SFU-011 - Module 4 (Model answer)

Model Answer

Expected Outcome

Reflection Task (10 minutes)

Document and Present (15 minutes)

Hear from a professional in this role to see how they might approach this task. The following pages are a detailed model answer for the work simulation on Care Planning, geared towards a student interested in becoming a Nurse.

Create Task (20 minutes)

Analysis Task (30 minutes)

Research Task (30 minutes)

Preparation Task (10 minutes)

For Type 2 Diabetes

Given Mr. Joe Biggs' medical conditions (COPD, hypertension, and type 2 diabetes), the following warning signs should be closely monitored:

Warning Signs for Mr. Joe Biggs

• Unexplained weight loss or gain
• Excessive thirst and frequent urination (signs of hyperglycemia)
• Fatigue or confusion
• Numbness or tingling in hands and feet (neuropathy)
• Sores or infections that are slow to heal

• Severe headaches
• Dizziness or lightheadedness
• Blurred vision
• Chest pain or pressure
• Sudden nosebleeds

• Increased shortness of breath or difficulty breathing
• Persistent or worsening cough, particularly with mucus production
• Cyanosis (bluish discoloration of lips or extremities)
• Chest pain or tightness
• Fatigue and decreased ability to exercise

For Hypertension

For COPD

PREPARAtion task

Simulation

Type 2 Diabetes

• Management Guidelines: Use oral hypoglycemic agents or insulin therapy. Emphasise a balanced diet, blood sugar monitoring, and exercise
• Common Complications: Diabetic neuropathy, retinopathy, cardiovascular disease
• Nurse's Role: Monitor blood glucose, provide foot care, educate about diet and medication management, prevent complications, administer insulin as appropriate

Hypertension

• Management Guidelines: Administer antihypertensive medications (ACE inhibitors, beta-blockers). Encourage low-sodium diet and regular monitoring of blood pressure
• Common Complications: Heart disease, stroke, and kidney damage
• Nurse's Role: Regular BP monitoring, medication adherence support, lifestyle counselling (diet, exercise)

COPD

• Management Guidelines: Use bronchodilators, inhaled corticosteroids, and supplemental oxygen. Encourage pulmonary rehabilitation and smoking cessation
• Common Complications: Respiratory infections, lung failure, and heart failure
• Nurse's Role: Monitor respiratory status, manage oxygen therapy, teach inhaler use, and educate about exacerbation prevention

Disease Understanding and Management

research task

Simulation

Challenges

• Ensuring adherence to multiple medications
• Encouraging lifestyle changes (e.g., diet, smoking cessation) which can be difficult for older patients
• Preventing complications from the interplay between diabetes and hypertension
• Managing potential isolation and reduced mobility due to COPD
• Managing a life-limiting illness with no cure

Psychosocial Needs:

• Emotional support due to the burden of managing multiple chronic illnesses
• Education on lifestyle changes (smoking cessation, dietary modifications)
• Access to social support and mental health counselling to manage potential anxiety and depression

Healthcare Needs:

• Regular monitoring of blood pressure, blood glucose, and lung function
• Medication management for all chronic conditions
• Diet management to control both hypertension and diabetes
• Oxygen therapy and respiratory care for COPD

Analysis Task - Patient's Needs

Analysis Task

Simulation

Discharge Planning

Education about Condition

Psychosocial Support

Involvement of Multidisciplinary Team

Nutrition and Hydration

Non-Pharmacological Management

Pharmacological Symptom Management

Comprehensive Care Plan

Physical Care

Create Task

Simulation

Mr. Joe Biggs Care Plan Summary:

1. Medical Conditions: COPD, Hypertension, Type 2 Diabetes
2. Physical Care: Daily monitoring of vital signs, lung function, blood glucose
3. Pharmacological Management: Administer bronchodilators, antihypertensives, and oral hypoglycemic agents
4. Non-Pharmacological Management: Pulmonary rehab, breathing exercises, smoking cessation support
5. Nutrition and Hydration: Low-sodium, carbohydrate-controlled diet, fluid balance
6. Multidisciplinary Team: COPD Nurse Specialist, Endocrinologist or Diabetes Nurse Specialist, Dietitian, Respiratory Therapist, Psychologist, Social Worker
7. Psychosocial Support: Mental health resources, support groups
8. Education: Medication adherence, self-monitoring, dietary changes
9. Discharge Plan: Home care setup, clear emergency instructions

Care Plan Documentation

Document and Present

Simulation

Challenges:

• Balancing multiple complex conditions and ensuring integrated care
• Creating a diet plan that simultaneously addresses hypertension and diabetes
• Straightforward Aspects:
• Implementing standard care for each chronic illness (COPD, diabetes, hypertension) based on guidelines
• Recognising the role of the multidisciplinary team

Enhancement of Day-to-Day Nursing:

• This exercise deepened my understanding of managing chronic comorbidities and coordinating holistic care
• I gained valuable insights into balancing physical care with psychosocial support, improving patient-centred care

Self-Evaluation

Reflection Task

Simulation