you are employed as a community nurse
you are employed as a community nurse working in a chronic and complex care team. You are assigned a new client. Dan, who is an 80-year-old Australian man with chronic respiratory disease and heart failure. He has a 40-year history of smoking and has been losing weight for the past 6 months. Dan lives at home with his wife who has early-onset dementia. He has two daughters who are married and live an hour away by car. Dan is finding it increasingly difficult to do his gardening and to move around the house. Q1. Consider the social determinants of health. Identify which of these currently impact on Dan’s quality of life, and describe how they are likely to impact on his future health and wellbeing. Q2. Having assessed Dan’s situation, what health promotion approaches would you utilize for the planning and provision of his care? 3. How would you assist Dan to identify realistic self-management goals? SCIENCE HEALTH SCIENCE NURSING NUR 356
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