NRSG370 Clinical Integration Specialty Practice


Case Study

Kath Jones, 62 years old, right below knee amputation

Kath is a 62 year old Indigenous Australian woman who has a history of peripheral vascular disease (PVD) secondary to Type II Diabetes which is controlled by diet and oral hypoglycaemic medication. Kath lives independently in her own home in a rural setting, works part time at the local news agent, is divorced and has two sons who are mine workers. Kath developed a large vascular ulcer on the medial aspect of her right calf following a fall, where she sustained a large graze and bruising, subsequently becoming infected and turning gangrenous over 6 months and which was unresponsive to treatment, resulting in a right below knee amputation which was performed electively in a regional hospital under spinal anaesthesia. Kath has had an uneventful post-operative period; has recovered well from the surgery and the amputated stump appears to be healing well. Kath is now 5 days post op and needs to be discharged to an inpatient rehabilitation facility to learn how to mobilise safely with a prosthesis as well as education to effectively manage her Type II diabetes, as she wishes to return to her independent lifestyle.

Read: The Nursing Clinical Reasoning Cycle


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1. Distinguish the roles and responsibilities of a nurse in the selected speciality practice area.
2. Utilise a collaborative approach to plan, coordinate and implement, after meticulous and comprehensive assessment, evidence based, safe person-centred care of individuals experiencing alterations in health specific to the elected specialty; and their families;(GA6)
3. Demonstrate safe use of selected technologies in the environment of the elected specialty.
4. Utilise effective communication skills when interacting with people and the health care team;(GA9).
5. Utilise a clinical decision-making framework in the provision of appropriate ethical, legal, evidence-based, holistic care to people and their families/carers;
6. Promote the rights of clients and carers and their role in treatment planning and recovery. (GA1)
7. Reflect upon personal perceptions and meanings of health, illness, dying and death as appropriate in the specialty practice area; (GA4)
8. Extend your professional portfolio reflecting on your learning and development towards the NMBA Registered nurse standards for practice using examples of skill development and nursing. (GA4,10)
9. Explain how health and illness and health care practices are constructed by people within the culture of a host country.
10.Discuss factors that can impact on the roles and functions of health care professionals within the host country.
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