BNURS20 Nursing
Question:
What information is necessary to give a summary overview on this client’s health circumstances?
What other information would be important? What has this client been currently cared for?
What are some of my nursing interventions of best practice required to support and assist this client towards safe care?
What drug therapy is required or implications to this client and how would I promote their safety surrounding this?
As a nurse how am I to provide cultural safety into my nursing care for this client and their family?
Answer:
Introduction
The purpose of the present study is to build a fictional case study and produce in a digital poster focusing upon the Aboriginal and Torres Strait Islander child health (0-15 years). Early adolescence (12 to 15 years) group of the population have been targeted for ATSI health and healthiness program. The specific health disease focused on people experiencing acute coronary syndromes of symptoms.
Case study
The age group for the compiled case study has been considered to be adolescence. All of these subjects are high school students.
Case 1:-
- Name – Kirra Aibadu
- Age – 15 years
- Sex – Female
- Religion – Aboriginal Religion
- Family – Kirra lives with her father, mother and her three siblings. She has a younger sister and a younger brother, along with an elder brother.
- The place they live – The subject and his family is from Queensland and is also living there.
- Schooling – Kirra is in high school studying in 10th standard.
- Medications – The subject does not take any medication.
- Medical and surgery history – The subject has not medical or surgical history
- Conditions before needing an intervention- Acute Coronary Syndrome
- Cultural needs – The subject has moderate religious beliefs and values
Case 2:-
- Name – Warren Leealowa
- Age – 17 years
- Sex – Female
- Religion – Aboriginal Religion
- Family – Warren stays with her mother and father along with her younger sister.
- The place they live -The subject and his family is from Queensland and is also living there.
- Schooling – The subject has completed her schooling and will start college shortly.
- Medications – Warren occasionally has to take medication for her herpes. That is to stop it from spreading or infecting.
- Medical and surgery history – The subject has no medical or surgical history.
- Conditions before needing an intervention- Acute Coronary Syndrome
- Cultural needs – The subject has high religious values and beliefs
Case 3:-
- Name – Maya Baking
- Age – 16 years
- Sex – Female
- Religion – Aboriginal Religion
- Family – Maya is a single child, she lives with her father and mother.
- The place they live -The subject and his family is from Queensland and is also living there.
- Schooling – Maya studies in 11th standard.
- Medications – The subject is allergic to nuts and corns and has to carry an emergency adrenaline injection with her just in case of any emergency
- Medical and surgery history – The subject had to be taken to the hospital twice due to her allergy issues.
- Conditions before needing an intervention- Acute Coronary Syndrome
- Cultural needs – The subject has high religious values and beliefs
Topic Information
The selected health issue for the program is acute coronary syndromes which fall under the category of acute health condition. This kind of acute health is reactive, and cure is focused on episodic care. According to the statistics Aboriginal and Torres Strait Islander people are experiencing symptoms which are termed as acute coronary syndromes (ACS).
Brown (2010) mentioned several tests are primarily arranged for ensuring the signs and symptoms of the acute coronary system have been which are likely to prove the disease are persisting within the individual.
- An electrocardiogram measures the electrical activity in the heart which are electrodes attached within the screen. Irregular or abnormal impulses are more likely to indicate poor heart function which may also indicate the general blockage location (Nugent et al.2013). The tests are expected to be repeated several times.
- Blood tests are done to detect certain enzymes which might indicate if cell death has resulted in damaging heart tissue.
Depending on the types of AC the following drugs are going to be prescribed:
- Clopidogrel or Aspirin and sometimes both. If fibrinolytic therapy is not given ticagrelor or prasugrel can be considered (Korda et al.2009).
- Beta Blocker
- V nitroglycerin
- Statin
Nursing Interventions
Keeping comprehensive and clear note has been crucial for ensuring all the nursing interventions and caring for the patients with ACS. Artuso et al. (2013) stated the clinical status of the patient including the management plan and the areas of concerns are also priorities of the nursing care. They should monitor the femoral access sites or the monitor radial which would let them recognise the complications.The diabetic patients should be regularly monitors and put the IV insulin within their blood GTN (Huffman and Galloway 2010). Furthermore, symptom monitoring is also important for achieving the pain relief in the morphine and GTN.
Cultural Safety
According to Sun and Buys (2013), information about cultural awareness and cultural safety is explained with relevance to the client in your case study and includes how as a nurse you would apply cultural safety principles into care and the practice of nursing. There is required a demonstration of understanding and the importance of practising in a culturally safe way for this client.
Cultural safety in this situation is based on a power relationship between the nurses and the patients in their care. Cultural safety requires a certain level of attitudinal, cognitive and also personal skill to develop the relationship between the nurse and the patients in care (Couzos and Murray, 2008). Another step to follow is being aware of the cultural awareness or the cultural appraisals as this helps in identifying the cultural domains of difference which I need to plan accordingly to provide the necessary care to the young adolescent patients (Korda, Clements and Kelman. 2009). The third step to follow for me is to improve my cultural safety skills by appropriate behaviour, attitude and strategies for communication that reduces the difference and inequities in patient care.
Conclusion
The subject of this study is who have an acute disease that is, Acute Coronary Syndrome and arranging their nursing intervention program. Five clients are typically focused on arranging wellness program for Aboriginal and Torres Strait Islander group of people. I need to have the cultural awareness or consciousness of the Aboriginal and Torres Strait Islanders to provide them with better care and culturally sound advice. Engaging conversations with the hound adolescent patients will be imperative for me to gain cultural consciousness of the Aboriginal and Torres Strait Islanders. This would help me as a nurse to properly care for my patients belonging to the similar culture and help cure the diseases.
References
Artuso, S., Cargo, M., Brown, A. and Daniel, M., 2013. Factors influencing health care utilisation among Aboriginal cardiac patients in central Australia: a qualitative study. BMC Health Services Research, 13(1), p.83.
Brown, A., 2010. Acute coronary syndromes in indigenous Australians: opportunities for improving outcomes across the continuum of care. Heart, Lung and Circulation, 19(5-6), pp.325-336.
Couzos, S. and Murray, R., 2008. Aboriginal primary health care: an evidence-based approach. Oxford University Press.
Huffman, M.D. and Galloway, J.M., 2010. Cardiovascular health in indigenous communities: successful programs. Heart, Lung and Circulation, 19(5-6), pp.351-360.
Korda, R.J., Clements, M.S. and Kelman, C.W., 2009. Universal health care no guarantee of equity: comparison of socioeconomic inequalities in the receipt of coronary procedures in patients with acute myocardial infarction and angina. BMC Public Health, 9(1), p.460.
Nugent, A.W., Daubeney, P.E., Chondros, P., Carlin, J.B., Cheung, M., Wilkinson, L.C., Davis, A.M., Kahler, S.G., Chow, C.W., Wilkinson, J.L. and Weintraub, R.G., 2003. The epidemiology of childhood cardiomyopathy in Australia. New England Journal of Medicine, 348(17), pp.1639-1646.
Sun, J. and Buys, N., 2013. Participatory community singing program to enhance quality of life and social and emotional well-being in Aboriginal and Torres Strait Islander Australians with chronic diseases. International Journal on Disability and Human Development, 12(3), pp.317-323.
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