Scenario 2 Patient Demographics Name: Simon Age:

Scenario 2 Patient Demographics Name: Simon Age: 65-year-old Male Chronic Illness: Crohn’s Disease; diagnosed in his late teens. Past Medical History: Crohn’s disease Smoker – ceased 20 years ago COPD Small bowel obstruction – resolved with no surgical intervention GORD Weight 62kg Situation: Recently admitted to the hospital for a severe and acute exacerbation of his symptoms – extreme abdominal pain, bloating, excessive diarrhoea with melena present. He has been discharged with a Peripherally Inserted Central Catheter (PICC) for ongoing monthly IV immunotherapy infusions and fortnightly IV hydration for 8 weeks. All the treatments and dressing management needs of the PICC will be done as an outpatient at the hospital infusion centre. Current Discharge Medications Name Multivitamin Pantoprazole Metronidazole Ciprofloxacin Prednisolone Cyclosporin Cholecalciferol Naproxen Panadol Osteo Infliximab Normal Saline 0.9% Route Dose PO 1x tablet PO 20mg PO 500mg PO 500mg PO 25mg PO 50mg PO 10,000iu PO 550mg PO 1130mg IV 300mg IV 1000mls Due times BD BD OD for 14 days BD for 14 days OD BD OD BD TDS PRN Monthly ongoing Fortnightly 8 weeks Simon is divorced and lives alone. He has three children that live nearby and helps with the house upkeep and cleaning, and delivery of meals when needed. Usually, an independent and self-caring man, this most recent hospital admission has left Simon with ongoing fatigue, significant weight loss, continuous abdominal discomfort, and cramping. Simon works from home as an accountant but has taken leave while he recovers. Instructions You are the Clinical Nurse Consultant in the infusion centre, and you have been referred Simon’s case. You are required to identify the current health priorities for Simon and develop a Self- Management Plan for the next three (3) months with him to aid his recovery, rehabilitation, and ongoing management of his condition. Step 1 Introduction and SMART Goals – Provide a brief introduction of the client and identify their main chronic health issues which need priority attention and care in a self-management plan and why. Write 3 SMART goals for the client in managing chronic illness conditions and the associated care/treatments/medication. Step 2 Discuss and Critical Analyse Consumer Directed Care/Self-Management- discuss and critically analyse how consumer directed care /self-management planning for this client is important for maintaining their independence out in the community. Specifically outline how effective care planning can assist the client to maintain their health and independence with their activities of daily living. Step 3 Design a Self-Management Care Plan- Self-Management Plan formatted in the template. In this plan, write down the SMART Goals at the top of the template and then write/design at least 6 priority self-management interventions required for the client to undertake with respect to the priority care needs for each goal. Provide clear healthcare instruction for the client as to what they should do to manage the health issues identified in the SMART Goals. PLEASE DON’T GIVE SHORT ANSWERS Introduction and SMART Goals Discuss and Critically Analyse Consumer Directed Care/Self-Management Design a Self-Management Care Plan Student to fill out Goals and corresponding intervention under each goal SMART GOAL 1: SMART GOAL 2: SMART GOAL 3: Self-Management Intervention 1 and Rationales Self-Management Intervention 2 and Rationales Self-Management Intervention 3 and Rationales Self-Management Intervention 4 and Rationales Self-Management Intervention 5 and Rationales Self-Management Intervention 6 and Rationales Self-Management Intervention 7 and Rationales (delete or add rows as required)

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