Nursing in the Community

Case scenario

You are about to visit a 56 year old Afghan woman, Mrs Samira Azizi, in her home in Shepparton, Victoria. She lives with her husband and 2 adult children, their partners and grandchildren. They live on the large family farm, a 45 minute drive from town; Mrs Azizi does not drive. The farm house is very old and built on stilts, with 6 steps to the door. The toilet is outside, about 15 metres from the house. Mrs Azizi has been in Australia about 5 years; she has limited English, understanding more than she speaks. She uses many traditional medicines to manage her health.

This is the first time the community nursing agency will be seeing Mrs Azizi. You have reviewed the hospital discharge assessment information which has identified Mrs. Azzi as being an at risk client. She has had surgery to remove bowel cancer and you are visiting her to provide post-operative care, particularly dressing changes. Wound dressing supplies are required to be organised at the expense of the client. The community nurse's visits are covered by the discharging hospital.

When you pull up to the house the outside of the house is neat and the garden is well maintained. You cannot see another person in the surrounding farm land or in the surrounding paddocks, although you notice many shoes at the front door. You assume other family members are working outside on the farm. When entering the house you notice the lounge room is clean and tidy with nothing on the floor. Mrs. Aziz is vacuuming the house and moving furniture; she is not wearing shoes. There is one couch to sit on. You are offered a drink and food. During the visit three males return to the house. When you are leaving a man puts $50 in your hand.

in need help answering these questions related to case scenario. and need help finding good articles and books related to community nursing , its in an essay format and if any one can help1. Discuss the broader primary health care principles that are relevant in this Clinical Scenario. The primary health care principles will need to include but are not limited to, cultural competency, equity and access to health services and resource

2. Discuss the application of safety and risk management nursing in an Australian community context.

3. Identify and explain how you would prepare for this home visit and identify the appropriate actions/plans the community nurse would undertake on completion of the visit

4. Describe the practical issues regarding safety and risk management to incoming nurses and the wider community.