Clare Giardini and Freddie Hankin Case Study – Medical Science Assignment Help

Assignment Task


Clare Giardini and Freddie Hankin Case Study

A-Plus Writing Help For University Students

Get expert assistance in any academic field. All courses and programs covered.

Get Help Now!


1. Select a case from the options below
2. You are the registered nurse working in the medical ward and are preparing selected cases for discharge from the hospital into the care of a chronic care nurse manager working in primary health care (including home care). Discuss the following to demonstrate your understanding of selected case’s ongoing care.
3. *ISBAR to be used for clinical handover from hospital to community setting
4. Follows requirements for referencing (APA 7th Edition), (intext citation) and 10 scholarly references within the past 5-7 years. 


INTRO: Who you are and why are you communicating with the Chronic Care nurse manager in primary health care? Who is the patient – provide all of his/her demographic data, his/her support person in the community and the social history.

Situation:Identify all data that is relevant to complete a comprehensive nursing assessment for the selected chronic condition/s and prioritize current care needs specific to his/her presentation as part of the nursing assessment. What is happening now- is he/she stable following period in hospital. What did you and the multidisciplinary team to do to improve the situation of the patient and what needs to be done to maintain/improve current presentation. Provide all subjective and objective data

Background:Identify all contributing factors for selected case’s chronic conditions and current health exacerbation. Identify their chronic condition and what happens when chronic conditions are not well manage as per the literature. What are the issues that let up to this situation? What were the contributing factors for their current heath exacerbation? (Case 1- has osteoarthritis, diabetes and hypertension and atrial fibrillation – has a history of missing her local GP appointments and runs out of her medications.)

Assessment:Form your assessment, what do you believe is the problem here? (Both cases need support with self-management- they require coordination of their care by a community RN- Think about the requires resources how to keep stable in the community and how to improve their health.)

Recommendations:Effectively identifies all nursing assessment, intervention and strategies for the selected case to effectively manage his/her chronic condition using a self-management approach. Self-management support should include disease education, treatment (medication adherence) and what to do when unwell. Develop an action plan  recommend nursing visits every organising/picking up Webster/blister packs, escort to GP appointments. Diet advice, exercise, breathing strategies, symptoms and pain management including fatigue, improving the quality of life- aim for setting goal, self-management and independence, and family and carers support-support strategies, resources available, support groups information. 

Discuss the literature on the nurse’s role in chronic disease self-management.(A key element of the nurses role is recognising, preventing and mangeing any deterioration while promoting greather functional ability for older people. This approach support the health and wellbeing of the older persons and prevents inappropriate or avoidable hospitalisations or early entry into residential care.)

Discuss primary and secondary health promotion and education strategies appropriate to the selected case. (Apply current and relevant data when discussing primary and secondary health promotions and education strategies appropriate to the selected case. Why a primary and secondary health promotion and education strategies appropriate to the selected cases and what would likely happen without these strategies in place). 

Case Study 1
Clare Giardini is a 70-year old women, who frequently presents to both her local General practitioner and also the local emergency department. In the last three months she has presented to the local hospital with shortness of breath six times. On occasion she misses her local GP appointments and runs out of her medications whilst waiting for her pension.

Social History
She lives happily on her own and has two adult children who live several hours away. Clare’s husband passed away over five years ago from complication of his diabetes and cardiac disease and she cared for him during his last few years. Clare lives in town in government housing and she enjoys knitting and playing with her pet cats. Clare grew up in her local town and has never left in her 70-years she has many friends that she meets at the local club for lunch twice a week.

Medical History
Clare has a history of osteoarthritis, non-insulin dependent diabetes and hypertension. A recent echocardiogram showed systolic dysfunction and a poor left ventricular ejection fraction, and she is noted to have chronic controlled atrial fibrillation.


Objective data
Temperature 36.8
Radial pulse 91 beats per minute and irregular
BP 112/65 mmHg 
Cardiac system S1 and S2, present, no murmurs
Respiration rate: 22 breaths per minute and shallow, SpO2 94%
Lung sounds: crackles in both bases
BGL: 8 mmol/L
HbA1C: 75mmol/mol

Subjective data
Pain is 2/10
Nocturia up to six times per night

Case Study 2
Freddie Hankin is a 69 year old Australian Indigenous man who lives in regional NSW. He was diagnosed with Stage III lung cancer one year ago. In last two month, he has presented to the local hospital with symptoms of pain and dyspnea three times. Freddie says he is afraid his condition is deteriorating. 

Social History
He lives with his wife (Annie) (both self-funded retirees) and his young grandchildren for whom he and Annie have been providing care. He enjoys gardening and playing with his dog. He and Annie bring his young grandchildren to child care twice a week. He and Annie will use this time to meet their friends in the local restaurant. 

Medical History
Freddie has a history of hypertension and benign prostatic hyperplasia (BPH). He also suffered from emphysema two years ago. He takes regular treatment for his hypertension and pain. 


Objective data
Temperature 36.5
Radial pulse 85 beats per minute and regular
BP 160/95 mmHg 
• Respiration rate: 22 breaths per minute, 26 breaths per minute when he is in pain, SpO2 97%
Lung sounds: whistling noise while breathing 

Subjective data
Pain is 6-8/10 (before taking pain tablets), pain is 4-5/10 (after taking pain tablets)
Nocturia up to five times per night

This Medical Science Assignment has been solved by our Medical Science Expert at TV Assignment Help. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our Experts are well trained to follow all marking rubrics & referencing Style. Be it a used or new solution, the quality of the work submitted by our assignment experts remains unhampered. 

You may continue to expect the same or even better quality with the used and new assignment solution files respectively. There’s one thing to be noticed that you could choose one between the two and acquire an HD either way. You could choose a new assignment solution file to get yourself an exclusive, plagiarism (with free Turn tin file), expert quality assignment or order an old solution file that was considered worthy of the highest distinction.

Welcome to our Online Essay Writing Agency. Securing higher grades costing your pocket? Order your assignment online at the lowest price now! Our online essay writers are able to provide high-quality assignment help within your deadline. With our homework writing company, you can order essays, term papers, research papers, capstone projects, movie review, presentation, annotated bibliography, reaction paper, research proposal, discussion, or another assignment without having to worry about its originality – we offer 100% original content written completely from scratch

We write papers within your selected deadline. Just share the instructions