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Let’s consider Wilf, a 78 year old man who lives…
Let’s consider Wilf, a 78 year old man who lives with his wife, Mavis (76), in your local area….
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Let’s consider Wilf, a 78 year old man who lives with his wife, Mavis (76), in your local area. They are a very devoted couple and Mavis has been Wilf’s principle carer for many years but is beginning to struggle with caring for her husband. She has been having problems with hypertension recently and has been told to “slow down”. Wilf has become increasingly dependent on Mavis and has stopped doing a lot of the things that had previously given him great joy in life (except smoking!!). He was a keen gardener and loved playing lawn bowls with his mates but his health has declined to the point where it is very difficult to now do these things.
Wilf and Mavis have two children –David and Jenny, both of whom are married and have children, giving Wilf and Mavis a total of six grandchildren. They are a very close, supportive family and all live nearby each other. The following is Wilf’s
relevant medical history
for you to consider:
Mild COPD
Osteoarthritis
Hypertension
Chronic Heart Failure
Mild Cognitive Impairment secondary to vascular dementia
Wilf’s children talk to their Mum about what has been happening and the strain that it has been putting on her. Mavis wants to keep looking after Wilf but admits that she is suffering at the same time. She tells her children that she is terrified of losing Wilf and she has started to notice that he is becoming more forgetful and getting angry with Mavis more often. She also tells them that he is getting really frustrated because he can’t do the things he wants and is getting out of breath really quickly nowadays but won’t give up the cigarettes. The children are finding all this information a bit confronting but really want to help their parents…
What are the short and long term goals for Wilf from your perspective? Are there any specific goals relevant to your discipline / profession?
What do you need to consider to support Mavis?
What conversations need to be held with David and Jenny, and who is the person most appropriate to do this?
How can you manage the competing interests of maintaining Wilf’s safety while respecting and facilitating his right to exercise his personal autonomy / decision making?
In your assessment consider using the clinical reasoning paper to answer these This can be found in Leganto ereadings section 2. The ‘five rights’ of clinical reasoning: An educational model to enhance nursing students’ ability to identify and manage clinically ‘at risk’ patients)
Please note: This is an academic paper and should be written from third person perspective
Aug 7 2019 11:26 AM
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CASE SCENARIO
Barbara Martin is a fit and well 68 year old woman who works full time as a very successful business owner. Barbara has never been married and has no children but she does have a wide circle of friends who live both near and far. Barbara’s parents, Arthur and Enid, who
are 93 and 91 respectively, live independently in a nearby town but both are in frail health and making increasing demands on Barbara’s time. Her close friend, Jim, is retired and cannot understand why Barbara continues to work. While Jim has many hobbies and interests. Barbara has always been immersed in her work, which she finds satisfying.
1Q. In relation to this scenario consider and discuss the perspectives of Barbara, Arthur and Enid and Jim and possible courses of action from these perspectives. Discuss and evaluate a range of theories of ageing that may shape the beliefs and attitudes of the different people
involved. Analyze the way in which age intersects with other social categories in this scenario, such as gender, class, ethnicity and sexuality. Include a discussion of the physical and biological changes that may have an impact on Barbara’s situation.(1000 words)
Attachments:
3280845_1_hlth-2-540.docx

Assessment 1 (10%). Individual written task (250 words)
Topic Propose a research question about clinical practice in nursing and midwifery. Decide
upon the best a) paradigm AND b) research design to answer the question and discuss
why this was the most appropriate approach.
Length 250 word (+/-10%)
x In-text references are included in word count.
x Reference list is excluded from the word count.
x Words in template (45) are excluded from word count
Value 10% of the total marks for NSG2NMR
SILOS 1 & 2
Due date Please refer to the correct submission date for your cohort
Cohort A1: 0900, 20 September 2019
Cohort A2: 0900, 30 August 2019
Cohorts B1 & B2: 0900, 9 August 2019
Format A template has been provided for this task.
References References should be in APA 6th referencing style.
Our intention with this subject (and this assessment) is to encourage you to be curious. Curiosity is a
key attribute underpinning Evidence Based Practice in healthcare – the provision of care not just as it
has always been done but to identify practices that are supported by research evidence, clinical
experience, are appropriate to the individual’s context and resources at hand, as well as being in
keeping with the values of the patient (Hoffmann, Bennett, & Del Mar, 2010).
As professionals we would encourage you to be curious about practice and to ask questions; why do
that practice then, why in that way, why might that be effective, or why might that be effective but
only for those patients. As such, with this assessment we want you to think of a research question
and consider which main research paradigm and design would be the most appropriate to obtain
evidence to answer those questions and enhance nursing care, nurse wellbeing, healthcare systems
and process, and patient outcomes.
You will need to propose one “research question” about a clinical issue or nursing.
You should then decide upon the best paradigm (Qualitative, Quantitative) to answer this
question and the specific design (ethnography, cohort study) that is most appropriate.
Using the template provided, you should present:
x The research question
x A description of the selected paradigm and design (including definitions)
x The reason why you thought this was the most appropriate paradigm and design
Attachments:
3282355_1_NMR-assessment-1-2019-description-of-task.pdf
3282355_2_NSG2NMR-Assessment-1-rubric-v1.0-2019.pdf
3282355_3_NMR-assessment-1-2019-V1.0-Template.docx