will dissect the literary techniques used by the author to

Read More »

Solution: Assessment: Critical Reflection S2 2023

The policies that hampered the cultural survival of Indigenous groups have a major effect on their health (Coffin, 2007). Cultural isolation can cause an identity crisis and a sense of loss, which can exacerbate mental health problems. Indigenous people have greater rates of chronic illness and impairment due to historical

Read More »

Solution: The Market – Product and Competition Analysis

Section 1: The Market – Product and Competition Analysis Industry and Competition Analysis: The baking mix market is very competitive, but My Better Batch is entering it anyhow. The prepackaged baking mixes sold in this market allow busy people to have bakery-quality products on the table quickly without sacrificing quality

Read More »

Solution: PDCA model for Riot

Student Name: Student ID: University Name: Date: Learning Outcome 1: Engage actively in recognizing a new product/service for Riot and detect the vital tasks required for its effective growth. In this comprehensive learning outcome, Riot’s progress towards innovation superiority is characterized by a deliberate scheme that draws on components from

Read More »

Solution: EDEN 100 – ASSIGNMENT 1

Part 1: Reflections on the Register Variables Use the questions in Column 1 and analyse the sample oral interactions provided under the assessment tile. The transcript for Viv’s conversation is provided on pages 4-5. Probe Questions  Link to readings and theory Interaction 1 Interaction 2 PART 1 – ANALYSING THE

Read More »

Can't Find Your Assignment?

Open chat
1
Free Assistance
Universal Assignment
Hello 👋
How can we help you?