Case study 1 MR, Tsakoumagos 45 years old man from Greek…
Case study 1 MR, Tsakoumagos 45 years old man from Greek… Case study 1MR, Tsakoumagos45 years old man from Greek background. He is a farmer and spend a lot of time sitting in his tractor. He is 170cm tall and 130kg weight. He is a type2 diabetic and currently has a leg ulcer that has been quite slow to heal. He lives alone and has a very unhealthy diet, eating few vegetables. he is a long-term smoker and smokes approximately 20 cigarettes per day. Previously his doctor said loos his weight and stop the smoking. Today he is driving the car one hours to visit the rural community clinic. for the appointment to review his leg ulcer. Today whether is 40 to degrease temperature and very humid. his car air-conditions not working and he didn’t bring any water with him as well.10 minute later a nurse escorts him to the observation room to take BP, BGL and assess his legs, then nurse notice he is sweaty, pale, and rubbing his chest.Nurses ask the Tsakoumagos if anything wrong? He says his feeling nauseous, and chest is very tight it hurts. he raises the pain 9/10 and describes the pain as tight, squeezing and in the centre of this chest. Case study 2Mr Smith is 76 years of age and lives alone. He has large house and is socially isolated. He doesn’t like the socialize. He has recently been diagnosed with dementia. There is a evidence that he does not eat properly. Often, meal consist of cup of tea and toast. And he reluctant to upwash dishes, clothes, and unopened mail. He has smoked his entire adult life and often smoked inside the house. He has been proposed to nursing home give his recent dementia diagnosis and his pre-existing chronic obstructive pulmonary disease. He has two recent admissions to hospital for an exacerbation of the COPD. Mr Smith have an appointment to the hospital to assess his lung function and he also has another appointment with a geriatrician scheduled for one month’s time. Mr Smith does not want to attend this appointment. Case study 3Mrs Jeffery is 81 years of age and lives in her own two-story home. Which she has lived in 45years. Her medical history include type2 diabetes ,hypertension and osteoarthritis. She was recently admitted to the hospital following a stroke. that result in moderate left arm and leg weakness. This admission was her third hospital admission in the past three months.Her others admission has been for a urinary tract infection and fall in the context of hypoglycaemia of delirium. which prolonged her length of stay in the hospital? She has been discharging and you are now seeing her as an enrolled nurse together with a home care registered nurse. Another registered nurse has performed a cognitive assessment and documented that cognitive decline has occurred following the stroke. she has global cognitive deficits primally affecting memory attention and executive functioning, so this includes planning, problem solving, mental flexibility and abstract reasoning.at discharge from the recent admission it was recommended that it was in her best interest to be discharged to a residential care setting due other need for assistant with the care tasks associated with daily living. Mr Jeffery was adamant that she wanted to return home to live. Mrs Jeffrey very privet and her closet family, her daughters live close by Mrs Jeffry took much persuasion to accept any home services. but now has cleaning and shopping assistance once a week. She lacs insight into her care needs and believes that she will feel better. Less confused and stronger ,once she is more settled back into her own home.1.1This is an emergency situation, as the patient has high-level chest pain. Given the critical nature of the scenario, outline a minimum of five (5) steps you would take to ensure Mr Tsakoumagos is appropriately cared for. In your response, consider who you would involve and any assessments or nursing interventions you may need to include. Response:18.104.22.168.5. 1.2Explain how you would undertake effective decision-making to initiate action for Mr Tsakoumagos in collaboration with members of a multidisciplinary team, which is based on the clinical assessment of the client (). In your response, include:· Immediate treatment actions· Referrals· Longer-term actions.Note: You should show sufficient detail to indicate how you undertook the decision-making process and what evidence or results the decision was based on. Your response should provide brief details of what information would be discussed, which team members would be involved in the discussion and the outcomes and recommendations of the discussion. Identify the roles and professional expertise of nominated members of the multidisciplinary health care team.Response: 1.3Considering your knowledge of Mr Tsakoumago’s lifestyle, identify a minimum of six (6) potential environmental and other health issues that may impact Mr Tsakoumago’s health.Response: 1.4Mr Tsakoumagos lives outside the small rural town of Moranbah in Central Queensland. Using the following website, plus your own research identify two (2) community resources and one (1) other resource around the area that will help to support and assist Mr Tsakoumagos’s needs for each of the following.· Weight loss· Smoking cessation· Healthy eatingMy Community Directory. (2019). Moranbah 4744. Retrieved October 2019 from https://www.mycommunitydirectory.com.au/Queensland/Isaac?id=8963&location=Moranbah%204744Response: Worksheet 2: Mr Smith2.1Based on your knowledge of Mr Smith’s situation, identify three (3) health goals you could work to set in collaboration with Mr Smith to help prevent illness, relative to his needs.Response: 2.2List three (3) health or lifestyle interventions you could recommend for Mr Smith, ensuring they are appropriate to Mr Smith’s needs and situation. And, , explain the community (or other) resource that could assist and how the intervention would provide a benefit.Response: 2.3explain how you would identify any health literacy issues Mr Smith might have, which could impact his understanding of the information provided to him and his ability to access services. In your response, include a minimum of three (3) s you could ask Mr Smith.Response: 2.4, explain how you would assist Mr Smith to participate in health education programs relevant to his needs. In your response, include how your suggestions might meet workplace guidelines (for example WHS considerations, any ethical considerations for example client rights)Response: 2.5List five (5) criteria you would look for when evaluating whether you have met the goals you set for Mr Smith and, for each, explain how you would monitor and document his progress towards meeting each one.Response: Worksheet 3: Mrs Jeffery3.1Outline three (3) risks Mrs Jeffery faces with her current situation and provide one (1) possible intervention for each risk to try to minimise .Response: 3.2, explain three (3) strategies you could discuss with Mrs Jeffery’s family that would help them assist with her care, self-care and understanding.Response: 3.3In , outline how you would document Mrs Jeffery’s response to the interventions and to whom you would report this.Response: 3.4Mrs Jeffery is agreeable to you talking with her daughters about her care. Outline what you would say to her daughters when describing the physical, psychological and social impacts of her health problems on her daily activities .Response: Worksheet 4: Lifecycle Health Issues4.1You are to fill out the table provided. This table asks that you nominate three common health issues for each lifecycle stage, outline an appropriate PHC response/treatment/intervention and nominate a multidisciplinary team member indicating why you have chosen that profession for each of the health issues listed.Related lifecycle stage.Note three (3) common health issues for lifecycle stage.Specify one (1) appropriate PHC response / treatment / intervention for each issue.List one (1) multidisciplinary team member appropriate for each issue and note why they are important. Infant(0-2 years) Child(3-12 years) Adolescent(13-17 years) Adult(22-60) Older adult (60 and older)Health Science Science Nursing BIOL 6171
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