Develop the case report across the entire scenario from the identification of the clinical or health care problem through the proposal for an intervention, implementation, and evaluation using an appropriate research instrument.

The clinical or health care problem to be addressed in this case report is the difficulty of managing diabetes, hypertension and arthritis for a 65 year old female who has recently been discharged from hospital after suffering a stroke. The nurse should assess any physical or cognitive limitations that may impede self-care activities such as medication management, adherence to diet and exercise regimens, or even basic hygiene practices.

In order to improve her quality of life and reduce risk for further complications related to her conditions, an intervention is proposed. This includes providing education on lifestyle modifications needed for better control over her diabetes and hypertension and identifying community resources that may assist with managing these conditions at home (e.g., meal delivery services). Additionally, the nurse should work together with other healthcare providers involved in her care so that a comprehensive plan of action can be implemented tailored specifically to meet the needs of this particular patient holistically.

To evaluate whether this intervention has been successful in improving outcomes for this patient, an appropriate research instrument could include administering pre-and post-intervention surveys assessing changes in functional ability/quality of life measures as well as analyzing data related to adherence rates with recommended medications/treatments and any changes in laboratory values.