Nursing Case Study Of Mrs Mable Sweeney

Question

Task: Read the nursing case study of Mrs Mable Sweeney who is a retired 68 widower with a 6-year history of Heart Failure. Her past medical history includes episodes of tachycardia, arrhythmias, oedema, fatigue and dyspnoea. At the time of diagnosis, she was advised to lose weight (at least 5kg) and to attend a Cardiac Rehabilitation Unit but no further action was taken.

Address the following points:
a) Identify the risk factors for Mrs Mabel Sweeney and clearly explain why these are risk factor for her. The discussion should be linked to the National Strategic Framework for Chronic Conditions Strategic Priority Area 1.1 (Promote health and reduce risk).

b) Using the best available evidence identify the nursing assessments that are required to be conducted for Mrs Mabel Sweeney and the rationale for these.

c) Using the best available evidence and demonstrating links to the National Strategic Framework for Chronic Conditions Objective 3 - Target priority populations, discuss why Mrs Mabel Sweeney might be identified as being a priority population and the impact this may have on her chronic condition self-management.

d) Using the best available evidence, discuss the self-management priorities that would be developed in collaboration with Mrs Mabel Sweeney. These should consider health promotion and reducing the risk of complications (Strategic Priority Area 1.1) and show links to the risk factors identified in Criteria One.

e) With support from the best available evidence, explain how goal setting may impact on actively engaging patients in their care (Strategic Priority Area 2.1).

Answer

Introduction
The studywill offer its concern for chronic disease with an insight into the nursing case studyof Mrs. Mabel. In its discussion, it will first offer risk factors for Mabel which would be followed by effective nursing assessments. Further, Mabel would be represented as the target population for whom the Government has initiated a plan. It will offer justification for the plan as well as for goal setting in the case of chronic disease.

Risk factors for Mabel
Considering the health condition of Mabel certain risk factors can be seen in her case. A diverse range of factors can influence well-being and health of a person which can be referred to as risk factors. For Mable the risk factors are-

Behavioral risk factor- the referred is the most common risk factor for chronic conditions like Mabel. The risk factor consumes different types of behavioral aspects for the patient. Mabel is not an exception in this regard. From the nursing case studyof Mabel, it has been seen that she never follow the prescription of dieticians and even day by day lost her interest in physical activity. Both the concern reflects behavioral respect as she is having poor diet and physical and cognitive inactivity due to loneliness. Biomedical risk factors- the concern is even a risk factor for Mabel as it speaks about different types of physical and mental illness and Mabel has confirmed a growing case of mental illness due to solidarity and loneliness (Noor, Gulis&Sondergaard, 2018). Further, she is even stressed with the fact that her mother has also died due to heart failure and she thereby is an easy target of it.

Non-modifiable risk factors- the risk factor is accustomed to psychological and physical components where age, sex and genetics are important concern. Considering referred three aspects Mabel can be referred to as a target of the risk factor as she is 65 years old woman with a record of her mother's heart failure.

Physical environment determinants- Mabel lives in a lonely place from where the nearest medical center is 150 km. Thereby the geographic location is not in the favor of her and this is a risk factor for her.

Required nursing assessment
Mabel is suffering from both mental and physical illness thereby it is much required to offer an effective nursing assessment to her for better recovery.

Considering the behavioral risk factors she needs to be addressed by a proper diet chart by a dietitian to have diet for her daily routine. It would help her to gain some physical strength through which she can continue her social work with interest and encouragement which should further be helpful for dealing with the issue of mental illness. Doctors have advised for reducing her weight whereas she gains more weight. Thereby proper physical activities need to be obtained by her to reduce weight under the guidance of a healthcare professional. She immediately needs to be admitted to a hospital for her recovery as she needs to be accompanied by someone who can offer her motivation releasing her stress level (Hays, &Sen Gupta, 2018). The concern not only helps in reduction of stress or loneliness further it would address any emergency considering her health condition removing the geographical barriers. These are the primary steps to be taken considering the nursing case studyof Mabel though certain more important steps need to be taken by a healthcare professional. Assessing the volume status of congestive heart failure of her navel evaluation need to be done to understand what type of heart failure it is. She even needs to be observed regularly to understand her improvement or deterioration by a record chart. Chest X-Ray needs to be done frequently to understand her current condition. Considering the urgency of the situation echocardiography can be obtained.

Mabel as a target priority population
Chronic conditions can be stated as healthcare gaps between indigenous and non-indigenous Australians where the average indigenous are more affected with chronic diseases. As Mabel belongs from this community thereby she becomes a target population by the Australian government. Government has found that most of the Aboriginal and Torres Strait islander people are affected with chronic diseases thereby they come with a health plan for Aboriginal and Torres Strait islander to deal with the issue (Cardoso, Reis, &Manzanares-Céspedes, 2018). Mabel is suffering from chronic disease heart failure and belongs to the same group. Thereby she becomes a target population for the government. Since 2008, government has taken the initiative for the group though much improvement cannot be seen by the initiative. The impact of the program can be found over Mabel. The nursing case studyoffers that she leaves alone in a distant place which conveys the fact that she is much confident about self-management regarding her health status. The government plan helps the people of aboriginal or Torres Strait islanders to become self-managed (Doherty, Knight, &Dobreva-Martinova, 2019). Mabel is not an exception in this regard. Further government has taken the initiative to improve the health outcomes for Aboriginal and Torres Strait islanders considering their culture. Mabel has received the same type of consideration from the government by being a target population group through which she can have all types of facilities from the government for improving her health condition.

Self-management priorities
Considering the given nursing case study, it can be claimed that self-management priorities can be set for Mable by responsible partnership combining effective community leadership along with advocacy for optimizing access, sustainability and quality to have appropriate safe health services for chronic conditions. Mabel being an aged lady can be an effective part of this collaboration to be aware of self-managed priorities. In this collaboration Mabel, community leader, health professional, selected member and community control sector would be involved. Further,it helps in understanding community needs to be followed by the implementation and development of responsive appropriate service. Self-identity can even be made by Mabel through the collaboration. The collaboration would help Mabel in having an appropriate data collection process throughout the health system (Theis, Brady, &Helmick, 2017). Through the referred aspect, she can have better reliable and accurate information about her condition by having a stronger understanding with all the medical professionals. Strategic priority area by the government with relevant partners helps in developing services action strategies and policies for Aboriginals and Torres Strait islanders to deal with chronic disease. Referred strategies, policies, and activities help Mabel along with all the aboriginals and Torres Strait islanders to appropriately handle the chronic condition of the individual. The collaboration would help to reduce the risk factors like proper diet and physical activity can be obtained by the collaboration. Biomedical risk factors even cannot be there as mental stress would be relievedthrough the accompanimentof different types of persons with all the support. The concerned further would remove psychological risk factors for Mabel by removing stress and trauma regarding her health condition. Physical environment determinants even cannot play a role there through the collaboration.

What is the impact of setting the goal in the present scenario of nursing case study?
Active engagement signifies approach which puts people at the center of their own Health Care empowering them to play an informed role as for their abilities and interest. The concern reveals the fact that through the strategic priority area Mabel will be empowered with such information through which she can effectively handle her own condition as per her interest and ability. Strategic priority area even confirms that a patient of the chronic disease need not be staying alone or manage health condition in isolation. However, it does not say that passive role in the part of the patient can be entertained. Thereby Mabel needs to be accompanied by healthcare professionals with spontaneity and activeness to engage in the decision making process for care partnership which can be developed between health care provider individual, career and community as per the situational crisis (Landers et al, 2016). Goal setting can be influential for the patients of chronic disease for which effective engagement of people in managing their chronic conditions need to be evolved. Based on the nursing case study, it can be stated thatMabel needs to be well aware of her condition; however that need not be stressful as she needs to remember that healthcare professionals are always there to give her utmost care and support. The setting goal further would help them to understand values and needs through which they can set short term goals followed by improvement in their health condition. It does not only share its concern for the person but it involves the community, family and carer in the planning session to make people aware of the health condition of the patient. It helps the patient to be mentally strong as she started to think that her family, neighbor and community are there beside her through all the difficulties considering her health issues. Well-awareness regarding her health condition further can help Mabel to be open enough for discussing treatment preferences objectifying individualized quality goals. The referred aspect of setting the goal most importantly would help a patient of chronic disease to have a quick recovery.

Conclusion
The paper analyses the nursing case study and facilitates severe concern for chronic diseases like heart failure with the case instance of Mabel who is 60 years old and having a case of heart failure for the last 6 years. In the discussion it first tries to identify risk factors for Mrs.Mabel with proper justifications which are - Behavioral risk factor, biomedical risk factors, Non-modifiable risk factors, Physical environment determinants. The nursing assessment has been encrypted by the paper as per the risk factors for Mabel where it has been stated that she needs accompaniment and assistance of health sector and dietitians. For further discussion, it connects with the National Strategic Framework for chronic conditions objective 3 where the target population has been stated as Aboriginal and Torres Strait Islanders considering their deteriorated health history and the reason for Mabel to be the target population is same. Self-management priorities have been discussed with the help of government policy where mitigation policies for risk factors have been discovered which convey that she needs to live under regular supervision and observation. Finally, it has offered justification for goal setting considering the chronic disease for better patient care.

References
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Doherty, G., Knight, E. C., &Dobreva-Martinova, T. (2019, April).Defence Team Total Health and Wellness Strategic Framework. In Paper submitted to the 43rd HFM Panel Business Meeting (pp. 8-11).

Hays, R., &Sen Gupta, T. (2018).Developing a general practice workforce for the future. Australian journal of general practice, 47(8), 502.

Landers, S., Madigan, E., Leff, B., Rosati, R. J., McCann, B. A., Hornbake, R., ...& Lee, T. (2016). The future of home health care: a strategic framework for optimizing value. Nursing case studyHome health care management & practice, 28(4), 262-278.

Noor, F. A., Gulis, G., &Søndergaard, J. (2018).A Conceptual Framework for Chronic Disease Prevention Based on Multilevel Approach. Global Journal of Health Science, 10(5), 175-182.

Theis, K. A., Brady, T. J., &Helmick, C. G. (2017). No one dies of old age anymore: a coordinated approach to comorbidities and the rheumatic diseases. Arthritis Care & Research, 69(1), 1-4.