Scenario Jack Charles Assignment Help: How to Answer This Question

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Original Question

Scenario: Mr Jack Charles owns and manages a Market Garden mainly producing celery and herbs. He and his son “Thomas” share this business together. Thomas has a wife and three young children aged 2, 4 and 6. Mr Jack Charles is a 78-year-old type 2 diabetic. He was first diagnosed in 1999 with hypertension then 2 years later as a type 2 diabetic. His wife Gladys has been managing his diet and medications until she died in 2010. He has hypercholesterolaemia managed with Lipitor 40mg nocte, hypertension managed with Aldomet 50mg daily, his type 2 diabetes is managed with diet and Metformin 500mg slow release BD. He has been struggling to manage his health and work on the Farm. Mr Charles was admitted to a Private Hospital 65 days ago with unstable ischaemic heart disease. On admission his BGL was 20 mmol/liter and he had polyuria, polydipsia and polyphagia. He required emergency Quadruple Coronary Artery Bypass Grafts (CABGs)that was complicated post – operatively by a Right Cerebrovascular Accident (RCVA). After ten (10) days he was transferred to a Private Rehabilitation Centre to receive specialised post stroke management. He has L leg weakness, L arm weakness and dysphasia as a result of hid ischaemic stroke. Medications in Rehabilitation Hypertension is now managed by Captopril 50mg TDS Diabetes is now managed by TDS Actrapid Insulin 10 units Hypercholesterolaemia us managed by Lipitor 80mg Clexane 80mg BD subcutaneously He will require Oral warfarin on discharge, dosage to be determined. answer their following question: Q1, Identify current contribution of other agencies and professionals in supporting Mr Charles. For the following agencies and professionals, determine their contribution in providing care for Mr Charles in hospital, or following discharge. Please make reference to the following: – GP – Pharmacist – Centrelink – RDNS – Physiotherapy – Hydrotherapy – Diabetic nurse educator – Wound care nurse Q2, Identify the level and type of contribution and support made by family or carer. Q3, As a nurse, identify four (4) situations you will communicate with allied health professionals in regards to Mr Charles progress. Provide an example for each situation of how and what is communicated. Q4 Respond to variations in Mr Charles needs in the context of a coordinated service approach. Mr Charles is very sad and writes: “I can’t live like this. I just want to die- and I know how to do it.” As a nurse, how will you respond and what members of the health care team will you contact to help deal with this situation? Q5, After consultation with the Endocrinologist and Diabetic Nurse Educator, Mr Charles has been told he will need to manage his insulin injections to help control his Type 2 Diabetes. How will you as a nurse, educate and evaluate Mr Charles understanding of his diabetes and new management regime? Please make reference to the following: – Sugar free diet – Checking of BGL – Storage of insulin – Injection of insulin

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