Reference no: EM133238871

Assignment - Nurse Practice Case Studies

Case Study 1 - As a nurse practicing within a family practice, you are interviewing a 55-year-old woman who is an executive assistant at a local law firm, where she has worked for 9 years. She has a 7-year history of respiratory illness, which occurs several times throughout the year, not seemingly connected to the changes in season-she doesn't use tobacco products in any form. During your questions regarding her home and work environments, she reports that she enjoys working adjacent to the courthouse in a building over 100 years old as it is such a contrast to her brand-new home on a local golf course. When describing the health of her coworkers, she indicates, "We all share illnesses which seem to affect everyone else during the year, we just seem to be sicker more often!"

a. What information is pertinent to your client's case?

b. How would you assess your client's risk?

c. What would be an exposure pathway for your client?

Case Study 2 - An environmental health nurse is completing an assessment of a patient who has worked with pestidcides in a lawn maintenance business for many years. The nurse is seeing this patient with complaints of chronic dermatitis.

a. The nurse is concerned about the chronic exposure this patient has had to pesticides. What regulations are in place for pesticides?

b. The nurse is taking exposure history. What type of questions should the nurse ask about the patient's present work?

c. What is the precautionary principle of environmental health for nursing practice?

Case Study 3 - The community health nurses are reviewing the status of current national health plans providing health promotion and disease prevention at the population level. The nurses are trying to identify ways to implement changes in their community that could lead to the potential to create significant change in the health status of their community.

1. Examine three programs offered by the health department in your area to determine if the programs focus on primary, secondary, or tertiary prevention.

a. The community health nurses are using a logic model in planning a community-wide health promotion program. How does a logic model work?

b. What factors do the community health nurses need to consider in analysis of the current health status of the community?

c. When should community leaders be involved in the development of the health promotion program?

d. The group is considering opening a nurse-managed health center for the health promotion program. What groups in the community are best served by nurse-managed health centers?