Needed help with Raising child

Mr George McFarlane. Male, aged 53 years. Married for 5 years with 3 children. Needed help with raising child and so she invited her Chinese mother to come to Australia to help out. Needed help with raising child and invited Chinese mother to Australia to help out

Mr McFarlane’s background includes:

  • Second marriage – first wife died of cancer 8 years previously
  • Occupation – Long haul truck driver
  • Earns good money
  • Away from home a lot – not there to support family
  • Overweight – 135kg
  • Hypertension
  • Uses watching television and beer to cope with stress
  • Smoker
  • Diet preferences are Australian. Often has a poor diet when on the road for work including ‘fatty food from truck stops’
  • Has a 26-year old son from first marriage who has severe depression and uses illicit drugs, visits on occasion (very disruptive when he does visit)
  • Unknown social support and external interests
  • Has osteoarthritis in (L) knee
  • Reliant on wife, Yu Yang, to complete all domestic duties as he is not self-sufficient.

Mrs Yu Yang McFarlane is Mr McFarlane’s wife. She is 38 years old.

Mrs McFarlane’s background includes:

  • Came to Australian as a university student
  • Fell pregnant at the age of 19 – did not marry
  • Married George 5 years ago
  • Has 3-year old twins at home
  • One twin has developmental disorder
  • English language is good
  • Was/Is isolated with no extended family
  • Her issues will be those of isolated immigrant
  • Prefers to cook Asian food
  • Needed help with raising child and so she invited her Chinese mother to come to Australia to help out
  • Needed help with raising child and invited Chinese mother to Australia to help out
Question 1 Outline the information you will need to provide to Mr McFarlane and his wife regarding the ongoing management of his diabetes.

 

Include in your answer:

  1. What specialist services and support organisations are available
  2. What information you would provide to Mr McFarlane and his wife relating to his condition, risk factors, medications and self-management to avoid potential complications
  3. Education on lifestyle changes that may need to occur to ensure Mr McFarlane’s diabetes remains stable and decrease the chances of potential complications.
  4. Education on the assessment and monitoring Mr McFarlane will need to continue to ensure stabilisation of his diabetes
  5. What Mr McFarlane and/ or his wife should do if they suspect there is a complication associated with his diabetes.
Question 2  Mr McFarlane has been recently diagnosed with Type 2 Diabetes, with the risk factors of obesity, poor diet and lifestyle factors and a history of smoking.  He has now been commenced on Metformin 1 gm BD and Gliclazide MR 120 mgs daily.

 

Using the template below, plan your care, within your Enrolled Nurse scope of practice, for Mr McFarlane.

Include in your response:

  • Specify four (4) nursing diagnoses or risk factors associated with the client’s current health presentations.
  • Record at least two (2) nursing interventions that could be applied for each diagnosis.
  • Specify at least one (1) member of the multidisciplinary team who may be able to support your suggested interventions.
  • Clarify how your planned intervention reflect the client’s interests and physical, emotional and psychosocial needs
  • Note at least one (1) expected outcomes that you would hope for as a result of each intervention.

 

Response:
Nursing diagnosis Planning – (Nursing intervention) Multidisciplinary member to provide support   Expected Outcome
 

 

 

 

 

 

 

 

 

 

 

 

 

 

0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published. Required fields are marked *