Original answers only Scenario: Mr Jack Charles owns and man
Original answers only Scenario: Mr Jack Charles owns and manages a… Original answers onlyScenario:Mr Jack Charles owns and manages a Market Garden mainly producing celery and herbs. He and his son “Thomas” share this business together. Thomas has a wife and three young children aged 2, 4 and 6.Mr Jack Charles is a 78-year-old type 2 diabetic. He was first diagnosed in 1999 with hypertension then 2 years later as a type 2 diabetic. His wife Gladys has been managing his diet and medications until she died in 2010. He has hypercholesterolaemia managed with Lipitor 40mg nocte, hypertension managed with Aldomet 50mg daily, his type 2 diabetes is managed with diet and Metformin 500mg slow release BD. He has been struggling to manage his health and work on the Farm.Mr Charles was admitted to a Private Hospital 65 days ago with unstable ischaemic heart disease. On admission his BGL was 20 mmol/liter and he had polyuria, polydipsia and polyphagia. He required emergency Quadruple Coronary Artery Bypass Grafts (CABGs)that was complicated post – operatively by a Right Cerebrovascular Accident (RCVA).After ten (10) days he was transferred to a Private Rehabilitation Centre to receive specialised post stroke management. He has L leg weakness, L arm weakness and dysphasia as a result of hid ischaemic stroke.Medications in RehabilitationHypertension is now managed by Captopril 50mg TDS Diabetes is now managed by TDS Actrapid Insulin 10 units Hypercholesterolaemia us managed by Lipitor 80mg Clexane 80mg BD subcutaneouslyHe will require Oral warfarin on discharge, dosage to be determined. Answer the following s: Q1,Identify 2 chronic health problems and describe possible impacts of the conditions on body systems and Mr Charles’ ability to perform daily living activities. Q2,Seek information from Mr Charles, and as appropriate, with family or carer to confirm their understandings of the condition and its impact.What /s would you ask Mr Charles and his son “Thomas “to determine if they have an understanding of one of Mr Charles’ chronic health conditions and its impact on their life and activities of daily living? Q3,In the Post Stroke Rehabilitation Program, identify the current treatments given by the interdisciplinary health team to Mr Charles in rehab and on discharge Q4,Identify community-based care services that are available for Mr Charles with a need for restorative or rehabilitation care Q5,Actively involve Mr Charles in the development of strategies to self-manage his condition. Describe the strategies, or design a program to help teach Mr Charles how to self-manage his Type 2 Diabetes and the introduction of insulin therapy.Please make reference to:- Sugar free diet- The importance of BGL’s- The storage of insulinHealth Science Science Nursing HEALTH HLT54115
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