essay Ms Aamira Agar is a 66-year-old Sudanese lady, who resettled in Australia as a refugee in 2002, following displacement by the second Sudan civil war. Aamira has poor English language skills, and...

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essay Ms Aamira Agar is a 66-year-old Sudanese lady, who resettled in Australia as a refugee in 2002, following displacement by the second Sudan civil war. Aamira has poor English language skills, and relies on her Sudanese community to translate. Her husband died during the conflict in 1999. She has no surviving children.Aamira has just been admitted to your medical ward as a direct admission via GP (no admission to ED). She has been admitted for investigation and management, of suspected poorly controlled new diagnosed diabetes, by the GP. It is currently Ramadan which complicates management. The GP also suspects Aamira may have underlying early heart failure, and has requested further investigation in hospital. She has no previous admissions for this condition, but is currently experiencing significant shortness of breath, particularly lying flat, a persistent cough, nocturia, and has some swelling of her lower legs, and feet. Aamira has no known allergies. You are the primary Registered Nurse providing care for Aamira PMHx: Social History: Medical Findings Medications Hypertension Widowed CXR – not attended. Direct admission Coversyl 2.5mg Daily Osteoporosis One niece – lives in Melbourne to attend uni, sees Aamira x 3 times per year. Was due to visit this week but had to cancel due to VIC COVID border closures Blood tests – not attended. Direct admission Colecalciferol 800IU daily Gall stones 2005 Currently living in own home utilising community nursing services x 2 times per week. Assistance with washing and dressings to leg ulcer RR – 30 – laboured breathing. Some wheezing heard. Persistent cough - has been getting worse for the last month Fosamax 70mg weekly Long term ulcer on L lower leg Strong ties to the local Sudanese community who check on Aamira daily. Also rotate helping with meals as needed SpO2 – 96% on RA (at GPs) HR – 99 – no ECG (at GPs) BP – 145/85 (at GPs) Panadol Osteo 1330mg TDS Ex-smoker. 1 pack per week x 20 years – quit 1995 Minimal exercise due to shortness of breath on exertion. Noted bilateral oedema of calves Suspected PTSD Practitioner of traditional medicine within her community – has a small garden where many Sudanese herbs grow – recently unable to maintain this Short of breath – worse lying flat States she has moderate appetite. Some recent weight gain.Often thirsty Increasing need to urinate – especially at night Fasting Blood Glucose 1 month prior – 10.7 (mmol/L) Fasting Blood Glucose today – 11.7 (mmol/L) Has not yet been seen by an admitting physician 1. Reviewing the patient information, describe the aetiology of the conditions we suspect in Aamira, and discuss what the likely cause of the conditions are in Aamira’s case. (Approx 300 words) 2. Discuss your initial health history taking, and nursing care for Aamira on her admission to your ward, taking into consideration what has and has not been attended already – think what is the role of the nurse in the care of a new admission, what information are you going to need to care for her? (Approx 500 words) 3. What client education you will provide for the suspected diabetes, as this is her first admission for this condition, and what recommendations, or lifestyle changes, you would recommend for Aamira – how will you communicate this information to her, so that she understands it? What impact with Ramadan have on her care and management? (Approx 550 words)