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HLTEN401B - Work in the Nursing Profession - Amelia - Case Study Assessment Answer

December 22, 2018
Author : Ashley Simons

Solution Code: 1ABHB

Question: Work in the Nursing Profession

This assignment is related to ” Work in the Nursing Profession” and experts atMy Assignment Services AUsuccessfully delivered HD quality work within the given deadline.

Work in the Nursing Profession Assignment

Case Scenario

Amelia is an 80 year old lady who lives alone in Gippsland, Victoria.Amelia has Type II Diabetes, which was first diagnosed when she was 65. In the past Amelia enjoyed regular community activities and was an active and ongoing person. Recently Amelia has gained a significant amount of weight and she feels tired and unwell most days. Her diabetes is poorly controlled and she does not check her blood sugar regularly. Amelia has developed an arterial ulcer on her left lower leg and she attends the local doctor clinic three times a week for the nurse to dress and assess the ulcer. She has developed decreased mobility as the ulcer causes her lower leg pain when ambulating

Assignment Task

An introduction

A brief explanation of Amelia’s disability (Type II Diabetes).

An explanation stating the need for a learning program.

Write a Learning Program

  • Explain the skill or behaviour Amelia needs to learnorchange
  • Identify twoother health professionals who could assist Amelia and explain howthey could help her.
  • State two teaching methods you would use and briefly explain how you would teach the client. Teaching methods may include verbal explanation, skill demonstration or writing simple instructions.
  • Choose two different types of resources that are available to help you support your client’s learning. Examples may include websites, pamphlets and/or community programs.
  • Explain how each of these two resources will help the client. You may include these resources as an appendix.

Write a brief conclusion

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Type II diabetes is a condition that, if poorly managed, can significantly reduce the quality of life of a patient. Therefore, this program can be used to empower the patient and help her to deal better with her condition (Garber et al, 2013).The patient is suffering from an arterial ulcer probably caused by the diabetic disorder which gives her difficulty in movement. Her weight has been noted to have significantly increased in a relatively short time, which can lead to other complications. She also complains of lack of energywhich is a typical symptom of diabetes mellitus type II.This combination of health conditions makes the client’s life difficult at her age.This learning program is developed to assist the client to manage her diabetic condition and improve the quality of her life.

Client’s disability

Type II diabetes is a metabolic disorder that causes the body to be unable to properly use insulin. Despite the pancreas producing insulin normally, the disorder creates the impression of a relative insufficiency. When characterized by insulin resistance, the condition causes cells to respond poorly to the presence of insulin and may cause the level of sugar in the blood to rise. Symptoms accompanying the condition vary between patients. However, increased thirst, frequent hunger, fatigue and sores that take unusually longer times to heal are common symptoms. A high level of sugar concentration in the blood pulls fluid from tissues causing the thirst.Frequent hungerscan contribute to weight gain as in the case of the patient if the patient consumes carbohydrates with a high glycemic index (Orozco-Beltran et al., 2016). Such foods cause sudden changes in the level of glucose in the blood and may trigger the patient to use high doses of insulin to counter. In turn, high levels of insulin in the blood cause the body to store calories from consuming food instead of using them for energy. Therefore, it can be deduced that the client’s disability is the cause of the symptoms such as the arterial ulcer, lack of energy and weight gain she has been experiencing.

The need for a learning program

The quality of life of the client has been significantly lowered as a result of the diabetes. She has to visit the local doctor thrice daily to get the ulcer dressed; an activity she cannot comfortably fulfil due to the pain from the ulcer. Her mobility has also reduced because of the same. The patient has lost energy which is a common symptom of her disorder. She has significantly gainedweight in a short period, which is a worrying condition as increases her risk of medical complications. Therefore, the client needs to learn how to manage her condition so that she can avoid most of the difficulties she is currently experiencing. A learning program is a strategy that can empower her by giving her the appropriate information about managing her situation (Capozza et al., 2015).It will identify the resources she can access, including professionals who can assist in the process.

The program

In developing the learning program, evaluating the particular learning needs of the patient is very important (Guo et al., 2013). Their ability and willingness to learn also significantly influence the program. Another consideration is the amount of knowledge they already have on their condition and if they know how to manage it well.

Table: Program Learning Table

Program Learning

Teaching methods


Skill/ behavior to be learnt

The two important skills that the patient will need to learn are managing her diet and exercise. The need to learn these skills is informed by her current situation and the objectives she should aim at.

Professionals who can assist the client

  1. Primary care physician. This can be a family doctor who will monitor the progress of the client during the program.
  2. Social health worker. Such a professional can help to ensure that the client follows the program more strictly. Since the client lives alone, there is a high chance that she may lack the motivation to always stick to the program.

Teaching methods

The teaching approach will use a combination of written material and verbal explanations. The material to be used will be:

  1. Diet prescription. Since the client has been noted to have a significant weight gain, it could be a result of frequent injection of insulin which converts consumed calories to fat. This situation would normally result from spikes in the level of blood sugar (Beeney, 2015). Therefore, the diet prescription will be a balanced diet containing carbohydrates with a low glycemic index.
  2. Exercise prescription. Walking is an appropriate exercise for the client since she cannot engage in more strenuous exercises due to her age.

These two prescriptions will be followed by verbal explanations on the importance of each element described in the plan.

Resources that can help the client

  1. The Gippsland Southern Health Service. The institution offers diabetes education to patients in different categories including those with type II diabetes. Besides education, the institution also offers support through peer group engagements. They keep a directory of contacts of other support groups as well. The education services offered by the center cost minimal fees. This resource will help the client by giving her access to continuing education and support on the skill she is learning. This is very important since it is a new concept to the client.
  2. Diabetes Multilingual Infoline (offered by the Central West Gippsland Primary Care Partnership). This service connects callers to telephone support on diabetes support and management in different languages for free. The client can immensely benefit from this resource by obtaining answers to specific questions should she have problems with the learning program.


Type II diabetes is a health condition that can significantly reduce the quality of a patient if poorly managed. This plan establishes a learning program that will help the client manage her condition better. The client will need to learn diet management and exercising. The skills will be taught through written prescriptions and verbal explanations. She can access support resources through the Gippsland Southern Health Service and the Diabetes Multilingual Infoline.

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