case study of Bob Brown Nursing case study

NRS71003: Health Assessment
Week 10 – Case study guidelines
Week 10: Case Study
Learning Outcomes

At the completion of the case study, the student will have:
1. Identified 3 key issues in relation to the presenting problem
2. Demonstrated the ability to prioritise presenting patient issues
3. Demonstrated a novice understanding of Aseptic non-Touch technique (ANTT) in relation to their case study
4. Outlined the care for the patient identified in the case study
Task:
You are asked to review the following case study about Bob who has presented with:
Post fall resulting in fractured right (R) patella. He is unable to weight bear on his R leg due to knee pain.
He has also caused damage to an existing ulcer on his left leg.
You are required to write a report that:
• Identifies three key issues, placed in order of priority and rationale why you have chosen the 3 issues and the priority order
• Demonstrates an understanding of Aseptic Non-Touch Technique (ANTT) in relation to the wound care of Bob’s venous ulcer
• Outlines an approach to Bob’s care with particular focus on:
oBMI
oFamily
oNutrition
Background
Patient Details:
Name: Bob Brown Age: 63
Gender: Male Height: 170 cm
Weight: 125kg
History:
Medical:
Type II Diabetes Mellitus
• Poorly controlled HbA1c has been 10-12 for past year
Hypertension
Elevated Cholesterol
Venous ulcer left lower leg requiring regular wound care
Family History:
Father died at 65 from Acute Myocardial Infarction (AMI)
Mother lives next door and requires assistance with Activities of daily Living (ADL’s)
Medications:
Antihypertensive (combination drug)
• perindopril arginine 5mg, indapamide 1.25mg: 1 tablet once daily
Anticholesterol
• Atorvastatin: 80 mg once daily
Hypoglycaemic agents
• Metformin: 500mg BD
• Lantus 100units/ml: 60 units once daily

Social:
Sedentary lifestyle
Works long hours in Information technology (IT)
Divorced no children
Recently quit smoking
Has up to a dozen beers at the pub on weekends while watching

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