Nursing Case Study

The main issue is to use an appropriate model of care and/or theory as the foundation of the assignment.  Please use the following as a check list:

1. Choose one of the case studies from the NURS 3003 homepage
2. Research and ensure you understand one model of care, e.g. recovery or restorative model.  The recovery model is mainly aimed at patients with a mental illness, but the principles therein can be applied to all patients
3. Draw on a contemporary theory.  I would prefer one theory, discussing the issues in depth, rather than several theories only discussed superficially
4. Use this theory and the model as the foundation of the assignment
5. From there, discuss the issues that need to be considered for the patient's plan for transition of care through the lens of the model
6. What elements need to be included in the plan?
7. Using the appropriate model, how will this be achieved?
8. What implications does the theory provide in relation to the patient?  Look at the theory, e.g. the developmental stage the patient is at.  What does this theory suggest may be some of the issues you may be confronted with in planning the care?
9. If there is additional information you need to develop the plan?  What is it and why would it help in meeting both the plan and to ensure you are aligning with the model chosen?
10. Does the person require community health services?  If so, what are they and how will they assist?
11. Is the person eligible for government subsidies?  If so, what are they and how will they help?
12. What assumptions could impact on the provision of care?
13. What barriers could you potentially face in planning and executing the care?
14. Do not write in the first or second person.  This means no: I, we, our, you, i.e. none of these
15. Do not discuss the patient's disorder in general.  Limit the discussion only to the facts of the case.
16. Do not discuss the population the person belongs to in general, e.g. indigenous Australians.  Limit the discussion only to the patient in the case study

Introduction

This essay evidentially describes the case study of the elderly patient “Elizabeth Green” in the context of Bandura’s social learning theory. The transition of care of this cardiac patient encompassed various psychosocial and treatment barriers requiring effective mitigation in the context of reducing the length of patient’s stay in the healthcare setting and the enhancement of her healthcare outcomes. The essay attempts to investigate the nursing care requirements of the patient as well as remedial measures warranted for improving her disease manifestations in a real-time scenario. The healthcare goals of the patient thoroughly discussed in the context of evidence-based literature for the systematic elevation in patient outcomes. The requirement of restorative, person-centred, holistic and community-based healthcare interventions effectively emphasised in relation to the patient-scenario for streamlining the healthcare system for the elderly individuals. The presented case study describes the state of psychosocial isolation experienced by Mrs. Green, who lives alone with her pet in an individual unit. Patient’s clinical history of hypertension and hypercholesterolemia reciprocally increases her risk of experiencing cardiovascular disease and associated manifestations (Nelson, 2013). Eventually, the patient’s cardiovascular pain and occlusion of cardiac vessels are related to her history of cardiac risk factors requiring evidence-based interventions for stabilising her cardiovascular health and associated outcomes. The presented case study describes the nursing care interventions and remedial approaches administered to the patient at the time of her admission to the healthcare facility until the configuration of discharge instructions. The nursing care decisions and associated hindrances also described in the case study for their consideration and analysis. Bandura’s social learning theory is the best restorative approach requiring administration for the treated patient in the context of presented case study, for the systematic enhancement of her somatic as well as psychosocial outcomes (Fryling, et al., 2011). The essay categorically discusses the entire case study while emphasising the requirement of administering social learning approaches for the systematic improvement of the quality of life and healthcare outcomes of the treated patient. 

'Bandura's Social Learning Theory' and its Application in Patient's Case Study

Bandura’s social Leaning theory advocates the process of learning of the healthcare professionals by direct experience in the clinical setting. The confronting clinical scenarios require systematic exploration by the healthcare professionals for configuring evidence-based reinforcement strategies with the objective of overcoming complex clinical situations (Bandura, 1971). The case scenario of the patient reveals the pattern of her anxiety while receiving GTN IV infusion in the clinical setting. Indeed, no rehabilitative intervention was concomitantly provided to the patient along with the conventional morphine and GTN treatment for controlling her anxiety manifestation in the emergency department setting. The healthcare professional is required to control the arousal level of the patient during her treatment in the emergency department (Krypotos, et al., 2015). The systematic observation of the behaviour of the patient by the respective nurse professional warranted in the context of the administration of reinforcement interventions for revoking the fear response of the patient during the administration of therapeutic intervention in the emergency room setting. The presented clinical scenario reveals the absence of insightful, preventive and proactive approaches warranting implementation by the nurse professionals for preventing the onset and development of cardiovascular complications in the treated patient. No proactive and preventive measures were practised by the healthcare team despite the existence of the patient’s history of chest pain. The nurse professionals could have anticipated the clinical complexity of the patient and administered emergency treatment before transferring the patient to the emergency setting with the objective of reducing her probability of experiencing life-threatening clinical complications. The implementation of this treatment approach while analysing the future outcomes (of the present clinical condition) in terms of current motivators could have stabilised the patient’s condition in the shortest possible time (McLeod, 2011). In the presented clinical scenario, the healthcare leaders (including nurses and physicians) required to perform a systematic evaluation of the core situation of the patient while undertaking self-assessment for exhibiting the active leadership behaviour (Doci, et al., 2015). For example, the nurse professional required to involve the children of the treated patient in the process of shared decision-making for avoiding prospective clinical as well as legal complications following the administration of procedural intervention.