Patient: Mrs Mary Tonkin DOB: 06/06/1940 Weight: 63 kgs Height: 168…

Question Answered step-by-step Patient: Mrs Mary Tonkin DOB: 06/06/1940 Weight: 63 kgs Height: 168… Patient: Mrs Mary TonkinDOB: 06/06/1940Weight: 63 kgsHeight: 168 cmsFamily/Significant othersThree grown sons, two live in Queensland and her youngest son Sam lives with his wife and their 4 young children in a suburb 20 minutes drive from Mary. Her son Sam receives a carers allowance to care for his mother and is very worried about her. He is supportive and visits her three times a week. Rachael, his wife is unhappy with Sam spending so much time at Marys house as she is busy working full time and caring for the children. Rachael would like Mary to be placed in a residential aged care facility, however Sam knows that this is not what Mary wants.BackgroundMrs Mary TONKIN is a 79 year old widow who lives alone in a house in the suburb of Marion in metropolitan South Australia.Marys husband died 10 years ago following a fall from a ladder and a fractured femur. Complications contributing to his death were osteomyelitis and pneumonia. Consequently, Mary is fearful of hospitals and is adamant that she wants to stay in her own home.Mary lives (with her two cats) independently in the large family home. Over the past three years she has noticed her health declining which has made it difficult for her to carry out activities around the home such as cleaning and gardening as she is becoming very tired and occasionally, diaphoretic and short of breath. Mary also feels as though she is becoming more forgetful lately as she found herself placing frozen food items in the cupboard rather than the fridge. Mary has some left sided leg hemiparesis following her recent stroke but manages to walk with the aid of a walking stick.Hospital stayMary has spent the last five days in hospital recovering after an episode of dizziness, shortness of breath and fatigue. The doctors at the hospital felt that Mary may have had a brief period of rapid atrial fibrillation (AF) at the time. Following a diagnostic transoesophageal echocardiogram and cardioversion, her AF has now resolved, and she is cleared to return home.Past Medical History Trans ischaemic attack (2016)Right sided cerebro vascular accident (2018)DiverticulosisCholecystectomy (2000)Atrial fibrillationHypertensionRecently diagnosed Type 2 Diabetes Mellitus (HbA1C 2 months ago =11.8)Colles fracture from a fall at home with internal fixation (2018)Past family historyFather – COPD, pneumonia, abdominal aortic aneurysm – deceasedMother – Alzheimer’s dementia, pulmonary embolism – deceasedAllergies Penicillin, Sulphonamides MedicationsClopidegrol 75mg PO dailyDigoxin 125mcg PO dailyWarfarin 3mg daily (commenced prior to her cardioversion)Microzide 25mg PO dailyMetformin 500mg PO dailyRequired: Introduce the case study patient and provide context for what is to follow in the essay. ·      What you understand by the terms chronic and complex needs for the patient in the above scenario?. ·       Do you believe that the case study patient has complex care needs? If so, why? ·        Identify in order of priority, three (3) specific needs for the patient. Provide a rationale as to why you have prioritised these needs ·        For each of these needs, provide a detailed account of how they will best be met (in the patients home). This will include information about which multidisciplinary team members may be required; their role and a justification as to why they will be beneficial in assisting the persons care and avoiding hospitalisation. Provide a conclusion that sums up the main points in the essay. Health Science Science Nursing NURS 3003 Share QuestionEmailCopy link Comments (0)