Nurse working in primary health care

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Reference no: EM133261610

Case Scenario:

You are an Enrolled nurse working in primary health care. 

A new referral to your clinic, Mr McFarlane, has recently been diagnosed with Type 2 diabetes.

As part of your role, you are working with a Registered Nurse to assess the client and to develop    plan of care appropriate for the client with both short and long term objectives and goals.

Character Briefs:

Mr George McFarlane. Male, aged 53 years. Married for 5 years with 3 children.

Mr McFarlane's background includes:

  • Second marriage - first wife died of cancer 8 years previously
  • Occupation - Long haul truck driver
  • Earns good money
  • Away from home a lot - not there to support family
  • Overweight - 135kg
  • Hypertension
  • Uses watching television and beer to cope with stress
  • Smoker
  • Diet preferences are Australian. Often has a poor diet when on the road for work including 'fatty food from truck stops'
  • Has a 26-year old son from first marriage who has severe depression and uses illicit drugs, visits on occasion (very disruptive when he does visit)
  • Unknown social support and external interests
  • Has osteoarthritis in (L) knee
  • Reliant on wife, Yu Yang, to complete all domestic duties as he is not self-sufficient.

Mrs Yu Yang McFarlane is Mr McFarlane's wife. She is 38 years old. 

Mrs McFarlane's background includes:

  • Came to Australian as a university student
  • Fell pregnant at the age of 19 - did not marry
  • Married George 5 years ago
  • Has 3-year old twins at home
  • One twin has developmental disorder
  • English language is good
  • Was/Is isolated with no extended family
  • Her issues will be those of isolated immigrant
  • Prefers to cook Asian food
  • Needed help with raising child and so she invited her Chinese mother to come to Australia to help out
  • Needed help with raising child and invited Chinese mother to Australia to help out
Assessment Criteria

Mr McFarlane is complaining of feeling dizzy, nauseated and has a headache. On assessing Mr McFarlane, you note that he is pale and clammy and is tachycardic.  You check Mr McFarlane's blood glucose level (BGL) and note that it is 3.4 mmol/L. Mrs McFarlane states that Mr McFarlane has not eaten since breakfast due to the appointment time at the clinic. Lunch has been delayed due to today's appointment. 

Outline your actions to this situation

Include in answer:

  1. Your immediate response to ensure the safety of your client
  2. Who you would notify of the situation and what information you would handover (consider using ISBAR in your response)
  3. How you would evaluate if the care provided was effective
  4. What information you would provide to Mr and Mrs McFarlane about the situation and how this could be prevented in the future

Reference no: EM133261610

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