Question

Step 1: Case of Jane Black: See information on below for case study information - Female, 32 years of age/ Married with 3 children/ 22 weeks pregnant/ Newly diagnosed Diabetic/ right-sided weakness PMH- Right-sided weakness from a "minor stroke" 5 years ago Mother of 3 children aged 7, 5, 3 Hx of present illness: - Newly diagnosed Diabetic 22 weeks pregnant (4th pregnancy) Experiences polydipsia and polyuria Found at home drowsy and having difficulty focusing Family Hx Mother is diabetic with vision problems and recently diagnosed with kidney failure 7 y/o daughter has Cystic Fibrosis Husband smokes and is overweight Living Conditions: Renting a 3 bedroom apartment Primary family caregiver Step 2: Answer the following questions on DB (point form answers fine) - What Interprofessional team members would you include for this client? • What would the nurse document in this case situation • What do you see as the issues and challenges of interprofessional documentation? • What strategies can you come up with to overcome the issues an challenges of interprofessional documentation?

Answer 1

1.

Gynaecologist

2..

• Patient current symptoms
• Anxiety level
• Vital signs
• Emotional status.
• Other contributing factors

3.

Patient history of medical illness and pregnancy with mental stress.

4. Prioritize the problem