the Medical Practice with her partner

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Case Scenario
Mrs Fisher is a 63 year old woman who has presented at the Medical Practice with her partner, feeling generally unwell, presenting with symptoms of Lethargy due to lack of sleep, extreme thirst & Polyuria.
The partner is reporting that Mrs Fisher has at times been confused and forgotten what she was doing, requiring prompting.
Mrs Fisher has a past history of:
Hypertension
Type 2 Diabetes
Hypothyroidism
Obesity
Smoker – 20 per day
Current Medications:
Metformin 10mgs BD
Simvastin 20mgs nocte
Candesartan 10mg mane
Thyroxine 150mg mane
Following review with the General Practitioner (GP) Mrs Fisher was found to have:
An exacerbation of her diabetes, BGL registered as ‘High’ 
Severe infection – Urinary Tract infection
The GP requested that Mrs Fisher attend the nurse clinic for 2 reasons:
Ongoing assessment including the following:
Regular BGL recording
Diabetes education and follow up
Doppler evaluation of peripheral pulses
Mini Mental Exam

Case manage referrals to:
Podiatry
Ophthalmology
Diabetes educator 
Dietitian
AT1 question 1 Discuss the scope of practice of a Division 2 (enrolled nurse) in General Practice (100 words).
AT1 question 2 Identify the multidisciplinary team members who would be involved in Mrs Fisher’s ongoing care and how the referral mechanisms work in general practice (150 words).
AT1 question 3 Develop a plan of care for Mrs Fisher, identifying expected outcomes and timelines – Nursing Care Plan & Progress Notes, a nursing care plan template is attached to the Assessment document.
AT1 question 4 Identify chronic disease management strategies to be developed for Mrs Fisher (200 words).
AT1 question 5 The provision of nursing care is predominately evidence based practice. Provide a definition of evidence based practice and give 2 examples (100 words).
Assessment criteria 1 Identify an interdisciplinary health care team in a primary health care environment
Assessment criteria 2 Links co-morbidities and interventions to care and expected outcomes
Assessment criteria 3 Recognise impact of a health problem on a person in the primary health care environment
Criteria 4 Perform nursing interventions that support a person’s health care needs
Criteria 5 Suggests appropriate referrals & follow-up care
Criteria 6 APA6 referencing style used correctly as per the)
Criteria 7 Academic writing skills as per the (Criteria include planning, academic writing skills/expression, paraphrasing and formatting.
ASSESSMENT
Questions
Discuss the scope of practice of a Division 2 (enrolled nurse) in General Practice.
Identify the multidisciplinary team members who would be involved in Mrs Fisher’s ongoing care and how the referral mechanisms work in general practice.
Develop a plan of care for Mrs Fisher, identifying expected outcomes and timelines – Nursing Care Plan and Progress Notes.
NURSING CARE PLAN The Care plan is to be completed for each assessment of the client and filed in the client’s history. All information gathered remains confidential
Family Name: FISHERGiven Name: JENNIFER2 1
0 3
1 9 5 7 Date Of Birth:Sex: F OR Use Patient identity Label
DATE: 07/05/2020
Diagnosis: Exacerbation of diabetes, BGL registered as ‘High’ Severe infection – Urinary Tract Infection
Past History: Hypertension, T2DM, Hypothyroidism, Obesity, Smoker- 20 per day
Advanced Care Plan:  Yes ☒ No
MEDICAL PLAN Discuss with patient / carer

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MONITORING Frequency of Vital signs (circle the frequency) Daily Weekly MonthlyBLG frequency □ BLG Record Book (circle the frequency) daily morning night 4hrly before meals & night □ Glucometer
Pulse _____ Respiration ____ B/P_____ Temp _______Weight ____________________________________________BLG ________________________________________________
MENTAL STATUS
☒ Alert/orientated  date  time ☒ year ☒ Memory impairment ☒ Short term  Long term Speech:  Normal  Rapid ☒ Slow  monotone  Aggressive ☒ Recall  Yes ☒ No State 3 words and ask the client to memorise – do not give any hints
CIRCULATION
Pulses present ☒ Arm – Radius ☒ Leg – Dorsal Plexus Doppler findings: Peripheral pulse R Leg: _____________________________ Peripheral pulse L Leg: _____________________________
DIET & HYDRATION
 Diet __________________________________________  Dietician Referral Referral date:
SKIN INTEGRITY / HYGIENE
Skin Integrity:  Skin intact  Skin breaks present – refer to progress notes ADL’s:  Independent  Assist  Dependent
ELIMINATION
Urinary Incontinent: Yes No Faecal Incontinent: Yes No Aids _______________________________________________
FALLS / MOBILITY
 Independent  Dependent with Aid Aid: ______________________  Falls Risk  Home assessment required  Occupational Therapist Referral – Date ___________
RISK FACTORS potential or actual

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REFERRALS
 Physiotherapist Date:_______________  Dietitian Date:_______________  Social Worker Date:_______________  Occupational Therapist Date:_______________  Diabetic Educator Date:_______________  Podiatrist Date:_______________  Ophthalmologist Date:_______________  Speech Pathologist Date:_______________  Consultant Date:_______________
Referral follow up notes: Follow up referrals and document findings/recommendations Further investigations Treatment options Referral to another specialist No. of further visits required

EDUCATION REQUIREMENTS Client and/or Carer

PROGRESS NOTES

ACCOUNTABLE RN / EN SIGN
SIGNATURE:

Identify chronic disease management strategies to be developed for Mrs Fisher.
The provision of nursing care is predominantly evidence based practice. Provide a definition of evidence based practice and give 2 examples.
References

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