Mrs. Amalie Jones: A Case Study

As a community nurse, providing care for Mrs. Amalie Jones, certain aspects need to be taken into consideration before implementing any specific nursing interventions. These aspects include taking into account which of her major health issues need to be addressed, top medical priorities, and the potential risk factors that may arise. Mrs. Amalie Jones is an 89-year-old German woman, fluent in both English and German. She now lives alone (in a single story home) due to her late husband, Mr. Henry Jones, who passed away two years ago from lung cancer. Her son, Dominik, visits regularly from Germany, while Henry’s daughter, Tracy, keeps contacting regularly. Due to Mrs. Amalie’s slow deteriorating health she has significant problems with rheumatoid …show more content…
In looking at Mrs. Amalie's case, four major issues stand out, her level of mobility, pain, as well as her potential for depression and potential for malnutrition. These issues can be categorised into the four domains of health, physical, psychological, social, and spiritual. Throughout this essay each of these issues will be broken down, and analysed, into each category. This will provide insight to potential risk factors, which will make the nursing process easier to provide appropriate planning and nursing models as solutions to current and potential problems. This ensures the dignity of Mrs. Amalie Jones is properly maintained and at no point should it be compromised.
Mrs. Jones' physical wellbeing is largely impacted in the way of immobility. The fact that she is quite limited in movement already can be caused by a number of issues. This can significantly hinder a person’s sense of independence and dignity; consequently leading to other problems within her psychological, social and spiritual status (Lippincott Williams & Wilkins, 2012). The particular issues hindering Mrs. Jones’ mobility could be pain and discomfort associated with her osteoarthritis, rheumatoid arthritis and …show more content…
Jones’ has had to withdraw from participating in her local community, forcing her to become more isolated and lonely. With prolonged isolation and loneliness, Mrs. Jones’ has an increased chance of potentially becoming depressed, thus affecting her psychological wellbeing. With her environmental barriers, her social and spiritual health has also been affected. Without actively participating in the church, or the German association, Mrs. Jones may not feel as connected to her faith or her own culture. This can result in diminishing her spiritual and psychosocial growth (Lippincott Williams & Wilkins, 2012). As a way of overcoming issues of psychological, social and spiritual health, use of generative nursing interventions can help to address these aspects (Lippincott Williams & Wilkins, 2012). This includes the use of metaphysical connectedness and spiritual connectedness (Lippincott Williams & Wilkins, 2012). Metaphysical connectedness is promoting wellness in older adults by educating and teaching them certain activities to help increase self-esteem (Lippincott Williams & Wilkins, 2012). This can help Mrs. Jones’ to maintain an appropriate level of dignity throughout the provision of nursing care. Spiritual connectedness, however, will help her as a way to reconnect with the church and her faith. This is done through the arrangement of transportation to the local church, faith or cultural groups (Lippincott Williams & Wilkins, 2012). With the