CLIENT SCENARIOS CASE SCENARIO 1: Mr David Bonner CONTEXT: You are a Registered Nursing working in an Aboriginal Community Controlled Health Organisation(ACCHO) in the South East corner. Mr Bonner, a 47-year-old Aboriginal man presented to the ACCHO with central radiating chest pain. Mr Bonner was transferred to Griffith University Hospital for cardiac monitoring and follow up. Upon reviewing Mr Bonner’s medical history and progress notes you identify the following: hypertension and type 2 diabetes. Mr Bonner has a family history of coronary heart disease, is

2807NRS Chronic Illness Management
A2 Written Assignment
Word Limit: 1500 words
Weighting: 40%
Due Date: Monday September 6th, 2021 by 5pm
AIM:
The aim of this assignment is for you to demonstrate an understanding of culturally safe health promotion educational strategies that address the needs of clients with chronic diseases and empowers them to self-manage their condition.
The provision of health education, which enables people to make decisions and take actions in relation to their health, is part of the role of the Registered Nurse (RN) (NMBA, 2016). Additionally, culturally safe, and respectful practice requires knowledge of how your own own culture, values, attitudes assumptions and beliefs influence your interaction with people and families, the community, and colleagues as an RN (NMBA, 2016).
This assignment addresses the following course learning outcomes: • Apply health promotion and illness prevention practices in a culturally safe manner to support people diagnosed withchronic illness.
• Evaluate person-centred care for optimal self-management and promotion of active participation of both individuals andfamilies in symptomatic management of chronic disease.
• Analyse primary health care and health promotion strategies that address the needs of those with chronic diseases.
Task Instructions:
1
You are required to choose one (1) client scenario from the two options provided and write a 1500-word structured essay in which you:
• Provide a thorough overview of one (1) of the chosen client’s chronic conditions/illnesses.
• Describe one (1) health concern for this client (this may be an actual concern or a potential concern).
• Identify one (1) culturally appropriate topic for a client health promotion education session that would address the identified health concern. • Describe one (1) specific, culturally appropriate, client health promotion education activity that the RN could use to enable the client to modify/change their behaviour to address the identified health concern.
• Discuss how the health promotion education activity would be structured (i.e., Type of method/tool used,setting for the health promotion activity, resources needed, participants to be involved, etc.).
Justify your chosen education activity by:
• providing rationales for the chosen education activity structure, method and resources described above.
• Explain how this education activity would address the health concern for the client
• Ensure you use a client /patient-centred and/or family-centred approach that optimises individual self-management and promotes active participation of the individual and family in illness management.
NOTE:
You must support all sections of your essay with scholarly literature from the past 5 years. At least 10 scholarly references must be cited.
2
PRESENTATION and SUBMISSION GUIDELINES:
1. You must include an Assignment ‘Title Page’ as per the Griffith Health Writing & Referencing Guide. 2. Present your essay, correctly formatted as per the Griffith Health Writing and Referencing formatting guidelines (e.g. spacing, page number, etc.), AND a correctly formatted reference list according to APA 7th edition. You do not need to include the marking criteria with your submission.
3. Assemble all pages into one document. Format file is to be MS Word only (.doc) or (.docx). 4. Word limits for assessment items need to be strictly adhered to. The word limit for an assessment item includes in text citations, tables, and quotations. The word limit DOES NOT include the reference list. Please note the marker will cease marking your submitted work once they have reached the allocated word limit.
5. Check that the file you have uploaded has been successfully submitted into the Submission Inbox and retainacopy of the digital receipt for the final assignment submission. 6. Submit online via the relevant Turnitin submission point on the course site under the Assessment tab. 7. You must complete the Cover Sheet Quiz correctly and then the Final Submission Point will be visible toyou.
8. You do not need to attach a Griffith University Cover Page at the front of the Document. Once you complete theCover Page Quiz on the course site this replaces the need to attach a cover sheet.
9. Students are responsible for uploading the correct file. The file that is submitted is what will be marked.If you upload the wrong file, or a corrupt file, it will be marked as your submission.
10. For more help with Turnitin Assignment submissions go to: Turnitin
11. The use of Headings is required for use in this task and you may use the following headings only: o Introduction
o Condition Overview & Health Concern
o Health Promotion Education Session Structure & Justification
o Conclusion
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CLIENT
SCENARIOS
CASE SCENARIO 1: Mr David Bonner
CONTEXT: You are a Registered Nursing working in an Aboriginal Community Controlled Health Organisation(ACCHO) in the South East corner.
Mr Bonner, a 47-year-old Aboriginal man presented to the ACCHO with central radiating chest pain. Mr Bonner was transferred to Griffith University Hospital for cardiac monitoring and follow up. Upon reviewing Mr Bonner’s medical history and progress notes you identify the following: hypertension and type 2 diabetes. Mr Bonner has a family history of coronary heart disease, is a smoker and consumes a diet high in sugar and saturated fats. Mr Bonner sees his generalpractitioner every six months for renewal of medication prescriptions. Mr Bonner lives at home with his extended family.
Current vital signs:
Temperature 37.3°C, Blood Pressure 150/90 mmHg, Pulse 84 beats/minute, and Respiratory Rate 15 breaths/minute; BGL
15.5 mmol/L, Pain 6/10.
Current medications:
• Metformin 1g PO BD
• Actrapid 4 units S/C TDS
• Metoprolol 25mg PO BD
4
CASE SCENARIO 2: Mr Kento Oguri
Mr Kento Oguri, is a 66-year old Japanese man who has presented to hospital with increased shortness of breath, fever, anda productive cough. He has been admitted to your ward for treatment of a chest infection. Kento has undergone a series of respiratory examinations/tests and has been diagnosed with chronic obstructive pulmonary disease (COPD). Kento has a history of gastro-oesophageal reflux disease (GORD). He has been prescribed intravenous (IV) antibiotics, IV therapy and bronchodilators.
It is 10:00 am and you are the Registered Nurse undertaking Kento’s primary and secondary assessment. He explains to you that he had several episodes of shortness of breath and a cough on exertion over the last year, but he thought he was “just getting old”. He states that he is not able to work hard anymore. Prior to Kento’s hospital admission, his shortness ofbreath was a lot worse. He has also lost several kilograms, and now weighs 65 kg with a height of 162cms.
Kento tells you that he works as a labourer in the construction industry and lives with his wife, who works at the local supermarket. He is a smoker who has smoked 20 cigarettes/day since he was 14 years old. Kento says he does not drinkand has no known allergies.
Current vital signs:
Temperature 36.7°C, Blood Pressure 135/88 mmHg, Pulse 100 beats/min, and Respiratory Rate 22 breaths/min
Prescribed Medications:
● Salbutamol (Ventolin)100 micrograms MDI, 2 puffs when required up to 4 times daily ● Tiotropium (Spiriva) 18 mcg inhaled by mouth OD
Current Medications
● Esomeprazole magnesium (Nexium) 40 mg PO OD

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